Here are the 20 top-grossing public hospitals in the United States listed by total patient revenue, according to CMS cost report data analyzed by American Hospital Directory. These facilities include hospitals operated by a hospital district, a city, a county, or a city-county partnership. Note: The hospital total patient revenues reported here are reported to CMS by the hospitals in their most recent cost reports and, in some cases, may include patient revenue from other facilities that share a provider number with the main hospital.
1. Jackson Memorial Hospital, Miami — $4.15 billion. The third-largest teaching hospital in the United States, Jackson Memorial Hospital is the flagship facility of the Jackson Health System. The system is owned and operated by Miami-Dade County through the Public Health Trust and is supported by county residents through a half-cent sales tax. Jackson Memorial is affiliated with the University of Miami Leonard M. Miller School of Medicine in Miami and hosts the Ryder Trauma Center, the only Level I adult and pediatric trauma center in the county. The hospital is also a world leader in organ transplants, performing more than 400 solid organ transplants every year. The Jackson Health system also includes Jackson South Community Hospital, Holtz Children's Hospital, Jackson Rehabilitation Hospital, Jackson Mental Health Hospital and Jackson North Medical Center in North Miami, the teaching hospital of the new Florida International University Herbert Wertheim College of Medicine. Jackson Health System logged a surplus of $4 million in June, after a system-wide A/R credit balance clean-up that saved Jackson Health around $16 million.
2. Carolinas Medical Center, Charlotte, N.C. — $2.94 billion. Opened in 1940 as Charlotte Memorial Hospital, the medical center has undergone several major expansions and now encompasses 17 buildings. It is the flagship of Carolinas Healthcare System, one of the largest public, nonprofit healthcare systems in the United States, with 32 affiliated hospitals and 500 other healthcare locations in North and South Carolina, including physician practices, nursing homes, surgical and rehabilitation centers and home health agencies. CMC is home to a Level I trauma center, a research institute and specialty units for heart, cancer, organ transplant, behavioral health and other areas. The medical center serves as one of North Carolina's five academic medical center teaching hospitals, providing graduate medical education for more than 250 physicians in 18 specialties.
3. Memorial Regional Hospital, Hollywood, Fla. — $2.74 billion. Memorial Regional Hospital opened in 1953 and was quickly expanded to a $4 million, 400-bed hospital by the mid 1960s. It is the flagship hospital of Memorial Healthcare System, which also includes Memorial Regional Hospital South and Joe DiMaggio Children's Hospital, Memorial Hospital West, Memorial Hospital Miramar and Memorial Hospital Pembroke. Memorial Regional is one of seven Level I trauma centers in the state and its emergency department is the busiest in the region. The hospital has been recently honored with the Gold Plus Achievement Award for stroke care from the American Heart Association/American Stroke Association and consistently ranks as one of America's best hospitals for urology, geriatrics and obstetrics. Each year, the hospital admits 37,431 patients, its ED sees 126,288 patients and it hosts 8,169 inpatient and 6,464 outpatient surgeries. The hospital runs the Memorial Cardiac and Vascular Institute, the Memorial Cancer Institute, a Breast Cancer Center and the Memorial Neuroscience Center.
4. Parkland Memorial Hospital, Dallas — $2.39 billion. Parkland is the main hospital of the Dallas County Hospital District, also known as Parkland Health and Hospital System, and is primarily funded by a specially designated property tax on Dallas county residents. The original hospital opened in 1894 and a new hospital is scheduled to be completed in 2014. One of the area's three designated Level I Trauma centers today, Parkland is best known as the hospital where John F. Kennedy was taken after his assassination on Nov. 22, 1963. Also in the 1960s, Parkland's burn unit developed the Parkland Formula for fluid resuscitation. Virtually all medical and surgical subspecialties are represented on its medical staff. Parkland delivers more babies under one roof than any other hospital in the nation, averaging 15,000-16,000 deliveries per year. The hospital has nine prenatal clinics and trains 72 ob-gyn residents and 45 nurse-midwives. This year, Parkland reduced wait times in its ED by 25 percent through a rapid admission protocol that cuts back the admission process from 50 steps to 10 steps.
5. VCU Medical Center, Richmond, Va. — $2.29 billion. Originally established as the Medical College of Virginia, VCU Medical Center is Virginia Commonwealth University's medical campus. The center is composed of five health sciences schools that conduct superior teaching and research in medicine, dentistry, pharmacy, nursing and allied health professions. The hospital was founded in 1838 and started with a class of 46 students at a tuition of $20 each for four months. Since then, the medical center has expanded to a class size of around 200. The VCU Medical Center has an educational relationship with the Fairfax hospital of the Inova Health System of North Virginia, which contains Inova Fairfax Hospital, which regularly ranks as one of the nation's best hospitals for cardiac surgery and cardiology, digestive disorders and geriatrics, among others.
6. Westchester Medical Center, Valhalla, N.Y. — $2.08 billion. The primary academic medical center for the University Hospital of New York Medical College, Westchester Medical Center is a 635-bed Level I Trauma known for having the highest case mix index of all hospitals in the United States. The hospital hosts one of the leading kidney and liver transplant programs in New York and is home to Maria Fareri Children's Hospital, the only all-specialty children's hospital in the region. Originally purchased in 1915, the site for the hospital was originally used as a U.S. Army hospital during World War I. In 1920, the Army turned the hospital over to Westchester County government, who renamed it Grasslands hospital and turned the center into a leading provider of tuberculosis, polio, scarlet fever and diphtheria treatment. Grasslands was closed in 1977 to make way for its modern cousin, the newly built regional academic medical center known as Westchester Medical Center. As a public benefit corporation, WMC treats anyone in need of care, regardless of ability to pay.
7. Ben Taub General Hospital, Houston — $2.04 billion. Ben Taub General Hosptial is owned and operated by the Harris County Hospital District and staffed by the faculty, residents and students from Baylor College of Medicine. The hospital is one of three Level I trauma centers in Southeast Texas and, at 650 beds, one of the busiest trauma centers in the United States. The center cares for over 108,000 emergency patient visits each year and boasts the only psychiatric emergency room in Houston that stays open 24 hours away. The hospital is named after a Houston real estate developer and businessman whose extensive behind-the-scenes philanthropic efforts helped transform the Houston community. Harris County has the nation's highest proportion of uninsured patients, and its ED is the source of 80 percent of all admissions. The hospital is at the center of Texas Medical Center, which contains 13 hospitals and two specialty institutions, two medical schools, four nursing schools and schools of dentistry, public health, pharmacy and other health-related practices.
8. Sharp Grossmont Hospital, La Mesa, Calif. — $2.04 billion. Part of Sharp HealthCare, Sharp Grossmont is the largest healthcare provider in East San Diego County, with a service area that covers 750 square miles. The hospital contains 536 beds and recently underwent an expansion that added 90 beds to its recently completed emergency center, added 24 ICU beds to the second level and equipped its private rooms with showers and flat-screen TVs. The expansion will allow the hospital to see an estimated 100,000 emergency patients annually. Sharp Grossmont was the first hospital in the country to convert to digital imaging and has been honored by the American Heart Association's Get With the Guidelines Program with multiple awards in 2008 and 2009. The hospital is nationally recognized as a MAGNET-designated hospital for patient care and nursing practices, the highest honor awarded by the American Nurses Credentialing Center and a distinction that only 12 hospitals in California hold.
9. Santa Clara Valley Medical Center, San Jose, Calif. — $1.93 billion. Located three miles west of downtown San Jose, Santa Clary Valley Medical Center is owned and operated by the County of Santa Clara and part of the Department of Health and Hospitals. The first hospital at the Santa Clara site was built in 1876 by San Jose’s first medical practitioner, Dr. Benjamin Cory. The teaching hospital is now affiliated with Stanford and UC medical schools, and is supported by the latest in medical technology and modern facilities. The medical center is one of four adult Level I trauma centers in northern California and one of there pediatric Level I trauma centers and is the only trauma center in California to co-locate spinal cord care, burn care, brain injury care, pediatrics and adult trauma on one campus. In 2010, SCVMC received the prestigious Kaiser Permanente James A. Vohs Award for Quality for its program to reduce cardiac risk by managing severe chronic diseases.
10. University Medical Center, Las Vegas — $1.92 billion. Joint Commission-accredited University Medical Center manages 575 beds and is the state-designated Level I Trauma Center for Southern Nevada and the only free standing trauma center west of the Mississippi. The hospital's physicians perform 10,443 inpatient and 15,669 outpatient surgeries annually, and the hospital handles more than 110,000 patient visits to its emergency room each year. The Medical Center also houses the state’s only burn care facility, the Lion's Burn Care Center. In August of 2010, UMC was recognized for achievement in using evidence-based guidelines to provide excellent patient care through The American Heart Association/American Stroke Association's Get With The Guidelines program. UMC maintains educational partnerships with the University of Nevada School of Medicine, the Department of Pharmaceutical Specialties residency program accredited by the American Society of HealthSystem Pharmacists, Touro Medical School and the College of Southern Nevada.
11. Los Angeles County + University of Southern California Medical Center, Los Angeles, CA. — $1.87 billion. Los Angeles County and USC Medical Center is one of the largest public hospitals and medical training centers in the United States and the largest single provider of healthcare in Los Angeles County. The 600-bed hospital is a Level I trauma center and treats over 28 percent of the region's trauma victims, in addition to providing care for half of all AIDS and sickle-cell anemia patients in Southern California. In Nov. 2008, the hospital completed its transfer of all inpatients from Women's and Children's Hospital and the historic white 800-bed hospital on the hill to a new, $1 billion, state-of-the-art 600-bed replacement hospital that consists of a clinic tower, diagnostic and treatment tower and inpatient tower. LAC+USC is one of the busiest public hospitals in the West, with nearly 39,000 inpatients discharged, and one million ambulatory care patient visits each year. The ED is one of the world's busiest, with more than 150,000 visits per year. It operates one of only three burn centers in the county and is one of the few Level III neonatal intensive care units in Southern California.
12. Spartanburg Regional Medical Center, Spartanburg, S.C. — $1.76 billion. The flagship facility of Spartanburg Regional Healthcare System, one of South Carolina's largest healthcare systems, Spartanburg Regional Medical Center is a research and teaching hospital with more than 500 physicians on staff. The hospital performs more than 12,000 surgical procedures annually, and the hospital's emergency center is one of the busiest Level 1 trauma centers in the United States. Spartanburg Regional was also the first hospital in the state and the nation to develop a comprehensive Hospital Emergency Response Team to assist in aid and relief following natural disasters. The team was developed following Hurricanes Katrina and Rita in 2005 and provides a highly trained working body of clinical and non-clinical volunteers that support healthcare operations during catastrophes.
13. Broward General Medical Center, Fort Lauderdale, Fla. — $1.75 billion. Founded in 1938, Broward General is part of Broward Health, one of the 10 largest health systems in the United States. The center recently received the Joint Commission's Ernest Amory Codman Award, which recognizes excellent in the use of outcomes measurement to achieve improvements in the quality and safety of healthcare. HealthGrades has ranked Broward General in the top 5 percent throughout the nation in quality of patient outcomes. Broward General is one of only 269 hospitals ranked in the new study earning it the HealthGrades Distinguished Hospital for Clinical Excellence Award. The medical center also features a Comprehensive Cancer Center, a Joint Replacement Center, an Orthopedic Sports Medicine Center, a Sleep Disorders Center, and The Wellness Center.
14. John Peter Smith Hospital, Fort Worth, Texas — $1.67 billion. Named for John Peter Smith, former mayor of Forth Worth, John Peter Smith Hospital was founded in 1906 to provide free care to all.The facility has since grown to a 567-bed facility attached to a five-story patient care pavilion, an outpatient center and a facility for psychiatric services. The JPS Health Network was recently designated Tarrant County's only Level 1 trauma center and houses the only ICU in Texas to receive the Beacon Award for Critical Care Excellence for two years in a row. The hospital is currently implementing an EMR that will provide CPOE, inter-disciplinary care planning, medication administration and clinical decision support to its network of providers.
15. Grady Memorial Hospital, Atlanta — $1.67 billion. Frequently referred to as Grady Hospital or simply Grady, Grady Memorial Hospital is the public hospital for the city of Atlanta and the largest hospital in the state of Georgia. Opened in 1892 as a segregated institution, it was named after an Atlantic Constitution journalist and owner who became a major influence in Georgia politics and advocated for a public city hospital. It is now the flagship of the Grady Health System. In 2008, Grady was made into a non-profit organization and a revitalization campaign began. Grady made headlines in 2004 when the hospital sued the state over lack of Medicaid compensation, an issue that affected the hospital deeply as it serves a large proportion of low-income patients. Grady relies almost entirely on Emory University School of Medicine and Morehouse School of Medicine for its physician and resident staffing.
16. Washington Hospital, Fremont, Calif. — $1.59 billion. Washington Hospital opened its doors on Nov. 24, 1958 as a district hospital licensed for 150 beds. Part of Washington Hospital Healthcare System, Washington Hospital has been recently honored with various awards, including the prestigious American Diabetes Association Education Recognition Certification for a quality diabetes self-management education program. The hospital is one of a few hospitals in the United States to earn the Gold Seal of Approval from the Joint Commission for primary stroke centers. The hospital recently celebrated the opening of the Washington women's Center, Taylor McAdam Bell Neuroscience Institute and Gamma Knife Program and became the first hospital outside Europe to treat patients using the new Leksell Gamma Knife Perfexion, the most advanced non-invasive device for the treatment of brain disorders. The hospital operates with a mission of patient care and personal service and promotes transparency by sharing its CEO compensation practices with its patient population.
17. Cape Fear Valley Medical Center, Fayetteville, N.C. — $1.59 billion. Cape Fear Valley Medical Center opened in 1956 as a 200-bed county hospital and has since grown into a robust 426-bed medical center and the primary healthcare provider in the region. The hospital offers open-heart surgery, home health and hospice, cancer treatment, emergency medicine, pediatric wellness care and stands as Cumberland County's largest non-government employer. The facility features a full-service family birth center as well as a Level III Neonatal Intensive Care Unit. The medical center is a branch of Cape Fear Valley Health, the ninth largest health system in the state.
18. New Hanover Regional Medical Center, Wilmington, N.C. — $1.52 billion. New Hanover receives no local tax support for its operations and expects to contribute about $37 million this year if free care for the poor. The New Hanover Memorial Hospital, opened in 1967, resulted from the merger of two racially segregated hospitals. The facility, which later changed its name to New Hanover Regional Medical Center, now includes three hospital campuses. The Surgical Pavilion and the Betty H. Cameron Women's and Children's Hospital opened in 2008 as part of the largest building and renovation project in its history. The next phase, expected to be completed in December, includes top-down renovation of the main patient tower to create nearly all private rooms and redesigned spaces to make patients and their families more comfortable.
19. Memorial Health University Medical Center, Savannah, Ga. — $1.50 billion. MUMC opened its doors in 1955 and has since evolved into the most advanced healthcare provider in its region. A non-profit hospital with 530 beds, MUMC had 24,793 admissions, performed 22,861 surgeries and treated 276,948 outpatients in 2009, providing more charity care than any other healthcare provider in the area. The hospital serves as a regional referral center for cardiac care, cancer care, trauma, pediatrics, high-risk obstetrics and neonatology and features the region's only Level 1 trauma center and children's hospital. MUMC is part of the Memorial Health System, a two-state healthcare organization that serves 35 counties in southeast Georgia and southern Carolina. The hospital is also one of the largest employers in the Savannah region, with 4,700 team members.
20. Lexington Medical Center, West Columbia, S.C. — $1.47 billion. The 384 bed medical complex that makes up Lexington Medical Center anchors a network of 600-plus physicians, six community medical centers, an occupational health center, the largest extended care facility in the state and an Alzheimer's Care Center. The hospital itself is regarded as one of the best hospitals in the Midlands and the best place to have a baby and has been named "Best Hospital" by readers of The State newspaper for ten years in a row. The hospital's patient satisfaction scores rest in the top 10 percent of the nation, and Lexington performs more surgeries than any other hospital in the midlands, with 20,623 in fiscal year 2009. A leader in cancer treatment, the hospital was also one of the first hospitals in the United States to perform microwave ablation, a treatment that can destroy tumors with a minimally-invasive, outpatient procedure.
1. Jackson Memorial Hospital, Miami — $4.15 billion. The third-largest teaching hospital in the United States, Jackson Memorial Hospital is the flagship facility of the Jackson Health System. The system is owned and operated by Miami-Dade County through the Public Health Trust and is supported by county residents through a half-cent sales tax. Jackson Memorial is affiliated with the University of Miami Leonard M. Miller School of Medicine in Miami and hosts the Ryder Trauma Center, the only Level I adult and pediatric trauma center in the county. The hospital is also a world leader in organ transplants, performing more than 400 solid organ transplants every year. The Jackson Health system also includes Jackson South Community Hospital, Holtz Children's Hospital, Jackson Rehabilitation Hospital, Jackson Mental Health Hospital and Jackson North Medical Center in North Miami, the teaching hospital of the new Florida International University Herbert Wertheim College of Medicine. Jackson Health System logged a surplus of $4 million in June, after a system-wide A/R credit balance clean-up that saved Jackson Health around $16 million.
2. Carolinas Medical Center, Charlotte, N.C. — $2.94 billion. Opened in 1940 as Charlotte Memorial Hospital, the medical center has undergone several major expansions and now encompasses 17 buildings. It is the flagship of Carolinas Healthcare System, one of the largest public, nonprofit healthcare systems in the United States, with 32 affiliated hospitals and 500 other healthcare locations in North and South Carolina, including physician practices, nursing homes, surgical and rehabilitation centers and home health agencies. CMC is home to a Level I trauma center, a research institute and specialty units for heart, cancer, organ transplant, behavioral health and other areas. The medical center serves as one of North Carolina's five academic medical center teaching hospitals, providing graduate medical education for more than 250 physicians in 18 specialties.
3. Memorial Regional Hospital, Hollywood, Fla. — $2.74 billion. Memorial Regional Hospital opened in 1953 and was quickly expanded to a $4 million, 400-bed hospital by the mid 1960s. It is the flagship hospital of Memorial Healthcare System, which also includes Memorial Regional Hospital South and Joe DiMaggio Children's Hospital, Memorial Hospital West, Memorial Hospital Miramar and Memorial Hospital Pembroke. Memorial Regional is one of seven Level I trauma centers in the state and its emergency department is the busiest in the region. The hospital has been recently honored with the Gold Plus Achievement Award for stroke care from the American Heart Association/American Stroke Association and consistently ranks as one of America's best hospitals for urology, geriatrics and obstetrics. Each year, the hospital admits 37,431 patients, its ED sees 126,288 patients and it hosts 8,169 inpatient and 6,464 outpatient surgeries. The hospital runs the Memorial Cardiac and Vascular Institute, the Memorial Cancer Institute, a Breast Cancer Center and the Memorial Neuroscience Center.
4. Parkland Memorial Hospital, Dallas — $2.39 billion. Parkland is the main hospital of the Dallas County Hospital District, also known as Parkland Health and Hospital System, and is primarily funded by a specially designated property tax on Dallas county residents. The original hospital opened in 1894 and a new hospital is scheduled to be completed in 2014. One of the area's three designated Level I Trauma centers today, Parkland is best known as the hospital where John F. Kennedy was taken after his assassination on Nov. 22, 1963. Also in the 1960s, Parkland's burn unit developed the Parkland Formula for fluid resuscitation. Virtually all medical and surgical subspecialties are represented on its medical staff. Parkland delivers more babies under one roof than any other hospital in the nation, averaging 15,000-16,000 deliveries per year. The hospital has nine prenatal clinics and trains 72 ob-gyn residents and 45 nurse-midwives. This year, Parkland reduced wait times in its ED by 25 percent through a rapid admission protocol that cuts back the admission process from 50 steps to 10 steps.
5. VCU Medical Center, Richmond, Va. — $2.29 billion. Originally established as the Medical College of Virginia, VCU Medical Center is Virginia Commonwealth University's medical campus. The center is composed of five health sciences schools that conduct superior teaching and research in medicine, dentistry, pharmacy, nursing and allied health professions. The hospital was founded in 1838 and started with a class of 46 students at a tuition of $20 each for four months. Since then, the medical center has expanded to a class size of around 200. The VCU Medical Center has an educational relationship with the Fairfax hospital of the Inova Health System of North Virginia, which contains Inova Fairfax Hospital, which regularly ranks as one of the nation's best hospitals for cardiac surgery and cardiology, digestive disorders and geriatrics, among others.
6. Westchester Medical Center, Valhalla, N.Y. — $2.08 billion. The primary academic medical center for the University Hospital of New York Medical College, Westchester Medical Center is a 635-bed Level I Trauma known for having the highest case mix index of all hospitals in the United States. The hospital hosts one of the leading kidney and liver transplant programs in New York and is home to Maria Fareri Children's Hospital, the only all-specialty children's hospital in the region. Originally purchased in 1915, the site for the hospital was originally used as a U.S. Army hospital during World War I. In 1920, the Army turned the hospital over to Westchester County government, who renamed it Grasslands hospital and turned the center into a leading provider of tuberculosis, polio, scarlet fever and diphtheria treatment. Grasslands was closed in 1977 to make way for its modern cousin, the newly built regional academic medical center known as Westchester Medical Center. As a public benefit corporation, WMC treats anyone in need of care, regardless of ability to pay.
7. Ben Taub General Hospital, Houston — $2.04 billion. Ben Taub General Hosptial is owned and operated by the Harris County Hospital District and staffed by the faculty, residents and students from Baylor College of Medicine. The hospital is one of three Level I trauma centers in Southeast Texas and, at 650 beds, one of the busiest trauma centers in the United States. The center cares for over 108,000 emergency patient visits each year and boasts the only psychiatric emergency room in Houston that stays open 24 hours away. The hospital is named after a Houston real estate developer and businessman whose extensive behind-the-scenes philanthropic efforts helped transform the Houston community. Harris County has the nation's highest proportion of uninsured patients, and its ED is the source of 80 percent of all admissions. The hospital is at the center of Texas Medical Center, which contains 13 hospitals and two specialty institutions, two medical schools, four nursing schools and schools of dentistry, public health, pharmacy and other health-related practices.
8. Sharp Grossmont Hospital, La Mesa, Calif. — $2.04 billion. Part of Sharp HealthCare, Sharp Grossmont is the largest healthcare provider in East San Diego County, with a service area that covers 750 square miles. The hospital contains 536 beds and recently underwent an expansion that added 90 beds to its recently completed emergency center, added 24 ICU beds to the second level and equipped its private rooms with showers and flat-screen TVs. The expansion will allow the hospital to see an estimated 100,000 emergency patients annually. Sharp Grossmont was the first hospital in the country to convert to digital imaging and has been honored by the American Heart Association's Get With the Guidelines Program with multiple awards in 2008 and 2009. The hospital is nationally recognized as a MAGNET-designated hospital for patient care and nursing practices, the highest honor awarded by the American Nurses Credentialing Center and a distinction that only 12 hospitals in California hold.
9. Santa Clara Valley Medical Center, San Jose, Calif. — $1.93 billion. Located three miles west of downtown San Jose, Santa Clary Valley Medical Center is owned and operated by the County of Santa Clara and part of the Department of Health and Hospitals. The first hospital at the Santa Clara site was built in 1876 by San Jose’s first medical practitioner, Dr. Benjamin Cory. The teaching hospital is now affiliated with Stanford and UC medical schools, and is supported by the latest in medical technology and modern facilities. The medical center is one of four adult Level I trauma centers in northern California and one of there pediatric Level I trauma centers and is the only trauma center in California to co-locate spinal cord care, burn care, brain injury care, pediatrics and adult trauma on one campus. In 2010, SCVMC received the prestigious Kaiser Permanente James A. Vohs Award for Quality for its program to reduce cardiac risk by managing severe chronic diseases.
10. University Medical Center, Las Vegas — $1.92 billion. Joint Commission-accredited University Medical Center manages 575 beds and is the state-designated Level I Trauma Center for Southern Nevada and the only free standing trauma center west of the Mississippi. The hospital's physicians perform 10,443 inpatient and 15,669 outpatient surgeries annually, and the hospital handles more than 110,000 patient visits to its emergency room each year. The Medical Center also houses the state’s only burn care facility, the Lion's Burn Care Center. In August of 2010, UMC was recognized for achievement in using evidence-based guidelines to provide excellent patient care through The American Heart Association/American Stroke Association's Get With The Guidelines program. UMC maintains educational partnerships with the University of Nevada School of Medicine, the Department of Pharmaceutical Specialties residency program accredited by the American Society of HealthSystem Pharmacists, Touro Medical School and the College of Southern Nevada.
11. Los Angeles County + University of Southern California Medical Center, Los Angeles, CA. — $1.87 billion. Los Angeles County and USC Medical Center is one of the largest public hospitals and medical training centers in the United States and the largest single provider of healthcare in Los Angeles County. The 600-bed hospital is a Level I trauma center and treats over 28 percent of the region's trauma victims, in addition to providing care for half of all AIDS and sickle-cell anemia patients in Southern California. In Nov. 2008, the hospital completed its transfer of all inpatients from Women's and Children's Hospital and the historic white 800-bed hospital on the hill to a new, $1 billion, state-of-the-art 600-bed replacement hospital that consists of a clinic tower, diagnostic and treatment tower and inpatient tower. LAC+USC is one of the busiest public hospitals in the West, with nearly 39,000 inpatients discharged, and one million ambulatory care patient visits each year. The ED is one of the world's busiest, with more than 150,000 visits per year. It operates one of only three burn centers in the county and is one of the few Level III neonatal intensive care units in Southern California.
12. Spartanburg Regional Medical Center, Spartanburg, S.C. — $1.76 billion. The flagship facility of Spartanburg Regional Healthcare System, one of South Carolina's largest healthcare systems, Spartanburg Regional Medical Center is a research and teaching hospital with more than 500 physicians on staff. The hospital performs more than 12,000 surgical procedures annually, and the hospital's emergency center is one of the busiest Level 1 trauma centers in the United States. Spartanburg Regional was also the first hospital in the state and the nation to develop a comprehensive Hospital Emergency Response Team to assist in aid and relief following natural disasters. The team was developed following Hurricanes Katrina and Rita in 2005 and provides a highly trained working body of clinical and non-clinical volunteers that support healthcare operations during catastrophes.
13. Broward General Medical Center, Fort Lauderdale, Fla. — $1.75 billion. Founded in 1938, Broward General is part of Broward Health, one of the 10 largest health systems in the United States. The center recently received the Joint Commission's Ernest Amory Codman Award, which recognizes excellent in the use of outcomes measurement to achieve improvements in the quality and safety of healthcare. HealthGrades has ranked Broward General in the top 5 percent throughout the nation in quality of patient outcomes. Broward General is one of only 269 hospitals ranked in the new study earning it the HealthGrades Distinguished Hospital for Clinical Excellence Award. The medical center also features a Comprehensive Cancer Center, a Joint Replacement Center, an Orthopedic Sports Medicine Center, a Sleep Disorders Center, and The Wellness Center.
14. John Peter Smith Hospital, Fort Worth, Texas — $1.67 billion. Named for John Peter Smith, former mayor of Forth Worth, John Peter Smith Hospital was founded in 1906 to provide free care to all.The facility has since grown to a 567-bed facility attached to a five-story patient care pavilion, an outpatient center and a facility for psychiatric services. The JPS Health Network was recently designated Tarrant County's only Level 1 trauma center and houses the only ICU in Texas to receive the Beacon Award for Critical Care Excellence for two years in a row. The hospital is currently implementing an EMR that will provide CPOE, inter-disciplinary care planning, medication administration and clinical decision support to its network of providers.
15. Grady Memorial Hospital, Atlanta — $1.67 billion. Frequently referred to as Grady Hospital or simply Grady, Grady Memorial Hospital is the public hospital for the city of Atlanta and the largest hospital in the state of Georgia. Opened in 1892 as a segregated institution, it was named after an Atlantic Constitution journalist and owner who became a major influence in Georgia politics and advocated for a public city hospital. It is now the flagship of the Grady Health System. In 2008, Grady was made into a non-profit organization and a revitalization campaign began. Grady made headlines in 2004 when the hospital sued the state over lack of Medicaid compensation, an issue that affected the hospital deeply as it serves a large proportion of low-income patients. Grady relies almost entirely on Emory University School of Medicine and Morehouse School of Medicine for its physician and resident staffing.
16. Washington Hospital, Fremont, Calif. — $1.59 billion. Washington Hospital opened its doors on Nov. 24, 1958 as a district hospital licensed for 150 beds. Part of Washington Hospital Healthcare System, Washington Hospital has been recently honored with various awards, including the prestigious American Diabetes Association Education Recognition Certification for a quality diabetes self-management education program. The hospital is one of a few hospitals in the United States to earn the Gold Seal of Approval from the Joint Commission for primary stroke centers. The hospital recently celebrated the opening of the Washington women's Center, Taylor McAdam Bell Neuroscience Institute and Gamma Knife Program and became the first hospital outside Europe to treat patients using the new Leksell Gamma Knife Perfexion, the most advanced non-invasive device for the treatment of brain disorders. The hospital operates with a mission of patient care and personal service and promotes transparency by sharing its CEO compensation practices with its patient population.
17. Cape Fear Valley Medical Center, Fayetteville, N.C. — $1.59 billion. Cape Fear Valley Medical Center opened in 1956 as a 200-bed county hospital and has since grown into a robust 426-bed medical center and the primary healthcare provider in the region. The hospital offers open-heart surgery, home health and hospice, cancer treatment, emergency medicine, pediatric wellness care and stands as Cumberland County's largest non-government employer. The facility features a full-service family birth center as well as a Level III Neonatal Intensive Care Unit. The medical center is a branch of Cape Fear Valley Health, the ninth largest health system in the state.
18. New Hanover Regional Medical Center, Wilmington, N.C. — $1.52 billion. New Hanover receives no local tax support for its operations and expects to contribute about $37 million this year if free care for the poor. The New Hanover Memorial Hospital, opened in 1967, resulted from the merger of two racially segregated hospitals. The facility, which later changed its name to New Hanover Regional Medical Center, now includes three hospital campuses. The Surgical Pavilion and the Betty H. Cameron Women's and Children's Hospital opened in 2008 as part of the largest building and renovation project in its history. The next phase, expected to be completed in December, includes top-down renovation of the main patient tower to create nearly all private rooms and redesigned spaces to make patients and their families more comfortable.
19. Memorial Health University Medical Center, Savannah, Ga. — $1.50 billion. MUMC opened its doors in 1955 and has since evolved into the most advanced healthcare provider in its region. A non-profit hospital with 530 beds, MUMC had 24,793 admissions, performed 22,861 surgeries and treated 276,948 outpatients in 2009, providing more charity care than any other healthcare provider in the area. The hospital serves as a regional referral center for cardiac care, cancer care, trauma, pediatrics, high-risk obstetrics and neonatology and features the region's only Level 1 trauma center and children's hospital. MUMC is part of the Memorial Health System, a two-state healthcare organization that serves 35 counties in southeast Georgia and southern Carolina. The hospital is also one of the largest employers in the Savannah region, with 4,700 team members.
20. Lexington Medical Center, West Columbia, S.C. — $1.47 billion. The 384 bed medical complex that makes up Lexington Medical Center anchors a network of 600-plus physicians, six community medical centers, an occupational health center, the largest extended care facility in the state and an Alzheimer's Care Center. The hospital itself is regarded as one of the best hospitals in the Midlands and the best place to have a baby and has been named "Best Hospital" by readers of The State newspaper for ten years in a row. The hospital's patient satisfaction scores rest in the top 10 percent of the nation, and Lexington performs more surgeries than any other hospital in the midlands, with 20,623 in fiscal year 2009. A leader in cancer treatment, the hospital was also one of the first hospitals in the United States to perform microwave ablation, a treatment that can destroy tumors with a minimally-invasive, outpatient procedure.