Bon Secours Richmond Health System: $1.9B Revenue, $1.7B Expenses

The efficiency rubric puts Bon Secours Richmond Health System at a B grade: a composite of 79/100 that lands above the national midpoint. The grade reflects solid financial reserves alongside reasonable officer compensation and steady revenue.

Bon Secours Richmond Health System operates at corporate scale — $1.9B in reported 2022 revenue. At over a billion in annual revenue, nonprofits typically run consolidated operations across multiple states or business lines, and the IRS Form 990 reflects a much larger operational footprint than a typical 501(c)(3). On the reserves factor, Bon Secours Richmond Health System scores well — assets relative to annual spending sit in the range nonprofit-finance experts consider healthy (roughly three months to two years of operating expenses).

Five-year revenue trajectory is strongly positive: Bon Secours Richmond Health System has grown materially in real terms, which usually signals successful fundraising and program expansion. Officer compensation is modest relative to organizational size: Bon Secours Richmond Health System reports $1.6M in total compensation for current officers and key employees (Form 990 Part IX, line 5) against $1.9B in revenue. The ratio is well within the bands third-party charity raters consider reasonable at this scale. Bon Secours Richmond Health System is categorized under Health — the largest segment of U.S. nonprofit revenue, dominated by hospitals, hospital systems, and health-research organizations. The financial profile in this category is capital-intensive, with large balance sheets and program service revenue that often dwarfs donations.