The 25 most profitable 1-star hospitals

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.

The top 25 most profitable CMS 1-star hospitals:

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%

*as a percent of what Medicare would reimburse for the hospital's cumulative service output

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