Special Report

Hospitals Bringing in the Most Revenue

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U.S. hospitals are struggling with staff shortages and rising costs. The Department of Health and Human Services reported that up to 22% of hospitals across the country suffered staffing shortages last year, with five states reporting that more than half of their hospitals were short-staffed. At the same time, according to the health management consultants Kaufman Hall, hospitals and health systems spent between 18% and 21% more on pharmaceuticals, medical supplies, and labor last year compared to 2020. (Here are 16 states where hospitals are experiencing the worst workforce shortages.) 

But not all hospitals are struggling. Fifty U.S. hospitals, most of them located in high-population states, generated at least $8 billion and as much as $35 billion in patient-derived revenues, according to their most recent fiscal year reporting.

To identify the 50 U.S. hospitals bringing in the most revenue, 24/7 Tempo reviewed statistics on non-federal short-term acute-care hospitals compiled by the American Hospital Directory. Data is based on each hospital’s most recent cost report, up to date as of early May 2023. The AHD collects data on more than 7,000 hospitals nationwide, drawing on both public and private sources, including Medicare claims data, hospital cost reports, and commercial licensors. Gross patient revenue (inpatient and outpatient) is taken from each hospital’s most recent Medicare Cost Report. (These are the 21 states where the most people don’t have health insurance.)

New York State is home to nine of the hospitals on this list, collectively generating $134.74 billion in gross patient revenue in their latest reported fiscal year. Two NYC-area hospitals – New York-Presbyterian and Tisch – are among the country’s wealthiest, with a combined fiscal-year patient revenue of $59.5 billion.

Click here to see the 50 U.S. hospitals bringing in the most revenue

Pennsylvania and Texas each have six of the wealthiest hospitals in the nation with $77.7 billion and $61.9 billion in patient revenue, respectively. The Hospital of the University of Pennsylvania has the highest patient revenue of in-state hospitals, with $17.6 billion, while San Antonio’s Methodist Hospital generates the highest patient revenue in the Lone Star State at $13.4 billion.

California and Florida each have five of these hospitals, at $88.9 billion and 70.3 billion in patient revenue, respectively, led by Stanford Hospital in California with $25 billion and AdventHealth Orlando in Florida with $24.8 billion.

The number of staffed hospital beds in these hospitals range from 511 beds at NYU Langone Hospital – Long Island in Mineola, New York, to 2,904 beds at AdventHealth Orlando.

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50. Memorial Hermann Southwest Hospital
> Gross patient revenue: $8.09 billion
> Location: Houston, Texas
> Staffed beds: 1,414
> Total discharges: 75,463
> Total days patients spent in the hospital: 366,364

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49. Westchester Medical Center
> Gross patient revenue: $8.31 billion
> Location: Valhalla, New York
> Staffed beds: 910
> Total discharges: 25,191
> Total days patients spent in the hospital: 196,267

Torresigner / Getty Images

48. Memorial Regional Hospital
> Gross patient revenue: $8.33 billion
> Location: Hollywood, Florida
> Staffed beds: 929
> Total discharges: 30,948
> Total days patients spent in the hospital: 223,561

Courtesy of St. Luke's University Health Network via Facebook

47. St. Luke’s University Hospital – Bethlehem
> Gross patient revenue: $8.61 billion
> Location: Bethlehem, Pennsylvania
> Staffed beds: 811
> Total discharges: 32,609
> Total days patients spent in the hospital: 172,073

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Courtesy of Chippenham & Johnston-Willis Hospitals via Facebook

46. Chippenham Hospital
> Gross patient revenue: $8.61 billion
> Location: Richmond, Virginia
> Staffed beds: 793
> Total discharges: 31,372
> Total days patients spent in the hospital: 160,161

Courtesy of Brigham and Women's Hospital via Facebook

45. Brigham and Women’s Hospital
> Gross patient revenue: $8.62 billion
> Location: Boston, Massachusetts
> Staffed beds: 812
> Total discharges: 40,825
> Total days patients spent in the hospital: 285,307

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44. Memorial Hermann – Texas Medical Center
> Gross patient revenue: $8.74 billion
> Location: Houston, Texas
> Staffed beds: 1,087
> Total discharges: 46,596
> Total days patients spent in the hospital: 292,145

Courtesy of MD Anderson Cancer Center via Facebook

43. The University of Texas M. D. Anderson Cancer Center
> Gross patient revenue: $8.77 billion
> Location: Houston, Texas
> Staffed beds: 739
> Total discharges: 26,908
> Total days patients spent in the hospital: 203,443

Courtesy of North Shore University Hospital via Facebook

42. North Shore University Hospital
> Gross patient revenue: $8.78 billion
> Location: Manhasset, New York
> Staffed beds: 782
> Total discharges: 44,467
> Total days patients spent in the hospital: 278,057

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Courtesy of NYU Langone Hospital - Long Island via Facebook

41. NYU Langone Hospital – Long Island
> Gross patient revenue: $8.92 billion
> Location: Mineola, New York
> Staffed beds: 511
> Total discharges: 35,113
> Total days patients spent in the hospital: 172,926

Courtesy of OU Health via Facebook

40. OU Health University of Oklahoma Medical Center
> Gross patient revenue: $8.96 billion
> Location: Oklahoma City, Oklahoma
> Staffed beds: 829
> Total discharges: 34,702
> Total days patients spent in the hospital: 228,743

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39. Duke University Hospital
> Gross patient revenue: $9.00 billion
> Location: Durham, North Carolina
> Staffed beds: 978
> Total discharges: 40,906
> Total days patients spent in the hospital: 315,983

Courtesy of Northwestern Medicine via Facebook

38. Northwestern Memorial Hospital
> Gross patient revenue: $9.18 billion
> Location: Chicago, Illinois
> Staffed beds: 903
> Total discharges: 41,891
> Total days patients spent in the hospital: 292,716

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37. Tampa General Hospital
> Gross patient revenue: $9.35 billion
> Location: Tampa, Florida
> Staffed beds: 957
> Total discharges: 54,097
> Total days patients spent in the hospital: 300,600

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Courtesy of IU Health via Facebook

36. IU Health Methodist University
> Gross patient revenue: $9.46 billion
> Location: Indianapolis, Indiana
> Staffed beds: 1,271
> Total discharges: 44,898
> Total days patients spent in the hospital: 311,967

Courtesy of Geisinger via Facebook

35. Geisinger Medical Center
> Gross patient revenue: $9.52 billion
> Location: Danville, Pennsylvania
> Staffed beds: 554
> Total discharges: 29,671
> Total days patients spent in the hospital: 151,253

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Courtesy of Northside Hospital Healthcare System via Facebook

34. Northside Hospital Atlanta
> Gross patient revenue: $9.53 billion
> Location: Atlanta, Georgia
> Staffed beds: 721
> Total discharges: 31,718
> Total days patients spent in the hospital: 205,359

33. UAB Hospital
> Gross patient revenue: $9.56 billion
> Location: Birmingham, Alabama
> Staffed beds: 1,286
> Total discharges: 48,579
> Total days patients spent in the hospital: 361,337

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32. Norton Hospital
> Gross patient revenue: $9.59 billion
> Location: Louisville, Kentucky
> Staffed beds: 1,465
> Total discharges: 76,823
> Total days patients spent in the hospital: 386,095

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Courtesy of Sunrise Hospital & Medical Center (3186 S Maryland Pkwy, Las Vegas) via Facebook

31. Sunrise Hospital & Medical Center
> Gross patient revenue: $9.60 billion
> Location: Las Vegas, Nevada
> Staffed beds: 718
> Total discharges: 36,907
> Total days patients spent in the hospital: 224,018

30. UC San Diego Medical Center
> Gross patient revenue: $9.72 billion
> Location: San Diego, California
> Staffed beds: 741
> Total discharges: 35,704
> Total days patients spent in the hospital: 231,111

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29. Memorial Sloan Kettering Cancer Center
> Gross patient revenue: $10.52 billion
> Location: New York, New York
> Staffed beds: 514
> Total discharges: 24,167
> Total days patients spent in the hospital: 171,350

28. Carolinas Medical Center
> Gross patient revenue: $10.58 billion
> Location: Charlotte, North Carolina
> Staffed beds: 1,279
> Total discharges: 59,326
> Total days patients spent in the hospital: 353,130

Courtesy of UChicago Medicine via Facebook

27. UChicago Medicine
> Gross patient revenue: $10.86 billion
> Location: Chicago, Illinois
> Staffed beds: 678
> Total discharges: 29,213
> Total days patients spent in the hospital: 237,188

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26. Yale New Haven Hospital
> Gross patient revenue: $10.89 billion
> Location: New Haven, Connecticut
> Staffed beds: 1,567
> Total discharges: 58,034
> Total days patients spent in the hospital: 393,121

Courtesy of University of Miami Health System via Facebook

25. UHealth Tower
> Gross patient revenue: $10.90 billion
> Location: Miami, Florida
> Staffed beds: 564
> Total discharges: 17,333
> Total days patients spent in the hospital: 135,674

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24. The Mount Sinai Hospital
> Gross patient revenue: $10.94 billion
> Location: New York, New York
> Staffed beds: 1,176
> Total discharges: 51,471
> Total days patients spent in the hospital: 354,154

Courtesy of Baptist Health System (Baptist Medical Center) via Facebook

23. Baptist Medical Center
> Gross patient revenue: $10.96 billion
> Location: San Antonio, Texas
> Staffed beds: 1,561
> Total discharges: 54,797
> Total days patients spent in the hospital: 287,836

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22. Massachusetts General Hospital
> Gross patient revenue: $10.96 billion
> Location: Boston, Massachusetts
> Staffed beds: 1,019
> Total discharges: 46,219
> Total days patients spent in the hospital: 330,657

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Courtesy of The University of Kansas Health System via Facebook

21. The University of Kansas Hospital Main Campus, Bell Tower Hospital
> Gross patient revenue: $11.28 billion
> Location: Kansas City, Kansas
> Staffed beds: 969
> Total discharges: 42,810
> Total days patients spent in the hospital: 252,739

Courtesy of UC Davis Medical Center via Facebook

20. UC Davis Medical Center
> Gross patient revenue: $11.44 billion
> Location: Sacramento, California
> Staffed beds: 632
> Total discharges: 27,619
> Total days patients spent in the hospital: 194,640

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19. UCHealth University of Colorado Hospital
> Gross patient revenue: $11.50 billion
> Location: Aurora, Colorado
> Staffed beds: 665
> Total discharges: 31,766
> Total days patients spent in the hospital: 219,857

Courtesy of Michigan Medicine via Facebook

18. University of Michigan Medical Center
> Gross patient revenue: $11.58 billion
> Location: Ann Arbor, Michigan
> Staffed beds: 1,010
> Total discharges: 45,625
> Total days patients spent in the hospital: 311,598

Courtesy of Long Island Jewish Medical Center via Facebook

17. Long Island Jewish Medical Center
> Gross patient revenue: $11.72 billion
> Location: New Hyde Park, New York
> Staffed beds: 1,512
> Total discharges: 67,844
> Total days patients spent in the hospital: 377,780

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16. Houston Methodist Hospital
> Gross patient revenue: $11.94 billion
> Location: Houston, Texas
> Staffed beds: 1,090
> Total discharges: 39,101
> Total days patients spent in the hospital: 279,322

Courtesy of Temple Heath via Facebook

15. Temple University Hospital – Main Campus
> Gross patient revenue: $12.72 billion
> Location: Philadelphia, Pennsylvania
> Staffed beds: 879
> Total discharges: 37,979
> Total days patients spent in the hospital: 207,322

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Courtesy of Lehigh Valley Hospital - Cedar Crest via Facebook

14. Lehigh Valley Hospital – Cedar Crest
> Gross patient revenue: $13.18 billion
> Location: Allentown, Pennsylvania
> Staffed beds: 1,317
> Total discharges: 55,013
> Total days patients spent in the hospital: 315,103

Courtesy of Methodist Hospital via Facebook

13. Methodist Hospital
> Gross patient revenue: $13.44 billion
> Location: San Antonio, Texas
> Staffed beds: 1,764
> Total discharges: 93,206
> Total days patients spent in the hospital: 479,967

12. Montefiore Hospital- Moses Campus
> Gross patient revenue: $16.06 billion
> Location: Bronx, New York
> Staffed beds: 1,497
> Total discharges: 73,728
> Total days patients spent in the hospital: 443,208

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11. UPMC Presbyterian
> Gross patient revenue: $16.07 billion
> Location: Pittsburgh, Pennsylvania
> Staffed beds: 1,455
> Total discharges: 43,190
> Total days patients spent in the hospital: 320,403

Public Domain / Wikimedia Commons

10. Orlando Health Orlando Regional Medical Center
> Gross patient revenue: $16.86 billion
> Location: Orlando, Florida
> Staffed beds: 1,725
> Total discharges: 100,569
> Total days patients spent in the hospital: 460,399

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9. Vanderbilt University Medical Center
> Gross patient revenue: $16.88 billion
> Location: Nashville, Tennessee
> Staffed beds: 1,162
> Total discharges: 59,771
> Total days patients spent in the hospital: 374,374

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8. Hospital of the University of Pennsylvania
> Gross patient revenue: $17.57 billion
> Location: Philadelphia, Pennsylvania
> Staffed beds: 1,061
> Total discharges: 41,414
> Total days patients spent in the hospital: 280,172

7. UCSF Helen Diller Medical Center at Parnassus Heights
> Gross patient revenue: $18.80 billion
> Location: San Francisco, California
> Staffed beds: 809
> Total discharges: 34,304
> Total days patients spent in the hospital: 254,081

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6. The Cleveland Clinic Main Campus
> Gross patient revenue: $19.56 billion
> Location: Cleveland, Ohio
> Staffed beds: 1,326
> Total discharges: 51,463
> Total days patients spent in the hospital: 372,973

Courtesy of Cedars-Sinai via Facebook

5. Cedars-Sinai Medical Center
> Gross patient revenue: $24.01 billion
> Location: Los Angeles, California
> Staffed beds: 882
> Total discharges: 50,743
> Total days patients spent in the hospital: 295,623

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4. AdventHealth Orlando
> Gross patient revenue: $24.81 billion
> Location: Orlando, Florida
> Staffed beds: 2,904
> Total discharges: 130,555
> Total days patients spent in the hospital: 772,819

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3. Stanford Hospital
> Gross patient revenue: $24.97 billion
> Location: Stanford, California
> Staffed beds: 584
> Total discharges: 28,661
> Total days patients spent in the hospital: 182,735

2. New York Presbyterian/Weill Cornell Medical Center
> Gross patient revenue: $24.97 billion
> Location: New York, New York
> Staffed beds: 2,696
> Total discharges: 108,714
> Total days patients spent in the hospital: 749,255

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1. Tisch Hospital
> Gross patient revenue: $34.52 billion
> Location: New York, New York
> Staffed beds: 1,675
> Total discharges: 89,174
> Total days patients spent in the hospital: 456,462

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