Texas Childrens Health Plan Inc: $3.1B Revenue, $3.1B Expenses

Texas Childrens Health Plan Inc earns an A on the NonprofitTruth efficiency rubric — a top-tier rating that reflects healthy operating reserves, reasonable officer compensation, and steady multi-year revenue. The composite score of 90/100 places it in the upper bracket of U.S. tax-exempt organizations.

On revenue, Texas Childrens Health Plan Inc is among the largest U.S. nonprofits: $3.1B in 2023 reported revenue. Organizations at this scale typically operate hospitals, university systems, or national federations — the financial pattern looks more like a corporation than the small-charity stereotype. Financial health is a strength: Texas Childrens Health Plan Inc carries a healthy operating-reserve cushion against $3.1B in annual expenses, the kind of balance-sheet stability that helps an organization weather funding gaps without cutting programs.

Revenue has grown meaningfully across the five-year filing history — a sign of expanding donor base, new grants, or scaling programs. Texas Childrens Health Plan Inc reported $3.1B in 2023, up notably from the start of the window. Officer compensation is modest relative to organizational size: Texas Childrens Health Plan Inc reports $3.4M in total compensation for current officers and key employees (Form 990 Part IX, line 5) against $3.1B in revenue. The ratio is well within the bands third-party charity raters consider reasonable at this scale. Texas Childrens Health Plan Inc is categorized under Health — the largest segment of U.S. nonprofit revenue, dominated by hospitals, hospital systems, and health-research organizations. The financial profile in this category is capital-intensive, with large balance sheets and program service revenue that often dwarfs donations.