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Short-term acute care hospital · Fresno, California · 401 beds · CMS certification number 050093

Saint Agnes Medical Center

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 5, 2025. 29 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$695.4M
$695,393,426 · G-3 line 3
Operating expenses
$755.1M
$755,086,564 · G-3 line 4
Result from patient care
−$59.7M
−$59,693,138 · G-3 line 5
Margin on patient care
−8.6%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $180.8M in its first year on file (1997) to $695.4M in 2025.
  • Its result from patient care: −$88.4M (2023), −$85.9M (2024), −$59.7M (2025).
  • 2 of the 5 short-term acute care hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
  • Medicaid paid for 4.1% of its inpatient days and Medicare for 29.5%.
  • TRINITY HEALTH CORPORATION holds 100% of it, on its Medicare enrollment.

Every statement is drawn from figures on this page; nothing is estimated.

29 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
1997
reopened
$180.8M
$180.4M
1998
reopened
$182.5M
$179.9M
1999
reopened
$166.0M
$194.3M
2000
reopened
$199.1M
$222.6M
2001
reopened
$215.4M
$232.3M
2002
reopened
$224.9M
$265.2M
2003
reopened
$243.4M
$289.7M
2004
reopened
$277.9M
$303.6M
2005
reopened
$287.3M
$313.0M
2006
reopened
$344.3M
$325.4M
2007
reopened
$370.7M
$328.6M
2008
reopened
$397.0M
$385.4M
2009
reopened
$394.9M
$398.7M
2010
reopened
$404.4M
$409.4M
2011
reopened
$446.5M
$461.9M
2012
reopened
$425.8M
$424.4M
2013
reopened
$448.8M
$454.7M
2014
reopened
$383.9M
$398.6M
2015
reopened
$478.6M
$466.9M
2016
reopened
$486.0M
$472.7M
2017
reopened
$468.8M
$473.8M
2018
reopened
$490.7M
$473.9M
2019
reopened
$512.0M
$505.2M
2020
settled with audit
$491.7M
$524.2M
2021
as submitted
$557.1M
$534.1M
2022
as submitted
$568.3M
$630.3M
2023
as submitted
$578.2M
$666.5M
2024
as submitted
$607.0M
$692.9M
2025
as submitted
$695.4M
$755.1M

Beside its peers

Short-term acute care hospitals in California with 400 and over beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Saint Agnes Medical Center401$695,393,426$755,086,564−8.6%
El Camino Health, Mountain View405$1,547,728,223$1,390,155,82210.2%
Kaiser Foundation Hospital-Roseville, Roseville404$1,354,317,662$1,201,786,26011.3%
Memorial Medical Center, Modesto403$1,021,718,860$953,911,3306.6%
Pih Health Whittier Hospital, Whittier405$951,126,744$959,927,925−0.9%
Washington Hospital Healthcare System,Washington Hospital, Fremont415$630,993,985$664,603,832−5.3%

Patients and payers

Discharges
27,211
S-3 line 14, col 15
Inpatient days
100,438
S-3 line 14, col 8
Beds in use, on an average day
275.9
days ÷ days in year
Occupancy
68.6%
days ÷ bed days
Medicare share of days
29.5%
S-3 cols 6 ÷ 8
Medicaid share of days
4.1%
S-3 cols 7 ÷ 8

Who owns it

  • TRINITY HEALTH CORPORATION100%

Related organizations on its own cost report: TRINITY HEALTH, system office.

Other hospitals with the same owner: Saint Francis Hospital and Medical Center (CT), Johnson Memorial Hospital (CT), Saint Mary's Hospital (CT), Mount Sinai Rehabilitation Hospital (CT), St. Francis Hospital (DE), Holy Cross Hospital (FL), St. Mary's Health Care System (GA), St. Mary's Health Care System (GA).

Type of control on its cost report: voluntary nonprofit, church.

Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).

Community benefit, as filed

Community benefit is filed on IRS Form 990 Schedule H by SAINT AGNES MEDICAL CENTER (employer identification number 941437713) for tax year 2022, once for the 2 hospital facilities the return lists, this hospital among them. The return does not divide it among them.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 050093. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.

How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read December 5, 2025.