Most health systems saw revenue climb in 2024 as patient volumes rebounded and provider productivity improved — a sign of recovery across the industry. But for many organizations, rising expenses still outpaced these gains, underscoring the ongoing financial pressures facing hospitals and health systems nationwide.
Here are 65 health systems ranked by their annual revenue:
Note: This is not an exhaustive list. To be included, please reach out to Alan Condon at acondon@beckershealthcare.com with your health system’s latest financial results. The following financial results are for the 12 months ending Dec. 31, 2024, unless otherwise stated.
1. Kaiser Permanente (Oakland, Calif.): $115.8 billion
2. HCA (Nashville, Tenn.): $70.6 billion
3. CommonSpirit (Chicago): $37 billion
*Results for the 12 months ending June 30, 2024
4. Advocate Health (Charlotte, N.C.): $31.7 billion
*Results for the 12 months ending Dec. 31, 2023
5. Providence (Renton, Wash.): $30.7 billion
6. UPMC (Pittsburgh): $29.9 billion
7. Ascension (St. Louis): $28.6 billion
*Results for the 12 months ending June 30, 2024
8. Trinity Health (Livonia, Mich.): $23.9 billion
*Results for the 12 months ending June 30, 2024
9. Tenet Healthcare (Dallas): $20.7 billion
10. Mass General Brigham (Somerville, Mass.): $20.6 billion
*Results for the 12 months ending Sept. 30, 2024
11. Mayo Clinic (Rochester, Minn.): $19.8 billion
12. Intermountain (Salt Lake City): $17.1 billion
13. Northwell Health (New Hyde Park, N.Y.): $16.9 billion
*Results for the 12 months ending Dec. 31, 2023
14. Corewell Health (Southfield, Mich.): $16.4 billion
15. Sutter Health (Sacramento, Calif.): $16.1 billion
*Results for the 12 months ending Dec. 31, 2023
16. Cleveland Clinic: $15.9 billion
17. Universal Health Services (King of Prussia, Pa.): $15.8 billion
18. Banner Health (Phoenix): $15.6 billion
19. Baylor Scott & White Health (Dallas): $15.5 billion
*Results for the 12 months ending June 30, 2024
20. Jefferson Health (Philadelphia): $15 billion
21. NYU Langone (New York City): $14.2 billion
22. Bon Secours Mercy Health (Cincinnati): $13.3 billion
23. Community Health Systems (Franklin, Tenn.): $12.6 billion
24. SSM Health (St. Louis): $11.4 billion
25. BJC HealthCare (St. Louis): $10.7 billion
26. Novant Health (Winston-Salem, N.C.): $10.2 billion
27. Northwestern Medicine (Chicago): $9.6 billion
28. Mercy (Chesterfield, Mo.): $9.3 billion
*Results for the 12 months ending June 30, 2024
29. Indiana University Health (Indianapolis): $9.2 billion
30. Christus Health (Irving, Texas): $8.9 billion
*Results for the 12 months ending June 30, 2024
31. Stanford Health Care (Palo Alto, Calif.): $8.9 billion
*Results for the 12 months ending Aug. 31, 2024
32. Beth Israel Lahey Health (Cambridge, Mass.): $8.9 billion
*Results for the 12 months ending Sept. 30, 2024
33. RWJBarnabas (West Orange, N.J.): $8.6 billion
*Results for the 12 months ending Dec. 31, 2023
34. Memorial Hermann Health System (Houston): $8.6 billion
*Results for the 12 months ending June 30, 2024
35. MedStar Health (Columbia, Md.): $8.3 billion
*Results for the 12 months ending June 30, 2024
36. Henry Ford Health (Detroit): $7.8 billion
*Results for the 12 months ending Dec. 31, 2023
37. Ochsner Health (New Orleans): $7.7 billion
38. Sanford Health (Sioux Falls, S.D.): $7.7 billion
39. Geisinger (Danville, Pa.): $7.7 billion
*Results for the 12 months ending Dec. 31, 2023
40. Montefiore (New York City): $7.7 billion
*Results for the 12 months ending Dec. 31, 2023
41. Orlando (Fla.) Health): $7.2 billion
*Results for the 12 months ending Sept. 30, 2024
42. Inova Health System (Falls Church, Va.): $6.5 billion
43. Prisma Health (Greenville, S.C.): $6.4 billion
*Results for the 12 months ending Sept. 30, 2024
44. University Hospitals (Cleveland): $6.4 billion
45. OhioHealth (Columbus): $6.4 billion
46. BayCare Health System (Clearwater, Fla.): $6.3 billion
47. Presbyterian Healthcare Services (Albuquerque, N.M.): $6.2 billion
48. Baptist Health South Florida (Coral Gables, Fla.): $6.2 billion
49. WVU Medicine (Morgantown, W.Va.): $6 billion
*Results for the 12 months ending Dec. 31, 2023
50. Allina Health (Minneapolis): $5.8 billion
51. Sharp HealthCare (San Diego): $5.1 billion
*Results for the 12 months ending Sept. 30, 2024
52. Allegheny Health Network (Pittsburgh): $5.1 billion
53. Scripps Health (San Diego): $4.9 billion
*Results for the 12 months ending Sept. 30, 2024
54. Norton Healthcare (Louisville, Ky.): $4.8 billion
55. UnityPoint Health (West Des Moines, Iowa): $4.8 billion
*Results for the 12 months ending Dec. 31, 2023
56. OSF HealthCare (Peoria, Ill.): $4.6 billion
*Results for the 12 months ending Sept. 30, 2024
57. Community Health Network (Indianapolis): $3.6 billion
58. HonorHealth (Scottsdale, Ariz.): $3.5 billion
59. Essential Health (Minneapolis): $3 billion
*Results for the 12 months ending June. 30, 2024
60. Tufts Medicine (Boston): $2.6 billion
*Results for the 12 months ending Sept. 30, 2024
61. Deaconess Health System (Evansville, Ind.): $2.3 billion
*Results for the 12 months ending Sept. 30, 2024
62. MyMichigan Health (Midland): $1.5 billion
*Results for the 12 months ending June 30, 2024
63. TMC Health (Tucson, Ariz.): $1.1 billion
64. Palomar Health (Escondido, Calif.): $890 million
*Results for the 12 months ending June 30, 2024
65. Adena Health System (Chillicothe, Ohio): $737 million