Annual Report 2023-2024

Financial Highlights Shriners Children's

Dec. 31, 2023 Dec. 31, 2022

(in thousands)

ASSETS Cash and cash equivalents

$

31,811

28,490

Cash and cash equivalents held as collateral under securities lending transactions Patient accounts receivable, net of allowance for doubtful accounts

531,613

591,506

26,327 107,621

35,916 90,518

Other current assets

LONG-TERM INVESTMENTS

Patient transportation funds held by Shriners temples

(in thousands)

84,137

80,483

Long-term investments

9,660,021

8,781,929

9

Estates in process

291,038

287,114

Land, buildings, and equipment, net of accumulated depreciation

8

720,348

735,571

Total assets

$

11,452,916

10,631,527

LIABILITIES AND NET ASSETS Liabilities: Accounts payable and accrued expenses Liabilities under securities lending transactions

7

$

204,128 531,613 52,992 788,733

206,660

6

591,506

Other liabilities

51,156

5

Total liabilities

849,322

Net assets: Without donor restrictions (net of accumulative foreign currency adjustment of $9,644 in 2022 and $9,623 in 2021): $

4

Charitable Gift Annuities $57,714 Misc. Investments $21,552

9,236,991 1,427,192 10,664,183 11,452,916

8,397,329 1,384,876 9,782,205 10,631,527

3

With donor restrictions

Marketable Securities $8,667.376

Total net assets

Beneficial Interest $582,364

2

Total liabilities and net assets

$

RE & Minerals $331,015

TOTAL REVENUES AND OTHER SUPPORT Investment income

1

$

413,299 223,657 223,808 99,004 156,628

317,613

Bequests

237,705 226,794

0

Donations

Fundraising and special events

Total $9,660,021

96,439

Net patient service revenue

174,003

Other

49,012

35,211

Total revenues and other support

1,165,408

1,087,765

OPERATING EXPENSES Hospitals

$

INVESTMENT INCOME

715,478

709,810

Research

25,702 21,448 57,539 122,126 156,908 1,099,201

(in thousands)

26,659

Revenue cycle

21,681

Other $10,141

Realized Gains on Investments $189,940

Information systems

48,190

Rents & Royalties $15,444

Headquarters, administrative, and board related

109,790

Fundraising and special events

137,144

Trust Income $22,605

Total operating expenses

1,053,274

Increase (decrease) in net assets from operating and other activities

66,207

34,491

OTHER CHANGES IN NET ASSETS Gain on investments

TOTAL $413,299

818,047

(1,617,930)

Change in patient transportation funds held by Shriners temples Pension-related changes other than net periodic pension costs

3,654

(1,597)

14,217

63,715

Other, net

(20,147) 815,771 881,978

(6,187)

Total non-operating gains

(1,561,999) (1,527,508)

Interest & Dividends (less fees) $175,169

Increase (decrease) in net assets

$

65