Reports

Hospitals Losing the Most Money in America

100 ranked · Operating margin

U.S. hospitals running the deepest negative operating margins on their latest Medicare cost report, restricted to facilities above $50M in revenue. Sustained losses are a leading indicator of service cuts, layoffs, ownership changes, and closures. Sourced from CMS HCRIS public filings.

1
Hcris Filer 453319
Austin, TX
-271.2%
margin
2
Oregon State Hospital
Salem, OR
-209.7%
margin
3
Austin State Hospital
Austin, TX
-185.4%
margin
4
Ntsh - Witchita Falls
Wichita Falls, TX
-182.9%
margin
5
Aspirus Riverview Hospital & Clinics
Wisconsin Rapids, WI
-162.0%
margin
6
Terrell State Hospital
Terrell, TX
-160.3%
margin
7
Marshfield Medical Center Weston
Weston, WI
-148.2%
margin
8
Nix Health Care System
San Antonio, TX
-135.0%
margin
9
Rusk State Hospital
Rusk, TX
-129.4%
margin
10
San Antonio State Hospital
San Antonio, TX
-128.4%
margin
11
Gundersen Lutheran Medical Center I
La Crosse, WI
-128.4%
margin
12
St. John Detroit Riverview Hospital
Warren, MI
-117.4%
margin
13
Broughton Hospital
Morganton, NC
-110.2%
margin
14
Bay Area Regional Medical Center
Webster, TX
-108.9%
margin
15
Regional Medical Center Of San Jose
San Jose, CA
-103.9%
margin
16
Big Spring State Hospital
Big Springs, TX
-103.2%
margin
17
St. Michael Hospital
Milwaukee, WI
-98.3%
margin
18
Beverly Hospital
Montebello, CA
-97.9%
margin
19
Fulton State Hospital
Fulton, MO
-96.7%
margin
20
Methodist Hospital
New Orleans, LA
-96.4%
margin
21
Quincy Medical Center
Quincy, MA
-93.8%
margin
22
Christ Hospital
Jersey City, NJ
-82.8%
margin
23
Smmhc
Farmington, MO
-82.1%
margin
24
Sacred Heart Hospital
Eau Claire, WI
-78.5%
margin
25
Henry J. Carter
New York, NY
-74.3%
margin
26
Bayonne Medical Center
Bayonne, NJ
-72.9%
margin
27
Martin Luther King Jr./Harbor Hosp
Los Angeles, CA
-71.1%
margin
28
St. Lukes Hospital
Maumee, OH
-71.0%
margin
29
Franciscan Medical Center
Dayton, OH
-67.4%
margin
30
Memorial Regional Hospital
Hollywood, FL
-62.8%
margin
31
Pocono Medical Center
East Stroudsburg, PA
-61.4%
margin
32
Rancho Los Amigos Natl.Rehab.Ctr.
Downey, CA
-60.4%
margin
33
First Texas Hospital Cy Fair LLC
Houston, TX
-60.2%
margin
34
Comm Hosp.& Rehab- Los Gatos
Los Gatos, CA
-57.4%
margin
35
Unknown
-54.1%
margin
36
Unknown
-53.5%
margin
37
Milwaukee Cty Mental Health Complex
Milwaukee, WI
-53.0%
margin
38
Lehigh Valley Hospital-Hazleton
Hazleton, PA
-53.0%
margin
39
Daniel Freeman Memorial
Inglewood, CA
-52.3%
margin
40
Wadley Regional Medical Center
Texarkana, TX
-50.9%
margin
41
Baylor Medical Center At Garland
Garland, TX
-50.2%
margin
42
Centura Castle Rock Adventist Hosp
Castle Rock, CO
-49.8%
margin
43
Hahnemann University Hospital
Philadelphia, PA
-48.6%
margin
44
Crozer Chester Medical Center
Upland, PA
-48.4%
margin
45
Michael Reese Hospital
Chicago, IL
-47.1%
margin
46
Temple East Hospital
Philadelpha, PA
-47.0%
margin
47
Lincoln Medical&Mental Health Center
Bronx, NY
-46.9%
margin
48
Singing River Gulfport
Gulfport, MS
-46.8%
margin
49
Mercyone Siouxland Medical Center
Sioux City, IA
-44.9%
margin
50
Decatur Community Hospital
Decatur, TX
-44.3%
margin
51
West Hills Hospital
West Hills, CA
-44.0%
margin
52
Resnick Neuropsychiatric Hospital At
Los Angeles, CA
-43.1%
margin
53
Metrosouth Medical Center
Blue Island, IL
-41.2%
margin
54
Hoboken University Medical Center
Hoboken, NJ
-40.9%
margin
55
Saint Francis Memorial Hospital
San Francisco, CA
-40.8%
margin
56
Northern Nevada Sierra Medical Cntr
Reno, NV
-40.1%
margin
57
Sharon Hospital
Sharon, CT
-40.0%
margin
58
Louis A. Weiss Memorial Hospital
Chicago, IL
-39.8%
margin
59
Spaulding Hospital Cambridge
Cambridge, MA
-39.1%
margin
60
San Jose Medical Center
San Jose, CA
-39.0%
margin
61
St. Francis - Trenton
Trenton, NJ
-38.9%
margin
62
Vista Medical Center - East
Waukegan, IL
-38.9%
margin
63
Steward Carney Hospital Inc
Dorchester, MA
-38.6%
margin
64
Seton Medical Center
Daly City, CA
-38.4%
margin
65
Fountain Valley Reg Medical Center
Fountain Valley, CA
-37.7%
margin
66
St. Marys Medical Center
San Francisco, CA
-37.5%
margin
67
University Of Miami Hospital
Miami, FL
-37.5%
margin
68
Redding Medical Center
Redding, CA
-37.0%
margin
69
St Alexius Medical Center
Bismarck, ND
-36.6%
margin
70
Steward Holy Family Hospital
Methuen, MA
-36.1%
margin
71
Holy Family Memorial Inc
Manitowoc, WI
-35.8%
margin
72
Steward St. Elizabeths Medical Ctr
Boston, MA
-35.4%
margin
73
St. Vincent Medical Center
Los Angeles, CA
-35.2%
margin
74
Burke Rehabilitation Hospital
White Plains, NY
-34.7%
margin
75
Jordan Valley Medical Center
West Jordan, UT
-34.1%
margin
76
Aspirus Keweenaw Hospital
Laurium, MI
-33.8%
margin
77
St. Bernard Hospital
Chicago, IL
-33.6%
margin
78
Lac+Usc Medical Center
Los Angeles, CA
-33.3%
margin
79
Irvington General Hospital
Irvington, NJ
-33.1%
margin
80
Dameron Hospital
Stockton, CA
-33.0%
margin
81
Saline Memorial Hospital
Benton, AR
-33.0%
margin
82
Sacred Heart Med Ctr - University
Eugene, OR
-32.1%
margin
83
Bryan Psychiatric Hospital
Columbia, SC
-31.8%
margin
84
St. Vincent Charity Medical Center
Cleveland, OH
-31.7%
margin
85
Alexian Brothers Behavioral Health
Hoffman Estates, IL
-31.6%
margin
86
The Ohio State University Hospital
Columbus, OH
-31.6%
margin
87
Daniel Freeman Memorial Hospital
Inglewood, CA
-31.0%
margin
88
Jackson Hospital And Clinic Inc
Montgomery, AL
-30.9%
margin
89
Mountain Vista Medical Center
Mesa, AZ
-30.7%
margin
90
Bay Area Hospital
Coos Bay, OR
-30.1%
margin
91
Yakima Regional Medical & Cardiac Ce
Yakima, WA
-30.0%
margin
92
Penn Highlands Huntingdon
Huntingdon, PA
-29.9%
margin
93
Southside Community Hospital
Farmville, VA
-29.7%
margin
94
Bon Secours Community Hospital
Port Jervis, NY
-29.6%
margin
95
Alameda Hospital
Alameda, CA
-29.6%
margin
96
Western Regional Medical Center
Goodyear, AZ
-29.4%
margin
97
The Medical Ctr Of Southeast Texas
Port Arthur, TX
-29.3%
margin
98
St. Lukes Des Peres Hospital
St. Louis, MO
-29.1%
margin
99
Adventist Health Tulare
Tulare, CA
-28.8%
margin
100
New York-Presbyterian/Brooklyn Metho
Brooklyn, NY
-28.6%
margin

Methodology

Operating margin = net income ÷ total revenue from the latest filed Medicare cost report, restricted to hospitals above $50M in total revenue with a negative margin. Ranked deepest loss first, capped at 100.

Source: CMS Healthcare Cost Report Information System (HCRIS), Medicare cost reports — public domain. Compiled by Healthparse. Free to read and reuse.