Want to see it live?
Start a free trial today and get access to the Definitive Healthcare platform.
Accelerate Your Growth
Power your team with the highest quality, daily updated intelligence on hospitals, physicians, and other healthcare providers
Hospital bad debt is on the rise in the U.S., with more than one-third of active hospitals reporting more than $10 million in unrecovered funds. Of the 25 hospitals on our list, eight reported bad debt that was greater than their net patient revenue in fiscal year 2017. The high rates of bad debt could be attributed to many factors, including high percentages of uninsured patients, lack of revenue cycle management, and more.
The average bad debt ratio for the hospitals on our list is over 105 percent, with the median being just under 82 percent. All 25 hospitals reported a combined $2.3 billion in bad debt, with an average of $95 million.
Top 25 Hospitals with the Highest Bad Debt Ratios
| Hospital Name | Bad Debt Ratio | Total Bad Debt | Net Patient Revenue | |
|
1. |
Dallas Regional Medical Center |
328.20% |
$216,310,512 |
$65,905,473 |
|
2. |
Mercy Hospital Berryville |
198.80% |
$32,822,566 |
$16,507,238 |
|
3. |
Lehigh Regional Medical Center |
155.60% |
$56,050,728 |
$36,029,880 |
|
4. |
Roseland Community Hospital |
144.30% |
$56,672,862 |
$39,271,227 |
|
5. |
Riverview Regional Medical Center |
137.10% |
$111,529,065 |
$81,348,349 |
|
6. |
First Texas Hospital |
125.10% |
$63,520,668 |
$50,758,686 |
|
7. |
Tanner Medical Center - East Alabama |
109.30% |
$6,366,740 |
$5,825,834 |
|
8. |
Southeastern KY Medical Center |
103.80% |
$8,158,368 |
$7,856,693 |
|
9. |
CHRISTUS Good Shepherd Medical Center - Longview |
93.70% |
$222,810,264 |
$237,708,377 |
|
10. |
Ennis Regional Medical Center |
93.10% |
$17,510,930 |
$18,814,969 |
|
11. |
John Peter Smith Hospital |
89.80% |
$320,604,106 |
$356,833,927 |
|
12. |
Vaughan Regional Medical Center |
86.90% |
$48,466,087 |
$55,770,081 |
|
13. |
Crescent Medical Center Lancaster |
81.80% |
$26,820,317 |
$32,789,738 |
|
14. |
Knapp Medical Center |
80.50% |
$73,263,123 |
$90,971,432 |
|
15. |
Parkland Health and Hospital System |
77.70% |
$673,343,598 |
$866,868,031 |
|
16. |
Mission Regional Medical Center |
75.70% |
$68,145,741 |
$90,024,084 |
|
17. |
Polk Medical Center |
74.40% |
$24,589,709 |
$33,057,454 |
|
18. |
CHRISTUS Spohn Hospital - Beeville |
74.00% |
$25,013,876 |
$33,785,809 |
|
19. |
University Medical Center of El Paso |
73.50% |
$141,959,839 |
$193,253,888 |
|
20. |
Stringfellow Memorial Hospital |
72.30% |
$30,162,540 |
$41,709,748 |
|
21. |
Sweeny Community Hospital |
72.00% |
$5,937,108 |
$8,243,244 |
|
22. |
Drumright Regional Hospital |
71.90% |
$5,297,195 |
$7,367,221 |
|
23. |
Cape Fear Valley Hoke Hospital |
70.90% |
$24,721,985 |
$34,845,669 |
|
24. |
CHRISTUS Spohn Hospital Kleberg |
69.20% |
$28,505,151 |
$41,178,649 |
|
25. |
Memorial Hospital Pembroke |
68.00% |
$96,452,748 |
$141,814,842 |
Fig 1. Data from Definitive Healthcare. All-cause hospital wide readmission rate information from CMS Quality Metrics Update in February 2019.