The Childrens Hospital

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1883

Legal Domicile

Phone

5138031106

Tax Period

2024-07-01 to 2025-06-30

The Childrens Hospital, founded in 1883, is a major nonprofit in the Health Care sector that reported $411.4M in total revenue in fiscal year 2024. Revenue surged 71% from the prior year, signaling strong growth momentum. The organization ran a surplus of $218.1M, a strong 53% operating margin.

Mission

THE PURPOSE OF THE CHILDREN'S HOSPITAL IS TO PROVIDE FINANCIAL SUPPORT AND OTHERWISE OPERATE FOR THE BENEFIT AND SUPPORT OF CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER. CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER'S 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.

Program Service Accomplishments

Program 1

Expenses: $186,571,039 Revenue: $0

THE 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...

THE 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, 2024 TO JUNE 30, 2025, IN FULFILLMENT OF THIS CHARITABLE MISSION, TCH PROVIDED FINANCIAL SUPPORT AMOUNTING TO $186,571,039 TO CINCINNATI CHILDREN'S TO SUPPORT ITS CHARITABLE EFFORTS IN PEDIATRIC PATIENT CARE AND RELATED RESEARCH.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $2,090,140

Program Service Revenue $0

Investment Income $409,288,065

Other Revenue $0

TOTAL REVENUE $411,378,205

Expense Breakdown

Grants Paid $186,571,039

Salaries & Benefits $0

Fundraising Expenses $0

Program Expenses $186,571,039

Other Expenses $6,712,464

TOTAL EXPENSES $193,283,503

Year-over-Year Comparison

	2024	2023	Change
Revenue	$411,378,205	$240,460,819	+0.7%
Expenses	$193,283,503	$184,303,584	+0.0%
Net Income	$218,094,702	$56,157,235	+2.9%

Key Indicators

✓ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

N/A

Volunteers

N/A

Governance Policies

✗ Conflict of Interest Policy

✗ Whistleblower Policy

✗ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

Total Directors

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
DAVID CASSADY	TREASURER	1.0	Officer Director	$0	$0	$0
DAVID OSBORN	CHAIRMAN / PRESIDENT	4.0	Officer Director	$0	$0	$0
LIZA SMITHERMAN	Vice President / SECRETARY	1.0	Officer Director	$0	$0	$0
ANDREW QUINN	TRUSTEE - TERM START 10/21/24	1.0	Director	$0	$0	$0
BECKY WOOD	TRUSTEE	1.0	Director	$0	$0	$0
BETH GUTTMAN	TRUSTEE - TERM END 10/24	1.0	Director	$0	$0	$0
CHRISTINE BROWNER	TRUSTEE	1.0	Director	$0	$0	$0
GARY HUFFMAN	TRUSTEE	1.0	Director	$0	$0	$0
JIM VANCE	TRUSTEE	1.0	Director	$0	$0	$0
JOEL STONE	TRUSTEE	1.0	Director	$0	$0	$0
LAURA TOMLIN	TRUSTEE	1.0	Director	$0	$0	$0
MARK BIEGGER	TRUSTEE	1.0	Director	$0	$0	$0
MICHAEL HIRSCHFELD	TRUSTEE	1.0	Director	$0	$0	$0
ROBERT TAYLOR	TRUSTEE	1.0	Director	$0	$0	$0
STACEY BROWNING	TRUSTEE	1.0	Director	$0	$0	$0
TOM FINN	TRUSTEE	1.0	Director	$0	$0	$0

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2025	$411,378,205	$193,283,503	$5,811,369,367	$218,094,702
2024	No data	No data	No data	No data
2023	$234,257,107	$125,645,366	$4,680,686,607	$108,611,741
2022	$266,785,527	$112,869,753	$4,359,978,415	$153,915,774
2021	$222,578,660	$111,618,724	$4,344,291,069	$110,959,936
2020	$141,067,527	$95,928,830	$3,279,851,763	$45,138,697
2019	$326,239,059	$87,498,928	$3,277,811,988	$238,740,131
2018	$195,342,632	$83,783,043	$2,903,134,530	$111,559,589