Hospital finances by state
Charity care, operating margins, beds and staff for 5,282 hospitals, from the cost reports hospitals file with Medicare each year.
Charity care$35.6 billionCost of free or discounted care, all reporting hospitals
Median operating margin-1.6%Income from patient care ÷ patient revenue
Losing money on patients55%2,722 of 4,980 hospitals
Hospitals5,282With a cost report and a page here
By state
Click a column to sort. Select a state for every hospital's figures.
| State | Hospitals | Charity care | Median margin | With losses |
|---|---|---|---|---|
| Alabama | 94 | $427.7 million | -10.6% | 70% |
| Alaska | 23 | $49.7 million | 5.0% | 41% |
| Arizona | 106 | $522.0 million | 3.5% | 38% |
| Arkansas | 90 | $232.8 million | -10.0% | 70% |
| California | 376 | $2.2 billion | -3.1% | 60% |
| Colorado | 96 | $628.2 million | -3.1% | 61% |
| Connecticut | 37 | $203.4 million | -7.9% | 88% |
| Delaware | 11 | $64.8 million | 3.3% | 36% |
| Florida | 219 | $3.7 billion | 7.6% | 33% |
| Georgia | 143 | $2.3 billion | 0.4% | 50% |
| Hawaii | 24 | $28.9 million | -11.0% | 70% |
| Idaho | 46 | $118.1 million | -3.2% | 59% |
| Illinois | 192 | $1.2 billion | -2.3% | 56% |
| Indiana | 149 | $524.3 million | 0.7% | 48% |
| Iowa | 116 | $154.7 million | -0.2% | 52% |
| Kansas | 141 | $294.4 million | -15.3% | 85% |
| Kentucky | 103 | $265.8 million | 4.0% | 35% |
| Louisiana | 160 | $385.6 million | -3.8% | 59% |
| Maine | 35 | $69.3 million | -3.0% | 66% |
| Maryland | 56 | $250.8 million | -3.7% | 67% |
| Massachusetts | 90 | $417.4 million | -9.0% | 68% |
| Michigan | 145 | $484.3 million | 0.0% | 50% |
| Minnesota | 133 | $393.9 million | -2.5% | 59% |
| Mississippi | 102 | $307.1 million | -3.8% | 63% |
| Missouri | 117 | $648.6 million | -3.7% | 58% |
| Montana | 62 | $89.9 million | -6.0% | 81% |
| Nebraska | 93 | $164.5 million | -4.7% | 64% |
| Nevada | 44 | $279.1 million | 4.0% | 40% |
| New Hampshire | 29 | $137.0 million | -0.5% | 54% |
| New Jersey | 79 | $1.2 billion | -0.7% | 55% |
| New Mexico | 48 | $152.0 million | 4.4% | 44% |
| New York | 180 | $2.7 billion | -12.8% | 79% |
| North Carolina | 117 | $1.1 billion | 4.8% | 33% |
| North Dakota | 46 | $64.1 million | -10.5% | 92% |
| Ohio | 190 | $969.5 million | 1.5% | 46% |
| Oklahoma | 136 | $392.5 million | -5.6% | 67% |
| Oregon | 60 | $444.6 million | -6.4% | 70% |
| Pennsylvania | 193 | $701.3 million | 0.1% | 49% |
| Rhode Island | 14 | $49.9 million | -14.7% | 92% |
| South Carolina | 64 | $674.6 million | 9.5% | 32% |
| South Dakota | 58 | $60.0 million | -0.8% | 57% |
| Tennessee | 121 | $948.4 million | 1.5% | 48% |
| Texas | 468 | $7.6 billion | 1.2% | 48% |
| Utah | 50 | $292.3 million | 9.7% | 18% |
| Vermont | 16 | $27.6 million | -20.7% | 93% |
| Virginia | 93 | $707.5 million | 7.7% | 27% |
| Washington | 98 | $584.5 million | -5.0% | 71% |
| West Virginia | 55 | $73.8 million | -0.4% | 55% |
| Wisconsin | 137 | $322.5 million | 3.2% | 38% |
| Wyoming | 27 | $39.3 million | -8.0% | 77% |
Hospitals providing the most charity care
Cost of care given free or at a discount to patients who qualified under the hospital's financial assistance policy, in the hospital's latest cost report.
| Hospital | Charity care | Share of expenses |
|---|---|---|
| Harris County Hospital DistrictHouston, TX | $736.4 million | 30.7% |
| Parkland Health and Hospital SystemDallas, TX | $727.7 million | 25.8% |
| Jps Health NetworkFort Worth, TX | $339.3 million | 23.1% |
| University Health SystemSan Antonio, TX | $324.2 million | 10.0% |
| NYU Hospitals CenterNew York, NY | $283.3 million | 2.9% |
| Grady Memorial HospitalAtlanta, GA | $279.6 million | 13.1% |
| Adventhealth OrlandoOrlando, FL | $268.9 million | 4.4% |
| Bellevue Hospital CenterNew York, NY | $238.7 million | 13.0% |
| Elmhurst Hospital CenterNew York, NY | $226.6 million | 20.2% |
| Orlando Regional HealthcareOrlando, FL | $215.0 million | 5.3% |
| John H Stroger Jr HospitalChicago, IL | $209.9 million | 16.1% |
| Mem Hermann Southwest HospHouston, TX | $208.3 million | 9.1% |
| Jackson Health SystemMiami, FL | $175.3 million | 5.7% |
| Methodist HospitalSan Antonio, TX | $170.1 million | 7.6% |
| Queens Hospital CenterJamaica, NY | $152.1 million | 21.1% |
| Ad Hospital East, LLCHouston, TX | $149.5 million | 231.8% |
| Memorial Hermann Texas Medical CenterHouston, TX | $149.4 million | 4.9% |
| University Medical Center of El PasoEl Paso, TX | $142.7 million | 15.2% |
| Southeastern Regional Medical Center, INCNewnan, GA | $141.3 million | 50.6% |
| University Medical Center at BrackenridgeAustin, TX | $139.2 million | 25.9% |
| Vanderbilt University HospitalNashville, TN | $138.3 million | 1.8% |
| Kings County Hospital CenterBrooklyn, NY | $135.9 million | 9.7% |
| Northside HospitalAtlanta, GA | $135.5 million | 3.9% |
| Hennepin County Medical CenterMinneapolis, MN | $131.2 million | 9.0% |
| Baptist Medical CenterJacksonville, FL | $129.9 million | 6.1% |
Highest charity care as a share of spending
Hospitals with at least $50 million in operating expenses.
| Hospital | Share of expenses | Charity care |
|---|---|---|
| Ad Hospital East, LLCHouston, TX | 231.8% | $149.5 million |
| Southeastern Regional Medical Center, INCNewnan, GA | 50.6% | $141.3 million |
| Effingham County HospitalSpringfield, GA | 31.7% | $26.9 million |
| Harris County Hospital DistrictHouston, TX | 30.7% | $736.4 million |
| University Medical Center at BrackenridgeAustin, TX | 25.9% | $139.2 million |
| Parkland Health and Hospital SystemDallas, TX | 25.8% | $727.7 million |
| Jps Health NetworkFort Worth, TX | 23.1% | $339.3 million |
| Seton Northwest HospitalAustin, TX | 22.2% | $27.5 million |
| CHRISTUS Spohn Hospital AliceAlice, TX | 21.9% | $12.3 million |
| Queens Hospital CenterJamaica, NY | 21.1% | $152.1 million |
| Elmhurst Hospital CenterNew York, NY | 20.2% | $226.6 million |
| Baylor Medical Center at CarrolltonCarrollton, TX | 19.8% | $17.4 million |
| Metropolitan Hospital CenterNew York, NY | 19.8% | $118.5 million |
| Nacogdoches Memorial HospitalNacogdoches, TX | 19.4% | $12.5 million |
| HCA Houston Healthcare SoutheastPasadena, TX | 18.9% | $54.2 million |
About these figures
Every Medicare-certified hospital files an annual cost report with CMS. Figures are as the hospital reported them for its latest fiscal year and are not audited financial statements. Operating margin here is net income from patient care divided by net patient revenue; it leaves out investment income, donations and government grants, so a hospital can lose money on patients and still be profitable overall. Charity care is the cost (not the charges) of care provided free or at a discount under the hospital's financial assistance policy; bad debt (bills patients didn't pay) is counted separately.
Source: CMS Hospital Provider Cost Report (data.cms.gov). About the data.