Seattle Childrens Hospital: $2.3B Revenue, $2.3B Expenses

The efficiency rubric puts Seattle Childrens Hospital at a B grade: a composite of 74/100 that lands above the national midpoint. The grade reflects solid financial reserves alongside reasonable officer compensation and steady revenue.

On revenue, Seattle Childrens Hospital is among the largest U.S. nonprofits: $2.3B 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, Seattle Childrens Hospital 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: Seattle Childrens Hospital has grown materially in real terms, which usually signals successful fundraising and program expansion. Officer compensation is modest relative to organizational size: Seattle Childrens Hospital reports $8.2M in total compensation for current officers and key employees (Form 990 Part IX, line 5) against $2.3B in revenue. The ratio is well within the bands third-party charity raters consider reasonable at this scale. Seattle Childrens Hospital 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.