Fresno Community Hospital And Medical Center: $2.5B Revenue, $2.3B Expenses

Fresno Community Hospital And Medical Center earns an A on the NonprofitTruth efficiency rubric — a top-tier rating that reflects healthy operating reserves, reasonable officer compensation, and steady multi-year revenue. The composite score of 83/100 places it in the upper bracket of U.S. tax-exempt organizations.

On revenue, Fresno Community Hospital And Medical Center is among the largest U.S. nonprofits: $2.5B in 2023 reported revenue. Organizations at this scale typically operate hospitals, university systems, or national federations — the financial pattern looks more like a corporation than the small-charity stereotype. Financial health is a strength: Fresno Community Hospital And Medical Center carries a healthy operating-reserve cushion against $2.3B in annual expenses, the kind of balance-sheet stability that helps an organization weather funding gaps without cutting programs.

Five-year revenue trajectory is strongly positive: Fresno Community Hospital And Medical Center has grown materially in real terms, which usually signals successful fundraising and program expansion. Officer compensation is modest relative to organizational size: Fresno Community Hospital And Medical Center reports $8.3M in total compensation for current officers and key employees (Form 990 Part IX, line 5) against $2.5B in revenue. The ratio is well within the bands third-party charity raters consider reasonable at this scale. Fresno Community Hospital And Medical Center 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.