Civic Intelligence

The Children'S Hospital

EIN 31-0537130 • 501(c)3 • Cincinnati, OH

Profile

To provide financial support to tax-exempt organizations located in Hamilton County, Ohio that are dedicated to the treatment and research of diseases or disorders affecting children.

3333 Burnet AvenueCincinnati, OH 45229-3039

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

8th percentile

0.01x

Higher debt load relative to assets than 8% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Liabilities / Revenue

21st percentile

0.21x

Higher debt load relative to revenue than 21% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Net Margin

82nd percentile

23%

Higher net margin than 82% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Top Officer Pay

2nd percentile

$0

Higher top officer pay than 2% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)3 • $1B+ nonprofits • Source year 2024

Asset Growth

80th percentile

15%

Faster asset growth than 80% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Revenue Growth

21st percentile

2.6%

Faster revenue growth than 21% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets8th percentile

Assets

Up

$5,366,457,418

Up $685,770,811 (+15%) from 2023

Liabilities

Up

$50,505,815

Up $50,009,103 (+10068%) from 2023

Net Assets

Up

$5,315,951,603

Up $635,761,708 (+14%) from 2023

Operations
Liabilities / Revenue21st percentileNet Margin82nd percentile

Revenue

Up

$240,460,819

Up $6,203,712 (+2.6%) from 2023

Expenses

Up

$184,303,584

Up $58,658,218 (+47%) from 2023

Net Income

Down

$56,157,235

Down $52,454,506 (-48%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth80th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$6.0B$4.0B$2.0B$0Assets 2010: $1,115,874,574Liabilities 2010: $89,000Net Assets 2010: $1,115,785,5742010Assets 2011: $1,369,382,773Liabilities 2011: $8,629,125Net Assets 2011: $1,360,753,6482011Assets 2012: $1,414,290,623Liabilities 2012: $14,828,027Net Assets 2012: $1,399,462,5962012Assets 2013: $1,684,580,006Liabilities 2013: $795,709Net Assets 2013: $1,683,784,2972013Assets 2014: $2,004,199,439Liabilities 2014: $11,513,311Net Assets 2014: $1,992,686,1282014Assets 2015: $2,077,004,000Liabilities 2015: $11,636,000Net Assets 2015: $2,065,368,0002015Assets 2016: $2,158,385,000Liabilities 2016: $12,240,000Net Assets 2016: $2,146,145,0002016Assets 2017: $2,450,845,943Liabilities 2017: $11,686,881Net Assets 2017: $2,439,159,0622017Assets 2018: $2,903,134,530Liabilities 2018: $75,208,944Net Assets 2018: $2,827,925,5862018Assets 2019: $3,277,811,988Liabilities 2019: $11,382,161Net Assets 2019: $3,266,429,8272019Assets 2020: $3,279,851,763Liabilities 2020: $11,405,980Net Assets 2020: $3,268,445,7832020Assets 2021: $4,344,291,069Liabilities 2021: $2,741,492Net Assets 2021: $4,341,549,5772021Assets 2022: $4,359,978,415Liabilities 2022: $74,901,296Net Assets 2022: $4,285,077,1192022Assets 2023: $4,680,686,607Liabilities 2023: $496,712Net Assets 2023: $4,680,189,8952023Assets 2024: $5,366,457,418Liabilities 2024: $50,505,815Net Assets 2024: $5,315,951,6032024

Highlighted filing

2024

Assets$5,366,457,418
Liabilities$50,505,815
Net Assets$5,315,951,603
Open 2024 Filing

Operations Trend

Revenue Growth21st percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$400M$300M$200M$100M$0Expenses 2010: $79,646,1492010Expenses 2011: $75,131,6992011Expenses 2012: $74,323,6562012Expenses 2013: $66,227,7452013Revenue 2014: $191,061,893Expenses 2014: $51,681,041Net Income 2014: $139,380,8522014Revenue 2015: $295,035,765Expenses 2015: $63,899,504Net Income 2015: $231,136,2612015Revenue 2016: $148,638,013Expenses 2016: $61,704,000Net Income 2016: $86,934,0132016Revenue 2017: $187,835,147Expenses 2017: $65,094,620Net Income 2017: $122,740,5272017Revenue 2018: $195,342,632Expenses 2018: $83,783,043Net Income 2018: $111,559,5892018Revenue 2019: $326,239,059Expenses 2019: $87,498,928Net Income 2019: $238,740,1312019Revenue 2020: $141,067,527Expenses 2020: $95,928,830Net Income 2020: $45,138,6972020Revenue 2021: $222,578,660Expenses 2021: $111,618,724Net Income 2021: $110,959,9362021Revenue 2022: $266,785,527Expenses 2022: $112,869,753Net Income 2022: $153,915,7742022Revenue 2023: $234,257,107Expenses 2023: $125,645,366Net Income 2023: $108,611,7412023Revenue 2024: $240,460,819Expenses 2024: $184,303,584Net Income 2024: $56,157,2352024

Highlighted filing

2024

Revenue$240,460,819
Expenses$184,303,584
Net Income$56,157,235
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$5,366,457,418
Liabilities
$50,505,815
Net assets
$5,315,951,603
Revenue
$240,460,819
Expenses
$184,303,584
Net income
$56,157,235
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$5,366$50.5$5,316$240$184$56.2
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4,681$0.50$4,680$234$126$109
2022Detailed filing. Detailed filing data is available for this year.$4,360$74.9$4,285$267$113$154
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4,344$2.74$4,342$223$112$111
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3,280$11.4$3,268$141$95.9$45.1
2019Detailed filing. Detailed filing data is available for this year.$3,278$11.4$3,266$326$87.5$239
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2,903$75.2$2,828$195$83.8$112
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2,451$11.7$2,439$188$65.1$123
2016Detailed filing. Detailed filing data is available for this year.$2,158$12.2$2,146$149$61.7$86.9
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2,077$11.6$2,065$295$63.9$231
2014Detailed filing. Detailed filing data is available for this year.$2,004$11.5$1,993$191$51.7$139
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,685$0.80$1,684$66.2
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,414$14.8$1,399$74.3
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,369$8.63$1,361$75.1
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,116$0.09$1,116$79.6
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 8, 2025
Return Version
2023v6.0
Gross Receipts
$625,303,877
Mission and Program Overview

Mission

The purpose of the childrens hospital is to provide financial support and otherwise operate for the benefit and support of cincinnati childrens hospital medical center, whose vision is to be the leader in improving child health. Cincinnati childrens hospital medical centers mission is to improve child health and transform delivery of care through fully integrated, globally recognized research, education and innovation. For patients from the community, the nation and the world, the care provided will achieve the best medical and quality of life outcomes, patient and family experience and value, today and in the future.

Support treatment & research of diseases or disorders affecting children at children's hospital medical center.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$4,656,389,260$5,342,294,584▲ $685,905,324
Savings and Temporary Cash Investments$21,759,799$22,010,030▲ $250,231
Accounts Receivable$288,500$132,660▼ $155,840
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Land, Buildings, and Equipment, Net$0$0→ $0
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$4,680,686,607$5,366,457,418▲ $685,770,811
Other Assets Total$2,249,048$2,020,144▼ $228,904
Liabilities
Other Liabilities$494,368$50,503,471▲ $50,009,103
Deferred Revenue$2,344$2,344→ $0
Accounts Payable and Accrued Expenses$0$0→ $0
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$496,712$50,505,815▲ $50,009,103
Net Assets / Fund Balance
Net Assets With Donor Restrictions$2,484,138,366$2,849,454,227▲ $365,315,861
Net Assets Without Donor Restrictions$2,196,051,529$2,466,497,376▲ $270,445,847
Total Net Assets Fund Balance$4,680,189,895$5,315,951,603▲ $635,761,708
Total Liabilities and Net Assets / Fund Balance$4,680,686,607$5,366,457,418▲ $685,770,811

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2023$2,484,138,366$3,635,751▲ $430,955,159$66,265,713$2,849,454,226
2022$2,271,810,064$5,094,117▲ $272,514,217$62,416,077$2,484,138,366
2021$2,329,854,356$12,265,125▼ $9,940,958$57,347,661$2,271,810,064
2020$1,766,899,613$9,949,129▲ $599,999,010$44,569,762$2,329,854,356
2019$1,844,328,859$2,990,216▼ $27,278,838$51,027,660$1,766,899,613
Compensation and Service Providers
Top Officer Pay2nd percentile

Board Members and Trustees

NameTitle
Michael HirschfeldChairman / President
Liza SmithermanVice President / SECRETARY
Becky WoodTrustee
Christine BrownerTrustee
David OsbornTrustee
Gary HuffmanTrustee
Jim VanceTrustee
Joel StoneTrustee
Laura TomlinTrustee
Mark BieggerTrustee
Robert TaylorTrustee
Stacey BrowningTrustee
Tom FinnTrustee
Nancy Kreiger Eddy PhdTRUSTEE - through 08/23
Alicia Bond-lewisTrustee - through 10/23
Beth GuttmanTRUSTEE - through 10/23
Craig YoungTRUSTEE - through 10/23
Joyce KeeshinTRUSTEE - through 10/23
David CassadyTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Bahl & GaynorInvestment Mgmt213 East Third Street, Cincinnati, OH 45202$2,776,101
Pnc BankInvestment Mgmt201 East Fifth Street, Cincinnati, OH 45202$1,265,302
Eagle Asset ManagementInvestment Mgmt880 Carillon Parkway, St Petersburg, FL 33716$781,991
Fort Washington Investment AdvisorsInvestment Mgmt303 Broadway, Cincinnati, OH 45202$658,195
Fifth Third BankInvestment Mgmt38 Fountain Square Plaza, Cincinnati, OH 45263$192,435
Revenue and Support

Revenue Composition

Contributions and Grants
$3,635,751
Program Service Revenue
$0
Investment Income
$236,825,068
Other Revenue
$0
All Other Contributions
$3,635,751
Change in Net Assets
$56,157,235

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Securities Publicly Traded2$40,444Market value
Total Noncash Contributions2$40,444-

Audited Revenue Reconciliation

Revenue per Audited Statements
$240,460,819
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$579,604,473
Other Revenue Adjustments
$0
Total Revenue per Audited Statements
$820,065,292
Total Revenue per Form 990
$240,460,819
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$178,506,633
Other Expenses$5,796,951
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$178,506,633--$178,506,633
Fees for Service Investment Mgmnt Fees$0$5,479,999$0$5,479,999
Other Expenses$0$60,254$0$60,254
Interest$0$56,509$0$56,509
Total Functional Expenses$178,506,633$5,796,951$0$184,303,584

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$184,303,584
Total Expenses per Audited Statements$184,303,584
Total Expenses per Form 990$184,303,584
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Other Expense Adjustments$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
CHILDREN'S HOSPITAL MEDICAL CENTERCincinnati, OH501(c)(3)Patient Care and Research$178,506,633
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Cincinnati Children's Hospital$50,000,000
Present Value of Future Annuity$503,471
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 6 Classes of members or stockholders

“The Members of The Childrens Hospital are the persons currently serving as the Trustees on the Board of Trustees of the Corporation.”

Form 990, Part VI, Line 11B Review of form 990 by governing body

“The childrens' hospital ("tch") form 990 is prepared and reviewed by external tax consultants. A draft of the return is reviewed by the senior management from cincinnati children's hospital medical center ("cchmc"), a related organization, for completeness and accuracy. The form 990 is then made available to all tch board members in advance of filing.”

Form 990, Part VI, Line 12C Conflict of interest policy

“All of tch's board members receive an annual questionnaire requesting information regarding family and business relationships that could potentially result in a conflict of interest as defined by tch's conflict of interest policy. Once the questionnaires have been completed by all of tch's board members, the questionnaires are reviewed. If tch determines that a conflict of interest exists, tch follows the provisions set forth in tch's conflict of interest policy.”

Form 990, Part VI, Line 19 Required documents available to the public

“Tch's governing documents, conflict of interest policy, and financial statements are maintained on file by cincinnati children's senior management and are available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
The Childrens Hospital
EIN
31-0537130
Phone
5138031106
Address
3333 Burnet Avenue, Cincinnati, OH 45229-3039

Signing Officer

Name
Carolyn Karageorges
Title
VP, Chief Accounting Officer
Phone
5138031106
Signed
2025-05-08
Discuss with paid preparer
Yes

Organization Details

Formed
1883
Legal Domicile
Oh
Voting Board Members
14
Independent Board Members
14
Employees
0
Volunteers
0

Preparer

Firm
Forvis Mazars LLP
Address
312 Walnut Street Suite 3000, Cincinnati, OH 45202
Preparer
Aaron Hershberger
Phone
5136218300
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

“Transfers from Cincinnati Children's - 4185400; Decrease in Cash Surrender Value - 134480;”

Form 990, Part V, Line 3A Form 990-T

“Although tch did not have unrelated business income of more than $1,000, a 990-t was filed.”

Financial Statement Notes

Schedule D, Part V, Line 4 Intended uses of endowment funds

“Tch's temporary and permanently restricted endowment funds are restricted by donors to be maintained by tch in perpetuity. Tch's intended use of revenue from endowment funds is to provide financial support to cincinnati children's hospital medical center based on donor intent.”

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

“The corporation has received a determination from the internal revenue service that it is recognized as exempt from federal income taxes under section 501(c)(3) of the internal revenue code. The corporation follows accounting standards codification 740 "income taxes" (asc 740) related to the accounting for income taxes, which is consistent with the tax basis of accounting. Fiscal years 2021 through 2024 are subject to examination by both the federal and state tax jurisdictions.”

Schedule D, Part XI, Line 2(D) Other revenues in audited financial statements not in form 990

“Transfer from Cincinnati Children's - 4185400 Cash Surrender Value - 134480”

Raw XML AppendixShowing 400 of 887 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990/AccountsPayableAccrExpnssGrp/BOYAmt00
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt00
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IRS990/AccountsReceivableGrp/EOYAmt0132660
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IRS990/BooksInCareOfDetail/PhoneNum05138031106
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt03333 BURNET AVENUE
IRS990/BooksInCareOfDetail/USAddress/CityNm0CINCINNATI
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IRS990/BooksInCareOfDetail/USAddress/ZIPCd0452293039
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IRS990/ContractorCompensationGrp/ServicesDesc4INVESTMENT MGMT
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IRS990/Desc0THE CHILDREN'S HOSPITAL, CINCINNATI, OHIO ("TCH") IS AN IRC SEC. 501(C)(3) TAX EXEMPT ORGANIZATION WHOSE SOLE PURPOSE IS TO PROVIDE CHARITABLE FINANCIAL SUPPORT TO CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER. SUCH CHARITABLE FINANCIAL SUPPORT IS PROVIDED PRIMARILY THROUGH EXPENDABLE INCOME GENERATED BY INVESTMENTS OF ENDOWMENT AND OTHER FUNDS BY TCH. DURING THE TAX YEAR JULY 1, 2023 TO JUNE 30, 2024, IN FULFILLMENT OF THIS CHARITABLE MISSION, TCH PROVIDED FINANCIAL SUPPORT AMOUNTING TO $178,506,633 TO CINCINNATI CHILDREN'S TO SUPPORT ITS CHARITABLE EFFORTS IN PEDIATRIC PATIENT CARE AND RELATED RESEARCH.
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