Prisma Health Upstate: $2.9B Revenue, $2.3B Expenses

The efficiency rubric puts Prisma Health Upstate 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.

On revenue, Prisma Health Upstate is among the largest U.S. nonprofits: $2.9B 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: Prisma Health Upstate 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.

Revenue trend is mildly positive across the five-year filing window — modest growth, consistent with stable funding sources keeping pace with organizational costs. Current-officer compensation is not separately reported in the filing — typical for nonprofits where leadership is paid through a related entity (parent system, university, or foundation) rather than the filing organization itself, or for small organizations whose chief is a volunteer or board member. Prisma Health Upstate 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.