Cook Childrens Medical Center: $1.9B Revenue, $1.2B Program Expenses

On the LakeQuality nonprofit efficiency rubric, Cook Childrens Medical Center pulls an A — the highest available grade. The 85/100 composite reflects a combination of program-focused spending, controlled overhead, and the kind of multi-year financial discipline that grant-makers look for.

On revenue, Cook Childrens Medical Center is among the largest U.S. nonprofits: $1.9B 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. Cook Childrens Medical Center directs 80% of its expenses to programs — above the third-party-rater threshold for an efficient organization.

Five-year revenue trajectory is strongly positive: Cook Childrens Medical Center has grown materially in real terms, which usually signals successful fundraising and program expansion. CEO compensation is reported as zero in the filing — typical for nonprofits where the chief executive is paid through a related entity (parent system, university, or foundation) rather than the filing organization itself, or for small organizations whose chief is a volunteer or board member. Cook Childrens Medical Center is categorized under Health — the largest segment of U.S. nonprofit revenue, dominated by hospitals, hospital systems, and health-research organizations. Revenue-to-program ratios in this category often look different from smaller-program nonprofits because the underlying operations are capital-intensive.