Every CMS 1-star hospital, ranked by profitability

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

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