Cook Childrens Medical Center: $1.9B Revenue, $1.5B Expenses

On the NonprofitTruth efficiency rubric, Cook Childrens Medical Center pulls an A — the highest available grade. The 91/100 composite reflects strong financial reserves, controlled officer compensation, 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. On the reserves factor, Cook Childrens Medical Center scores well — assets relative to annual spending sit in the range nonprofit-finance experts consider healthy (roughly three months to two years of operating expenses).

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. Officer compensation is modest relative to organizational size: Cook Childrens Medical Center reports $6.2M in total compensation for current officers and key employees (Form 990 Part IX, line 5) against $1.9B in revenue. The ratio is well within the bands third-party charity raters consider reasonable at this scale. 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. The financial profile in this category is capital-intensive, with large balance sheets and program service revenue that often dwarfs donations.