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.
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.
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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