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Top 10 Children's Hospitals in the U.S.

November 16, 2018 BY Alanna Moriarty

There are more than 270 active children's hospitals in the U.S., according to our hospital database. These facilities serve a special need on the healthcare continuum, providing care to one of the most vulnerable and underserved patient populations. Children require a specialized form of healthcare that is mindful of their physical and cognitive differences as well as inclusive of parents and caregivers. Pediatricians and clinicians who work with children must be compassionate and flexible in their approach to care delivery.

Although all children benefit from access to children's hospitals, uninsured and underinsured children receive the most assistance. Approximately 33 million children are insured by Medicaid, and around 2 million of these are undergoing treatment for chronic conditions. Children's hospitals are a vital resource for young patients with such specific needs.

Top 10 Children's Hospitals by Net Patient Revenue

  1. Children's Hospital of Philadelphia (PA): $1,833,451,591
  2. Texas Children's Hospital (TX): $1,812,622,893
  3. Cincinnati Children's Hospital - Burnet Campus (OH): $1,587,797,597
  4. Nationwide Children's Hospital (OH): $1,515,860,234
  5. Lucile Packard Children's Hospital Stanford (CA): $1,307,869,984
  6. Boston Children's Hospital (MA): $1,234,525,189
  7. Seattle Children's Hospital (WA): $1,183,257,641
  8. Children's Mercy Hospital - Adele Hall Campus (MO): $1,171,468,766
  9. Children's National Medical Center (DC): $1,005,164,161
  10. Children's Hospital Colorado - Anschutz Medical Campus (CO): $960,772,036

Two of the children's hospitals with the greatest net patient revenue are located in Ohio, which is surprising considering facilities in more populated states such as New York and California. In addition, six of the hospitals with the highest net patient revenue also ranked in the top 10 of the U.S. News Honor Roll of Best Children's Hospitals, including Boston Children's Hospital, Cincinnati Children's Hospital, and Children's Hospital of Philadelphia. The Honor Roll highlights the top 50 children's hospitals with high clinical and reputational rankings across multiple specialties.

We've selected the three hospitals with the highest net patient revenue and highlighted some key metrics about each facility.

Key Stats on the Top Children's Hospitals

Children's Hospital of Philadelphia

Net Patient Revenue:  $1,833,451,591
Discharges: 21,229
Staffed Beds: 527
Bed Utilization Rate: 84.6%
Inpatient EHR Vendor: Epic - EpicCare Inpatient EMR

Texas Children's Hospital

Net Patient Revenue:  $1,812,622,893
Discharges: 33,343
Staffed Beds: 743
Bed Utilization Rate: 80.0%
Inpatient EHR Vendor: Epic - EpicCare Inpatient EMR

Cincinnati Children's Hospital

Net Patient Revenue:  $1,587,797,597
Discharges: 19,285
Staffed Beds: 592
Bed Utilization Rate: 67.4 %
Inpatient EHR Vendor: Epic - EpicCare Inpatient EMR

Despite reporting the third-greatest net patient revenue, Cincinnati Children's Hospital had the second-lowest bed utilization rate of the top 10. This could indicate a decrease in patient traffic, as well a staffing shortage. If a facility reports a particularly low bed utilization rate, it could stem from a lack of clinician coverage.

Interestingly, six of the top 10 hospitals named Epic as their inpatient EHR software, with the remaining four using Cerner. According to our technology vendor data, Epic holds more than 44 percent of the EHR market share for children's hospitals. Cerner comes in second with 33 percent market share. Meditech comes in as a distant third at a little over 10 percent.

Children's hospitals are built to serve the distinct needs of children and their families, with unique clinicians, technology, and other services. These facilities are also less common than traditional hospitals, with families often travelling significant distances to treat children with chronic or urgent illnesses. Children's hospitals not only provide treatment, but also serve as regional centers for research and preventative care.

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