Top 10 long-term care hospitals by net patient revenue

Which long-term care hospital had the highest net patient revenue?

The Shepherd Center in Georgia had the highest reported net patient revenue among long-term care hospitals in the U.S. in 2023. It had an NPR of more than $272 million.

Second is the Madonna Rehabilitation Specialty Hospital Lincoln in Nebraska, which has an NPR of more than $177 million.

Finally, in third, is the Wellstar Windy Hill Hospital located in Georiga. It reported an NPR of more than $160 million in 2023.

Notably, 70% of the hospitals on this list are in highly populated states: Georgia, New York, Illinois, and California. This makes sense because the higher the population, the more patients a hospital might have, and thus, the more opportunity to generate net patient revenue.

The total net patient revenue of the top 10 long-term care hospitals in the U.S. is $1,463,424,056, with an average of $146,342,406.

What’s the largest hospital in the U.S.?

If measured by net patient revenue, the largest hospital in the U.S. (tracked in the Definitive Healthcare platform) is St. Luke’s University Hospital – Bethlehem. It reported an NPR of nearly $9 billion in 2023, according to our report on the top 50 hospitals in the U.S. by net patient revenue.

Unlike the facilities ranked in our list above, St. Luke’s is a short-term acute care hospital that aims to provide timely care to patients with severe or urgent health conditions that need immediate attention. Patients in acute care hospitals typically stay for a few days or weeks or are transferred to a lower level of care as soon as possible.

What is a long-term care hospital?

A long-term care hospital is a medical center that is dedicated to the care and treatment of individuals presenting with at least one serious but stable medical condition. Patients in these facilities require hospital care for at least 25 days.

Long-term acute care hospitals (LTACHs) often provide the following services:

• Head trauma treatment
• Pain management
• Respiratory therapy

Long-term acute care vs skilled nursing facility

Although long-term acute care hospitals and skilled nursing facilities (SNFs) both offer long-term care, there are some critical differences between the two facility types.

• LTACHs are generally more expensive.
• Care given in LTACHs is much more intensive.
• SNF patients typically receive care from nurses and therapists more often, while LTACH patients work more closely with physicians.

Medicare hospital coverage

Under Medicare Part A, the Centers for Medicare and Medicaid Services (CMS) provides coverage for long-term hospital stays. The beneficiary typically pays associated deductibles and coinsurance costs for their care.

What is net patient revenue?

Net patient revenue refers to the money that medical centers collect from patient services. NPR can be a helpful indicator of the financial health of an organization. That is, the higher a hospital’s net patient revenue, the more likely it will be financially successful.

To read the latest on hospital profitability, check out our analysis of U.S. hospital revenue and expense trends.

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