Liabilities / Assets
81st percentile
Higher debt load relative to assets than 81% of similar nonprofits.
EIN 76-0486264 • 501(c)3 • Bellaire, TX
Profile
To create a healthier future for children and women throughout our global community by leading in patient care, education, and research.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
81st percentile
Higher debt load relative to assets than 81% of similar nonprofits.
Liabilities / Revenue
18th percentile
Higher debt load relative to revenue than 18% of similar nonprofits.
Net Margin
14th percentile
Higher net margin than 14% of similar nonprofits.
Top Officer Pay
97th percentile
Higher top officer pay than 97% of similar nonprofits.
Top officer pay equals 0.5% of source-year revenue.
Asset Growth
2nd percentile
Faster asset growth than 2% of similar nonprofits.
Revenue Growth
7th percentile
Faster revenue growth than 7% of similar nonprofits.
Assets
Down$796,615,695
Down $186,137,836 (-19%) from 2023
Liabilities
Down$489,792,147
Down $98,621,190 (-17%) from 2023
Net Assets
Down$306,823,548
Down $87,516,646 (-22%) from 2023
Revenue
Down$2,791,870,131
Down $296,825,514 (-9.6%) from 2023
Expenses
Down$2,877,699,810
Down $244,607,073 (-7.8%) from 2023
Net Income
Down-$85,829,679
Down $52,218,441 (-155%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
To create a healthier future for children and women throughout our global community by leading in patient care, education, and research.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Cap Stk Tr Prin Current Funds | $427,939,614 | $392,648,390 | ▼ $35,291,224 |
| Investments in Publicly Traded Securities | $612,854,097 | $282,014,688 | ▼ $330,839,409 |
| Savings and Temporary Cash Investments | $222,925,409 | $198,630,659 | ▼ $24,294,750 |
| Accounts Receivable | $95,886,607 | $175,774,903 | ▲ $79,888,296 |
| Prepaid Expenses and Deferred Charges | $4,068,232 | $7,911,247 | ▲ $3,843,015 |
| Investments Program Related | $24,837,825 | $2,987,454 | ▼ $21,850,371 |
| Land, Buildings, and Equipment, Net | $1,694,008 | $2,259,666 | ▲ $565,658 |
| Cash and Non-Interest-Bearing Accounts | $792,208 | $0 | ▼ $792,208 |
| Pledges and Grants Receivable | $150,128 | $16,261 | ▼ $133,867 |
| Other Notes and Loans Receivable, Net | $0 | $0 | → $0 |
| Receivable From Disqualified Prsn | - | $0 | - |
| Receivables From Officers Etc | - | $0 | - |
| Investments Other Securities | $0 | - | - |
| Pd in Cap Srpls Land Bldg Eqp Fund | $0 | $0 | → $0 |
| Intangible Assets | $0 | $0 | → $0 |
| Inventories for Sale or Use | $0 | $0 | → $0 |
| Loans From Officers Directors | - | $0 | - |
| Rtn Earn Endowment Incm Other Fnds | $-33,599,420 | $-85,824,842 | ▼ $52,225,422 |
| Total Assets | $982,753,531 | $796,615,695 | ▼ $186,137,836 |
| Other Assets Total | $19,545,017 | $127,020,817 | ▲ $107,475,800 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $574,231,721 | $470,065,591 | ▼ $104,166,130 |
| Other Liabilities | $8,601,171 | $14,435,329 | ▲ $5,834,158 |
| Deferred Revenue | $5,580,445 | $5,291,227 | ▼ $289,218 |
| Grants Payable | $0 | $0 | → $0 |
| Mortgage Notes Payable Secured by Investment Property | $0 | $0 | → $0 |
| Unsecured Notes Loans Payable | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Tax Exempt Bond Liabilities | $0 | $0 | → $0 |
| Total Liabilities | $588,413,337 | $489,792,147 | ▼ $98,621,190 |
| Net Assets / Fund Balance | |||
| Net Assets With Donor Restrictions | $0 | $0 | → $0 |
| Net Assets Without Donor Restrictions | $0 | $0 | → $0 |
| Total Net Assets Fund Balance | $394,340,194 | $306,823,548 | ▼ $87,516,646 |
| Total Liabilities and Net Assets / Fund Balance | $982,753,531 | $796,615,695 | ▼ $186,137,836 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Leasehold Improvements | $1,721,659 | $3,955,132 | $5,676,791 |
| Equipment | $538,007 | $2,356,973 | $2,894,980 |
| Other Assets Org | $50,017 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Michael Murphy | Board Member & President of TCHP | FT | $776,311 | $321,126 | $1,097,437 |
| Karen E Hill Md | Chief Medical Officer through 1/11/24 | FT | $25,667 | $722,109 | $747,776 |
| Jennifer a Little | Interim COO through 1/15/24 / Treasurer as of 1/16/24 | PT | $297,712 | $431,290 | $729,002 |
| Kendra Case | Chief Operating Officer as of 1/16/24 | FT | $348,529 | $204,993 | $553,522 |
| Vivian a Wozniak | Vice President | FT | $297,263 | $241,144 | $538,407 |
| Lisa R Fuller Md | Medical Director all year & Chief Medical Officer as of 10/1/24 | FT | $310,224 | $91,026 | $401,250 |
| Kathy C Scott-gurnell | Medical Director | FT | $304,577 | $28,743 | $333,320 |
| Eric E Anderson | Associate Medical Director through 10/24/24 | FT | $191,280 | $132,190 | $323,470 |
| Sophia L Burns | Associate Medical Director | FT | $284,039 | $24,035 | $308,074 |
| Ryan a Thompson | Treasurer through 1/15/24 / Assistant Vice President | FT | $200,272 | $98,890 | $299,162 |
| Sebrina N Allison Cmcn | Senior Director of Clinical Operations | FT | $220,146 | $51,865 | $272,011 |
| Jessica V Fleischer | Board Assistant Secretary through 7/8/24 | - | - | $131,391 | $131,391 |
| Name | Title |
|---|---|
| Mark a Wallace | Board Member and Chair through 10/03/24 |
| Debra F Sukin | Board Member as of 1/8/24 / Chair as of 10/4/24 |
| Weldon W Gage | Board Member all year / Vice Chair as of 10/1/24 |
| Lance a Lightfoot | Former Officer / Senior Vice President Through 8/6/24 |
| Amanda R Williams | Board Assistant Secretary as of 11/7/24 |
| Bradley S Morrill | Board Assistant Secretary through 11/6/24 |
| Daniel R Diprisco | Board Member |
| Keith C Nelson | Board Member |
| Matthew T Girotto | Board Member |
| Myra L Davis | Board Member |
| Linda W Aldred | Board Member through 10/11/24 |
| Tabitha L Rice | Board Member through 7/1/24 |
| Aisha Jamal | Board Secretary through 10/11/24 |
| Afsheen S Davis | Secretary as of 10/12/24 |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Ut Physicians | Healthcare Services | 6410 Fannin St, Suite 200, Houston, TX 77030 | $29,276,258 |
| Utmb Faculty Group Practice | Healthcare Services | PO BOX 650859 DEPT 710, Dallas, TX 75265-0859 | $22,538,844 |
| Christus Family Practice Center-jasper | Healthcare Services | PO BOX 848060, Dallas, TX 75284-8060 | $15,145,980 |
| Houston Methodist Hospitals | Healthcare Services | PO BOX 47554, Houston, TX 77210-4755 | $12,620,059 |
| Womans Hospital Of TX | Healthcare Services | PO BOX 406299, Atlanta, GA 30384-6299 | $8,924,780 |
| Line Item | Amount |
|---|---|
| Other Expenses | $505,979,617 |
| Salaries, Compensation, and Employee Benefits | $58,929,122 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Benefits to Members | $2,312,791,071 | - | - | $2,312,791,071 |
| Other Salaries and Wages | $23,489,215 | $9,168,960 | - | $32,658,175 |
| Fees for Services Other | $17,010,740 | $7,917,881 | $0 | $24,928,621 |
| All Other Expenses | $20,876,320 | $946,653 | $0 | $21,822,973 |
| Other Employee Benefits | $9,597,885 | $3,436,155 | - | $13,034,040 |
| Information Technology | $4,491,255 | $8,288,097 | - | $12,779,352 |
| Other Expenses | $37,389,774 | $11,781,566 | - | $11,781,566 |
| Payroll Taxes | $4,633,053 | $1,666,911 | - | $6,299,964 |
| Depreciation Depletion | $9,723 | $5,223,853 | - | $5,233,576 |
| Current Officers, Directors, Trustees, and Key Employees | $3,828,149 | - | - | $3,828,149 |
| Fees for Services Legal | $235,093 | $3,330,936 | - | $3,566,029 |
| Advertising | $3,401,252 | $85,997 | - | $3,487,249 |
| Pension Plan Contributions | $1,143,136 | $1,965,658 | - | $3,108,794 |
| Occupancy | $33 | $2,682,868 | - | $2,682,901 |
| Office Expenses | $1,072,803 | $1,453,917 | - | $2,526,720 |
| Fees for Service Investment Mgmnt Fees | $37,982 | $561,203 | - | $599,185 |
| Travel | $352,703 | $201,542 | - | $554,245 |
| Insurance | $390 | $275,725 | - | $276,115 |
| Conferences and Meetings | $45,028 | $151,852 | - | $196,880 |
| Fees for Services Accounting | - | $150,781 | - | $150,781 |
| Fees for Services Lobbying | - | $14,619 | - | $14,619 |
| Total Functional Expenses | $2,818,394,636 | $59,305,174 | $0 | $2,877,699,810 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $2,877,699,810 |
| Expenses per Audited Statements | $2,876,409,968 |
| Total Expenses per Audited Statements | $2,876,409,968 |
| Expenses Not Reported on Financial Statements | $1,289,842 |
| Other Expense Adjustments | $746,269 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | - | $0 | - |
| Receivables from Disqualified Persons | - | $0 | - |
| Receivables from Officers, Directors, Trustees, and Key Employees | - | $0 | - |
| Liability | Amount |
|---|---|
| Deferred Compensation | $14,307,367 |
| Federal Income Taxes | $127,962 |
| Due to Affiliates | - |
“The annual process for determining compensation includes: - review and approval by governing body and compensation committee, provided that persons with a conflict of interest with respect to the compensation arrangement at issue were not involved. - comparable compensation data for similarly qualified persons in functionally comparable positions at similarly situated organizations. - contemporaneous documentation and record keeping with respect to deliberations and decisions regarding total compensation.”
“Texas children's is the sole corporate member of texas children's health plan.”
“Texas children's, as the sole member corporation, has the authority to elect the board of directors of the organization.”
“Per the organization's bylaws the member has certain reserved powers: - approve, interpret or change the purpose of the corporation. - fix the number, appoint or remove, with or without cause, any director of the corporation. - approve the merger, dissolution or consolidation or reorganization of the corporation. - approve the acquisition, sale, lease, transfer, or other alienation of property of the corporation, other than in the usual and regular course of the corporation's business, when such acquisition, sale, lease, transfer or other alienation is above specific financial levels set in accordance with policies established from time to time by the member. - approve capital and operating budget of the corporation. - adoption or amendment of salaries or other compensation (including the awarding of any incentive compensation) of the officers of the corporation, physician employees of the corporation, if any, and physicians who are independent contractors of the corporation, if any. - approve debt incurred by the corporation, which is in excess of such limits as are established by the member. - approve the disposition of assets of the corporation at the time of its dissolution. - approve any long-range financial or strategic plans for the corporation. - selection of the corporation's auditors. - designation of additional or successor member(s). - take any action which would be consistent with the governing documents or policies of the member.”
“No such committees exist.”
“Per a resolution approved by the member's board of trustees, the member board's audit, compliance, & risk committee has delegated authority to review the organization's completed Form 990 prior to filing. Following the audit, compliance, & risk Committee's review and approval, the completed Form 990 is shared with the members of the organization's board of directors and board of trustees prior to filing with the IRS.”
“The organization consistently monitors and enforces the conflict of interest policy through two separate processes, one that applies to the board members, and a second that applies to officers and key employees. 1) board members: per the organization's board-approved conflicts review process, responses to the annual conflicts questionnaire are reviewed by the member's board leadership and presented to the member's audit, compliance, & risk committee. If the committee deems there are any significant issues, the responses are then reviewed by the member board's executive committee and any required action (recusement from board deliberations related to the conflict, etc.) is taken in accordance with the organization's board-approved code of conduct. 2) officers / key employees: per the organization's board approved conflicts review process, responses to the annual conflicts questionnaire are reviewed by the compliance services department. If the department deems there are any significant issues, required action is taken in accordance with the organization's board-approved code of conduct and the board is notified of such actions.”
“All governing documents, conflict of interest policy, & financial statements are available to the public upon request.”
“CHANGE IN NON-ADMITTED ASSETS - -1686967; Total - -1686967;”
“Texas children's health plan does benefit from excess liability and property insurance policies issued by foreign insurers. The premiums for these policies are paid by texas children's hospital with an expense allocation to texas children's health plan.”
“Management annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the accompanying consolidated balance sheets as of december 31, 2024.”
“Reinsurance - -555211 Bank service charges - -191058”
“Reinsurance - 555211 Bank service charges - 191058”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 574231721 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 470065591 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 95886607 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 175774903 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | To create a healthier future for children and women throughout our global community by leading in patient care, education, and research. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 85997 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 3401252 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 3487249 |
| IRS990/AllOtherContributionsAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 946653 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 20876320 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 21822973 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BenefitsToMembersGrp/ProgramServicesAmt | 0 | 2312791071 |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 2312791071 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Scott Elliott |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 8328242951 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 6330 WEST LOOP S STE 1300 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Bellaire |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | TX |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 77401 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CapStkTrPrinCurrentFundsGrp/BOYAmt | 0 | 427939614 |
| IRS990/CapStkTrPrinCurrentFundsGrp/EOYAmt | 0 | 392648390 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 792208 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 0 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 260 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 3828149 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 3828149 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 151852 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 45028 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 196880 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 29276258 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 22538844 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 15145980 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 12620059 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 8924780 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 6410 Fannin St |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 650859 DEPT 710 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO BOX 848060 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | PO BOX 47554 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO BOX 406299 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine2Txt | 0 | Suite 200 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Houston |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | DALLAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | DALLAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | Houston |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | ATLANTA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | GA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 77030 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 752650859 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 752848060 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 772104755 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 303846299 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | UT PHYSICIANS |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | UTMB FACULTY GROUP PRACTICE |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | CHRISTUS FAMILY PRACTICE CENTER-JASPER |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | HOUSTON METHODIST HOSPITALS |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | WOMANS HOSPITAL OF TX |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | HEALTHCARE SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | HEALTHCARE SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | HEALTHCARE SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | HEALTHCARE SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | HEALTHCARE SERVICES |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 2312791071 |
| IRS990/CYContributionsGrantsAmt | 0 | 1023482 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 33272942 |
| IRS990/CYOtherExpensesAmt | 0 | 505979617 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 2757573707 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -85829679 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 58929122 |
| IRS990/CYTotalExpensesAmt | 0 | 2877699810 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 2791870131 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 5580445 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 5291227 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 5223853 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 9723 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 5233576 |
| IRS990/Desc | 0 | TEXAS CHILDREN'S HEALTH PLAN ("TCHP") PROVIDES HEALTH CARE COVERAGE TO UNDERSERVED CHILDREN AND WOMEN WHO, WITHOUT MEDICAID, STAR, STAR KIDS, OR CHIP, WOULD NOT HAVE ACCESS TO AFFORDABLE HEALTH INSURANCE. TCHP PARTICIPATES IN MEDICAID, WHICH TARGETS CHILDREN UNDER 185-100% OF THE FEDERAL POVERTY LEVEL AND THE CHILDREN'S HEALTH INSURANCE PROGRAM, WHICH TARGETS CHILDREN BETWEEN 200-100% OF THE POVERTY LEVEL. TCHP WAS FOUNDED IN 1995 BY TEXAS CHILDREN'S HOSPITAL. TCHP IS THE NATION'S FIRST HEALTH MAINTENANCE ORGANIZATION CREATED JUST FOR CHILDREN. TCHP HAS A NETWORK OF 3,791 PRIMARY CARE PROVIDERS, 23,267 SPECIALISTS, AND 421 HOSPITALS TO COVER KIDS, TEENS, PREGNANT WOMEN AND ADULTS. AS OF DECEMBER 31, 2024, TCHP HAD 445,448 MEMBERS. Star: The State of Texas Access Reform (STAR) is a Medicaid program offered at no cost for children up to age 21, some adults and pregnant women who cannot afford health insurance. As of December 31, 2024, TCHP had 389,088 Star members. Star Kids: Effective November 1, 2016, TCHP began offering Star Kids, a new Texas Medicaid managed care program that provides Medicaid benefits to children and adults 20 and younger who have disabilities. Star kids offers regular Medicaid services along with long-term services and supports (LTSS) which include things like help in a home with basic daily activities and help making changes to a home so that members can move around safely. As of December 31, 2024, TCHP had 25,976 Star Kids members. CHIP: The Children's Health Insurance Program (CHIP) offers low-cost health coverage for children from birth through age 18. CHIP is designed for families who earn too much money to qualify for Medicaid but cannot afford to buy private health coverage. As of December 31, 2024, TCHP had 30,384 CHIP members. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 1026 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 2818394636 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 150781 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 150781 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 3330936 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 235093 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 3566029 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 14619 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 14619 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 7917881 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 17010740 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 24928621 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 561203 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ProgramServicesAmt | 0 | 37982 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 599185 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 39.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 39.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 39.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 39.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 39.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 39.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 39.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 39.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 39.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 39.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 39.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 39.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 39.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 39.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 39.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 39.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 34.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 344286 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 94357 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 30340 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 629062 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 415435 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 448552 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 357310 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 364467 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 364217 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 62067 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 116017 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 154891 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 49096 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 25709 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 176680 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 23996 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 2994 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 80898 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 51242 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 80434 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 64207 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 60157 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 14449 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 31839 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 11308 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 81380 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | DEBRA F SUKIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | MARK A WALLACE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | MICHAEL MURPHY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | WELDON W GAGE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | DANIEL R DIPRISCO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | KEITH C NELSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | LINDA W ALDRED |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | MATTHEW T GIROTTO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | MYRA L DAVIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | TABITHA L RICE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | AFSHEEN S DAVIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | AISHA JAMAL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | AMANDA R WILLIAMS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | BRADLEY S MORRILL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | JENNIFER A LITTLE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | JESSICA V FLEISCHER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | KAREN E HILL MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | KENDRA CASE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | LISA R FULLER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | RYAN A THOMPSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | LANCE A LIGHTFOOT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | ERIC E ANDERSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | KATHY C SCOTT-GURNELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | SEBRINA N ALLISON CMCN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | SOPHIA L BURNS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | VIVIAN A WOZNIAK |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 1067097 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 631687 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 744782 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 472624 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 350008 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 218728 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 263313 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 318871 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 240172 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 296766 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 457027 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 2142794 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 13249302 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 2485328 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 1577989 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 1676053 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 2046760 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 1196323 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 2687305 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 612712 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 872460 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 880644 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 281370 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 139183 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 121638 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 107395 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 1926445 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | Board Member as of 1/8/24 / Chair as of 10/4/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Board Member and Chair through 10/03/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Board Member & President of TCHP |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Board Member all year / Vice Chair as of 10/1/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Board Member through 10/11/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Board Member through 7/1/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Secretary as of 10/12/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Board Secretary through 10/11/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Board Assistant Secretary as of 11/7/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Board Assistant Secretary through 11/6/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Interim COO through 1/15/24 / Treasurer as of 1/16/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Board Assistant Secretary through 7/8/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Chief Medical Officer through 1/11/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | Chief Operating Officer as of 1/16/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | Medical Director all year & Chief Medical Officer as of 10/1/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | Treasurer through 1/15/24 / Assistant Vice President |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | Former Officer / Senior Vice President Through 8/6/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | Associate Medical Director through 10/24/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | Medical Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | Senior Director of Clinical Operations |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | Associate Medical Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | Vice President |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1995 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 3287742 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 7 |
| IRS990/GovernmentGrantsAmt | 0 | 1023482 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 1286946801 |
| IRS990/GrossReceiptsAmt | 0 | 4075529190 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 0 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 290 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 8288097 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 4491255 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 12779352 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 275725 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 390 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 276115 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 0 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 29985200 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 29985200 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 24837825 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 2987454 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 612854097 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 282014688 |
| IRS990/IRPDocumentCnt | 0 | 2461 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
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