Community Medical Centers
Legal name: Fresno Community Hospital and Medical Center
Nonprofit profile at a glance
- EIN
- 941156276
- IRS 990 coverage
- 2009–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- Fresno, CA, USA
- Phone
- 5594596000
- Rating
- 82
- Verdict
- STRONG
- Rating confidence
- Moderate
- Sector
- Hospital, General
Reported finances
- Revenue
- $2,580,198,511
- Expenses
- $2,461,132,491
- Assets
- $3,199,235,760
- Liabilities
- $1,129,158,040
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
31 people listed
Executive titles in this filing
- CRAIG WAGONER (PRESIDENT & CEO (AS OF 02/25))
- ALDO DE LA TORRE - DIVISION (PRESIDENT, INS SVCS & MANAGED CARE)
- DANIEL DAVIS (DIVISION PRESIDENT, HOSPITALS)
Highest reported compensation
- CRAIG S CASTRO - PRES CEO ((THRU 02/25)/CONSULTANT(AS OF 02/25)): $3,115,707 total reported compensation
- CRAIG WAGONER (PRESIDENT & CEO (AS OF 02/25)): $1,767,621 total reported compensation
- CHRISTOPHER NEUMAN (SVP, CHIEF FINANCIAL OFFICER): $1,353,941 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Serving the Central Valley since 1897 (donor-facing purpose statement not explicitly present in provided mission snippet). Community Cancer Institute treats rare blood cancer in pregnant mother May 19, 2026 Community Cancer Institute treats rare blood cancer in pregnant mother Read More The Life-Saving Role of Cardio-Oncology April 27, 2026 The Life-Saving Role of Cardio-Oncology Watch Now Blue Band program protects pregnant and postpartum people at risk for life-threatening conditions April 21, 2026 Blue Band program protects pregnant and postpartum people at risk for life-threatening conditions Read More.
What it reported doing in 2024
Fresno community hospital and medical center operates two acute-care hospitals and numerous outpatient centers, clinics and other services which meet the healthcare needs of the community. See schedule o for additional details.- community regional medical center. Crmc is a tertiary acute care facility that provides the primary service area and secondary service area with the following services: (i) the central valley's only level i trauma center, (ii) the community regional burn center, (iii) a level iii neonatal intensive care unit, (iv) comprehensive inpatient and outpatient services, including technologically advanced medical/surgical specialties such as cardiovascular, neuroscience, orthopedics, (v) the community family birth center, (vi) general and specialty intensive care units, (vii) the leon s. Peters rehabilitation center, (viii) inpatient and outpatient cancer treatment, (ix) pathology and clinical laboratory services, (x) dialysis treatment facilities, (xi) diagnostic radiology services, (xii) short stay surgery services, (xiii) a cardiovascular care unit, and (xiv) 24 hour emergency services. Crmc is also a teaching hospital that is affiliated with ucsf. The main campus of crmc consists of a hospital building with five and 10-story wings, connected to a five story trauma and critical care building. Crmc also provides (i) behavioral health services at a freestanding facility in northern fresno known as the community behavioral health center ("cbhc"), (ii) subacute and skilled nursing services at a freestanding facility in northern fresno known as the community subacute and transitional care center ("cstcc"), and (iii) HIV, surgical, dental, and omfs services are offered at the deran koligian ambulatory care center located on the crmc main campus (the "fresno campus"). - clovis community medical center. Ccmc is located in the city of clovis (which is contiguous to the city of fresno), where it serves the primary service area and, to a lesser degree, the secondary service area. The chs campus in clovis (the "clovis campus") includes the main facility, which consists of an acute care hospital with two five-story towers and a three-story tower connected to an outpatient surgery/endoscopy/diagnostic center. The facility has all private rooms. The facility provides: (i) comprehensive medical and surgical capabilities, (ii) 24-hour emergency care, (iii) an intensive care unit, (iv) the community family birth center, (v) the marjorie e. Radin breast care center (vi) short stay and inpatient surgical services, including robotics and advanced minimally invasive surgery, (vii) a level ii neonatal intensive care unit, (viii) inpatient cancer treatment, (ix) pathology and clinical laboratory services, (x) advanced diagnostic and interventional radiology, and (xi) invasive and non-invasive cardiac services. Other facilities and services provided on the clovis campus include: (i) an outpatient wound care clinic with two hyperbaric oxygen chambers, (ii) an outpatient physical rehabilitation clinic, including lymphedema therapy, (iii) community cancer institute (cci), a three-story building which is central California's premier comprehensive cancer care center - and the only one in the area with many outpatient services in a single location, and (iv) the h. Marcus radin conference center, which opened in 2012 and provides a 214- seat auditorium that is fully integrated for training in chs's operating rooms and for broadcasting other events, and two state-of-the-art computer training labs.- fresno heart and surgical hospital. Heart hospital is an acute care facility with all private rooms located in the city of fresno overlooking woodward park in northeast fresno. The facility opened in october 2003 and provides the primary and secondary service areas with (i) cardiology and cardiac surgery services, (ii) vascular surgery services, and (iii) bariatric and other minimally invasive surgery services. The organization is the principal t
Operating model
- Revenue model
- Earned-program. 97% of the money available for current operations came from fees and other program revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. The filing reports few safeguards for money sent abroad and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 79
- Transparency & Controls: 77
- Accountability: 96
- Sustainability: 56
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 86.6%; rating input score 87
- Program expense ratio: 91.2%; rating input score 91
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
- Pay-setting controls: 4 of 6 controls in place; rating input score 67
- Compensation committee: Pass
- Independent consultant: Pass
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Scored; rating input score 0
- Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 92.9%; rating input score 93; 42nd percentile among comparable filings
- Governance controls: 9 of 9 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 4.6%; rating input score 55; 55th percentile among comparable filings
- Total-asset coverage ratio: 1.3; rating input score 48; 48th percentile among comparable filings
- Liabilities to assets ratio: 0.35; rating input score 50; 50th percentile among comparable filings
- Officer compensation ratio: 0.2%; rating input score 90; 90th percentile among comparable filings
Growth
- Program expense growth: 6.3% per year; rating input score 100; 52nd percentile among comparable filings
- Revenue growth: 5.8% per year; rating input score 100; 51st percentile among comparable filings
- Asset growth: 6.3% per year; rating input score 100; 46th percentile among comparable filings
Details
- What they do: 8 programs and campaigns described on the official site · 1 operating location identified
- Where the money goes: 86.6% of revenue deployed · 91.2% of spending went to programs
- Governance: 13 of 14 board members independent · 9 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $2.2B in reported program spending
- Leadership: top reported pay $3.1M · 31 people listed · 4 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $357.5M reported
- Consistency: 35 of 35 current checks pass
- Schedules: 12 filed schedules · includes major donors, foreign activity, grants, executive pay, and related organizations
- Filing history: 16 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 17 filed money-flow records
- Related organizations: 15 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.
- High — Transparency & Controls: Foreign activity oversight scored 0/100.
- Review — Sustainability: Operating margin scored 55/100.
- Moderate — Sustainability: Total-asset coverage ratio scored 48/100.
- Review — Sustainability: Liabilities to assets ratio scored 50/100.
- Review — Grant Readiness: California registration: this organization could not be resolved against the register, so the check is unfinished.