The most profitable of all 192 CMS 1-star hospitals in the nation is Nazareth Hospital in Philadelphia, according to data from Sage Transparency, which was launched by the Employers' Forum of Indiana.
CMS assigned star ratings to hospitals nationwide based on their performance across five quality categories. Despite the undesirable distinction, most of them appear to be profitable.
The Sage Transparency database lists a hospital's total facility cost (the average amount paid for its services, weighted by volume of claims, as a percentage of what Medicare would have paid) and its breakeven point, shown as the average amount a hospital needs to be paid for its services, as a percentage of what Medicare would pay, to end up with no profit and no loss.
The difference between the two figures — what the hospital is paid versus its breakeven price — represents its relative profitability.
Note: Total facility cost is based on 2018-2020 data. Breakeven points were determined by the National Academy for State Health Policy through an analysis of each hospital's 2019 Medicare Cost Reports. As newer data becomes available, these figures will be updated.
Every CMS 1-star hospital, ranked in order of most profitable to least:
|
Rank |
Hospital |
State |
Total facility cost* |
Breakeven point* |
Relative profitability* |
|---|---|---|---|---|---|
|
1. |
Nazareth Hospital (Philadelphia) |
Pa. |
651% |
104% |
547% |
|
2. |
San Joaquin General Hospital (French Camp) |
Calif. |
605% |
156% |
449% |
|
3. |
Rehoboth Mckinley Christian Health Care Services (Gallup) |
N.M. |
595% |
160% |
435% |
|
4. |
Mountain View Regional Medical Center (Las Cruces) |
N.M. |
532% |
109% |
423% |
|
5. |
Lawnwood Regional Medical Center & Heart Institute (Fort Pierce) |
Fla. |
572% |
157% |
415% |
|
6. |
Carlsbad Medical Center |
N.M. |
553% |
147% |
406% |
|
7. |
St. Lucie Medical Center (Port St. Lucie) |
Fla. |
461% |
58% |
403% |
|
8. |
Trident Medical Center (Charleston) |
S.C. |
467% |
106% |
361% |
|
9. |
Aventura Hospital and Medical Center |
Fla. |
393% |
33% |
360% |
|
10. |
Montefiore Medical Center (New York City) |
N.Y. |
364% |
8% |
356% |
|
11. |
Montefiore Mount Vernon Hospital |
N.Y. |
376% |
40% |
336% |
|
12. |
HCA Florida Kendall Hospital (Miami) |
Fla. |
352% |
23% |
329% |
|
13. |
Charleston Area Medical Center |
W.Va. |
484% |
173% |
311% |
|
14. |
Wellstar Atlanta Medical Center |
Ga. |
473% |
188% |
285% |
|
15. |
Sunrise Hospital and Medical Center (Las Vegas) |
Nev. |
432% |
155% |
277% |
|
16. |
Raleigh General Hospital (Beckley) |
W.Va. |
395% |
119% |
276% |
|
17. |
Upson Regional Medical Center (Thomaston) |
Ga. |
376% |
105% |
271% |
|
18. |
Sparrow Clinton Hospital (St. Johns) |
Mich. |
291% |
20% |
271% |
|
19. |
Brooklyn Hospital Center-Downtown Campus (New York City) |
N.Y. |
274% |
13% |
261% |
|
20. |
Blake Medical Center (Bradenton) |
Fla. |
351% |
97% |
254% |
|
21. |
Doctors Medical Center (Modesto) |
Calif. |
351% |
103% |
248% |
|
22. |
Detroit Receiving Hospital |
Mich. |
262% |
18% |
244% |
|
23. |
Metro Nashville General Hospital |
Tenn. |
254% |
12% |
242% |
|
24. |
Manatee Memorial Hospital (Bradenton) |
Fla. |
400% |
160% |
240% |
|
25. |
JFK Medical Center (Edison) |
N.J. |
372% |
148% |
224% |
|
26. |
Clinton Memorial Hospital (Wilmington) |
Ohio |
361% |
142% |
219% |
|
27. |
Bayfront Health Seven Rivers (Crystal River) |
Fla. |
397% |
180% |
217% |
|
28. |
Valley Hospital Medical Center (Las Vegas) |
Nev. |
292% |
75% |
217% |
|
29. |
Grady Memorial Hospital (Atlanta) |
Ga. |
338% |
123% |
215% |
|
30. |
New York Community Hospital of Brooklyn (New York City) |
N.Y. |
355% |
141% |
214% |
|
31. |
Montefiore New Rochelle Hospital (New Rochelle) |
N.Y. |
295% |
81% |
214% |
|
32. |
Bayfront Health Port Charlotte |
Fla. |
346% |
133% |
213% |
|
33. |
Albany Medical Center Hospital |
N.Y. |
344% |
133% |
211% |
|
34. |
Watsonville Community Hospital |
Calif. |
426% |
217% |
209% |
|
35. |
Mercy Medical Center Redding |
Calif. |
401% |
197% |
204% |
|
36. |
Pikeville Medical Center |
Ky. |
263% |
61% |
202% |
|
37. |
Merit Health River Region (Vicksburg) |
Miss. |
333% |
136% |
197% |
|
38. |
Memorial Hospital Jacksonville |
Fla. |
313% |
117% |
196% |
|
39. |
Northside Hospital (St. Petersburg) |
Fla. |
353% |
157% |
196% |
|
40. |
Bayfront Health St. Petersburg |
Fla. |
343% |
148% |
195% |
|
41. |
Wellstar Spalding Regional Hospital (Griffin) |
Ga. |
411% |
216% |
195% |
|
42. |
St. Rose Dominican Hospital-Siena Campus (Henderson) |
Nev. |
382% |
189% |
193% |
|
43. |
Halifax Health Medical Center (Daytona Beach) |
Fla. |
316% |
124% |
192% |
|
44. |
Spring Valley Hospital Medical Center (Las Vegas) |
Nev. |
294% |
102% |
192% |
|
45. |
Good Samaritan Hospital Medical Center (West Islip) |
N.Y. |
324% |
132% |
192% |
|
46. |
Atrium Health Navicent The Medical Center (Macon) |
Ga. |
259% |
69% |
190% |
|
47. |
Fairchild Medical Center (Yreka) |
Calif. |
291% |
103% |
188% |
|
48. |
Arkansas Valley Regional Medical Center (La Junta) |
Colorado |
252% |
66% |
186% |
|
49. |
Hemet Global Medical Center |
Calif. |
199% |
24% |
175% |
|
50. |
Lakeland Regional Medical Center |
Fla. |
358% |
184% |
174% |
|
51. |
Carepoint Health-Hoboken University Medical Center |
N.J. |
342% |
176% |
166% |
|
52. |
Anaheim Global Medical Center |
Calif. |
304% |
141% |
163% |
|
53. |
Onslow Memorial Hospital (Jacksonville) |
N.C. |
351% |
189% |
162% |
|
54. |
Community Regional Medical Center (Fresno) |
Calif. |
275% |
115% |
160% |
|
55. |
Holy Cross Hospital (Chicago) |
Ill. |
250% |
90% |
160% |
|
56. |
Centennial Hills Hospital Medical Center (Las Vegas) |
Nev. |
291% |
132% |
159% |
|
57. |
Hazard ARH Regional Medical Center |
Ky. |
290% |
132% |
158% |
|
58. |
Columbia Memorial Hospital (Hudson) |
N.Y. |
257% |
101% |
156% |
|
59. |
Bayfront Health Brooksville |
Fla. |
322% |
168% |
154% |
|
60. |
Forrest General Hospital (Hattiesburg) |
Miss. |
230% |
77% |
153% |
|
61. |
LaSalle General Hospital (Jena) |
La. |
254% |
104% |
150% |
|
62. |
OSF Saint Anthony Medical Center (Rockford) |
Ill. |
334% |
185% |
149% |
|
63. |
Jackson Park Hospital (Chicago) |
Ill. |
217% |
71% |
146% |
|
64. |
Coffee Regional Medical Center (Douglas) |
Ga. |
381% |
236% |
145% |
|
65. |
Glenwood Regional Medical Center (West Monroe) |
La. |
251% |
107% |
144% |
|
66. |
Cape Fear Valley Medical Center (Fayetteville) |
N.C. |
305% |
161% |
144% |
|
67. |
OU Medical Center (Oklahoma City) |
Okla. |
289% |
145% |
144% |
|
68. |
Ascension Via Christi Hospitals Wichita |
Kan. |
254% |
112% |
142% |
|
69. |
Memorial Hospital at Gulfport |
Miss. |
258% |
116% |
142% |
|
70. |
SSM Health St. Anthony Hospital (Midwest City) |
Okla. |
304% |
163% |
141% |
|
71. |
Faxton-St. Luke's Healthcare (New Hartford) |
N.Y. |
269% |
130% |
139% |
|
72. |
Brookdale Hospital Medical Center (New York City) |
N.Y. |
150% |
12% |
138% |
|
73. |
Monument Health Rapid City Hospital |
S.D. |
274% |
136% |
138% |
|
74. |
Johnson City Medical Center |
Tenn. |
228% |
94% |
134% |
|
75. |
Highland Hospital (Oakland) |
Calif. |
228% |
96% |
132% |
|
76. |
University Medical Center (Las Vegas) |
Nev. |
229% |
97% |
132% |
|
77. |
Trinitas Regional Medical Center (Elizabeth) |
N.J. |
160% |
30% |
130% |
|
78. |
Huntsville Memorial Hospital |
Texas |
301% |
171% |
130% |
|
79. |
Bassett Healthcare (Cooperstown) |
N.Y. |
257% |
129% |
128% |
|
80. |
The Medical Center at Bowling Green |
Ky. |
300% |
175% |
125% |
|
81. |
Tallahassee Memorial Healthcare |
Fla. |
288% |
166% |
122% |
|
82. |
Jamaica Hospital Medical Center (New York City) |
N.Y. |
145% |
23% |
122% |
|
83. |
St. Elizabeth Medical Center (Utica) |
N.Y. |
227% |
108% |
119% |
|
84. |
Ascension Macomb-Oakland Hospital-Warren Campus |
Mich. |
168% |
51% |
117% |
|
85. |
Richmond University Medical Center (New York City) |
N.Y. |
180% |
65% |
115% |
|
86. |
University Medical Center New Orleans |
La. |
134% |
24% |
110% |
|
87. |
Cox Medical Centers (Springfield) |
Mo. |
271% |
161% |
110% |
|
88. |
Emory Decatur Hospital |
Ga. |
228% |
119% |
109% |
|
89. |
TRMC of Orangeburg & Calhoun (Orangeburg) |
S.C. |
266% |
157% |
109% |
|
90. |
University of Illinois Hospital (Chicago) |
Ill. |
156% |
48% |
108% |
|
91. |
St. Joseph's Hospital and Medical Center (Paterson) |
N.J. |
196% |
89% |
107% |
|
92. |
Westchester Medical Center (Valhalla) |
N.Y. |
275% |
169% |
106% |
|
93. |
Summit Pacific Medical Center-Swing Bed Unit (Elma) |
Wash. |
218% |
118% |
100% |
|
94. |
Wheeling Hospital |
W.Va. |
275% |
176% |
99% |
|
95. |
Piedmont Columbus Regional Midtown |
Ga. |
189% |
91% |
98% |
|
96. |
Baptist Health Medical Center-Little Rock |
Ark. |
170% |
73% |
97% |
|
97. |
Long Island Community Hospital (Patchogue) |
N.Y. |
248% |
151% |
97% |
|
98. |
Howard University Hospital |
District of Columbia |
220% |
185% |
97% |
|
99. |
Olean General Hospital |
N.Y. |
182% |
86% |
96% |
|
100. |
Regional West Medical Center (Scottsbluff) |
Neb. |
410% |
315% |
95% |
|
101. |
George Washington University Hospital |
District of Columbia |
194% |
99% |
95% |
|
102. |
Rockcastle County Hospital (Mount Vernon) |
Ky. |
183% |
94% |
89% |
|
103. |
Nassau University Medical Center (East Meadow) |
N.Y. |
153% |
64% |
89% |
|
104. |
Texas County Memorial Hospital (Houston) |
Mo. |
252% |
164% |
88% |
|
105. |
National Park Medical Center (Hot Springs) |
Ark. |
164% |
78% |
86% |
|
106. |
Baptist Memorial Hospital Desoto (Southaven) |
Miss. |
196% |
111% |
85% |
|
107. |
Bellevue Hospital Center (New York City) |
N.Y. |
101% |
18% |
83% |
|
108. |
Baptist Health-Fort Smith |
Ark. |
168% |
86% |
82% |
|
109. |
Franciscan Health Olympia & Chicago Heights (Olympia Fields) |
Ill. |
211% |
130% |
81% |
|
110. |
Southwest Mississippi Regional Medical Center (McComb) |
Miss. |
177% |
99% |
78% |
|
111. |
Ascension St. Mary's Hospital (Saginaw) |
Mich. |
198% |
125% |
73% |
|
112. |
Page Memorial Hospital (Luray) |
Va. |
174% |
101% |
73% |
|
113. |
Huntington Beach Hospital |
Calif. |
252% |
181% |
71% |
|
114. |
Jennings American Legion Hospital |
La. |
205% |
134% |
71% |
|
115. |
Erlanger Medical Center (Chattanooga) |
Tenn. |
176% |
105% |
71% |
|
116. |
Baptist Health Medical Center-North Little Rock |
Ark. |
165% |
95% |
70% |
|
117. |
Poplar Bluff Regional Medical Center |
Mo. |
214% |
145% |
69% |
|
118. |
South Shore Hospital (Chicago) |
Ill. |
238% |
173% |
65% |
|
119. |
Tennova Healthcare-Clarksville |
Tenn. |
179% |
115% |
64% |
|
120. |
St. Joseph's Medical Center (Yonkers) |
N.Y. |
113% |
50% |
63% |
|
121. |
Comanche County Memorial Hospital (Lawton) |
Okla. |
224% |
161% |
63% |
|
122. |
Mount Sinai Hospital Medical Center (Chicago) |
Ill. |
185% |
123% |
62% |
|
123. |
Wilson Medical Center |
N.C. |
207% |
149% |
58% |
|
124. |
Doctors Hospital of Manteca |
Calif. |
333% |
276% |
57% |
|
125. |
Los Alamitos Medical Center |
Calif. |
239% |
183% |
56% |
|
126. |
El Centro Regional Medical Center |
Calif. |
213% |
158% |
55% |
|
127. |
Medical Center Hospital (Odessa) |
Texas |
166% |
111% |
55% |
|
128. |
Hot Springs County Memorial Hospital (Thermopolis) |
Wyo. |
188% |
139% |
49% |
|
129. |
Franciscan Health Dyer |
Ind. |
247% |
202% |
45% |
|
130. |
Perry County Memorial Hospital (Perryville) |
Mo. |
145% |
100% |
45% |
|
131. |
Jefferson Regional Medical Center (Pine Bluff) |
Ark. |
151% |
109% |
42% |
|
132. |
Regional One Health (Memphis) |
Tenn. |
167% |
130% |
37% |
|
133. |
Flushing Hospital Medical Center (New York City) |
N.Y. |
112% |
77% |
35% |
|
134. |
Arkansas Methodist Medical Center (Paragould) |
Ark. |
148% |
114% |
34% |
|
135. |
Eastern Niagara Hospital (Lockport) |
N.Y. |
128% |
97% |
31% |
|
136. |
Merit Health Biloxi |
Miss. |
172% |
142% |
30% |
|
137. |
Antelope Valley Hospital (Lancaster) |
Calif. |
191% |
165% |
26% |
|
138. |
Carilion Tazewell Community Hospital |
Va. |
407% |
381% |
26% |
|
139. |
Gateway Regional Medical Center (Granite City) |
Ill. |
198% |
175% |
23% |
|
140. |
St. Joseph Regional Medical Center (Lewiston) |
Idaho |
154% |
132% |
22% |
|
141. |
Lewis County General Hospital (Lowville) |
N.Y. |
151% |
130% |
21% |
|
142. |
Franciscan Health Hammond |
Ind. |
186% |
175% |
11% |
|
143. |
Oroville Hospital |
Calif. |
211% |
202% |
9% |
|
144. |
Delta Health-The Medical Center (Greenville) |
Miss. |
133% |
159% |
-26% |
|
145. |
Victor Valley Global Medical Center (Victorville) |
Calif. |
121% |
151% |
-30% |
|
146. |
Hudson Regional Hospital (Secaucus) |
N.J. |
170% |
207% |
-37% |
|
147. |
Iroquois Memorial Hospital (Watseka) |
Ill. |
260% |
305% |
-45% |
|
148. |
Harborview Medical Center (Seattle) |
Wash. |
159% |
204% |
-45% |
|
149. |
University Hospital (Newark) |
N.J. |
107% |
153% |
-46% |
|
150. |
Herrin Hospital |
Ill. |
303% |
353% |
-50% |
|
151. |
Jacobi Medical Center (New York City) |
N.Y. |
123% |
173% |
-50% |
|
152. |
Kings County Hospital Center (New York City) |
N.Y. |
81% |
242% |
-161% |
|
153. |
Coastal Communities Hospital (Santa Ana) |
Calif. |
175% |
401% |
-226% |
|
154. |
St. Bernard Hospital (Chicago) |
Ill. |
72% |
387% |
-315% |
|
155. |
East Orange General Hospital |
N.J. |
189% |
568% |
-379% |
|
United Medical Center |
District of Columbia |
Incomplete data |
|||
|
Parkview Community Hospital Medical Center (Riverside) |
Calif. |
Incomplete data |
|||
|
Zuckerberg San Francisco General Hospital & Trauma Center |
Calif. |
Incomplete data |
|||
|
. |
LAC + USC Medical Center (Los Angeles) |
Calif. |
Incomplete data |
||
|
Harbor-UCLA Medical Center (Torrance) |
Calif. |
Incomplete data |
|||
|
Olympia Medical Center (Los Angeles) |
Calif. |
Incomplete data |
|||
|
Jackson Health System (Miami) |
Fla. |
Incomplete data |
|||
|
Larkin Community Hospital Palm Springs Campus (Hialeah) |
Fla. |
Incomplete data |
|||
|
Regional Medical Center Bayonet Point (Hudson) |
Fla. |
Incomplete data |
|||
|
Roseland Community Hospital (Chicago) |
Ill. |
Incomplete data |
|||
|
West Carroll Memorial Hospital (Oak Grove) |
La. |
Incomplete data |
|||
|
|
Ochsner LSU Health Shreveport |
La. |
Incomplete data |
||
|
University of Maryland Capital Region Medical Center (Largo) |
Md. |
Incomplete data |
|||
|
. |
University of Maryland Harford Memorial Hospital (Havre De Grace) |
Md. |
Incomplete data |
||
|
Sinai-Grace Hospital (Detroit) |
Mich. |
Incomplete data |
|||
|
Magee General Hospital |
Miss. |
Incomplete data |
|||
|
SSM Health Saint Louis University Hospital |
Mo. |
Incomplete data |
|||
|
Bergen New Bridge Medical Center (Paramus)** |
N.J. |
Incomplete data |
|||
|
Eastern New Mexico Medical Center (Roswell) |
N.M. |
Incomplete data |
|||
|
Lincoln Medical & Mental Health Center (New York City) |
N.Y. |
Incomplete data |
|||
|
Elmhurst Hospital Center |
N.Y. |
Incomplete data |
|||
|
NYCHealth + Hospitals/Coney Island (New York City) |
N.Y. |
Incomplete data |
|||
|
Wyckoff Heights Medical Center (New York City) |
N.Y. |
Incomplete data |
|||
|
Massena Hospital |
N.Y. |
Incomplete data |
|||
|
Harlem Hospital Center (New York City) |
N.Y. |
Incomplete data |
|||
|
SUNY/Downstate University Hospital of Brooklyn (New York City) |
N.Y. |
Incomplete data |
|||
|
St. John's Episcopal Hospital at South Shore (New York City) |
N.Y. |
Incomplete data |
|||
|
|
St. Barnabas Hospital (New York City) |
N.Y. |
Incomplete data |
||
|
Adams County Regional Medical Center (Seaman) |
Ohio |
Incomplete data |
|||
|
|
McAlester Regional Health Center |
Okla. |
Incomplete data |
||
|
|
HCA Houston Healthcare Pearland |
Texas |
Incomplete data |
||
*as a percent of what Medicare would reimburse for the hospital's cumulative service output