Children's Hospital Association

Legal name: National Association of Children's Hospitals and Related Institutions Inc

Nonprofit profile at a glance

EIN
510120256
IRS 990 coverage
2010–2025
Official website data refreshed
Sep 2026
Forms available
Form 990 2025, Form 990-T 2024
Location
Washington, DC, US
Phone
(202) 753-5500
Rating
81
Verdict
STRONG
Rating confidence
Moderate

Official website

Reported finances

Revenue
$64,966,463
Expenses
$39,546,159
Assets
$183,484,835
Liabilities
$22,309,430

Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.

Leadership & pay

24 people listed

Executive titles in this filing

  • MATTHEW COOK (CEO)
  • PAUL HAUT (PRESIDENT)

Highest reported compensation

  • MATTHEW COOK (CEO): $1,525,962 total reported compensation
  • LEAH EVANGELISTA (CHIEF PUBLIC AFFAIRS & BRAND OFFICER): $599,759 total reported compensation
  • MICHELLE HOGERTY (CFAO): $557,975 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

To advance child health through innovation in the quality, cost and delivery of care.

What it reported doing in 2025

Data analytics: the analytics programs provide insight into meaningful pediatric healthcare solutions by identifying pediatric healthcare opportunities in delivery, quality, and cost. Collection and analysis of data has also supported advocacy for graduate medical education funding, for increasing children's access under medicaid and chip programs and for strengthening reimbursement for children's hospitals. The tools available to members include a suite of data, benchmarking, and quality improvement programs and software to help measure and improve quality and efficiency, inform and support strategies, showcase improvements in children's health care and identify opportunities for further improvement. Tools and analysis back internal and policy decision-making efforts with concrete evidence and allow hospitals to measure and improve quality and efficiency and shape pediatric care nationally.

Operating model

Revenue model
Other-operating. 84% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. The filing reports few safeguards for money sent abroad and fundraising costs are high for each dollar raised.

Rating breakdown

  • Financial Efficiency: 77
  • Transparency & Controls: 75
  • Accountability: 95
  • Sustainability: 75
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 84.9%; rating input score 85
  • Program expense ratio: 89.8%; rating input score 90
  • Fundraising efficiency: $0.26 raised per $1 spent on fundraising; rating input score 1; 1st percentile among comparable filings

Transparency & Controls

  • Consistency checks: 94.1%; rating input score 94; 25th percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Missing
    • Written employment contract: Pass
    • Compensation survey or study: Missing
    • Board or committee approval: Pass
  • Foreign activity oversight: Scored; rating input score 0
  • Grant itemization coverage: 97.8%; rating input score 98; 39th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 92.3%; rating input score 92; 23rd percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 39.1%; rating input score 90; 90th percentile among comparable filings
  • Total-asset coverage ratio: 4.64; rating input score 79; 79th percentile among comparable filings
  • Liabilities to assets ratio: 0.12; rating input score 75; 75th percentile among comparable filings
  • Officer compensation ratio: 10.7%; rating input score 3; 3rd percentile among comparable filings

Growth

  • Program expense growth: 4.7% per year; rating input score 100; 36th percentile among comparable filings
  • Revenue growth: 5.1% per year; rating input score 100; 43rd percentile among comparable filings
  • Asset growth: 11.7% per year; rating input score 100; 76th percentile among comparable filings

Details

  • What they do: 4 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 84.9% of revenue deployed · 89.8% of spending went to programs
  • Governance: 12 of 13 board members independent · 9 of 9 filing controls reported
  • Programs: 4 filed program accomplishments · $35.5M in reported program spending
  • Leadership: top reported pay $1.5M · 24 people listed · 4 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $1.1M reported
  • Consistency: 36 of 37 current checks pass · 1 finding to review
  • Schedules: 9 filed schedules · includes major donors, foreign activity, grants, executive pay, and related organizations
  • Filing history: 14 filing years from 2010 to 2025
  • Contacts: How to reach this organization
  • Money network: 14 filed money-flow records
  • Related organizations: 7 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Foreign activity oversight scored 0/100.
  • High — Financial Efficiency: Fundraising efficiency scored 1/100.
  • High — Sustainability: Officer compensation ratio scored 3/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.