Childrens Health System Of Texas: $2.4B Revenue, $2.1B Expenses

Childrens Health System Of Texas earns a C on the efficiency rubric — the median bucket on the NonprofitTruth scale, indicating performance close to the national midpoint across financial reserves, officer compensation, and revenue consistency. Composite score: 59/100.

On revenue, Childrens Health System Of Texas is among the largest U.S. nonprofits: $2.4B 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. Reserves are the limiting factor: Childrens Health System Of Texas carries relatively few months of operating expenses on its balance sheet, which can leave an organization exposed if a major funding source pauses.

Five-year revenue trajectory is strongly positive: Childrens Health System Of Texas has grown materially in real terms, which usually signals successful fundraising and program expansion. Officer compensation is modest relative to organizational size: Childrens Health System Of Texas reports $33.6M in total compensation for current officers and key employees (Form 990 Part IX, line 5) against $2.4B in revenue. The ratio is well within the bands third-party charity raters consider reasonable at this scale. Childrens Health System Of Texas 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.