Draft Almanac release · Independent analysis by CRWDHEALTH · Not endorsed by CHCF
Hospital explorer/COMMUNITY REGIONAL MEDICAL CENTER - FRESNO

HCAI facility 106100717

COMMUNITY REGIONAL MEDICAL CENTER - FRESNO

2823 FRESNO STREET · FRESNO · Fresno County · 93715

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Licensed beds921
Acute beds710
Occupancy89.1%
Adjusted discharges53.3K
Cost / adjusted discharge$30.4K
Operating revenue$1.8B
Operating margin11.1%
Net income$279.8M
Cash$18.5M
Current ratio3.57
Net long-term debt$254.1M
Hospital FTEs4,656

Identity and period

Control
Non-Profit
System
N/A
Owner
COMMUNITY HEALTH SYSTEMS
Reporting period
2023-09-01 to 2024-08-31
Days reported
366
ER designation
1

Utilization

Outpatient visits
271,000
ER visits
118,065
Average length of stay
7.97 days
Inpatient surgeries
11,963
Outpatient surgeries
7,832
Births
3,147

Financial performance

Operating expense
$1.6B
Cost / adjusted discharge
$30.4K
Net from operations
$202.5M
Net income margin
14.7%
Days in receivables
237.37
Charity + bad debt charges
$218.2M

Capacity, reserves and labor

Beds, liquidity and workforce

Cash, assets limited as to use and other investments are shown separately and are not combined into a days-cash figure. Restrictions on their use and system-level reporting vary.

Licensed bed mix

Acute
710
Psychiatric
73
Chemical dependency
0
Rehabilitation
32
Long-term care
106
Residential
0

Liquidity and capital

Cash
$18.5M
Assets limited as to use
$803M
Investments + other assets
$34.8M
Current assets
$765.3M
Current liabilities
$214.7M
Equity
$1.6B

Workforce

Hospital FTEs
4,656
Student FTEs
218
Productive hours
8.3M
Paid hours
9.9M
RN productive hours
2.7M
Contract RN hours
58.9K

Payer accounting

Net revenue versus allocated expense

HCAI allocates operating expense to broad payer groups. The difference is an accounting result and does not measure payer profitability.

Scroll horizontally to view every payer measure.

Payer groupNet patient revenueAllocated operating expenseRevenue less expense
Medicare$542.6M$526.1M$16.4M
Medi-Cal$782.1M$630.7M$151.5M
County indigent$0$0$0
Commercial / other third party$317.9M$252.4M$65.5M
Other$1.2M$32.2M-$31M

Linked public evidence

Quality, spending, and current context

Each measure keeps its source period and definition. Missing records are left blank.

CMS + HCAI quality

CMS overall rating
1 / 5
HCAHPS definitely recommend
70%
SEP-1 appropriate sepsis care
58%
ED median time
232 min
HRRP ratios above 1 / reported
4 / 5
IMI better / expected / worse
0 / 5 / 4

OHCA 2023 spending

Third-party IP NPR / CMAD
$19.7K
Medicare IP NPR / CMAD
$15.1K
Medi-Cal IP NPR / CMAD
$20.7K
Third-party OP NPR / adjusted visit
$63.5
Medicare OP NPR / adjusted visit
$84.1
Medi-Cal OP NPR / adjusted visit
$393.3

2026 Q1 liquidity + identifiers

Days cash on hand
121.52 days
Liquid reserve assets
$582.6M
Quarter operating margin
9%
Quarter current ratio
5.34
Quarter discharges
10,509
AHRQ system
Community Medical Centers

Notes: CMS quality records are linked by Medicare certification number (CCN). An excess readmission ratio above 1 means more readmissions than expected for that condition. NPR per CMAD (net patient revenue per case-mix-adjusted discharge) measures spending, not negotiated prices. 2026 Q1 days cash uses HCAI's liquid-reserve formula and may reflect system-level reporting. Review the quality and spending workspace for comparison populations and downloads.

Figures reflect the facility's reported period and primary HCAI source fields. See methodology for formulas and limitations.