About Us
THIE Focuses on Insurance for Hospitals.
So Hospitals Can Focus on Health Care.
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Insuring hospitals is the Texas Hospital Insurance Exchange’s specialty. A reciprocal exchange, owned by the active subscribers, THIE provides a comprehensive range of affordable business insurance products and services for Texas hospitals. By focusing on a single industry, THIE brings unmatched expertise and insight into the needs and challenges Texas hospitals face.
THIE is ranked as one of the top Central Texas-based property and casualty insurance carriers by the Austin Business Journal and consistently gets high ratings from AM Best & Co. With more than 30 years’ experience in this industry, no one understands or provides for the unique insurance needs of Texas hospitals better than THIE.
- Meet our expert team of insurance and risk management specialists.
- Check out our full line of insurance products.
- Learn more about THIE’s financial strength.
The THIE Difference.
At THIE, our focus is on rural Texas hospitals – not Wall Street investors.
Unlike insurance companies interested only in making a profit, THIE is a reciprocal exchange --meaning THIE members share ownership and have a vested interest in its success.
Members share profits and losses in the same proportion as the amount of insurance purchased from the exchange by that member.
Meet the hospital leaders who direct THIE's vision.



