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

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Hospital NameBad Debt RatioTotal Bad DebtNet Patient RevenueExplore This Dataset
1. Dallas Regional Medical Center 328.20% $216,310,512 $65,905,473 Explore This Profile
2. Mercy Hospital Berryville 198.80% $32,822,566 $16,507,238 Explore This Profile
3. Lehigh Regional Medical Center 155.60% $56,050,728 $36,029,880 Explore This Profile
4. Roseland Community Hospital 144.30% $56,672,862 $39,271,227 Explore This Profile
5. Riverview Regional Medical Center 137.10% $111,529,065 $81,348,349 Explore This Profile
6. First Texas Hospital 125.10% $63,520,668 $50,758,686 Explore This Profile
7. Tanner Medical Center - East Alabama 109.30% $6,366,740 $5,825,834 Explore This Profile
8. Southeastern KY Medical Center 103.80% $8,158,368 $7,856,693 Explore This Profile
9. CHRISTUS Good Shepherd Medical Center - Longview 93.70% $222,810,264 $237,708,377 Explore This Profile
10. Ennis Regional Medical Center 93.10% $17,510,930 $18,814,969 Explore This Profile
11. John Peter Smith Hospital 89.80% $320,604,106 $356,833,927 Explore This Profile
12. Vaughan Regional Medical Center 86.90% $48,466,087 $55,770,081 Explore This Profile
13. Crescent Medical Center Lancaster 81.80% $26,820,317 $32,789,738 Explore This Profile
14. Knapp Medical Center 80.50% $73,263,123 $90,971,432 Explore This Profile
15. Parkland Health and Hospital System 77.70% $673,343,598 $866,868,031 Explore This Profile
16. Mission Regional Medical Center 75.70% $68,145,741 $90,024,084 Explore This Profile
17. Polk Medical Center 74.40% $24,589,709 $33,057,454 Explore This Profile
18. CHRISTUS Spohn Hospital - Beeville 74.00% $25,013,876 $33,785,809 Explore This Profile
19. University Medical Center of El Paso 73.50% $141,959,839 $193,253,888 Explore This Profile
20. Stringfellow Memorial Hospital 72.30% $30,162,540 $41,709,748 Explore This Profile
21. Sweeny Community Hospital 72.00% $5,937,108 $8,243,244 Explore This Profile
22. Drumright Regional Hospital 71.90% $5,297,195 $7,367,221 Explore This Profile
23. Cape Fear Valley Hoke Hospital 70.90% $24,721,985 $34,845,669 Explore This Profile
24. CHRISTUS Spohn Hospital Kleberg 69.20% $28,505,151 $41,178,649 Explore This Profile
25. Memorial Hospital Pembroke 68.00% $96,452,748 $141,814,842 Explore This Profile

Fig 1. Data from Definitive Healthcare. All-cause hospital wide readmission rate information from CMS Quality Metrics Update in February 2019.