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

How are Texas hospitals doing financially?

Operating margins, losses, charity care, beds and staff for 468 Texas hospitals, from the cost reports they file with Medicare, compared with the rest of the U.S.

Switch state
Lost money on patient care
48%
Texas216 of 454 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
1.2%

The median Texas hospital kept 1.2% of its patient revenue after operating costs, against -1.6% nationally (#15 of 50 states). Excludes donations and investment income.

Charity care
$7.6 billion

The cost of free or discounted care Texas hospitals gave patients who qualified, in their latest full-year reports: 21.4% of the U.S. total of $35.6 billion.

Beds and staff
67,204 beds

451,340 full-time-equivalent employees across 468 hospitals with a cost report. 6 partial-year reports are left out of the totals and medians above.

Most charity care in Texas

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

Harris County Hospital District Houston $736.4 million 30.7% of expenses · FY Sep 2024 Parkland Health and Hospital System Dallas $727.7 million 25.8% of expenses · FY Sep 2024 Jps Health Network Fort Worth $339.3 million 23.1% of expenses · FY Sep 2024 University Health System San Antonio $324.2 million 10.0% of expenses · FY Dec 2024 Mem Hermann Southwest Hosp Houston $208.3 million 9.1% of expenses · FY Jun 2025 Methodist Hospital San Antonio $170.1 million 7.6% of expenses · FY Jun 2025

Biggest losses on patient care

The lowest operating margins among Texas 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.

Starcare Specialty Health /Sunrise Canyon Hospital Lubbock -188.9% -$5.7 million on $3.0 million patient revenue Surgery Specialty Hospitals of America SE Houston Pasadena -173.7% -$7.0 million on $4.0 million patient revenue Yoakum County Hospital Denver City -167.5% -$21.3 million on $12.7 million patient revenue University of Texas Health Science Center at Tyler Tyler -160.6% -$295.8 million on $184.2 million patient revenue Reeves County Hospital District Pecos -152.9% -$40.2 million on $26.3 million patient revenue Cleveland Emergency Hospital Humble -143.4% -$31.7 million on $22.1 million patient revenue

Every Texas 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 Tx M D Anderson CtrHouston · FY Aug 2025 · 24,341 staff 764 $5.4 billion -9.6% –
Methodist Hospital,TheHouston · FY Dec 2024 · 8,041 staff 1,000 $3.1 billion 6.5% $78.8 million
Texas Childrens HospitalHouston · FY Sep 2024 · 10,654 staff 905 $3.0 billion -21.3% –
UT Southwestern University HospitalDallas · FY Aug 2025 · 8,917 staff 734 $3.0 billion -3.5% $39.8 million
Memorial Hermann Texas Medical CenterHouston · FY Jun 2025 · 8,029 staff 1,136 $2.9 billion -4.5% $149.4 million
Methodist HospitalSan Antonio · FY Jun 2025 · 7,809 staff 1,863 $2.8 billion 20.3% $170.1 million
Mem Hermann Southwest HospHouston · FY Jun 2025 · 7,419 staff 1,433 $2.3 billion 1.5% $208.3 million
Children's Med Cntr of DallasDallas · FY Dec 2024 · 8,104 staff 406 $2.0 billion 9.1% –
Scott & White Memorial HospitalTemple · FY Aug 2025 · 6,656 staff 616 $2.0 billion -10.6% $61.1 million
Cook Ft Worth Childrens Medical CenterFort Worth · FY Sep 2024 · 5,049 staff 453 $1.9 billion 12.0% $31.3 million
University of Texas Medical Branch GalGalveston · FY Aug 2025 · 5,904 staff 860 $1.5 billion -23.0% $72.7 million
Baylor University Medical CenterDallas · FY Jun 2025 · 4,728 staff 837 $1.5 billion 5.8% $85.0 million
University Health SystemSan Antonio · FY Dec 2024 · 9,953 staff 764 $1.5 billion -121.6% $324.2 million
St Lukes Episcopal HospitalHouston · FY Jun 2025 · 3,556 staff 643 $1.4 billion -2.2% $28.3 million
Baptist Medical CenterSan Antonio · FY Jun 2025 · 4,577 staff 1,137 $1.4 billion 12.0% $65.7 million
Medical City Dallas HospitalDallas · FY May 2025 · 2,873 staff 816 $1.4 billion 52.4% $67.7 million
Texas Health Harris Methodist Fort WorthFort Worth · FY Sep 2024 · 3,975 staff 729 $1.2 billion 5.9% $73.4 million
Parkland Health and Hospital SystemDallas · FY Sep 2024 · 12,953 staff 790 $1.2 billion -140.1% $727.7 million
Doctors Hospital at RenaissanceEdinburg · FY Dec 2024 · 4,545 staff 338 $1.0 billion 11.6% $27.2 million
Medical Center of PlanoPlano · FY Mar 2025 · 2,353 staff 576 $1.0 billion 39.9% $58.6 million
St Davids HospitalAustin · FY Dec 2024 · 2,354 staff 514 $1.0 billion 25.3% $39.5 million
Trinity Mother Frances SystTyler · FY Jun 2025 · 3,732 staff 518 $1.0 billion -38.3% $87.5 million
Driscoll Children's HospitalCorpus Christi · FY Aug 2025 · 2,358 staff 243 $975.3 million 25.8% –
Dell Children's Medical CenterAustin · FY Jun 2025 · 1,980 staff 334 $970.6 million 16.4% $38.8 million
Kingwood Medical CenterKingwood · FY Sep 2024 · 2,655 staff 567 $966.0 million 18.7% $72.6 million
Hendrick Health SystemAbilene · FY Aug 2025 · 4,228 staff 496 $844.0 million 7.3% $26.5 million
Methodist Sugar Land HospitalSugar Land · FY Dec 2024 · 2,540 staff 337 $842.1 million 12.8% $36.6 million
Seton Medical Center AustinAustin · FY Jun 2025 · 2,007 staff 399 $821.5 million 7.5% $85.1 million
Texas Health Presbyterian Hospital DallasDallas · FY Dec 2024 · 2,504 staff 576 $818.6 million 8.0% $51.3 million
Clear Lake Regional Medical CenterWebster · FY Dec 2024 · 2,034 staff 530 $796.0 million 38.5% $42.5 million
Jps Health NetworkFort Worth · FY Sep 2024 · 6,505 staff 446 $795.0 million -85.1% $339.3 million
Methodist Willowbrook HospitalHouston · FY Dec 2024 · 2,665 staff 346 $785.7 million 7.4% $57.4 million
Las Palmas Medical CenterEl Paso · FY Jul 2025 · 2,153 staff 528 $782.2 million 58.0% $48.9 million
South Texas Health SystemEdinburg · FY Dec 2024 · 2,709 staff 819 $779.5 million 14.3% $44.5 million
North Austin Medical CenterAustin · FY Jun 2025 · 1,815 staff 469 $761.1 million 30.5% $39.9 million
CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi · FY Jun 2025 · 2,170 staff 515 $755.5 million 1.3% $103.6 million
University Medical CenterLubbock · FY Dec 2024 · 4,927 staff 422 $751.0 million -34.1% $104.2 million
Scott & White Hospital-Round RockRound Rock · FY May 2025 · 2,116 staff 180 $749.5 million -1.2% $16.5 million
Harris County Hospital DistrictHouston · FY Sep 2024 · 9,992 staff 595 $748.1 million – $736.4 million
Shannon Medical CenterSan Angelo · FY Sep 2024 · 2,094 staff 376 $733.7 million 14.2% $20.0 million
Houston Methodist the Woodlands HospitalThe Woodlands · FY Dec 2024 · 2,011 staff 292 $716.1 million 17.6% $32.1 million
Mem Hermann Mem City HospHouston · FY Jun 2025 · 2,086 staff 444 $702.4 million -2.1% $46.4 million
Houston Methodist West HospitalHouston · FY Dec 2024 · 1,988 staff 270 $670.6 million 17.0% $43.1 million
Methodist Dallas Medical CenterDallas · FY Jun 2025 · 2,078 staff 403 $657.4 million -8.1% $61.7 million
Good Shepherd Medical Center MarshallMarshall · FY Jun 2025 · 2,106 staff 318 $647.6 million 2.6% $56.2 million
Bsa HospitalAmarillo · FY Dec 2024 · 1,817 staff 357 $647.0 million 0.3% $33.0 million
Baylor All Saints Medical Center at FwFort Worth · FY Sep 2024 · 1,906 staff 448 $589.9 million 7.3% $22.3 million
St David's South Austin Medical CenterAustin · FY Oct 2024 · 1,445 staff 344 $578.9 million 21.9% $46.2 million
The Heart Hospital Baylor PlanoPlano · FY Dec 2024 · 1,116 staff 108 $571.4 million 25.1% $7.0 million
CHRISTUS St Michael Health SystemTexarkana · FY Jun 2025 · 1,976 staff 284 $571.2 million 2.3% $40.4 million
Texas Health Presbyterian Hospital PlanoPlano · FY Dec 2024 · 1,508 staff 316 $566.7 million 15.5% $25.5 million
Hillcrest Baptist Med CenterWaco · FY Aug 2025 · 1,941 staff 236 $563.5 million -1.9% $27.9 million
Corpus Christi Medical Center,TheCorpus Christi · FY Aug 2025 · 1,490 staff 373 $557.7 million 28.6% $42.2 million
East Texas Medical CenterTyler · FY Oct 2024 · 2,088 staff 349 $553.1 million -32.6% $29.8 million
Covenant Medical CenterLubbock · FY Jun 2025 · 2,109 staff 439 $544.6 million -16.3% $32.7 million
University Medical Center at BrackenridgeAustin · FY Jun 2025 · 1,366 staff 240 $543.8 million 1.3% $139.2 million
CHRISTUS Santa Rosa HospitalSan Antonio · FY Jun 2025 · 1,822 staff 354 $522.7 million -13.5% $47.3 million
University Medical Center of El PasoEl Paso · FY Sep 2024 · 4,012 staff 333 $518.3 million -80.7% $142.7 million
Methodist Richardson Medical CenterRichardson · FY Jun 2025 · 1,502 staff 322 $514.5 million 11.5% $28.8 million
Children's Hospital of San AntonioSan Antonio · FY Jun 2025 · 1,419 staff 174 $501.5 million 7.3% –
United Regional Hlth Care SystWichita Falls · FY Dec 2024 · 1,885 staff 244 $497.2 million 16.8% $25.0 million
Houston Methodist Baytown HospitalBaytown · FY Dec 2024 · 1,809 staff 254 $495.4 million 8.2% $47.1 million
Medical Center of ArlingtonArlington · FY May 2025 · 1,321 staff 340 $494.6 million 26.6% $50.3 million
Baylor Scott & White Medical Center- College StatiCollege Station · FY May 2025 · 1,582 staff 142 $487.8 million 1.6% $14.7 million
Memorial Hermann Katy HospitalKaty · FY Dec 2024 · 1,588 staff 205 $479.9 million 9.9% $33.3 million
Texoma Healthcare SystemDenison · FY Dec 2024 · 2,029 staff 393 $479.8 million 6.9% $19.9 million
Covenant Children's HospitalLubbock · FY Jun 2025 · 912 staff 184 $477.3 million 18.9% –
Valley Baptist Medical CenterHarlingen · FY Aug 2025 · 1,308 staff 378 $477.2 million 18.9% $28.0 million
Womans Hospital of Texas,TheHouston · FY Feb 2025 · 938 staff 235 $472.4 million 85.3% $6.8 million
Plaza Medical Center of Fort WorthFort Worth · FY Jan 2025 · 1,111 staff 223 $456.7 million 23.0% $18.9 million
Houston Northwest Medical CenterHouston · FY May 2025 · 1,174 staff 298 $448.3 million 13.1% $57.5 million
Memorial Hermann NortheastHumble · FY Dec 2024 · 1,473 staff 250 $443.5 million 9.0% $38.6 million
Methodist Stone Oak HospitalSan Antonio · FY Feb 2025 · 1,111 staff 256 $438.8 million 23.9% $15.9 million
CHRISTUS HospitalBeaumont · FY Jun 2025 · 1,715 staff 349 $437.9 million 0.8% $42.7 million
Mem Hermann Baptist HospitalBeaumont · FY Aug 2025 · 1,799 staff 334 $434.4 million 8.2% $30.9 million
Baylor Regional Medical Center at GrapevineGrapevine · FY Jun 2025 · 1,132 staff 289 $431.0 million 23.7% $15.2 million
Denton Regional Medical CenterDenton · FY Dec 2024 · 1,221 staff 306 $425.8 million 14.2% $36.0 million
Driscoll Children's Hospital Rio Grande ValleyEdinburg · FY Aug 2025 · 773 staff 119 $423.2 million 8.7% –
St Joseph Regional Health CenterBryan · FY Jun 2025 · 1,898 staff 284 $410.7 million -22.4% $17.6 million
Northwest Texas Hlthcare SystAmarillo · FY Dec 2024 · 1,628 staff 415 $395.8 million 6.5% $28.8 million
Texas Health Harris Methodist Hospital Southwest FFort Worth · FY Sep 2024 · 1,211 staff 243 $395.1 million 10.8% $16.3 million
Childrens Medical Center PlanoPlano · FY Dec 2024 · 1,927 staff 60 $393.7 million -0.8% –
Sierra Providence East Medical CenterEl Paso · FY Dec 2024 · 928 staff 218 $389.8 million 26.2% $16.9 million
HCA Houston Healthcare SoutheastPasadena · FY Dec 2024 · 1,095 staff 298 $389.0 million 26.1% $54.2 million
Methodist Mansfield Medical CenterMansfield · FY Jun 2025 · 1,363 staff 294 $387.0 million 13.0% $24.5 million
Rio Grande Regional HospitalMcAllen · FY Sep 2024 · 979 staff 264 $386.0 million 36.6% $32.5 million
Laredo Medical CenterLaredo · FY Sep 2024 · 1,163 staff 289 $375.4 million 32.5% $27.0 million
Round Rock Medical CenterRound Rock · FY Feb 2025 · 918 staff 195 $370.0 million 22.1% $22.5 million
St Luke's the Woodlands HospitalConroe · FY Jun 2025 · 1,069 staff 240 $361.0 million 2.6% $14.7 million
Methodist Charlton Medical CenterDallas · FY Jun 2025 · 1,499 staff 296 $357.7 million -2.4% $43.8 million
Baylor Scott and White Medical Center McKinneyMc Kinney · FY Jun 2025 · 968 staff 192 $356.3 million 15.6% $14.6 million
Memorial Hermann Sugar Land HospitalSugar Land · FY Sep 2024 · 47,867 staff 238 $354.5 million 11.8% $16.1 million
Texas Health Harris Methodist Hurst-Euless-BedfordBedford · FY Sep 2024 · 1,188 staff 195 $351.8 million 7.5% $20.6 million
Medical Center of McKinneyMcKinney · FY Aug 2025 · 961 staff 206 $349.6 million 1.8% $30.4 million
Providence Health CenterWaco · FY Jun 2025 · 1,033 staff 224 $347.4 million 7.3% $28.0 million
Houston Methodist Clear Lake HospitalHouston · FY Dec 2024 · 1,106 staff 178 $346.8 million 12.1% $16.8 million
Huguley Health SystemFort Worth · FY Dec 2024 · 1,375 staff 250 $345.3 million 13.2% $23.7 million
Conroe Regional Medical CenterConroe · FY Dec 2024 · 886 staff 265 $339.6 million 28.1% $33.1 million
Longview Regional Medical CenterLongview · FY Sep 2024 · 1,168 staff 224 $327.6 million 9.2% $6.8 million
Texas Health Arlington Memorial HospitalArlington · FY Dec 2024 · 1,273 staff 193 $326.7 million 0.3% $28.8 million
Midland Memorial HospitalMidland · FY Sep 2024 · 1,898 staff 261 $326.3 million -15.6% $26.1 million
Providence Memorial HospitalEl Paso · FY May 2025 · 821 staff 362 $306.5 million 12.8% $6.3 million
Denton Community HospitalDenton · FY Apr 2025 · 968 staff 216 $306.3 million 5.4% $17.2 million
Baylor Medical Center at WaxahachieWaxahachie · FY Jun 2025 · 831 staff 123 $305.9 million 11.3% $17.2 million
Lake Pointe Medical CenterRowlett · FY May 2025 · 854 staff 164 $298.2 million 18.5% $21.1 million
Baylor Regional Medical Center at PlanoPlano · FY Dec 2024 · 751 staff 150 $295.0 million 10.7% $8.7 million
Baylor Medical Center at IrvingIrving · FY Jun 2025 · 1,008 staff 269 $291.8 million -5.9% $35.1 million
Texas Orthopedic HospitalHouston · FY Dec 2024 · 516 staff 42 $284.1 million 45.7% $472,000
Baylor Heart and Vascular HospitalDallas · FY Jun 2024 · 535 staff 56 $283.7 million 30.5% $3.1 million
Seton Medical Center WilliamsonRound Rock · FY Jun 2025 · 803 staff 181 $280.7 million 9.8% $24.5 million
Seton Medical Center HaysKyle · FY Jun 2025 · 854 staff 154 $277.8 million 10.0% $40.0 million
Medical Center HospitalOdessa · FY Sep 2024 · 1,617 staff 330 $270.9 million -34.5% $23.0 million
West Houston Medical CenterHouston · FY Dec 2024 · 814 staff 223 $267.3 million 7.1% $33.2 million
HCA Houston Healthcare Medical CenterHouston · FY Jul 2025 · 667 staff 156 $262.2 million -8.3% $13.9 million
Sierra Medical CenterEl Paso · FY May 2025 · 656 staff 282 $252.0 million 2.5% $5.0 million
Detar Hospital NavarroVictoria · FY Sep 2024 · 832 staff 163 $247.8 million 10.2% $8.4 million
Valley Regional Medical CenterBrownsville · FY Mar 2025 · 837 staff 214 $243.3 million 45.3% $18.6 million
Tomball Regional HospitalTomball · FY Jun 2025 · 683 staff 194 $234.5 million 1.1% $16.7 million
Doctors Hospital of LaredoLaredo · FY Dec 2024 · 811 staff 183 $230.8 million 13.6% $12.3 million
Medical City AllianceFort Worth · FY Jan 2025 · 527 staff 130 $230.1 million 28.9% $22.2 million
Texas Health Presbyterian Hospital Flower MoundFlower Mound · FY Dec 2024 · 576 staff 99 $228.8 million 28.8% $4.1 million
Texas Health Harris Methodist Hospital AllianceFort Worth · FY Jun 2025 · 588 staff 151 $224.8 million 21.1% $9.0 million
Valley Baptist Medical Center - BrownsvilleBrownsville · FY Apr 2025 · 681 staff 240 $222.0 million 17.6% $13.1 million
Medical Center of LewisvilleLewisville · FY May 2025 · 628 staff 148 $219.5 million 17.0% $19.9 million
Sid Peterson Memorial HospitalKerrville · FY Jun 2025 · 841 staff 100 $207.7 million 4.4% $17.8 million
Cedar Park Regional Medical CenterCedar Park · FY Nov 2024 · 792 staff 110 $197.6 million 15.4% $6.0 million
El Paso Children's HospitalEl Paso · FY Sep 2024 · 833 staff 122 $196.6 million 6.7% $10.5 million
North Hills HospitalNorth Richland Hills · FY May 2025 · 559 staff 142 $195.7 million 31.1% $14.8 million
Texas Health Hospital FriscoFrisco · FY Dec 2024 · 471 staff 90 $189.3 million 12.6% $7.1 million
Hunt Regional Medical CenterGreenville · FY Sep 2024 · 1,181 staff 150 $185.8 million -40.8% $8.8 million
University of Texas Health Science Center at TylerTyler · FY Aug 2025 · 1,731 staff 116 $184.2 million -160.6% $2.4 million
Citizens Medical CenterVictoria · FY Jun 2025 · 1,129 staff 286 $183.6 million -16.3% $6.0 million
CHI St Lukes Health Memorial LufkinLufkin · FY Jun 2025 · 668 staff 152 $182.7 million -10.8% $7.7 million
Baylor Medical Center at FriscoFrisco · FY Dec 2024 · 481 staff 68 $181.0 million 22.2% $391,000
Baylor Scott & White Medical Center - Marble FallsMarble Falls · FY May 2025 · 486 staff 46 $179.7 million -4.6% $10.0 million
Baylor Scott & White Medical Center -TaylorTaylor · FY Dec 2024 · 545 staff 25 $178.0 million -33.4% $5.4 million
CHRISTUS St Joseph HospitalHouston · FY Oct 2024 · 714 staff 156 $175.6 million -2.9% $19.1 million
CHRISTUS Santa Rosa Hospital-San MarcosSan Marcos · FY Jun 2025 · 506 staff 117 $175.5 million 4.8% $16.6 million
Lake Granbury Medical CenterGranbury · FY Nov 2024 · 575 staff 54 $175.3 million 45.4% $5.4 million
The Institute for Rehab & ResHouston · FY Dec 2024 · 968 staff 134 $171.9 million 1.2% –
Texas Spine and Joint HospitalTyler · FY Dec 2024 · 416 staff 20 $170.4 million 36.7% $341,000
The Hospitals of Providence Transmountain CampusEl Paso · FY Dec 2024 · 450 staff 108 $170.2 million 13.2% $6.8 million
Adventhealth Central TexasKilleen · FY Sep 2024 · 883 staff 208 $169.6 million 1.3% $12.8 million
Methodist Hospital for SurgeryAddison · FY Dec 2024 · 228 staff 32 $166.2 million 16.6% $13,000
Texas Health Presbyterian Hospital RockwallRockwall · FY Dec 2024 · 513 staff 53 $166.2 million 10.8% $6.7 million
Centennial Medical CenterFrisco · FY Mar 2025 · 438 staff 118 $161.9 million 16.4% $6.5 million
Baptist Neighborhood Hospital Thousand OaksSan Antonio · FY Dec 2024 · 380 staff 58 $161.8 million 34.9% –
North Central Surgical Center LLPDallas · FY Dec 2024 · 289 staff 24 $158.0 million 32.9% $183,000
Paris Regional Medical CenterParis · FY Jun 2025 · 540 staff 120 $155.5 million 7.7% $4.7 million
Weatherford Regional Medical CenterWeatherford · FY Sep 2024 · 458 staff 91 $153.3 million 16.0% $10.0 million
Baylor Orthopedic and Spine Hospital at ArlingtonArlington · FY Dec 2024 · 241 staff 24 $151.0 million 44.3% $96,000
Oakbend Medical CenterRichmond · FY Dec 2024 · 691 staff 158 $150.2 million -10.2% $10.7 million
Resolute Health HospitalNew Braunfels · FY May 2025 · 381 staff 121 $147.7 million 16.6% $6.0 million
Mission Regional Medical CenterMission · FY Dec 2024 · 787 staff 204 $144.7 million 3.2% $9.7 million
Guadalupe Regional Medical CenterSeguin · FY Sep 2024 · 669 staff 117 $143.5 million -10.4% $12.2 million
Nacogdoches Medical CenterNacogdoches · FY Dec 2024 · 385 staff 155 $140.7 million 21.9% $5.1 million
Townsen Memorial HospitalHumble · FY Dec 2024 · 249 staff 5 $136.5 million 0.0% –
Texas Health Presbyterian Hospital AllenAllen · FY Dec 2024 · 372 staff 59 $136.3 million 9.8% $7.0 million
Dallas Regional Medical CenterMesquite · FY Dec 2024 · 534 staff 202 $134.4 million 14.9% $13.2 million
Uvalde Memorial HospitalUvalde · FY Jun 2025 · 489 staff 15 $133.7 million 30.9% $7.2 million
CHRISTUS Mother Frances Hospital Sulphur SpringsSulphur Springs · FY Jun 2025 · 383 staff 56 $132.6 million 8.8% $12.7 million
Brownwood Regional Medical CenterBrownwood · FY Aug 2025 · 528 staff 64 $130.8 million -7.7% $6.0 million
Las Colinas Medical CenterIrving · FY Dec 2024 · 366 staff 80 $129.5 million 18.8% $14.3 million
Woodland Heights Medical CenterLufkin · FY Dec 2024 · 502 staff 136 $127.9 million 10.9% $4.3 million
Seton Northwest HospitalAustin · FY Jun 2025 · 362 staff 96 $123.7 million -0.1% $27.5 million
Odessa Regional HospitalOdessa · FY Oct 2024 · 513 staff 208 $123.2 million 9.5% $8.7 million
Baylor Surgical Hospital at Fort WorthFort Worth · FY Dec 2024 · 250 staff 30 $122.9 million 20.5% $107,000
Harlingen Medical CenterHarlingen · FY Dec 2024 · 601 staff 112 $122.6 million -0.9% $1.7 million
East Texas Medical Center AthensAthens · FY Apr 2025 · 400 staff 127 $120.2 million 13.5% $8.5 million
Knapp Medical CenterWeslaco · FY Dec 2024 · 559 staff 154 $119.4 million 5.8% $6.9 million
Quail Creek Surgical HospitalAmarillo · FY Dec 2024 · 231 staff 40 $117.4 million 37.0% $652,000
Seton Medical Center Harker HeightsHarker Heights · FY Apr 2025 · 407 staff 65 $115.4 million 3.9% $9.1 million
Texas Regional Medical Center at SunnyvaleSunnyvale · FY Dec 2024 · 318 staff 70 $111.8 million 12.7% $1.6 million
Titus Regional Medical CenterMt Pleasant · FY Sep 2024 · 731 staff 52 $111.3 million -16.8% $5.9 million
St Luke's Hospital at the VintageHouston · FY Jun 2025 · 357 staff 102 $111.3 million -6.8% $7.2 million
HCA Houston Healthcare PearlandPearland · FY Jan 2025 · 355 staff 48 $111.0 million -11.5% $13.5 million
North Texas State HospitalWichita Falls · FY Aug 2025 · 1,898 staff 365 $108.5 million -82.9% –
Palestine Regional Medical CenterPalestine · FY Dec 2024 · 485 staff 78 $107.9 million 9.2% $3.7 million
Brazosport Regional Health SystemLake Jackson · FY Jun 2025 · 356 staff 80 $106.3 million 7.0% $8.2 million
Fort Duncan Medical CenterEagle Pass · FY Dec 2024 · 313 staff 86 $104.2 million 32.7% $5.1 million
The Heart Hospital Baylor DentonDenton · FY Dec 2024 · 201 staff 22 $103.9 million 25.4% $861,000
Wadley Regional Medical CenterTexarkana · FY Dec 2023 · 497 staff 185 $102.6 million -4.7% $5.4 million
St Luke's Sugar Land HospitalSugar Land · FY Jun 2025 · 368 staff 100 $99.6 million -10.5% $5.7 million
Laurel Ridge HospitalSan Antonio · FY Dec 2024 · 534 staff 288 $98.7 million 27.0% –
Navarro Regional HospitalCorsicana · FY Dec 2024 · 325 staff 48 $98.5 million 16.9% $4.4 million
Cook Childrens Medical Center ProsperProsper · FY Sep 2024 · 425 staff 34 $97.0 million -33.5% $2.4 million
Houston Physicians' HospitalWebster · FY Dec 2024 · 253 staff 20 $95.4 million -4.6% $3,000
Hill Country Memorial HospitalFredericksburg · FY Mar 2025 · 249 staff 57 $94.4 million 15.7% $4.6 million
Mother Frances Hospital JacksonvilleJacksonville · FY Jun 2025 · 227 staff 23 $94.0 million 13.8% $6.4 million
Huntsville Memorial HospitalHuntsville · FY Jun 2025 · 494 staff 80 $91.8 million -4.2% $8.3 million
Lubbock Heart Hospital LpLubbock · FY Dec 2024 · 323 staff 73 $89.2 million -3.6% $933,000
Texas Institute for Surgery at Presbyterian HospitDallas · FY Dec 2024 · 182 staff 9 $88.9 million 25.0% $107,000
Methodist Midlothian Medical CenterMidlothian · FY Jun 2025 · 359 staff 62 $88.5 million 0.7% $12.6 million
Warm Springs Rehab HospitalSan Antonio · FY May 2025 · 472 staff 145 $88.2 million 19.8% –
Healthsouth Clear Lake HospWebster · FY May 2025 · 427 staff 151 $85.4 million 21.9% –
Texas Health Harris Methodist Hospital CleburneCleburne · FY Sep 2024 · 320 staff 48 $84.9 million 2.1% $8.0 million
Coryell Memorial Healthcare SystemGatesville · FY Jul 2025 · 647 staff 25 $84.9 million -10.2% $5.8 million
Mary Shiels HospitalDallas · FY Dec 2024 · 180 staff 24 $84.4 million 26.0% $95,000
Texas Health Hospital MansfieldMansfield · FY Dec 2024 · 288 staff 59 $83.0 million -1.7% $5.7 million
Texas Health Center for Diagnostics & Surgery PlanPlano · FY Dec 2024 · 184 staff 18 $82.7 million 13.7% $326,000
Val Verde Regional Medical CenterDel Rio · FY Jun 2025 · 697 staff 47 $82.1 million -6.6% $11.8 million
Methodist McKinney HospitalMcKinney · FY Dec 2024 · 191 staff 23 $80.4 million 6.1% $42,000
Baylor Medical Center at CarrolltonCarrollton · FY Dec 2024 · 607 staff 89 $80.2 million -9.5% $17.4 million
Westover Hills Baptist HospitalSan Antonio · FY Jun 2025 · partial year (284 days) · 375 staff 92 $80.1 million 13.8% $4.2 million
Baylor Medical Center at Trophy ClubRoanoke · FY Dec 2024 · 163 staff 21 $79.2 million 26.1% $57,000
Rusk State HospitalRusk · FY Aug 2025 · 963 staff 268 $77.8 million -29.4% –
San Antonio State HospitalSan Antonio · FY Aug 2025 · 884 staff 272 $77.7 million -28.4% –
Usmd Hospital at Arlington L PArlington · FY Dec 2024 · 270 staff 34 $76.3 million -9.2% $68,000
Harris County Psychiatric CtrHouston · FY Aug 2025 · 1,007 staff 538 $75.3 million -101.8% –
Tops Surgical Specialty HospitalHouston · FY Dec 2024 · 140 staff 15 $74.1 million 32.0% $2,000
Texas Health Harris Methodist Hospital SouthlakeSouthlake · FY Dec 2024 17 $73.9 million 10.2% $274,000
Texas Health Harris Methodist Hospital StephenvillStephenville · FY Sep 2024 · 218 staff 35 $73.1 million 14.5% $5.4 million
Baylor Surgical Hospital at las ColinasIrving · FY Dec 2024 · 133 staff 20 $72.6 million 32.4% $43,000
Patients Medical Center, LtdPasadena · FY Jun 2025 · 334 staff 46 $71.2 million -8.5% $6.8 million
The Medical Center of Southeast TexasPort Arthur · FY Oct 2024 · 428 staff 196 $70.9 million 7.3% $7.2 million
CHRISTUS Spohn Hospital AliceAlice · FY Jun 2025 · 185 staff 72 $69.4 million 18.8% $12.3 million
Covenant Hospital PlainviewPlainview · FY Jun 2025 · 240 staff 49 $67.6 million -10.5% $6.5 million
South Texas Spine and Surgical HospitalSan Antonio · FY Dec 2024 · 158 staff 28 $67.1 million 4.1% $45,000
Healthbridge Childrens's Hospital of HoustonHouston · FY Dec 2024 · 259 staff 111 $66.6 million 21.7% –
Grace Medical CenterLubbock · FY Dec 2024 · 165 staff 92 $65.8 million -6.8% $467,000
Legent Orthopedic HospitalGrapevine · FY Aug 2025 · 167 staff 18 $63.2 million -5.0% –
Texas Childrens Hospital North Austin CampusAustin · FY Sep 2024 · partial year (147 days) · 587 staff 52 $62.3 million – –
Legent Orthopedic + SpineSan Antonio · FY Aug 2024 · 144 staff 25 $61.8 million -28.5% –
Texas Health Heart & Vascular Hospital ArlingtonArlington · FY Dec 2024 · 127 staff 47 $61.1 million 1.0% $794,000
Sugar Land Surgical Hospital LLPSugar Land · FY Dec 2024 · 91 staff 6 $58.8 million 22.4% $1,000
Dallas Medical CenterDallas · FY Dec 2024 · 240 staff 119 $58.6 million -14.4% $4.7 million
CHI St Lukes Health Memorial LivingstonLivingston · FY Jun 2025 · 187 staff 66 $58.2 million -2.5% $3.8 million
Terrell State HospitalTerrell · FY Aug 2025 · 837 staff 247 $57.7 million -60.3% –
The Hospitals of Providence Horizon City CampusHorizon City · FY Dec 2024 · 148 staff 16 $56.7 million 25.6% –
Methodist Southlake Medical CenterSouthlake · FY Sep 2024 · 172 staff 22 $56.6 million -20.4% $2.1 million
Texas Health Presbyterian Hospital KaufmanKaufman · FY Dec 2024 · 162 staff 42 $56.2 million 20.2% $5.7 million
Baylor Scott and White Surgical Hospital at ShermaSherman · FY Dec 2024 · 185 staff 12 $56.2 million 18.5% $22,000
Baylor Scott & White Medical Center PflugervillePflugerville · FY Sep 2024 · 163 staff 25 $56.0 million 12.1% $5.3 million
Baylor Scott & White Emergency HospitalAubrey · FY Dec 2024 · 144 staff 40 $55.2 million 17.3% $1.3 million
Seton Highland LakesBurnet · FY Jun 2025 · 138 staff 25 $54.8 million 4.3% $5.3 million
Texas Health Harris Methodist Hospital AzleAzle · FY Sep 2024 · 201 staff 31 $54.7 million 13.6% $4.4 million
Ad Hospital East, LLCHouston · FY Dec 2024 · 146 staff 47 $54.4 million -18.4% $149.5 million
Pampa Regional Medical CenterPampa · FY Dec 2024 · 163 staff 25 $53.4 million 9.6% $4.9 million
Austin State HospitalAustin · FY Aug 2025 · 760 staff 240 $52.4 million -86.1% –
CHRISTUS Spohn Hospital KlebergKingsville · FY Jun 2025 · 172 staff 50 $51.3 million 8.9% $8.7 million
Big Spring State HospitalBig Spring · FY Aug 2025 · 511 staff 144 $50.8 million -3.2% –
Memorial HospitalGonzales · FY Jun 2025 · 163 staff 12 $50.1 million -33.6% $3.4 million
Etmc HendersonHenderson · FY Sep 2024 · 152 staff 41 $49.9 million 15.1% $3.5 million
Crescent Medical Center LancasterLancaster · FY Dec 2024 · 208 staff 84 $49.5 million 2.5% –
El Paso Behavioral Health SystemEl Paso · FY Dec 2024 · 297 staff 166 $49.1 million 33.0% –
Baytown Medical Center LpBaytown · FY Dec 2024 · 146 staff 14 $48.9 million -14.4% –
Memorial HospitalDumas · FY Jun 2025 · 326 staff 19 $48.7 million -23.5% $5.2 million
East Texas Medical Center JacksonvilleJacksonville · FY Oct 2024 · 141 staff 38 $48.4 million 0.8% $317,000
Healthsouth Rehab HospitalTyler · FY Dec 2024 · 236 staff 94 $47.9 million 25.2% –
Healthsouth Rehab HospitalMidland · FY Aug 2025 · 244 staff 106 $47.8 million 9.5% –
St Lukes Lakeside HospitalConroe · FY Jun 2025 · 104 staff 30 $47.7 million 17.5% $522,000
Wilson N Jones Regional Medical CenterSherman · FY Dec 2024 · 320 staff 214 $47.7 million 19.0% $230,000
North Texas Medical CenterGainesville · FY Dec 2024 · 256 staff 35 $47.0 million -4.9% $4.7 million
Kindred HospitalArlington · FY Aug 2025 · 258 staff 160 $47.0 million -21.7% –
Select Specialty HospitalDallas · FY Dec 2024 · 217 staff 70 $46.8 million 8.3% –
CHRISTUS Spohn HospitalBeeville · FY Jun 2025 · 147 staff 40 $46.2 million 11.6% $8.8 million
Scenic Mountain Medical CenterBig Spring · FY Dec 2023 · 166 staff 75 $46.1 million 2.3% $3.0 million
Hamilton General HospitalHamilton · FY Sep 2024 · 395 staff 25 $45.4 million -16.0% $3.7 million
West Oaks HospitalHouston · FY Dec 2024 · 286 staff 160 $44.6 million 19.0% –
Kindred Hospital-HoustonHouston · FY Aug 2025 · 176 staff 97 $44.5 million -13.0% –
Baylor Scott & White Medical Center- AustinAustin · FY Dec 2024 · 127 staff 25 $44.4 million -9.2% $2.6 million
UT Health East Texas Quitman HospitalQuitman · FY May 2025 · 129 staff 25 $44.0 million 8.6% $2.6 million
San Antonio Behavioral Healthcare HospitalSan Antonio · FY Dec 2024 · 359 staff 198 $43.8 million -1.3% –
Healthsouth Rehab HospitalWichita Falls · FY Aug 2025 · 194 staff 84 $43.7 million 32.0% –
East Houston Medical CenterHouston · FY Jul 2025 · 70 staff 4 $43.6 million 36.2% –
Matagorda General HospitalBay City · FY Sep 2024 · 302 staff 45 $43.3 million -56.5% $4.1 million
Healthsouth Rehab HospitalFort Worth · FY Jul 2025 · 198 staff 77 $43.3 million 11.6% –
The Hospital at Westlake Medical CenterAustin · FY Dec 2024 · 96 staff 23 $43.0 million 1.1% –
Childress Regional Medical CenterChildress · FY Sep 2024 · 185 staff 37 $42.9 million 4.3% $2.1 million
Carrollton SpringsCarrollton · FY Jun 2025 · 490 staff 150 $42.8 million -9.7% –
Methodist Hospital AtascosaJourdanton · FY Jun 2025 · 139 staff 67 $42.6 million 9.3% $5.7 million
Sun Behavioral HoustonHouston · FY Dec 2024 · 263 staff 148 $42.4 million 13.4% –
Starr County Memorial HospitalRio Grande City · FY Sep 2024 · 275 staff 48 $42.4 million -19.6% $411,000
Riceland Medical CenterWinnie · FY Dec 2024 · 157 staff 25 $42.0 million -1.0% $940,000
Nacogdoches Memorial HospitalNacogdoches · FY Jun 2025 · 415 staff 192 $41.5 million -55.3% $12.5 million
Connally Memorial Medical CenterFloresville · FY Sep 2024 · 214 staff 44 $41.5 million -3.5% $2.0 million
Hill Regional HospitalHillsboro · FY Dec 2024 · 164 staff 25 $40.4 million 3.4% $2.4 million
Comanche County Medical CenterComanche · FY Dec 2024 · 148 staff 16 $40.1 million -44.0% $882,000
Cuero Community HospitalCuero · FY Sep 2024 · 194 staff 44 $39.2 million -23.7% $2.6 million
CHRISTUS Jasper Memorial HospitalJasper · FY Jun 2025 · 114 staff 40 $39.1 million 18.0% $6.0 million
Baylor Scott and White Emergency HospitalBurleson · FY Dec 2024 · 99 staff 24 $38.5 million 10.9% $1.3 million
Legent Surgical Hospital PlanoPlano · FY Aug 2025 · 51 staff 7 $37.9 million -34.3% –
Memorial HospitalSeminole · FY Sep 2024 · 243 staff 25 $37.5 million -56.5% –
Medina Regional HospitalHondo · FY Sep 2024 · 220 staff 25 $37.5 million -7.3% $2.7 million
Rio Vista Behavioral HealthEl Paso · FY Dec 2024 · 225 staff 132 $37.3 million 18.7% –
Physicians Centre,TheBryan · FY Dec 2024 · 118 staff 16 $36.8 million 14.7% –
East Texas Medical Center PittsburgPittsburg · FY Nov 2024 · 116 staff 25 $36.7 million 5.6% $3.4 million
Seton Southwest HospitalAustin · FY Jun 2025 · 89 staff 28 $36.6 million 13.8% $4.8 million
Healthsouth Surgical HospitalAustin · FY Dec 2024 · 74 staff 8 $36.5 million 1.9% –
Cedar Crest Hospital & RtcBelton · FY Dec 2024 · 191 staff 68 $36.5 million 15.3% –
Healthsouth Rehab HospitalArlington · FY Jul 2025 · 185 staff 85 $35.9 million 5.5% –
Seton Edgar B Davis HospitalLuling · FY Jun 2025 · 80 staff 23 $35.7 million 12.1% $6.4 million
Medical City Green Oaks HospitalDallas · FY Aug 2025 · 233 staff 124 $35.6 million -25.8% –
Palo Pinto General HospitalMineral Wells · FY Sep 2024 · 306 staff 48 $35.6 million -89.9% $5.7 million
Columbus Community HospitalColumbus · FY Apr 2025 · 137 staff 40 $34.7 million -20.7% $1.9 million
Kindred Hosp-Houston NorthwestHouston · FY Aug 2025 · 145 staff 84 $34.6 million -5.7% –
Goodall Witcher HospitalClifton · FY Jun 2025 · 144 staff 25 $33.7 million -33.0% $2.5 million
Memorial Hermann Surgical Hospital KingwoodKingwood · FY Dec 2024 · 72 staff 10 $33.3 million 18.5% $0
Houston Behavioral Healthcare Hospital LLCHouston · FY Dec 2024 · 325 staff 163 $33.3 million -6.8% –
Healthsouth Plano RehabPlano · FY Aug 2025 · 164 staff 83 $33.1 million 7.6% –
Behavioral Hospital of BellaireHouston · FY Dec 2024 · 222 staff 122 $33.0 million 11.5% –
Altus Lumberton HospitalLumberton · FY Dec 2024 · 102 staff 4 $32.4 million 5.6% –
White Rock Medical CenterDallas · FY May 2025 · 242 staff 64 $31.8 million -69.3% $3.9 million
Ballinger Memorial HospitalBallinger · FY Sep 2024 · 112 staff 16 $31.7 million 13.1% $2.0 million
Parkview Regional HospitalMexia · FY Mar 2025 · 90 staff 49 $31.6 million 9.6% $1.8 million
Permian Regional Medical Center Andrews County HoAndrews · FY Sep 2024 · 279 staff 36 $31.5 million -111.6% $3.9 million
Big Bend Regional Medical CenterAlpine · FY Sep 2024 · 96 staff 25 $31.3 million 4.7% $1.9 million
Cypress Creek HospitalHouston · FY Dec 2024 · 218 staff 128 $30.9 million 13.4% –
The Woodlands Specialty HospitalSpring · FY Dec 2024 · 112 staff 6 $30.8 million -20.9% –
Cogdell Memorial HospitalSnyder · FY Dec 2023 · 221 staff 25 $30.6 million -65.9% $4.5 million
Foundation Surgical Hospital of San AntonioSan Antonio · FY Dec 2024 · 89 staff 20 $30.4 million -12.3% –
Rolling Plains Memorial HospitalSweetwater · FY Sep 2024 · 189 staff 40 $30.3 million -71.1% $3.1 million
Healthsouth Rehab InstituteSan Antonio · FY May 2025 · 176 staff 108 $30.2 million -7.6% –
Millwood HospitalArlington · FY Dec 2024 · 250 staff 134 $30.2 million 11.5% –
Baylor Scott & White Medical Center - BudaBuda · FY Aug 2025 · 118 staff 15 $29.4 million -9.5% $4.0 million
Cornerstone Regional HospitalEdinburg · FY Dec 2024 · 100 staff 14 $28.5 million 5.8% –
Martin County Hospital DistrictStanton · FY Apr 2025 · 208 staff 18 $28.4 million -50.3% $2.5 million
Healthsouth Rehab HospitalHumble · FY Jul 2025 · 152 staff 78 $28.3 million 1.2% –
Kingwood Pines HospitalKingwood · FY Dec 2024 · 197 staff 116 $28.0 million 10.4% –
El Campo Memorial HospitalEl Campo · FY Dec 2024 · 181 staff 26 $27.8 million -53.9% $3.4 million
Rollins Brook Community HospitalLampasas · FY Sep 2024 · 92 staff 25 $27.5 million 17.3% $1.9 million
Memorial Medical CenterPort Lavaca · FY Dec 2024 · 252 staff 25 $27.2 million -36.5% $3.7 million
Faith Community HospitalJacksboro · FY May 2025 · 122 staff 13 $27.0 million -46.4% $1.7 million
Otto Kaiser Memorial HospitalKenedy · FY Jun 2025 · 155 staff 25 $26.8 million -31.3% $2.7 million
Frio Regional HospitalPearsall · FY Dec 2024 · 140 staff 22 $26.6 million -12.2% $4.0 million
Electra Memorial HospitalElectra · FY Sep 2024 · 147 staff 19 $26.4 million -10.0% $2.0 million
Reeves County Hospital DistrictPecos · FY Dec 2024 · 253 staff 25 $26.3 million -152.9% $676,000
Limestone Medical CenterGroesbeck · FY Sep 2024 · 186 staff 20 $26.2 million -12.0% $1.7 million
El Paso Psychiatric CenterEl Paso · FY Aug 2025 · 253 staff 77 $25.3 million -8.8% –
Covenant Hospital LevellandLevelland · FY Jun 2025 · 98 staff 21 $25.2 million -26.6% $2.5 million
Georgetown Behavioral Health InstituteGeorgetown · FY Dec 2024 · 205 staff 118 $24.3 million -8.8% –
Cross Creek HospitalAustin · FY Dec 2024 · 175 staff 90 $24.1 million -2.2% –
Lifecare Specialty HospitalDallas · FY Aug 2025 40 $24.1 million 4.2% –
Golden Plains Community HospitalBorger · FY Dec 2024 · 209 staff 25 $24.0 million -47.6% $3.0 million
Red River HospitalWichita Falls · FY Dec 2024 · 151 staff 96 $23.9 million 18.0% –
Yoakum Community HospitalYoakum · FY Jun 2025 · 127 staff 23 $23.7 million -4.1% $1.8 million
Elite Hospital KingwoodKingwood · FY Dec 2024 · 41 staff 6 $23.5 million 35.8% $77,000
Ochiltree General HospitalPerryton · FY Sep 2024 · 142 staff 25 $23.3 million -30.7% $1.3 million
Dallas Behavioral Healthcare Hospital LLCDe Soto · FY Dec 2024 · 267 staff 116 $23.0 million -18.5% –
UT Health Carthage - First Physicians ClinicCarthage · FY Jul 2025 · 64 staff 42 $22.9 million -4.3% $1.4 million
Healthsouth Rehab HospitalTexarkana · FY Aug 2025 · 131 staff 60 $22.7 million 6.6% –
Oceans Behavioral Hospital of AbileneAbilene · FY Dec 2024 · 187 staff 90 $22.2 million 18.8% –
Palms Behavioral HealthHarlingen · FY Dec 2024 · 185 staff 94 $22.1 million 2.1% –
Cleveland Emergency HospitalHumble · FY Dec 2024 · 289 staff 16 $22.1 million -143.4% –
Grimes St Joseph Health CenterNavasota · FY Jun 2025 · 62 staff 15 $21.8 million 31.9% $3.3 million
Pecos County Memorial HospitalFort Stockton · FY Dec 2024 · 156 staff 25 $21.6 million -68.2% $3.5 million
Wilbarger General HospitalVernon · FY Sep 2024 · 178 staff 27 $21.6 million -46.9% $959,000
Graham Regional Medical CenterGraham · FY Sep 2024 · 137 staff 25 $21.1 million -27.3% $1.4 million
Rice Medical CenterEagle Lake · FY Dec 2024 · 97 staff 21 $20.8 million -11.6% $1.3 million
CHRISTUS Mother Frances Hospital- WinnsboroWinnsboro · FY Jun 2025 · 82 staff 14 $20.6 million -1.0% $2.7 million
Coon Memorial HospitalDalhart · FY Jul 2025 · 124 staff 21 $20.2 million -52.9% –
Brushy Creek Family Hospital LLCRound Rock · FY Dec 2024 · 73 staff 4 $20.2 million 8.5% $168,000
Westpark Springs LLCRichmond · FY Jun 2025 · 177 staff 72 $19.8 million -31.1% –
University Behavioral Health of DentonDenton · FY Dec 2024 · 170 staff 104 $19.7 million -7.1% –
Austin Oaks HospitalAustin · FY Jul 2025 · 152 staff 80 $19.2 million -4.9% –
Ward Memorial HospitalMonahans · FY Dec 2024 · 91 staff 21 $19.2 million -24.9% $4.9 million
Ennis Regional Medical CenterEnnis · FY Apr 2025 · 99 staff 59 $18.8 million -29.1% $2.0 million
Healthsouth Rehab HospitalBeaumont · FY Dec 2024 · 110 staff 61 $18.6 million 12.6% –
Hansford County HospitalSpearman · FY Sep 2024 · 163 staff 14 $18.4 million -46.9% $1.1 million
Lavaca Medical CenterHallettsville · FY Dec 2024 · 116 staff 25 $18.4 million -40.5% $927,000
Jackson Healthcare CenterEdna · FY Sep 2024 · 170 staff 25 $18.4 million -54.6% $2.7 million
Dimmit Regional HospitalCarrizo Springs · FY Sep 2024 · 251 staff 25 $18.3 million -66.1% $3.3 million
Medical Behavioral Hospital of Clear Lake, LLCClear Lake City · FY Dec 2024 · 113 staff 92 $18.1 million -5.7% –
Texas Center for Infectious DiseaseSan Antonio · FY Aug 2025 · 151 staff 50 $18.0 million 39.1% $15.8 million
Kindred Hospital-San AntonioSan Antonio · FY Aug 2025 · 87 staff 59 $18.0 million -16.1% –
Oceans Behavioral Hospital of KatyKaty · FY Dec 2024 · 107 staff 48 $17.2 million 22.1% –
Glen Rose Medical CenterGlen Rose · FY Sep 2024 · 175 staff 16 $17.2 million -42.6% $2.7 million
Rio Grande State CenterHarlingen · FY Aug 2025 · 258 staff 55 $16.8 million -60.4% –
Medical Arts HospitalLamesa · FY Mar 2025 · 107 staff 21 $16.8 million -27.9% $804,000
Mayhill HospitalDenton · FY Dec 2024 4 $16.7 million -0.7% $402,000
Hereford Regional Medical CenterHereford · FY Sep 2024 · 150 staff 32 $16.6 million -101.7% $7.0 million
Oceans Behavioral Hospital of Corpus ChristiCorpus Christi · FY Dec 2024 · 92 staff 42 $16.6 million 32.8% –
Altus Houston Hospital, LpHouston · FY Dec 2024 · 44 staff 10 $16.6 million -3.3% –
Advanced Dallas Hospitals and ClinicsDallas · FY Dec 2024 · 42 staff 28 $16.5 million -53.5% –
Lynn County Hospital DistrictTahoka · FY Sep 2024 · 203 staff 24 $16.5 million -44.3% $2.4 million
Perimeter Behavioral Hospital of DallasGarland · FY Dec 2024 · 158 staff 100 $16.4 million -11.2% –
Seymour HospitalSeymour · FY Jun 2025 · 117 staff 25 $16.2 million -29.4% $565,000
Voyages Behavioral Health of ConroeConroe · FY Jun 2025 · 120 staff 64 $16.1 million -2.7% –
Lone Star Behavioral Health CypressCypress · FY Dec 2024 · 71 staff 24 $15.9 million 22.3% –
Sweeny Community HospitalSweeny · FY Sep 2024 · 175 staff 9 $15.8 million -26.4% $1.8 million
Hamilton HospitalOlney · FY Feb 2025 · 111 staff 25 $15.7 million -40.4% $1.6 million
Freestone Medical CenterFairfield · FY Sep 2024 · 81 staff 37 $15.7 million -28.8% $1.6 million
Oceans Behavioral Hospital of Permian BasinMidland · FY Dec 2024 · 119 staff 62 $15.5 million 17.3% –
Madison St Joseph Health CenterMadisonville · FY Jun 2025 · 63 staff 15 $15.4 million 8.4% $2.6 million
Burleson St Joseph Health CenterCaldwell · FY Jun 2025 · 60 staff 15 $15.2 million 5.8% $1.9 million
Glen Oaks HospitalGreenville · FY Dec 2024 · 121 staff 54 $15.1 million 5.7% –
Canyon Creek Behavioral HealthTemple · FY May 2025 · 135 staff 70 $15.0 million -19.1% –
Nexus Childrens Hospital DallasDallas · FY Dec 2024 · 67 staff 60 $15.0 million -18.2% –
Mitchell County Hospital DistrictColorado City · FY Sep 2024 · 116 staff 25 $14.9 million -58.0% $1.8 million
Voyages Behavioral Health of Sugar LandSugar Land · FY Jun 2025 · 125 staff 60 $14.8 million -12.3% –
Hemphill County HospitalCanadian · FY Sep 2024 · 170 staff 15 $14.7 million -43.6% $1.0 million
Rock SpringsGeorgetown · FY Jun 2025 · 81 staff 96 $14.4 million -112.5% –
Dubuis Hospital at TexarkanaTexarkana · FY Aug 2025 · 66 staff 30 $14.2 million 10.0% –
Liberty Dayton Regional Medical CenterLiberty · FY Sep 2024 · 100 staff 15 $14.2 million -35.4% $3.7 million
Aspire HospitalConroe · FY Dec 2024 · 75 staff 4 $14.0 million 0.8% –
Tmc- Bonham HospitalBonham · FY Dec 2024 · 132 staff 25 $13.8 million -9.6% $1.3 million
Woodland SpringsConroe · FY Jun 2025 · 191 staff 96 $13.8 million -100.3% –
CHI St Lukes Health Memorial San AugustineSan Augustine · FY Jun 2025 · 25 staff – $13.7 million 39.7% –
Oceans Behavioral Hospital of WacoWaco · FY Dec 2024 · 108 staff 48 $13.6 million 7.5% –
River Crest HospitalSan Angelo · FY Dec 2023 · 128 staff 80 $13.5 million -5.6% –
Crockett Medical CenterCrockett · FY Dec 2024 · 54 staff 25 $13.4 million -4.5% $2.6 million
Heart of Texas Memorial HospitalBrady · FY Mar 2025 · 86 staff 14 $13.2 million -37.1% $2.3 million
Knox County HospitalKnox City · FY Sep 2024 25 $13.2 million -37.0% $1.2 million
Mesa SpringsFort Worth · FY Jun 2025 · 210 staff 72 $13.0 million -118.0% –
Refugio County Memorial HospitalRefugio · FY Dec 2024 · 127 staff 20 $12.9 million -61.6% $3.0 million
Winkler County Memorial HospitalKermit · FY Sep 2024 · 80 staff 19 $12.8 million -67.5% $2.8 million
Yoakum County HospitalDenver City · FY Dec 2024 · 183 staff 24 $12.7 million -167.5% $4.1 million
Brownfield Regional Medical CenterBrownfield · FY Sep 2024 · 140 staff 26 $12.1 million -67.4% $1.2 million
Harris Continued Care HospitalFort Worth · FY Mar 2025 · 39 staff 15 $11.3 million 8.8% –
Coleman County Medical CenterColeman · FY Sep 2024 · 89 staff 25 $11.0 million -26.9% $1.2 million
Oceans Behavioral Hospital of PasadenaPasadena · FY Dec 2024 · 73 staff 30 $11.0 million 13.7% –
Wellbridge Healthcare Fort WorthFort Worth · FY Jun 2025 · 90 staff 48 $10.9 million -13.3% –
Nocona General HospitalNocona · FY Jun 2025 18 $10.9 million -23.4% $921,000
Parmer County Community HospitalFriona · FY Sep 2024 · 71 staff 25 $10.9 million -16.8% $1.6 million
Muenster Memorial HospitalMuenster · FY Jun 2025 · 73 staff 18 $10.3 million -35.6% $269,000
Sabine County HospitalHemphill · FY Dec 2024 · 65 staff 25 $10.1 million -16.4% $791,000
Plains Memorial HospitalDimmitt · FY Sep 2024 · 93 staff 17 $10.0 million -72.2% $3.6 million
W J Mangold Memorial HospitalLockney · FY Sep 2024 · 61 staff 25 $10.0 million -27.9% $1.8 million
Lillian M Hudspeth Memorial HospitalSonora · FY Dec 2024 · 67 staff 11 $9.8 million -31.6% $1.2 million
Oceans Behavioral Hospital of Lufkin LLCLufkin · FY Dec 2024 · 71 staff 24 $9.6 million 22.8% –
Fisher County Hospital DistrictRotan · FY Dec 2024 · 61 staff 13 $9.6 million -21.1% $868,000
Hardeman County Memorial HospitalQuanah · FY Dec 2024 · 77 staff 24 $9.6 million -23.0% $1.0 million
Lamb Healthcare CenterLittlefield · FY Sep 2024 · 106 staff 42 $9.2 million -56.3% $1.5 million
Bayside Community HospitalAnahuac · FY Sep 2024 · 65 staff 14 $9.2 million -77.5% $1.6 million
Rankin Hospital Medical ClinicRankin · FY Sep 2024 · 73 staff 15 $9.2 million -105.7% $1.9 million
Clay County Memorial HospitalHenrietta · FY Sep 2024 · 82 staff 25 $9.1 million -39.0% $1.0 million
Oceans Behavioral Hospital of LongviewLongview · FY Dec 2024 · 64 staff 24 $9.1 million 20.3% –
Oceans Behavioral Hospital of LubbockLubbock · FY Dec 2024 · 77 staff 32 $9.1 million -2.3% –
Haskell Memorial HospitalHaskell · FY Sep 2024 · 109 staff 25 $8.8 million -48.1% $1.2 million
Swisher Memorial HospitalTulia · FY Dec 2024 · 56 staff 20 $8.7 million -42.5% $1.3 million
Stonewall Memorial Hospital DistrictAspermont · FY Sep 2024 · 112 staff 20 $8.6 million -39.5% $394,000
Atrium Medical CenterStafford · FY Sep 2024 · 28 staff 49 $8.5 million -31.8% –
Oceans Behavioral Hospital of AmarilloAmarillo · FY Dec 2024 · 68 staff 28 $8.5 million -9.0% –
Medical City Mental Health and Wellness CenterFrisco · FY Oct 2024 · partial year (191 days) · 76 staff 70 $8.5 million -86.1% –
Tyler County HospitalWoodville · FY Jun 2025 · 84 staff 25 $8.4 million -75.1% $1.6 million
Reagan Memorial HospitalBig Lake · FY Sep 2024 · 133 staff 7 $8.3 million -130.4% $3.7 million
Bellville General HospitalBellville · FY Dec 2024 · 45 staff 5 $8.1 million -57.5% $2.2 million
St Michaels Medical Hospital LLCSugar Land · FY Dec 2024 · 30 staff 7 $7.9 million -2.4% $41,000
Crane County Hospital DistrictCrane · FY Sep 2024 · 58 staff 15 $7.7 million -35.7% $1.0 million
Kimble HospitalJunction · FY Sep 2024 · 45 staff 15 $7.6 million -19.8% $886,000
McCamey HospitalMcCamey · FY Sep 2024 · 63 staff 14 $7.5 million -137.5% $1.5 million
North Runnels HospitalWinters · FY Jun 2025 · 73 staff 12 $7.4 million -18.2% $107,000
Culberson HospitalVan Horn · FY Mar 2025 · 58 staff 14 $6.9 million -56.7% $1.3 million
Collingsworth General HospitalWellington · FY Sep 2024 · 53 staff 13 $6.7 million -31.4% $576,000
Concho County HospitalEden · FY Sep 2024 · 46 staff 16 $6.3 million -63.8% $1.8 million
Cedar Hills BehavioralSan Antonio · FY Dec 2024 · partial year (308 days) 35 $6.1 million -18.9% –
Muleshoe Area Medical CenterMuleshoe · FY Sep 2023 · 54 staff 25 $5.8 million -58.7% $1.4 million
Mid Coast Medical Center - CentralLlano · FY Dec 2024 · 33 staff 25 $5.7 million -47.9% $302,000
Allegiance Behavioral Health Center of PlainviewPlainview · FY Dec 2024 · 34 staff 20 $5.2 million 10.4% –
Shamrock General HospitalShamrock · FY Mar 2025 · 55 staff 25 $5.1 million -72.7% $1.2 million
Parkview HospitalWheeler · FY May 2025 · 75 staff 15 $5.0 million -110.3% $1.4 million
Falls Community Hospital and ClinicMarlin · FY Aug 2025 · 62 staff – $5.0 million -135.4% –
Palacios Community Medical CenterPalacios · FY Dec 2024 · 29 staff 17 $4.8 million -22.6% $762,000
Schleicher County Medical CenterEldorado · FY Dec 2024 · 45 staff 14 $4.6 million -54.7% $481,000
Iraan General HospitalIraan · FY Dec 2024 · 40 staff 14 $4.6 million -114.9% $944,000
Anson General HospitalAnson · FY Mar 2025 · 51 staff – $4.5 million -71.5% $518,000
Surgery Specialty Hospitals of America SE HoustonPasadena · FY Aug 2025 · 46 staff 37 $4.0 million -173.7% $7.3 million
Throckmorton County Memorial HospitalThrockmorton · FY Dec 2024 · 63 staff 14 $3.6 million -62.8% $630,000
Starcare Specialty Health /Sunrise Canyon HospitalLubbock · FY Aug 2025 · 65 staff 30 $3.0 million -188.9% –
Cochran Memorial HospitalMorton · FY Sep 2024 · 37 staff 18 $1.6 million – $1.6 million
Crosbyton Clinic HospitalCrosbyton · FY Dec 2024 – $962,000 – –
Shriners Hospitals for ChildrenGalveston · FY Dec 2024 – – – –
Texas Scottish Rite Hospital for ChildrenDallas · FY Sep 2024 – – – –
Hickory Trail HospitalDesoto · FY Jul 2025 · 172 staff 86 – – –
Perimeter Behavioral Hospital of ArlingtonArlington · FY Dec 2024 – – – –
Carrus Behavioral HospitalSherman · FY Dec 2024 – – – –
Exceptional Community Hospital LubbockLubbock · FY Dec 2024 · partial year (250 days) – – – –
Mid Coast Medical Center-TrinityTrinity · FY Dec 2024 · partial year (104 days) – – – –

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.

Advertisement

How Texas compares with other states

Median operating margin of each state's hospitals (patient care only)

AK5.0% ME-3.0% VT-20.7% NH-0.5% WA-5.0% ID-3.2% MT-6.0% ND-10.5% MN-2.5% IL-2.3% WI3.2% MI0.0% NY-12.8% RI-14.7% MA-9.0% OR-6.4% NV4.0% WY-8.0% SD-0.8% IA-0.2% IN0.7% OH1.5% PA0.1% NJ-0.7% CT-7.9% CA-3.1% UT9.7% CO-3.1% NE-4.7% MO-3.7% KY4.0% WV-0.4% VA7.7% MD-3.7% DE3.3% AZ3.5% NM4.4% KS-15.3% AR-10.0% TN1.5% NC4.8% SC9.5% OK-5.6% LA-3.8% MS-3.8% AL-10.6% GA0.4% HI-11.0% TX1.2% FL7.6%

Median operating margin in nearby states:

Louisiana · -3.8% Oklahoma · -5.6% Arizona · 3.5% Arkansas · -10.0% Kansas · -15.3% Mississippi · -3.8% All states

Questions about Texas hospital finances

How many Texas hospitals lose money?

216 of 454 Texas hospitals (48%) reported a loss on patient care in their latest full-year Medicare cost report, compared with 55% nationwide. The median operating margin was 1.2%, 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 Texas hospitals provide the most charity care?

Texas hospitals reported $7.6 billion 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 Harris County Hospital District ($736.4 million), Parkland Health and Hospital System ($727.7 million), Jps Health Network ($339.3 million), University Health System ($324.2 million), Mem Hermann Southwest Hosp ($208.3 million).

How do Texas hospitals compare with other states?

Texas ranks 15 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 (48% vs 55%).

What is the largest hospital in Texas by revenue?

Univ of Tx M D Anderson Ctr in Houston reported the most net patient revenue: $5.4 billion in its latest full-year cost report, with 764 beds and an operating margin of -9.6%.

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.

Texas Medicare penalties Texas non-profit hospitals (IRS Form 990) Texas health care shortage areas Texas hospital price lists All hospitals in Texas Texas hospital star ratings Who owns hospitals

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