facebook tracking How are Michigan hospitals doing financially? Margins, losses and charity care

How are Michigan hospitals doing financially?

Operating margins, losses, charity care, beds and staff for 145 Michigan hospitals, from the cost reports they file with Medicare, compared with the rest of the U.S.

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Lost money on patient care
50%
Michigan71 of 141 with a full-year margin
United States55%

Hospitals whose patient care cost more than it brought in, in their latest full-year report — fewer than the national share.

Typical operating margin
0.0%

The median Michigan hospital kept 0.0% of its patient revenue after operating costs, against -1.6% nationally (#19 of 50 states). Excludes donations and investment income.

Charity care
$484.3 million

The cost of free or discounted care Michigan hospitals gave patients who qualified, in their latest full-year reports: 1.4% of the U.S. total of $35.6 billion.

Beds and staff
21,837 beds

170,468 full-time-equivalent employees across 145 hospitals with a cost report. 1 partial-year report is left out of the totals and medians above.

Most charity care in Michigan

Charity care is reported at cost, not at list prices. The share is charity care as a part of the hospital's operating expenses.

Biggest losses on patient care

The lowest operating margins among Michigan hospitals with a full-year report. A negative margin means patient care cost more than it brought in; donations, grants and investments can still cover the gap.

Every Michigan hospital's finances

Latest fiscal year each hospital reported. Reports marked "partial year" cover only part of a year (for example after a change of owner) and are left out of the state totals. Click a column to sort.

Hospital Beds Patient revenue Operating margin Charity care
Univ of Michigan HospitalsAnn Arbor · FY Jun 2025 · 19,817 staff 975 $5.6 billion 1.6% $80.0 million
Spectrum Health - Butterworth CampusGrand Rapids · FY Dec 2024 · 9,580 staff 1,117 $3.2 billion 14.5% $15.7 million
Henry Ford HospitalDetroit · FY Dec 2024 · 11,712 staff 670 $2.9 billion -8.6% $41.2 million
William Beaumont HospitalRoyal Oak · FY Dec 2024 · 6,911 staff 1,026 $1.7 billion 0.6% $6.5 million
Edward W Sparrow HospitalLansing · FY Jun 2025 · 4,838 staff 454 $1.3 billion -6.2% $15.2 million
Bronson Methodist HospitalKalamazoo · FY Dec 2024 · 4,225 staff 415 $1.2 billion -3.9% $7.5 million
Trinity Health Ann Arbor HospitalAnn Arbor · FY Jun 2025 · 4,076 staff 479 $1.2 billion -0.7% $9.6 million
St John Hospital and Medical CenterDetroit · FY Jun 2025 · 3,139 staff 524 $1.1 billion -0.7% $10.8 million
Providence Hospital and Medical CentersSouthfield · FY Jun 2025 · 3,262 staff 566 $979.9 million 0.1% $10.8 million
William Beaumont Hospital-TroyTroy · FY Dec 2024 · 3,263 staff 505 $827.7 million 2.6% $3.6 million
Covenant Medical Center, INCSaginaw · FY Jun 2025 · 3,785 staff 464 $796.9 million -6.8% $4.4 million
Allegiance HealthJackson · FY Dec 2024 · 3,120 staff 356 $792.3 million 0.1% $15.1 million
Saint Mary's Health CareGrand Rapids · FY Jun 2025 · 3,459 staff 273 $768.2 million -17.7% $11.8 million
Munson Medical CenterTraverse City · FY Jun 2025 · 2,829 staff 400 $765.7 million -0.1% $4.8 million
Beaumont Hospital - DearbornDearborn · FY Dec 2024 · 3,023 staff 498 $746.2 million 3.1% $4.6 million
Trinity Health Muskegon HospitalMuskegon · FY Jun 2025 · 2,940 staff 261 $725.1 million -7.5% $9.3 million
Midmichigan Medical Center-MidlandMidland · FY Jun 2025 · 2,972 staff 216 $684.1 million -8.0% $14.2 million
Henry Ford Macomb HospitalClinton Twp · FY Dec 2024 · 2,476 staff 327 $622.1 million -1.1% $10.2 million
Children's Hospital of MichiganDetroit · FY Dec 2024 · 1,309 staff 228 $609.3 million 27.5% –
University of Michigan Health - WestWyoming · FY Jun 2025 · 2,683 staff 202 $602.4 million -6.3% $4.8 million
Lakeland Hospital, St JosephSt Joseph · FY Jun 2025 · 1,985 staff 224 $560.3 million -1.4% $5.3 million
St Joseph Mercy OaklandPontiac · FY Jun 2025 · 325 staff 298 $533.2 million -4.3% $6.2 million
McLaren Regional Medical CenterFlint · FY Sep 2024 · 1,899 staff 288 $514.9 million 4.6% $6.8 million
Henry Ford West Bloomfield HospitalWest Bloomfield Twp · FY Dec 2024 · 1,881 staff 191 $503.8 million 4.6% $6.6 million
Hurley Medical CenterFlint · FY Jun 2025 · 2,276 staff 359 $500.4 million -0.9% $5.5 million
Henry Ford Health Warren HospitalWarren · FY Jun 2025 · 1,965 staff 395 $491.4 million -2.0% $9.2 million
Beaumont Hospital - Farmington HillsFarmington Hls · FY Dec 2024 · 1,779 staff 209 $485.8 million -0.8% $3.0 million
McLaren Greater LansingLansing · FY Sep 2024 · 1,634 staff 192 $459.1 million -4.1% $5.8 million
Harper University HospitalDetroit · FY Dec 2024 · 1,186 staff 251 $447.4 million 1.1% $3.5 million
Henry Ford Wyandotte HospitalWyandotte · FY Dec 2024 · 1,771 staff 281 $445.9 million 5.3% $10.7 million
St Mary Mercy HospitalLivonia · FY Jun 2025 · 1,806 staff 226 $435.1 million -5.3% $3.6 million
Borgess Medical CenterKalamazoo · FY Jun 2025 · 1,591 staff 239 $431.1 million -15.6% $7.3 million
Marquette General Hlth SystemMarquette · FY Jun 2025 · 1,314 staff 163 $400.0 million -5.8% $1.5 million
Karmanos Cancer CenterDetroit · FY Sep 2024 · 810 staff 111 $396.5 million -21.2% $506,000
McLaren MacombMt Clemens · FY Sep 2024 · 1,515 staff 270 $386.2 million -0.1% $7.3 million
Genesys Regional Medical Center - Health ParkGrand Blanc · FY Jun 2025 · 1,718 staff 306 $379.3 million -13.0% $3.5 million
Sinai-Grace HospitalDetroit · FY Dec 2024 · 1,017 staff 242 $352.2 million 6.9% $6.9 million
Detroit Receiving Hospital & Univ Health CenterDetroit · FY Dec 2024 · 872 staff 213 $343.0 million 12.2% $5.8 million
Alpena Regional Medical CenterAlpena · FY Jun 2025 · 746 staff 128 $335.3 million 4.2% $6.9 million
Memorial HealthcareOwosso · FY Dec 2024 · 1,212 staff 113 $325.9 million -0.3% $992,000
Bay Regional Medical CenterBay City · FY Sep 2024 · 1,236 staff 216 $303.8 million -11.8% $4.4 million
Beaumont Hospital, Grosse PointeGrosse Pointe · FY Jun 2025 · 1,152 staff 248 $298.7 million -0.1% $2.6 million
Ascension Providence Rochester HospitalRochester · FY Jun 2025 · 922 staff 174 $294.5 million -2.2% $2.6 million
Battle Creek Health SystemBattle Creek · FY Dec 2024 · 1,227 staff 139 $293.9 million -15.4% $2.6 million
Holland Community HospitalHolland · FY Mar 2025 · 1,703 staff 191 $281.3 million -10.3% $1.9 million
Northern Michigan Regional HospitalPetoskey · FY Sep 2024 · 837 staff 159 $279.5 million -2.4% $4.1 million
Insight Hospital and Medical Center ColdwaterColdwater · FY Dec 2024 · 309 staff 75 $272.4 million 69.8% $1.1 million
McLaren OaklandPontiac · FY Sep 2024 · 851 staff 109 $261.5 million 6.8% $5.6 million
Port Huron HospitalPort Huron · FY Sep 2024 · 1,017 staff 152 $247.8 million 3.4% $4.1 million
Mymichigan Medical Center SaginawSaginaw · FY Jun 2025 · 1,119 staff 181 $244.7 million -32.8% $4.5 million
Saint Joseph Mercy Livingston HospitalHowell · FY Jun 2025 · 689 staff 46 $243.5 million 16.9% $1.5 million
Mercy Hospital - CadillacCadillac · FY Jun 2025 · 505 staff 49 $224.2 million 9.0% $775,000
Corewell Health Trenton HospitalTrenton · FY Jun 2025 · 926 staff 193 $220.4 million 0.5% $1.5 million
Pine Rest Christian HlthGrand Rapids · FY Jun 2025 · 1,595 staff 198 $214.3 million -13.3% –
Chelsea Community HospitalChelsea · FY Jun 2025 · 782 staff 63 $210.4 million -3.5% $1.2 million
Corewell Health Wayne HospitalWayne · FY Jun 2025 · 923 staff 99 $201.0 million -4.3% $2.7 million
Huron Valley-Sinai HospitalCommerce Twp · FY Oct 2024 · 578 staff 145 $192.7 million 3.6% $1.3 million
Beaumont Hospital - TaylorTaylor · FY Jun 2025 · 845 staff 99 $191.9 million -0.3% $1.9 million
Mary Free Bed Hosp & Rehab CtrGrand Rapids · FY Mar 2025 · 1,733 staff 139 $187.2 million -20.8% –
Oaklawn HospitalMarshall · FY Mar 2025 · 909 staff 71 $185.0 million -5.3% $636,000
Promedica Monroe Regional HospitalMonroe · FY Dec 2024 · 703 staff 147 $180.1 million 9.8% $1.3 million
Garden City HospitalGarden City · FY Dec 2024 · 703 staff 138 $164.5 million 16.8% $480,000
Spectrum Health United Memorial - United CampusGreenville · FY Dec 2024 · 388 staff 45 $157.3 million 9.5% $1.1 million
Promedica Charles and Virginia Hickman HospitalAdrian · FY Dec 2024 · 442 staff 58 $146.9 million 17.2% $1.3 million
Lapeer Regional Medical CenterLapeer · FY Sep 2024 · 604 staff 92 $146.8 million 7.7% $3.3 million
Corewell Health Gerber HospitalFremont · FY Dec 2024 · 342 staff 25 $138.5 million 16.7% $1.0 million
Mymichigan Medical Center AlmaAlma · FY Jun 2025 · 482 staff 38 $136.6 million -9.4% $3.6 million
Dickinson County Memorial HospitalIron Mountain · FY Dec 2024 · 526 staff 49 $136.1 million -17.6% $959,000
Otsego Memorial HospitalGaylord · FY Jun 2025 · 279 staff 46 $134.7 million 8.0% –
Corewell Health Ludington HospitalLudington · FY Jun 2025 · 322 staff 39 $132.3 million 5.4% $703,000
OSF St Francis Hospital and Medical GroupEscanaba · FY Sep 2024 · 327 staff 25 $123.0 million 3.4% $2.0 million
Central Michigan Community HospitalMt Pleasant · FY Sep 2024 · 710 staff 49 $120.1 million -39.2% $1.9 million
Zeeland Community HospitalZeeland · FY Jun 2025 · 310 staff 55 $119.6 million 20.0% $1.0 million
Midmichigan Medical Center-ClareClare · FY Jun 2025 · 425 staff 39 $118.4 million 22.2% $4.6 million
Corewell Health Pennock HospitalHastings · FY Dec 2024 · 315 staff 25 $118.3 million 10.2% $703,000
Corewell Health Big Rapids HospitalBig Rapids · FY Jun 2025 · 338 staff 49 $109.0 million 8.8% $870,000
Chippewa County War Memorial HospitalSault Sainte Marie · FY Jun 2025 · 505 staff 49 $105.1 million -11.4% $2.2 million
Havenwyck HospitalAuburn Hills · FY Jun 2025 · 340 staff 215 $101.0 million 31.9% –
Mercy Hospital - GraylingGrayling · FY Jun 2025 · 278 staff 42 $96.6 million -3.0% $570,000
University of Michigan Health - Sparrow EatonCharlotte · FY Jun 2025 · 370 staff 25 $95.4 million 17.5% $901,000
Hillsdale Community Health CenterHillsdale · FY Jun 2025 · 341 staff 44 $94.1 million 1.0% $736,000
Spectrum Health - Reed City CampusReed City · FY Dec 2024 · 162 staff 22 $92.7 million 22.7% $481,000
Hills & Dales General HospitalCass City · FY Dec 2024 · 390 staff 25 $89.5 million 2.7% $154,000
Charlevoix Area HospitalCharlevoix · FY Jun 2025 · 249 staff 25 $87.5 million 10.2% –
Kalkaska Memorial Health CenterKalkaska · FY Jun 2025 · 456 staff 8 $86.9 million -3.9% $408,000
Aspirus Grand View HospitalIronwood · FY Jun 2025 · 192 staff 25 $85.3 million 6.9% $887,000
Bronson Lakeview HospitalPaw Paw · FY Dec 2024 · 206 staff 16 $83.4 million 19.5% $737,000
Portage Health HospitalHancock · FY Nov 2024 · 365 staff 36 $83.2 million -11.6% $288,000
West Branch Regional Medical CenterWest Branch · FY Jun 2025 · 380 staff 88 $83.1 million 0.9% $2.4 million
Clinton Memorial HospitalSt Johns · FY Jun 2025 · 251 staff 25 $82.2 million 23.3% $696,000
Bca Stonecrest CenterDetroit · FY Dec 2024 · 369 staff 182 $79.3 million 24.3% –
Mackinac Straits Hospital and Health CenterSaint Ignace · FY Mar 2025 · 200 staff 15 $78.0 million 8.1% $452,000
Rehabilitation Inst of MichDetroit · FY Oct 2024 · 394 staff 67 $74.4 million 3.5% –
Ionia County Memorial HospitalIonia · FY Jun 2025 · 196 staff 22 $73.8 million 17.2% $1.3 million
Three Rivers Area HospitalThree Rivers · FY Dec 2024 · 235 staff 48 $72.1 million 4.4% $404,000
St Joseph Mercy Port HuronPort Huron · FY Dec 2024 · 393 staff 129 $71.1 million 0.0% $296,000
Bell Memorial HospitalIshpeming · FY Jun 2025 · 262 staff 25 $68.5 million 6.1% $601,000
Harbor Oaks HospitalNew Baltimore · FY Jun 2025 · 313 staff 164 $68.3 million 25.8% –
Scheurer HospitalPigeon · FY Jun 2025 · 316 staff 25 $67.0 million -10.3% $639,000
Kalamazoo Psychiatric HospitalKalamazoo · FY Sep 2024 · 361 staff 123 $61.6 million -6.5% –
Schoolcraft Memorial HospitalManistique · FY Dec 2024 · 207 staff 12 $60.9 million -8.4% $492,000
Midmichigan Medical Center-GladwinGladwin · FY Jun 2025 · 142 staff 25 $59.5 million 14.4% $1.6 million
Carson City HospitalCarson City · FY Jun 2025 · 191 staff 48 $55.8 million 0.5% $950,000
Forest View HospitalGrand Rapids · FY Dec 2024 · 215 staff 108 $54.4 million 24.2% –
Metropolitan Behavioral HealthDearborn · FY Aug 2025 · 216 staff 130 $54.2 million 25.9% –
St Joseph Health SystemTawas City · FY Jun 2025 · 167 staff 47 $52.2 million -2.4% $938,000
Aspirus Keweenaw Hospital and ClinicsLaurium · FY Jun 2025 · 172 staff 25 $52.1 million -59.7% $534,000
Corewell Health Watervliet HospitalWatervliet · FY Jun 2025 · 134 staff 26 $52.0 million 0.6% $788,000
Trinity Health Grand Haven HospitalGrand Haven · FY Jun 2025 · 288 staff 36 $51.9 million -8.0% $100,000
Healthsource SaginawSaginaw · FY Dec 2024 · 178 staff 7 $50.8 million -3.9% $460,000
Eaton Rapids Medical CenterEaton Rapids · FY Jun 2025 · 176 staff 20 $49.3 million 2.0% $20,000
Munson Healthcare Manistee HospitalManistee · FY Jun 2025 · 136 staff 45 $48.9 million 1.0% –
McLaren Thumb RegionBad Axe · FY Sep 2024 · 371 staff 25 $48.8 million -1.5% $1.0 million
Mercy Health Lakeshore CampusShelby · FY Jun 2025 · 87 staff 24 $48.2 million 16.5% $1.1 million
Marlette Regional HospitalMarlette · FY Jun 2024 · 230 staff 25 $43.4 million -2.7% $7,000
South Haven Community HospitalSouth Haven · FY Dec 2024 · 179 staff 8 $40.6 million -4.3% $530,000
Aspirus Iron River Hospital & ClinicsIron River · FY Jun 2025 · 123 staff 25 $40.3 million 0.7% $488,000
Helen Newberry Joy HospitalNewberry · FY Dec 2024 · 112 staff 25 $39.2 million -0.1% $147,000
Henry Ford Kingswood HospitalFerndale · FY Dec 2024 · 220 staff 206 $34.5 million 2.7% $302,000
Sheridan Community HospitalSheridan · FY Mar 2025 · 76 staff 22 $33.9 million 30.7% $15,000
Surgeons Choice Medical CenterSouthfield · FY Dec 2024 · 135 staff 45 $33.8 million -1.7% –
Southeast Michigan Surgical HospitalWarren · FY Dec 2024 · 116 staff 13 $32.8 million -41.1% –
Forest Health Medical CenterYpsilanti · FY Dec 2024 · 120 staff 24 $32.0 million -33.1% –
Allegan General HospitalAllegan · FY Jun 2025 · 104 staff 25 $31.4 million 0.9% $495,000
Cedar Creek HospitalSaint Johns · FY Aug 2025 · 135 staff 72 $31.4 million 27.3% –
McKenzie Memorial HospitalSandusky · FY Sep 2024 · 137 staff 25 $29.9 million -4.2% $47,000
Baraga County Memorial HospitalL'anse · FY Sep 2024 · 87 staff 24 $29.6 million -5.4% $1,000
Paul Oliver Memorial HospitalFrankfort · FY Jun 2025 · 90 staff 8 $28.1 million 7.7% $253,000
Saint Mary's Standish Community HospitalStandish · FY Jun 2025 · 73 staff 25 $25.9 million -2.5% $668,000
Caro Community HospitalCaro · FY Sep 2024 · 86 staff 25 $20.7 million 5.2% $597,000
St John River District HospitalEast China · FY Jun 2025 · 108 staff 18 $17.3 million -74.6% $522,000
Harbor Beach Community HospitalHarbor Beach · FY Dec 2024 · 95 staff 14 $16.4 million -19.6% $24,000
Samaritan Behavioral CenterDetroit · FY Dec 2024 · 102 staff 55 $16.1 million 4.7% –
Borgess-Lee Memorial HospitalDowagiac · FY Jun 2025 · 55 staff 25 $15.9 million -12.4% $1.1 million
The Behavioral Center of MichiganWarren · FY Dec 2024 · 113 staff 54 $15.3 million 13.7% –
Bronson Behavioral Health HospitalBattle Creek · FY Dec 2024 · partial year (224 days) · 162 staff 69 $15.3 million -3.7% –
Straith Hospital for Special SurgerySouthfield · FY Oct 2024 · 67 staff 34 $14.8 million 0.0% $11,000
Brighton HospitalBrighton · FY Jun 2025 · 102 staff 99 $13.7 million -28.9% –
The Center for Forensic PsychiatrySaline · FY Sep 2024 · 625 staff 272 $13.4 million – –
Caro CenterCaro · FY Sep 2024 · 403 staff 100 $13.2 million – –
Munising Memorial HospitalMunising · FY Mar 2025 · 58 staff 11 $12.8 million -14.5% $56,000
Sturgis HospitalSturgis · FY Sep 2024 · 116 staff – $11.5 million -101.9% –
Deckerville Community HospitalDeckerville · FY Jun 2024 · 56 staff 15 $9.2 million -14.2% $22,000
Walter P Reuther Psych HospWestland · FY Sep 2024 · 343 staff 108 $9.2 million – –
Brightwell Behavioral HealthEast Lansing · FY Dec 2024 · 45 staff 23 $3.6 million -95.8% –

Figures as reported to CMS (Hospital Provider Cost Report), not audited statements. Operating margin = net income from patient care ÷ net patient revenue; it excludes investment income, donations and grants. Charity care is the cost of free or discounted care for patients who qualify under the hospital's financial assistance policy. How to read these figures.

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How Michigan compares with other states

Median operating margin in nearby states:

Questions about Michigan hospital finances

How many Michigan hospitals lose money?

71 of 141 Michigan hospitals (50%) reported a loss on patient care in their latest full-year Medicare cost report, compared with 55% nationwide. The median operating margin was 0.0%, higher than the U.S. median of -1.6%. The operating margin leaves out donations, investment income and grants, so some of these hospitals still end the year in the black.

Which Michigan hospitals provide the most charity care?

Michigan hospitals reported $484.3 million in charity care (the cost of free or discounted care for patients who qualify) in their latest full-year reports. The largest amounts came from Univ of Michigan Hospitals ($80.0 million), Henry Ford Hospital ($41.2 million), Spectrum Health - Butterworth Campus ($15.7 million), Edward W Sparrow Hospital ($15.2 million), Allegiance Health ($15.1 million).

How do Michigan hospitals compare with other states?

Michigan ranks 19 of 50 states by the median operating margin of its hospitals (1 = highest). A smaller share of its hospitals lost money on patient care than the U.S. as a whole (50% vs 55%).

What is the largest hospital in Michigan by revenue?

Univ of Michigan Hospitals in Ann Arbor reported the most net patient revenue: $5.6 billion in its latest full-year cost report, with 975 beds and an operating margin of 1.6%.

What is an operating margin?

It is how much a hospital keeps from patient care after paying its operating costs, as a share of its patient revenue. A margin of 5% means the hospital kept 5 cents of every dollar it earned from patients; a negative margin means patient care cost more than it brought in. It excludes donations, investment income and grants.

Source: CMS Hospital Provider Cost Report (data.cms.gov), latest report per hospital. About the data.