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Medical bill
Caption for the landscape image:

Hospital fees earn counties Sh53.88bn as revenues

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New report by the Controller of Budget shows that counties generated 54 per cent of their annual revenue target between July 2025 and March 2026, with growth largely driven by hospital fees.

Photo credit: Shutterstock

County governments collected Sh53.88 billion in own-source revenue (OSR) in the first nine months of the 2025/26 financial year, an increase of Sh7.97 billion from the Sh45.91 billion raised during the same period last year, according to a new report by the Controller of Budget (CoB).

The report shows that counties generated 54 per cent of their annual revenue target of Sh100.13 billion between July 2025 and March 2026, with growth largely driven by hospital fees under the Facility Improvement Fund (FIF) and tourism-related income.