Reports

The Most Profitable Hospitals in America (2026)

100 ranked · Operating margin

Ranked by operating margin — net income as a share of total revenue — from each hospital's latest Medicare cost report. Limited to facilities above $50M in annual revenue so that tiny specialty providers don't distort the leaderboard. Figures come straight from CMS HCRIS public filings.

1
Melbourne Regional Medical Center
Melbourne, FL
156.2%
margin
2
North Cypress Medical Center
Cypress, TX
152.9%
margin
3
Sebastian River Medical Center
Sebastian, FL
144.2%
margin
4
Thorek Memorial Hospital
Chicago, IL
124.6%
margin
5
Rockledge Regional Medical Center
Rockledge, FL
123.5%
margin
6
Galichia Heart Hospital
Wichita, KS
99.4%
margin
7
Womans Hospital Of Texas
Houston, TX
86.4%
margin
8
St. Francis Medical Center
Pittsburgh, PA
85.5%
margin
9
Co Mental Health Institute - Pueblo
Pueblo, CO
84.7%
margin
10
Galesburg Cottage Hospital
Galesburg, IL
82.9%
margin
11
Bristow Medical Center
Bristow, OK
81.2%
margin
12
Heart Hospital Of New Mexico
Albuquerque, NM
81.2%
margin
13
Physicians Care Surgical Hospital
Royersford, PA
77.4%
margin
14
Baylor S&W Medical Center - Plano
Plano, TX
77.3%
margin
15
Coler Memorial Hospital
Roosevelt Island, NY
77.3%
margin
16
Northwest Healthcare
Florissant, MO
76.4%
margin
17
Community Health Center Branch
Coldwater, MI
70.2%
margin
18
The Mount Vernon Hospital
Mount Vernon, NY
67.8%
margin
19
St. Lucie Medical Center
Port St. Lucie, FL
65.0%
margin
20
Huntington Hospital
Huntington, NY
64.2%
margin
21
Montefiore New Rochelle Hospital
New Rochelle, NY
63.8%
margin
22
Rehoboth Mckinley Christian Hospital
Gallup, NM
63.4%
margin
23
Spring Grove Hospital Center
Catonsville, MD
62.6%
margin
24
Harlan Arh
Harlan, KY
62.1%
margin
25
Raulerson Hospital
Okeechobee, FL
61.6%
margin
26
Western Arizona Regional Medical Cen
Bullhead City, AZ
61.5%
margin
27
Abraham Lincoln Memorial Hospital
Lincoln, IL
60.1%
margin
28
Lallie Kemp Medical Center
Independence, LA
59.9%
margin
29
Sutter Warrack Hospital
Santa Rosa, CA
59.2%
margin
30
Eastern Idaho Regional Medical Cente
Idaho Falls, ID
58.7%
margin
31
Las Palmas Medical Center
El Paso, TX
58.2%
margin
32
Willis-Knighton Health Systems
Shreveport, LA
57.7%
margin
33
Brockton Hospital Inc.
Brockton, MA
56.9%
margin
34
Kendall Regional Medical Center
Miami, FL
55.6%
margin
35
Uvalde Memorial Hospital
Uvalde, TX
55.3%
margin
36
Intermountain
Boise, ID
55.2%
margin
37
Alaska Regional Hospital
Anchorage, AK
55.0%
margin
38
Hca Florida Brandon Hospital
Brandon, FL
54.6%
margin
39
Houston Hospital For Specialized Sur
Houston, TX
54.3%
margin
40
Medina Memorial Hospital
Medina, NY
53.8%
margin
41
Baylor Medical Center-Grapevine
Grapevine, TX
53.1%
margin
42
Summit Medical Center
Hermitage, TN
53.1%
margin
43
Medical City Dallas
Dallas, TX
52.6%
margin
44
Driscoll Childrens Hospital
Corpus Christi, TX
52.1%
margin
45
Baylor University Medical Ctr
Dallas, TX
51.6%
margin
46
Ogden Regional Medical Center
Ogden, UT
51.2%
margin
47
Aventura Hospital And Med Ctr
Miami, FL
50.7%
margin
48
Fairview Hospital
Cleveland, OH
50.6%
margin
49
Unknown
50.1%
margin
50
Memorial Hospital Of Jacksonville
Jacksonville, FL
50.0%
margin
51
Hospital Menonita Aibonito
Aibonito, PR
50.0%
margin
52
Tchd D/B/A Jps Health Network
Fort Worth, TX
49.8%
margin
53
Nebraska Spine Hospital
Omaha, NE
49.7%
margin
54
Columbia Hospital For Women
Washington, DC
49.2%
margin
55
Casey County Hospital
Liberty, KY
48.6%
margin
56
Tristar Stonecrest Medical Center
Smyrna, TN
48.4%
margin
57
St Marks Hospital
Salt Lake City, UT
47.6%
margin
58
Texas Orthopedic Hospita
Houston, TX
47.3%
margin
59
Lakeview Hospital
Bountiful, UT
46.5%
margin
60
Portsmouth Regional Hospital
Portsmouth, NH
46.4%
margin
61
Westside Regional Medical Center
Plantation, FL
46.3%
margin
62
Lake Granbury Medical Center
Granbury, TX
46.3%
margin
63
Parkland Medical Center
Derby, NH
45.6%
margin
64
Valley Regional Medical Center
Brownsville, TX
45.5%
margin
65
Timpanogos Regional Hospital
Orem, UT
45.1%
margin
66
Hospital Menonita Guayama
Guayama, PR
44.9%
margin
67
Baylor Orthopedic And Spine Hospital
Arlington, TX
44.6%
margin
68
Whitesburg Arh
Whitesburg, KY
44.1%
margin
69
The Center For Spinal Surgery
Nashville, TN
44.1%
margin
70
Sparrow Clinton Hospital
St. Johns, MI
43.4%
margin
71
Middlesboro Arh
Middlesboro, KY
43.4%
margin
72
North Okaloosa Medical Center
Crestview, FL
43.2%
margin
73
Carlsbad Medical Center
Carlsbad, NM
43.1%
margin
74
Tristar Hendersonville Medical Cente
Hendersonville, TN
43.1%
margin
75
Fort Walton Beach Medical Ctr
Fort Walton Beach, FL
43.0%
margin
76
Lake City Medical Center
Lake City, FL
41.9%
margin
77
Salina Regional Health Center
Salina, KS
41.9%
margin
78
Mills Memorial Hospital
San Mateo, CA
41.8%
margin
79
Hca Florida Bayonet Point Hospital
Hudson, FL
41.7%
margin
80
Oak Hill Hospital
Spring Hill, FL
41.6%
margin
81
Brigham City Community Hospital
Brigham City, UT
41.4%
margin
82
Overland Park Regional Med Ctr
Overland Park, KS
41.3%
margin
83
Hca Florida Palms West Hospital
Loxahatchee, FL
41.3%
margin
84
Tattnall Hospital Company LLC
Reidsville, GA
41.2%
margin
85
Osceola Regional Medical Center
Kissimmee, FL
41.1%
margin
86
Aspirus Langlade Hospital
Antigo, WI
41.0%
margin
87
Diginty Health St Rose Dominican
North Las Vegas, NV
41.0%
margin
88
Hca Florida Capital Hospital
Tallahassee, FL
40.7%
margin
89
Tanner Medical Center-Villa Rica
Villa Rica, GA
40.6%
margin
90
Mercy Hospital Of Folsom
Folsom, CA
40.5%
margin
91
Poudre Valley Hospital
Ft. Collins, CO
40.4%
margin
92
Healthsouth Doctor S Hospital
Miami, FL
40.3%
margin
93
Lawnwood Regional Medical Center
Ft. Pierce, FL
40.3%
margin
94
Medical City Plano
Plano, TX
40.2%
margin
95
Wesley Medical Center
Wichita, KS
39.7%
margin
96
Grand Strand Regional Medical Center
Myrtle Beach, SC
39.7%
margin
97
Mountain West Medical Center
Tooele, UT
39.5%
margin
98
North Oaks Medical Center
Hammond, LA
39.2%
margin
99
The Spine Hospital Of Louisiana
Baton Rouge, LA
39.2%
margin
100
Lewisgale Hospital - Montgomery
Blacksburg, VA
39.0%
margin

Methodology

Operating margin = net income ÷ total revenue from the most recent filed Medicare cost report. Restricted to hospitals reporting more than $50M in total revenue. Ranked highest margin 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.