By Mackenzie Bean

Here are the 14 hospitals in America with the most annual emergency room visits for 2018. Totals represent the amount of emergency room visits tallied for a single facility, rather than total ER visits for a whole health system.

This listing is based on several sources of information and all figures are verified by individual hospitals. Reporting periods represent either calendar year or fiscal year 2018. Hospitals reporting figures based on a fiscal year are denoted with an asterisk. Start and end dates for the fiscal year may vary by hospital.

1. Parkland Health and Hospital System (Dallas) — 242,640 visits*

2. Lakeland (Fla.) Regional Medical Center — 210,285*

3. Joseph's University Medical Center (Paterson, N.J.) — 167, 500

4. Los Angeles County + USC Medical Center — 158,968*

5. Montefiore Medical Center-Moses Campus (New York City) — 158,226

6. NYC Health + Hospitals/Lincoln (New York City) — 157,203

7. Grady Health System (Atlanta) — 153,048

8. Boston Medical Center — 137,864*

9. Banner Desert Medical Center (Mesa, Ariz.) — 137,342

10. Reading Hospital (West Reading, Pa.) — 135,457

11. WellStar Kennestone Hospital (Marietta, Ga.) — 135,396*

12. Cape Fear Valley Medical Center (Fayetteville, N.C.) — 130,879

13. Beaumont Hospital, Royal Oak (Mich.) — 129,308

14. NYC Health + Hospitals/Kings County — 128,476