Ronald Mcdonald House Charities of Nashville Tennessee Inc

Nonprofit profile at a glance

EIN
621310717
IRS 990 coverage
2011–2025
Forms available
Form 990 2025
Location
Nashville, TN, USA
Phone
6153434000
Rating
77
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Patient Services - Entertainment, Recreation

Official website

Reported finances

Revenue
$3,920,142
Expenses
$2,101,955
Assets
$25,629,013
Liabilities
$80,217

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

Leadership & pay

36 people listed

Executive titles in this filing

  • DR JENNIFER FOWLER (PRESIDENT)
  • CODY SCHMITS (PRESIDENT-ELECT)
  • TYLER MUESCH (IMMEDIATE PAST PRESIDENT)
  • ELIZABETH PIERCY (EXECUTIVE DIRECTOR)

Highest reported compensation

  • ELIZABETH PIERCY (EXECUTIVE DIRECTOR): $142,669 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 keep families close by providing essential resources and a home-away-from-home for families of critically ill children receiving inpatient or outpatient medical care at a nashville area hospital.

What it reported doing in 2025

Programs run by ronald mcdonald house charities, the 36-bedroom ronald mcdonald house and the ronald mcdonald family room on the 5th floor of the monroe carell jr. Children's hospital at vanderbilt offer a place for parents and family members to relax, refresh and experience the comforts of home while staying close to their sick child.in 2025, 432 families were served. These families came from 95 counties in Tennessee and 66 counties in Kentucky, as well as 41 other states, 2 u.s. Territories and 14 foreign countries.the nashville house requests that families pay $15 per night. However, the primary goal is to keep these families together and never refuse service because a family is unable to pay. In 2025, 86% of the families served could not afford to pay anything to stay in our house. The average monthly occupancy in 2025 was 76% and the average length of stay was 21 nights. Our amazing volunteers, meal groups and supporters provided 439 meals for families in 2025.the family room includes a comfortable seating area, a kitchen stocked with snacks, a children's play area, a half bath and the support of caring staff and volunteers. The family room has served more than 452,414 individuals since its opening and averages 673 visitors per month.

Operating model

Revenue model
Donor-supported. 85% of the money available for current operations came from contributions and gifts.
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.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

SUPPORTED - The filed numbers largely add up and most voting board members are independent. A relatively small share of available resources goes toward mission work and fundraising costs are high for each dollar raised.

Rating breakdown

  • Financial Efficiency: 50
  • Transparency & Controls: 92
  • Accountability: 100
  • Sustainability: 84
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 45%; rating input score 45
  • Program expense ratio: 67.2%; rating input score 67
  • Fundraising efficiency: $7.23 raised per $1 spent on fundraising; rating input score 25; 25th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
  • Pay-setting controls: Limited
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 63rd percentile among comparable filings
  • Governance controls: 8 of 8 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: NotApplicable
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 46.4%; rating input score 89; 89th percentile among comparable filings
  • Total-asset coverage ratio: 12.19; rating input score 90; 90th percentile among comparable filings
  • Liabilities to assets ratio: 0; rating input score 85; 85th percentile among comparable filings
  • Officer compensation ratio: 6.8%; rating input score 46; 46th percentile among comparable filings

Growth

  • Program expense growth: 1.1% per year; rating input score 100; 16th percentile among comparable filings
  • Revenue growth: 3.9% per year; rating input score 100; 28th percentile among comparable filings
  • Asset growth: 5.7% per year; rating input score 100; 37th percentile among comparable filings

Details

  • Where the money goes: 45% of revenue deployed · 67.2% of spending went to programs
  • Governance: 35 of 35 board members independent · 8 of 8 filing controls reported
  • Programs: 1 filed program accomplishment · $1.4M in reported program spending
  • Leadership: top reported pay $143K · 36 people listed
  • Highest-paid contractors: 2 contractors listed · $959K reported
  • Consistency: 34 of 34 current checks pass
  • Schedules: 6 filed schedules · includes major donors
  • Filing history: 15 filing years from 2011 to 2025
  • Contacts: How to reach this organization
  • Money network: 1 filed money-flow record
  • 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.

  • Moderate — Financial Efficiency: Mission deployment rate scored 45/100.
  • High — Financial Efficiency: Fundraising efficiency scored 25/100.
  • Moderate — Sustainability: Officer compensation ratio scored 46/100.