Healthcare Insights

Top 10 non-profit hospitals by net patient revenue

Non-profit hospitals play a vital role in the communities they operate in. Beyond delivering care to patients in need, these facilities provide a range of tailored benefits, activities, and programs to improve the health and health literacy of their local communities.

What percentage of hospitals in the U.S. are non-profit?

According to our database and research from the Annual Review of Public Health, nearly 60% of acute care hospitals in the U.S. are non-profit. Definitive Healthcare tracks more than 3,400 non-profit hospitals in our database.

Below, we used HospitalView to rank the ten non-profit hospitals in the U.S. with the highest net patient revenue (NPR). Hospitals calculate NPR by subtracting deductions (such as charitable donations, bad debt, and contractual adjustments) from the gross revenue received for all patient care performed.

Top non-profit hospitals ranked by NPR in 2021

Hospital name City State Definitive ID Net patient revenue for 2021 Explore dataset
Tisch Hospital New York NY 2843 $6,273,707,636  Explore
Cleveland Clinic Main Campus Cleveland OH 3120 $6,037,196,525  Explore
New York-Presbyterian Weill Cornell Medical Center New York NY 541974 $5,734,047,089  Explore
AdventHealth Orlando (FKA Florida Hospital Orlando) Orlando FL 873 $5,004,081,001  Explore
Vanderbilt University Medical Center Nashville TN 3742 $4,691,813,631  Explore
Stanford Hospital Stanford CA 588 $4,183,895,185  Explore
Memorial Sloan Kettering Cancer Center New York NY 2846 $4,050,993,980  Explore
Mount Sinai South Nassau (FKA South Nassau Communities Hospital) Oceanside NY 2827 $3,636,174,833  Explore
Cedars-Sinai Medical Center Los Angeles CA 430 $3,550,379,003  Explore
Massachusetts General Hospital Boston MA 1973 $3,376,488,407  Explore

Fig 1. Data from the Definitive Healthcare HospitalView product, sourced from the Centers for Medicare and Medicaid (CMS). Data accurate as of November 2022.

Which non-profit hospitals have the highest net patient revenue?

Tisch Hospital comes in first on our list with an NPR of $6,273,707,636. In second is Cleveland Clinic Main Campus with an NPR of $6,037,196,525. And in third is the New York-Presbyterian Weill Cornell Medical Center, with an NPR of more than $5.7 billion.

Four of the top ten non-profit hospitals on our list are in New York. Excluding Mount Sinai South Nassau, these hospitals also appear on our list of the top 25 hospitals in NY ranked by NPR.

Where are most non-profit hospitals located?

Many of the hospitals in the U.S. with the highest NPR operate in major cities or in heavily populated states. The same is true for our list, as California, Florida, New York, and Ohio are among the ten most populated states in the country.

How do non-profit and for-profit hospitals compare?

According to the IRS and the Affordable Care Act, most non-profit hospitals are classified as charitable organizations. This means that these facilities don’t pay federal income or state and local property taxes. In return, however, non-profit hospitals are expected to provide benefits to their community.

An Ernst & Young report found that nonprofit hospitals offered more than $110 billion in charitable benefits in 2019. This includes financial assistance, unreimbursed Medicaid care, unreimbursed benefits through means-tested government programs, and more.

For-profit hospitals are investor-owned hospitals or networks. These facilities attempt to generate a profit for their shareholders. HCA Healthcare is one of the largest networks of for-profit hospitals in the U.S.

Beyond non-profit and for-profit hospitals, there are government-owned hospitals that are fully funded by taxpayers. Many of these facilities are associated with medical schools. NYC Health + Hospitals (HHC) is regarded as the largest municipal healthcare system in the U.S.

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