Top 50 Hospitals by Net Patient Revenue

Until the 20th century, most Americans did not go to hospitals for diagnosis or treatment of illnesses. Patients were treated in their own homes, with the exception of those with no relatives or who were already near death. It wasn’t until the late 1890s, when medical technology advanced and gave physicians improved ability to diagnose patients and control infectious disease, that hospitals became attractive to the general public. Even then, it was only wealthier families that turned to hospitals for care.

Now, in 2019, hospitals are the primary care centers for the majority of Americans. Hospitals are home to care providers of various specialties as well as advanced diagnostic technology, and account for approximately one-third of all medical spending in the U.S.—about $1.1 trillion.

Despite the massive amount Americans are spending at hospitals, admissions have dropped over 10 percent in the past 35 years. Rather than not having any options, patients and families have a plethora of care centers to choose between: from retail clinics to outpatient surgery centers, home health agencies to assisted living facilities. Additionally, although hospitals have sufficient resources to treat most patients, Americans are increasingly wary of the environment. Rather than being centers of recovery, many patients associate hospitals with stress and mortality. As technology improves and alternative care centers become increasingly efficient, hospitals will likely downsize or convert to focus on specific inpatient and emergency department services.

Many hospitals are bringing in billions of dollars in net patient revenue. All of the top ten hospitals reported a 2017 net patient revenue of over $3 billion (up from 7 of 10 in 2016), and all of the top 25 brought in more than $2 billion (up from 22 of 25 in 2016). Combined, the top 50 hospitals earned more than $123 billion in net patient revenue.

Top 50 Hospitals by Net Patient Revenue

	Hospital Name	Net Patient Revenue	Total Revenues	Staffed Beds
1.	New York-Presbyterian Hospital at Weill Cornell Medical Center (NY)	$5,340,902,266	$5,616,461,647	862
2.	Cleveland Clinic Main Campus (OH)	$4,858,709,504	$6,118,911,406	1,266
3.	Stanford Hospital (CA)	$4,132,132,686	$4,378,160,909	447
4.	NYU Langone Tisch Hospital (NY)	$4,101,296,000	$4,448,505,796	725
5.	UCSF Helen Diller Medical Center at Parnassus Heights (CA)	$3,620,962,130	$3,807,905,052	782
6.	University of Texas MD Anderson Cancer Center (TX)	$3,480,505,919	$3,961,976,800	674
7.	Vanderbilt University Medical Center (TN)	$3,442,776,569	$4,135,044,535	626
8.	AdventHealth Orlando (FL)	$3,432,794,596	$3,706,284,602	2,626
9.	University of Michigan - University Hospital (MI)	$3,296,778,854	$3,537,668,362	931
10.	Cedars-Sinai Medical Center (CA)	$3,140,742,831	$3,591,834,597	880
11.	Memorial Sloan Kettering Cancer Center (NY)	$2,922,980,827	$3,667,269,877	473
12.	Massachusetts General Hospital (MA)	$2,903,757,623	$4,072,847,623	987
13.	Yale New Haven Hospital (CT)	$2,749,659,018	$3,025,645,807	581
14.	Montefiore Hospital - Moses Campus (NY)	$2,728,344,000	$3,626,537,000	1,449
15.	IU Health Methodist Hospital (IN)	$2,634,217,338	$4,333,584,135	1,230
16.	Baystate Medical Center (MA)	$2,545,278,066	$2,648,852,951	696
17.	Mount Sinai Medical Center (NY)	$2,467,873,137	$2,610,295,555	1,009
18.	Hospital of the University of Pennsylvania (PA)	$2,448,160,000	$2,783,055,001	722
19.	Lehigh Valley Hospital - Cedar Crest (PA)	$2,368,735,849	$2,523,947,055	1,007
20.	Duke University Hospital (NC)	$2,339,265,283	$2,405,497,870	954
21.	Orlando Regional Medical Center (FL)	$2,319,178,866	$2,549,700,083	808
22.	Mayo Clinic Hospital - Saint Marys Campus (MN)	$2,313,337,795	$2,330,430,279	1,186
23.	Carolinas Medical Center (NC)	$2,283,129,668	$2,895,839,106	1,084
24.	Brigham and Womens Hospital (MA)	$2,257,366,198	$3,095,466,198	804
25.	Long Island Jewish Medical Center (NY)	$2,222,706,644	$2,868,055,575	524
26.	University of California Davis Medical Center (CA)	$2,172,615,324	$2,132,575,905	586
27.	Northside Hospital Atlanta (GA)	$2,081,577,841	$2,374,035,362	536
28.	The Johns Hopkins Hospital (MD)	$2,041,319,447	$2,422,823,000	1,007
29.	Childrens Hospital of Philadelphia (PA)	$2,020,908,385	$2,072,634,103	541
30.	Spectrum Health Butterworth Hospital (MI)	$2,009,495,322	$2,062,098,572	1,078
31.	University of Kansas Hospital (KA)	$1,975,125,402	$2,193,902,682	831
32.	Ohio State University Wexner Medical Center (OH)	$1,943,404,796	$1,992,213,310	956
33.	Strong Memorial Hospital (NY)	$1,936,245,333	$1,979,633,332	717
34.	Texas Childrens Hospital (TX)	$1,921,106,127	$2,292,541,765	795
35.	Barnes-Jewish Hospital (MO)	$1,894,251,543	$1,970,410,825	1,225
36.	UCHealth University of Colorado Hospital (CO)	$1,873,879,464	$1,886,784,288	634
37.	Henry Ford Hospital (MI)	$1,862,863,623	$1,985,828,062	682
38.	University Hospital (WI)	$1,861,601,000	$1,900,288,000	599
39.	Norton Hospital (KY)	$1,860,274,286	$1,870,503,186	340
40.	UPMC Presbyterian (PA)	$1,849,820,096	$2,110,068,704	1,181
41.	UNC Medical Center (NC)	$1,846,906,307	$1,975,190,702	771
42.	UC San Diego Medical Center - Hillcrest (CA)	$1,842,794,494	$1,951,380,453	381
43.	North Shore University Hospital (NY)	$1,826,917,278	$2,687,626,919	764
44.	Ronald Reagan UCLA Medical Center (CA)	$1,785,028,754	$1,995,239,741	445
45.	Methodist University Hospital (TN)	$1,766,467,690	$1,953,693,595	617
46.	Northwestern Memorial Hospital (IL)	$1,745,967,766	$2,094,008,391	883
47.	Christiana Hospital (DE)	$1,740,416,567	$2,080,777,680	906
48.	University Hospital (UT)	$1,729,555,480	$1,759,863,550	472
49.	Rush University Medical Center (IL)	$1,696,845,816	$2,074,624,760	576
50.	UH Cleveland Medical Center (OH)	$1,695,760,058	$1,816,759,320	599

Fig 1. Data from Definitive Healthcare based on 2017 Medicare SAF data (most recent available), released in fall 2018. Calendar year 2018 data will be released in fall 2019. Because hospital fiscal years end at varying times throughout the calendar year, some data may not be precisely aligned.