Tennessee · Nonprofit
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC (Tennessee) receives grants from 93 organizations whose IRS filings report $25,617,902 to it, the largest being The Chicago Community Trust ($12,000,000). 60 of them have funded it in more than one year, and 68% of the money arrives through donor-advised or pass-through sponsors rather than from an institution directly.
- Revenue FY2025
- $414M
- Funders on record
- 93
- Grants received
- $26M
- Net assets
- $536M
What East Tennessee Children's Hospital Association Inc does
Mission
East tennessee children's hospital is a free-standing, independent, not-for-profit pediatric health care system which serves the east tennessee region. Children's hospital is certified by the state of tennessee as a comprehensive regional pediatric center. Our vision is taking care of our future, one child at a time.
As stated on its FY2025 Form 990.
Program
East tennessee children's hospital ("etch") is the only comprehensive regional pediatric center in east tennessee. Since 1937, etch has provided excellent pediatric health care for children from birth to 21 years of age. Etch offers more pediatric subspecialties than any other hospital in the region, serving children from east tennessee, southwest virginia, southeast kentucky and western north carolina. The subspecialties available at etch include: adolescent medicinechild abuse pediatrics(subspecialty list continued on schedule o)developmental-behavioral pediatricsneonatologypediatrics/primary carepediatric allergy & immunologypediatric anesthesiologypediatric cardiology clinical geneticspediatric critical carepediatric dermatologypediatric emergency medicinepediatric endocrinologypediatric forensic medicinepediatric gastroenterologypediatric hematology/oncologypediatric infectious diseasepediatric inpatient medicinepediatric intensive carepediatric nephrologypediatric neurologypediatric neurosurgerypediatric ophthalmologypediatric orthopedicspediatric otolaryngologypediatric physiatrypediatric plastic/reconstructive surgerypediatric pulmonologypediatric radiologypediatric…
$281,188,376 spentof which $250,985 as grants$385,378,735 earned by the program100% of program spending
The program described on its FY2024 Form 990. Program spending in total: $281,188,376.
The organization over time
Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.
Balance sheet
Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2024 to 2025, from $665M to $740M (+11%).
How it's funded, over time
Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.
Government-grant reliance: 2018 0% · 2019 0% · 2020 0% · 2021 0% · 2022 0% · 2024 2% · 2025 0%. Grants only. Government contracts and fees sit inside program revenue.
6% of EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC’s revenue is contributions — more reliant on donations than three-quarters of its peers (1% for the typical peer).
Surplus & reserves
Operating surplus or deficit each year, and months of liquidity in hand. 0 of the last 9 reported years ran a deficit.
reserve
Leadership and staff
The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.
Chief executive
Matt Schaefer
Board member/president & CEO
Board chair
David D Stevens
Chairman
As listed on its FY2025 Form 990.
The chief executive listed changed between the FY2020 and FY2021 filings.
Who funds it, year by year
2017 → 2023: the base broadened from 25 funders to 37 funders, grant income rose $967k → $1.2M.
18 of 93 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 68% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.
From the IRS filings of EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC’s funders (the co-funder graph). Top 30 of 93 funders by total. Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How concentrated its funding is
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC leans on a few funders — its largest provides 47% of grant income and the top three 61%; half comes from just 2 funders.
the vertical line marks half of all grant income — 2 funders to its left
85% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.
Largest funder’s share by year: 2017 22% · 2018 13% · 2019 15% · 2020 44% · 2021 11% · 2022 12% · 2023 12% — diversifying over time.
“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How long its funders stay
47% of EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC's funders are still giving 3 years after their first grant; 65% give in more than one year at all.
Share of funders still giving k years after their first recorded grant, pooled across every acquisition cohort. A funder counts as retained in a year only if it made a grant that year. Measured to FY2023, the last fiscal year that has finished arriving — a funder cannot be counted as lapsed in a year most filers have not reached.
Where its funders are
68% of EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC's grant income arrives through donor-advised or pass-through sponsors, whose addresses record where the money is held rather than where the donor is. Of the $8.2M that is directly attributable, 68% of it comes from Tennessee funders.
In-state vs out-of-state, by year
Funder states come from each funder’s own filing. $17M arriving through sponsors registered in 15 states is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
Against its field
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC runs a healthier operating margin than three-quarters of the 1,241 health nonprofits its size.
this organization peer median middle 50% of peers· 1,241 health nonprofits over $100M, FY2025
Government funding EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC receives
Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $2.5M on record — $2.5M federal, $1k state.
- Department of Health and Human Services$2.5M
- (RR) BENEFIT PROGRAMS$1k
Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.
Organizations like EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC
Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.
In Tennessee
Nationally
Read directly from this organization’s own Form 990, as neutral context.
Where the money goes
80% of spending goes to programs.
Governance
Footprint & structure
Files a return copy in 1 state
Part of a family of 3 related entities
- Cah Management Company LLC · disregarded
- East Tennessee Children's Medical Group LLC · disregarded
- Children's Primary Care Center · corp_trust
Screen this organization
A dated, signed PDF of the compliance screen for EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.
Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf
Questions and answers
- Who funds EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC?
- EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC (Tennessee) receives grants from 93 organizations whose IRS filings report $25,617,902 to it, the largest being The Chicago Community Trust ($12,000,000). 60 of them have funded it in more than one year, and 68% of the money arrives through donor-advised or pass-through sponsors rather than from an institution directly.
- How many funders does EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC have?
- IRS filings report 93 organizations giving $25,617,902 in grants to EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC, 60 of which have funded it in more than one year.
- Who is the largest funder of EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC?
- The Chicago Community Trust is the largest funder on record, with $12,000,000 in grants. The full list of funders is on this page.
- How can an organization like EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC find more funders?
- Start with the funders already giving here, then look at the foundations that back similar organizations in Tennessee. The funding by cause and by state pages list the largest funders for a given area and how to approach them.
These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 93 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing