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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 2021 medical claims and proprietary 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.

Top public hospitals by net patient revenue in 2021

Rank Hospital name City State Definitive ID Net patient revenue Explore dataset
UCSF Helen Diller Medical Center at Parnassus Heights San Francisco CA 560 $4,606,030,749  Explore
University Hospital Ann Arbor MI 2096 $4,028,211,053  Explore
University of Texas MD Anderson Cancer Center Houston TX 4017 $3,982,982,020  Explore
Mayo Clinic Hospital - Saint Marys Campus Rochester MN 2191 $3,317,828,896  Explore
University of California Davis Medical Center (AKA UC Davis Medical Center) Sacramento CA 515 $2,683,028,902  Explore
Atrium Health Carolinas Medical Center Charlotte NC 3003 $2,485,398,176  Explore
UC San Diego Medical Center San Diego CA 550 $2,476,193,001  Explore
University of Utah Hospital Salt Lake City UT 4222 $2,374,684,466  Explore
UNC Medical Center (FKA University of North Carolina Hospitals - Memorial Hospital) Chapel Hill NC 3015 $2,361,574,427  Explore
10 University Hospital Madison WI 4493 $2,324,088,319  Explore
11 The University of Kansas Hospital Kansas City KS 1631 $2,296,753,778  Explore
12 UCHealth University of Colorado Hospital Aurora CO 642 $2,226,475,972  Explore
13 Ronald Reagan UCLA Medical Center Los Angeles CA 395 $2,201,926,657  Explore
14 UAB Hospital Birmingham AL 71 $2,198,201,563  Explore
15 Ohio State University Wexner Medical Center (AKA Ohio State University Hospital) Columbus OH 3140 $2,196,385,250  Explore
16 University of Iowa Hospitals & Clinics Iowa City IA 1461 $2,111,110,331  Explore
17 OHSU Hospital - Portland (AKA OHSU Hospital - Marquam Hill Campus) Portland OR 3421 $2,095,415,273  Explore
18 Santa Clara Valley Medical Center San Jose CA 596 $1,966,033,269  Explore
19 William P Clements Jr University Hospital Dallas TX 3923 $1,866,770,701  Explore
20 Medical University of South Carolina Medical Center Charleston SC 3623 $1,848,701,998  Explore
21 Stony Brook University Hospital Stony Brook NY 2915 $1,781,612,704  Explore
22 VCU Medical Center Main Hospital Richmond VA 4335 $1,778,042,572  Explore
23 UW Medical Center - Montlake Seattle WA 4374 $1,725,110,673  Explore
24 The James Cancer Hospital and Solove Research Institute Columbus OH 3138 $1,703,968,748  Explore
25 UCI Medical Center (FKA UC Irvine Medical Center) Orange CA 470 $1,469,859,922  Explore

Fig. 1 – Data is from Definitive Healthcare’s HospitalView. Data is accurate as of November 2022.  

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 $4.60 billion in NPR, or about 7.6% of the total NPR represented across the list.

In second place is the University Hospital in Ann Arbor, Michigan, with $4.02 billion in NPR, followed by the University of Texas MD Anderson Cancer Center in Houston, Texas, with $3.98 billion in NPR.

In total, these 25 hospitals earned $60.10 billion in NPR in 2021. 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 1,551 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.

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Healthcare Insights are developed with healthcare commercial intelligence from the Definitive Healthcare platform. Want even more insights? Start a free trial now and get access to the latest healthcare commercial intelligence on hospitals, physicians, and other healthcare providers.