Healthcare Insights

Top 20 hospitals in Ohio ranked by net patient revenue

With a population of nearly 11.8 million, Ohio is the seventh-most populous state in the U.S. Ohioans have access to more than 320 hospitals and 15 integrated delivery networks (IDNs), according to Definitive Healthcare data. 

Below, we’ve compiled a list of the top 20 hospitals in Ohio based on net patient revenue (NPR) using HospitalView. NPR is a standard for measuring the financial performance of healthcare organizations. It approximates what hospitals get paid for serving patients and is, therefore, a proxy for hospital prices. 

Ohio hospitals with the highest net patient revenues in 2021

RankHospital nameCityStateNPR# of discharges# of staffed bedsExplore dataset
1Cleveland Clinic Main CampusClevelandOH$6,037,196,525 51,4631,326Explore
2UH Rainbow Babies & Childrens HospitalClevelandOH$2,240,719,361 7,882231Explore
3University Hospitals Cleveland Medical Center (FKA University Hospitals Case Medical Center)ClevelandOH$2,240,719,360 30,932638Explore
4Cincinnati Childrens Burnet CampusCincinnatiOH$2,226,690,085 16,379623Explore
5Ohio State University Wexner Medical Center (AKA Ohio State University Hospital)ColumbusOH$2,196,385,250 48,902644Explore
6Nationwide Childrens HospitalColumbusOH$1,887,141,661 17,680706Explore
7The James Cancer Hospital and Solove Research InstituteColumbusOH$1,703,968,748 14,988356Explore
8OhioHealth Riverside Methodist HospitalColumbusOH$1,586,915,630 41,318748Explore
9ProMedica Toledo HospitalToledoOH$1,281,970,718 31,615708Explore
10Miami Valley HospitalDaytonOH$1,279,518,459 38,918878Explore
11MetroHealth Medical CenterClevelandOH$1,198,414,631 21,065552Explore
12University of Cincinnati Medical Center (FKA University Hospital)CincinnatiOH$1,095,503,002 23,071518Explore
13Summa Health System - Akron Campus (AKA Akron City Hospital)AkronOH$1,033,997,033 37,769581Explore
14Akron Childrens HospitalAkronOH$999,491,193 9,310268Explore
15OhioHealth Grant Medical CenterColumbusOH$868,231,889 17,499443Explore
16The Christ HospitalCincinnatiOH$837,776,134 21,132458Explore
17Good Samaritan HospitalCincinnatiOH$786,704,185 17,492370Explore
18Mount Carmel EastColumbusOH$772,394,997 29,205363Explore
19Akron GeneralAkronOH$766,878,091 23,774401Explore
20Bethesda North HospitalCincinnatiOH$754,825,195 23,572414Explore

Fig. 1. Data is from Definitive Healthcare’s HospitalView product. Data is from the October 2022 Medicare Cost Report. Data is accurate as of December 2022. 

Which hospital had the highest net patient revenue? 

Non-profit Cleveland Clinic Main Campus in Cleveland had the highest net patient revenue among hospitals in Ohio, with nearly $6.04 billion. The hospital also has the highest numbers of discharges (51,463) and staffed beds (1,326) in the state.  

Cleveland Clinic is consistently ranked one of the best hospitals in the U.S. and the world. It joins several U.S. health systems expanding into global markets in recent years. The hospital’s international reputation enables it to grow its revenue outside of Ohio.   

In second place is University Hospitals Rainbow Babies & Children’s Hospital in Cleveland, with $2.24 billion. Rainbow Babies & Children’s Hospital is a children’s teaching hospital affiliated with Case Western Reserve University School of Medicine.  

The hospital has a neonatal intensive care unit, a pediatric intensive care unit, and a level 1 pediatric trauma center. These high-cost, specialized services contribute to the hospital’s high NPR, despite its relatively low numbers of discharges (7,882) and staffed beds (231).  

Rounding out the top three is the non-profit University Hospitals Cleveland Medical Center, an academic medical center also affiliated with Case Western Reserve University. The hospital’s NPR was $2.24 billion. University Hospitals Cleveland Medical Center competes with Cleveland Clinic Health System. 

Combined, Cleveland Clinic Main Campus, UH Rainbow Babies & Children’s Hospital, and UH Cleveland Medical Center earned more than $10.5 billion in NPR.  

What is net patient revenue? 

Net patient revenue (NPR) is the aggregate money generated from patient services collected from payors, including private insurance, Medicaid, and Medicare. Hospitals calculate their NPR to paint a clear picture of their financial strength, develop meaningful business strategies, and help ensure that all departments are adequately funded. 

A hospital can calculate its net patient revenue by subtracting patient discounts from its total patient revenue. Metrics like contractual adjustments, charitable donations, foundation earnings, and bad debt are not included in these calculations.  

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