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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 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 2023

RankHospital nameStateNPRExplore dataset
1UCSF Helen Diller Medical Center at Parnassus HeightsCA$5.44BExplore
2University of Texas MD Anderson Cancer CenterTX$4.90BExplore
3University HospitalMI$4.62BExplore
4Mayo Clinic Hospital - Saint Marys CampusMN$3.45BExplore
5University of California Davis Medical CenterCA$3.28BExplore
6University HospitalNJ$3.24BExplore
7UC San Diego Medical CenterCA$3.06BExplore
8Atrium Health Carolinas Medical CenterNC$3.03BExplore
9UNC Medical CenterNC$2.88BExplore
10University of Utah HospitalUT$2.72BExplore
11University HospitalWI$2.68BExplore
12UCHealth University of Colorado HospitalCO$2.66BExplore
13Ronald Reagan UCLA Medical CenterCA$2.62BExplore
14Medical University of South Carolina Medical CenterSC$2.61BExplore
15The University of Kansas HospitalKS$2.58BExplore
16OHSU Hospital - PortlandOR$2.57BExplore
17Santa Clara Valley Medical CenterCA$2.55BExplore
18UAB HospitalAL$2.53BExplore
19William P Clements Jr University HospitalTX$2.28BExplore
20VCU Medical Center Main HospitalVA$2.26BExplore
21University of Iowa Hospitals & ClinicsIA$2.25BExplore
22Ohio State University Wexner Medical CenterOH$2.09BExplore
23UW Medical Center - MontlakeWA$2.02BExplore
24Los Angeles General Medical CenterCA$1.96BExplore
25The James Cancer Hospital and Solove Research InstituteOH$1.95BExplore

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.

Learn more

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