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 | State | NPR | Explore dataset |
|---|---|---|---|---|
| 1 | UCSF Helen Diller Medical Center at Parnassus Heights | CA | $5.44B | Explore |
| 2 | University of Texas MD Anderson Cancer Center | TX | $4.90B | Explore |
| 3 | University Hospital | MI | $4.62B | Explore |
| 4 | Mayo Clinic Hospital - Saint Marys Campus | MN | $3.45B | Explore |
| 5 | University of California Davis Medical Center | CA | $3.28B | Explore |
| 6 | University Hospital | NJ | $3.24B | Explore |
| 7 | UC San Diego Medical Center | CA | $3.06B | Explore |
| 8 | Atrium Health Carolinas Medical Center | NC | $3.03B | Explore |
| 9 | UNC Medical Center | NC | $2.88B | Explore |
| 10 | University of Utah Hospital | UT | $2.72B | Explore |
| 11 | University Hospital | WI | $2.68B | Explore |
| 12 | UCHealth University of Colorado Hospital | CO | $2.66B | Explore |
| 13 | Ronald Reagan UCLA Medical Center | CA | $2.62B | Explore |
| 14 | Medical University of South Carolina Medical Center | SC | $2.61B | Explore |
| 15 | The University of Kansas Hospital | KS | $2.58B | Explore |
| 16 | OHSU Hospital - Portland | OR | $2.57B | Explore |
| 17 | Santa Clara Valley Medical Center | CA | $2.55B | Explore |
| 18 | UAB Hospital | AL | $2.53B | Explore |
| 19 | William P Clements Jr University Hospital | TX | $2.28B | Explore |
| 20 | VCU Medical Center Main Hospital | VA | $2.26B | Explore |
| 21 | University of Iowa Hospitals & Clinics | IA | $2.25B | Explore |
| 22 | Ohio State University Wexner Medical Center | OH | $2.09B | Explore |
| 23 | UW Medical Center - Montlake | WA | $2.02B | Explore |
| 24 | Los Angeles General Medical Center | CA | $1.96B | Explore |
| 25 | The James Cancer Hospital and Solove Research Institute | OH | $1.95B | Explore |
Fig. 1 – Data is from Definitive Healthcare’s HospitalView. Data is accurate as of July 2024.
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 $5.4 billion in NPR. In second place is the University Hospital in Ann Arbor, Michigan, with $4.9 billion in NPR, followed by the University of Texas MD Anderson Cancer Center in Houston, Texas, with $4.6 billion in NPR.
In total, these 25 hospitals earned $72.2 billion in NPR in 2023. 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 1,527 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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