Rush University Medical Center: $2.7B Revenue, $2.6B Expenses

Rush University Medical Center grades a B on the NonprofitTruth efficiency rubric. 78/100 on the composite — above the national median, with strong performance on some factors balanced by middling performance on others.

On revenue, Rush University Medical Center is among the largest U.S. nonprofits: $2.7B 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: Rush University Medical Center carries a healthy operating-reserve cushion against $2.6B in annual expenses, the kind of balance-sheet stability that helps an organization weather funding gaps without cutting programs.

Revenue has grown meaningfully across the five-year filing history — a sign of expanding donor base, new grants, or scaling programs. Rush University Medical Center reported $2.7B in 2023, up notably from the start of the window. Officer compensation is modest relative to organizational size: Rush University Medical Center reports $33.0M in total compensation for current officers and key employees (Form 990 Part IX, line 5) against $2.7B in revenue. The ratio is well within the bands third-party charity raters consider reasonable at this scale. Rush University 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.