Healthcare Insights
Top 25 public hospitals in the U.S.
In the United States, hospitals generally fall under one of several ownership models, including proprietary, voluntary nonprofit, and governmental ownership.
Under governmental ownership, all hospital expenses are funded by the government and taxpayer dollars. Facilities within this ownership model are also known as public hospitals.
Using data from our HospitalView product, we’ve compiled a list of the top 25 public hospitals in the U.S. by net patient revenue (NPR): a facility’s total patient revenue minus discounts.
| Rank | Hospital name | Definitive ID | State | NPR | Explore dataset |
|---|---|---|---|---|---|
| 1 | UCSF Medical Center | 560 | CA | $6.15B | Explore |
| 2 | University of Texas MD Anderson Cancer Center | 4017 | TX | $6.06B | Explore |
| 3 | University Hospital | 2096 | MI | $5.08B | Explore |
| 4 | Atrium Health Carolinas Medical Center | 3003 | NC | $3.73B | Explore |
| 5 | Hillcrest Medical Center at UC San Diego Health | 550 | CA | $3.71B | Explore |
| 6 | Mayo Clinic Hospital - Saint Marys Campus | 2191 | MN | $3.7B | Explore |
| 7 | University of California Davis Medical Center (AKA UC Davis Medical Center) | 515 | CA | $3.61B | Explore |
| 8 | Medical University of South Carolina Medical Center | 3623 | SC | $3.28B | Explore |
| 9 | UNC Medical Center (FKA University of North Carolina Hospitals - Memorial Hospital) | 3015 | NC | $3.17B | Explore |
| 10 | University of Utah Hospital | 4222 | UT | $3.09B | Explore |
| 11 | UW Health University Hospital | 4493 | WI | $3.03B | Explore |
| 12 | UAB Hospital | 71 | AL | $2.93B | Explore |
| 13 | The University of Kansas Hospital | 1631 | KS | $2.89B | Explore |
| 14 | OHSU Hospital - Portland (AKA OHSU Hospital - Marquam Hill Campus) | 3421 | OR | $2.87B | Explore |
| 15 | Ronald Reagan UCLA Medical Center | 395 | CA | $2.86B | Explore |
| 16 | UCHealth University of Colorado Hospital | 642 | CO | $2.83B | Explore |
| 17 | Santa Clara Valley Medical Center | 596 | CA | $2.81B | Explore |
| 18 | VCU Medical Center Main Hospital | 4335 | VA | $2.65B | Explore |
| 19 | William P Clements Jr University Hospital (FKA UT Southwestern University Hospital - St Paul) | 3923 | TX | $2.61B | Explore |
| 20 | University of Iowa Hospitals & Clinics | 1461 | IA | $2.46B | Explore |
| 21 | Ohio State University Wexner Medical Center (AKA Ohio State University Hospital) | 3140 | OH | $2.33B | Explore |
| 22 | UW Medical Center - Montlake | 4374 | WA | $2.33B | Explore |
| 23 | The James Cancer Hospital and Solove Research Institute | 3138 | OH | $2.18B | Explore |
| 24 | UCI Medical Center (FKA UC Irvine Medical Center) | 470 | CA | $2.09B | Explore |
| 25 | Stony Brook University Hospital | 2915 | NY | $2.07B | Explore |
Fig. 1 – Data is from Definitive Healthcare’s HospitalView and proprietary research. Data accessed August 2025.
Which public hospitals have the highest net patient revenue?
The UCSF Helen Diller Medical Center at Parnassus Heights in San Francisco, California, is the top public hospital with over $6.15 billion in NPR. In second place is the University of Texas MD Anderson Cancer Center in Houston, Texas, with $6.06 billion in NPR, followed by the University Hospital in Ann Arbor, Michigan, with $5.08 billion in NPR.
In total, these 25 hospitals earned $80.52 billion in NPR in 2024. California, the most populous state in the country, is the state most represented on this list, with six public hospitals in the top 25.
NPR is considered a key indicator of a healthcare organization’s financial strength, along with average cost per discharge, operating margin, and bad debt.
How many public hospitals are there in the U.S.?
Our data on hospitals and integrated delivery networks (IDNs) show more than 1,500 public hospitals are actively operating in the U.S.
These hospitals fall under one of several ownership categories based on the level of government at which the hospital is owned: city, city-county, county, federal, hospital district, state, and other.
Learn more
Healthcare Insights are developed with healthcare data and analytics from the Definitive Healthcare platform. Want even more U.S. hospital lists? Start a free trial now and get access to the latest intelligence on hospitals, physicians, and other healthcare providers.
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