Enquirer Consulting Group

PointCare Hospital Map

Taylor | PointCare | October 2026

As of 20 Oct 2026

Taylor, here is the hospital map we promised. It ranks the safety-net hospitals in Medicaid expansion states by how many inpatient days Medicaid pays for, and it names ten revenue cycle and finance leaders to start with.

Every count comes from public files, and the sources sit under each table.

Why January matters to a hospital

For Medicaid applications made on or after January 1, 2027, coverage for expansion adults reaches back only to the month before the application, down from three months, and for everyone else it reaches back two months.

For an expansion adult, that takes away two of the three months a hospital has today to turn a self-pay stay into a paid Medicaid claim. Expansion adults also move from yearly renewals to renewals every six months, starting with renewals scheduled on or after January 1, 2027.

What changes	Starts with	Law	Section
Retroactive coverage reaches back one month before the application month for expansion adults, and two months for everyone else	Applications made on or after January 1, 2027	H.R. 1, signed July 4, 2025	71112
Expansion adults renew every six months instead of every year	Renewals scheduled on or after January 1, 2027	H.R. 1, signed July 4, 2025	71107

The text of H.R. 1 as enacted, and the CMS letter to state Medicaid directors of March 6, 2026, which gives January 1, 2027 for both changes.

The cut

Medicaid share is the share of a hospital's inpatient days paid by Medicaid, managed care included, as the hospital reports it on its Medicare cost report (Worksheet E, Part A, line 31).

The bed floor keeps small rural sites off the list.

Psychiatric, children's and women's hospitals are left out, by name, by CMS hospital type or number, by the hospital's own description, or where psychiatric unit days are most of its inpatient days.

Setting	Value
States that have expanded Medicaid, DC included	41
Bed floor, beds at or above	100
Safety-net cut, Medicaid share of inpatient days at or above, percent	40

Expansion states as KFF State Health Facts lists them for October 2026. Beds as each hospital reports them on its cost report.

How many hospitals clear the cut

Step	Hospitals
Short-term acute care hospitals in the cost report file	3170
In a Medicaid expansion state	2165
At or above the bed floor	1386
Reporting a Medicaid share on the cost report	1368
General acute care, with psychiatric, children's and women's hospitals left out	1354
After exclusions	1354
At or above the safety-net cut	157
With each absorbed campus folded into the hospital that runs it now	156
Health systems among them, a hospital outside any listed system counted as its own	112

Each count is out of the row above it; the last row groups the hospitals that clear the cut by health system. Each hospital is counted once, on its latest report in the CMS cost report file for fiscal year 2024. Exclusions remove PointCare's own named customers and partners and a short list of our own; none matched a hospital here. A campus another hospital on the list has absorbed is counted once, in that hospital's row.

The ranked list

Ranked by Medicaid inpatient days, highest first. Medicaid inpatient days are the Medicaid share times the hospital's total inpatient days on the same cost report. System is the health system the hospital belongs to, where one is listed.

Rank	Hospital	City	State	Beds	Medicaid share, percent	Medicaid inpatient days	System
1	IU Health Medical Center	Indianapolis	IN	1276	42.2	148027	Indiana University Health
2	Community Regional Medical Center	Fresno	CA	783	55.4	142095	Community Medical Centers
3	OU Health University of Oklahoma Medical Center	Oklahoma City	OK	853	52.0	135536	OU Health
4	Santa Clara Valley Medical Center	San Jose	CA	1060	51.9	108057	Santa Clara Valley Health and Hospital System
5	Sunrise Hospital and Medical Center	Las Vegas	NV	808	40.8	104548	HCA Healthcare
6	NYC Health + Hospitals/Bellevue	New York	NY	527	54.6	104333	New York City Health and Hospitals Corporation
7	University of Chicago Medical Center	Chicago	IL	737	40.5	91756	The University of Chicago Medicine
8	UC Davis Medical Center	Sacramento	CA	654	43.0	91163	University of California Health
9	Banner University Medical Center Phoenix	Phoenix	AZ	656	42.1	90346	Banner Health
10	Westchester Medical Center	Valhalla	NY	696	40.6	89944	WMC Health
11	Temple University Hospital	Philadelphia	PA	761	41.1	88419	Temple University Health System
12	Los Angeles General Medical Center	Los Angeles	CA	545	58.4	88004	Los Angeles County Department of Health Services
13	UofL Health Jewish Hospital and Mary & Elizabeth Hospital	Louisville	KY	789	43.6	87843	UofL Health
14	Riverside University Health System Medical Center	Moreno Valley	CA	423	63.8	85867	Riverside University Health System
15	UNM Hospital	Albuquerque	NM	531	44.4	84078	UNM Health System
16	Boston Medical Center	Boston	MA	412	51.6	75612	Boston Medical Center
17	UCI Health Orange	Orange	CA	911	42.5	74987	University of California Health
18	BronxCare Hospital Center	Bronx	NY	454	53.2	70252	BronxCare Health System
19	Arrowhead Regional Medical Center	Colton	CA	366	57.4	69790	Arrowhead Regional Medical Center
20	Scripps Mercy Hospital San Diego	San Diego	CA	539	44.5	69334	Scripps Health
21	Sutter Medical Center Sacramento	Sacramento	CA	523	41.7	67009	Sutter Health
22	NYC Health + Hospitals/Jacobi	Bronx	NY	440	48.7	63981	New York City Health and Hospitals Corporation
23	Loma Linda University Medical Center	Loma Linda	CA	437	42.8	63968	Loma Linda University Health
24	St. Francis Medical Center	Lynwood	CA	321	67.5	63603	Prime Healthcare Services
25	University Medical Center of Southern Nevada	Las Vegas	NV	490	43.8	60717	University Medical Center of Southern Nevada
26	Denver Health Medical Center	Denver	CO	387	53.8	60629	Denver Health and Hospital Authority
27	NYC Health + Hospitals/Kings County	Brooklyn	NY	381	45.8	58090	New York City Health and Hospitals Corporation
28	NYC Health + Hospitals/Elmhurst	Elmhurst	NY	358	48.3	56999	New York City Health and Hospitals Corporation
29	California Hospital Medical Center	Los Angeles	CA	318	72.6	56680	CommonSpirit Health
30	Newark Beth Israel Medical Center	Newark	NJ	419	45.1	56299	RWJBarnabas Health
31	SSM Health St. Mary's Hospital St. Louis	Saint Louis	MO	488	50.4	55053	SSM Health
32	University Hospital Newark	Newark	NJ	358	44.8	54726	University Hospital
33	Southern California Hospital at Hollywood	Los Angeles	CA	516	50.1	54355	NOR Healthcare Systems
34	Adventist Health White Memorial	Los Angeles	CA	368	55.1	54319	Adventist Health
35	Eskenazi Health	Indianapolis	IN	314	62.5	54172	Eskenazi Health
36	University of Illinois Hospital	Chicago	IL	401	48.1	53398	UI Health
37	Harbor-UCLA Medical Center	Torrance	CA	381	52.3	53200	Los Angeles County Department of Health Services
38	Pomona Valley Hospital Medical Center	Pomona	CA	427	52.5	53130	Pomona Valley Hospital Medical Center
39	College Medical Center	Long Beach	CA	220	84.4	52039	Not listed
40	Legacy Emanuel Medical Center	Portland	OR	400	45.1	51113	Legacy Health

Medicaid share, inpatient days and beds from each hospital's CMS cost report, fiscal year 2024 file. Systems from the AHRQ Compendium of U.S. Health Systems, 2023, with a later sale shown where one was found. Every hospital here was checked open under the name shown in October 2026.

Who signs at a hospital

Revenue cycle and patient access usually agree first, then the CFO signs.

Role	Where they sit in the decision
VP of Revenue Cycle	Owns the money from registration to final payment, self-pay conversion included. Usually the champion.
Director of Patient Access	Runs registration and insurance checks at the front door, where coverage is found or missed.
Director of Financial Counseling or Eligibility	Leads the team that screens self-pay patients and files Medicaid applications. The daily user.
CFO	Signs larger contracts and answers for uncompensated care and bad debt.

Ten people to start with

Revenue cycle, patient access and finance leaders at ten of the hospitals and systems above, one an organization. Where gives the city of that hospital. Work emails and phone numbers checked on Oct 20, 2026.

Name	Role	Company	Where	Email	Phone
Lora Black	System Patient Access Director	Indiana University Health	Indianapolis, IN	lblack4@iuhealth.org	+1 812 360 2355
Jason Dryden	Senior Director of Revenue Cycle Services	NYC Health + Hospitals	New York, NY	drydenj@nychhc.org	+1 347 678 6444
Lisa Ligue-Nieves	Executive Director Patient Access	UChicago Medicine	Chicago, IL	lisa.ligue@uchicagomedicine.org	+1 773 397 7619
Jordan Franck	Executive Director Patient Access	UC Davis Health	Sacramento, CA	jfranck@ucdavis.edu	+1 559 314 4439
Anthony Chase	Chief Financial Officer, Banner University Medical Center Phoenix	Banner Health	Phoenix, AZ	anthony.chase@bannerhealth.com	+1 623 341 1335
Vishal Desai	Senior Vice President, Revenue Cycle, Managed Care and Financial Planning	Westchester Medical Center Health Network	Valhalla, NY	vishal.desai@wmchealth.org	+1 914 245 8386
Christopher Snyder	Chief Financial Officer	Temple University Hospital	Philadelphia, PA	christopher.snyder@templehealth.org	+1 856 207 8579
Nanette Nunez	Director of Revenue Cycle	Riverside University Health System	Moreno Valley, CA	n.nunez@ruhealth.org	+1 951 536 0448
Alane Sanchez	Patient Access Director	Loma Linda University Health	Loma Linda, CA	asanchez@llu.edu	+1 909 231 0130
Monica Hicks	Vice President of Revenue Cycle	College Medical Center	Long Beach, CA	mhicks@collegemedicalcenter.com	+1 909 319 2704

Where to start

Lead with January

Coverage found at registration keeps the claim. Coverage found weeks after discharge, on an application made on or after January 1, 2027, may come too late to bill. That is the opening for a revenue cycle leader.

Start at the top of the list

The hospitals at the top of the list are where Medicaid pays for the most inpatient days, so each self-pay patient who qualifies is worth finding before discharge.

Bring the health center proof

A hospital CFO will ask where this has worked. PointCare's published health center results answer that. Tell them in hospital terms, claims paid and bad debt avoided.

Built from CMS hospital cost reports, the KFF Medicaid expansion tracker and the AHRQ Compendium of U.S. Health Systems, all public.

If a walk-through is useful, pick a time at cal.com/ecg.

Prepared by Paul Smaldone, paul@enquirerconsulting.com.