Sage Transparency, which was launched by the Employers’ Forum of Indiana, 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.
Arizona and Oklahoma are each home to two of the hospitals on this list.
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.
|
State |
Hospital |
Total facility cost* |
Breakeven point* |
Relative profitability* |
|
|---|---|---|---|---|---|
|
1 |
Massachusetts |
Emerson Hospital (Concord) |
142% |
323% |
-181% |
|
2 |
California |
Adventist Health St. Helena |
252% |
398% |
-146% |
|
3 |
Oklahoma |
Memorial Hospital (Stilwell) |
193% |
327% |
-134% |
|
4 |
Arizona |
Banner Goldfield Medical Center (Apache Junction) |
283% |
367% |
-84% |
|
5 |
Oklahoma |
Chickasaw Nation Medical Center (Ada)* |
127% |
203% |
-76% |
|
6 |
Arizona |
Mayo Clinic Hospital (Phoenix) |
322% |
386% |
-64% |
|
7 |
Pennsylvania |
Grand View Health (Sellersville) |
196% |
257% |
-61% |
|
8 |
South Dakota |
Avera McKennan Hospital & University Health Center (Sioux Falls) |
237% |
291% |
-54% |
|
9 |
Washington |
Virginia Mason Medical Center (Seattle) |
189% |
232% |
-43% |
|
10 |
Maine |
Redington Fairview General Hospital (Skowhegan) |
64% |
103% |
-39% |
*as a percent of what Medicare would reimburse for the hospital’s cumulative service output
Becker’s 3rd Annual Fall Chief Pharmacy Officer Summit is the top tier event that the people leading the future of pharmacy convene. This 3-day event is built specifically for Chief Pharmacy Officers and senior pharmacy leaders. The sessions examine the workforce, financial and clinical priorities shaping pharmacy today. Becker’s is where candid discussions flourish and new ideas thrive. Becker's 3rd Annual Fall Chief Pharmacy Officer Summit
