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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.