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 39 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. Providence (Renton, Wash.): $30.7 billion
5. UPMC (Pittsburgh): $29.9 billion
6. Ascension (St. Louis): $28.6 billion
*Results for the 12 months ending June 30, 2024
7. Trinity Health (Livonia, Mich.): $23.9 billion
*Results for the 12 months ending June 30, 2024
8. Tenet Healthcare (Dallas): $20.7 billion
9. Mass General Brigham (Somerville, Mass.): $20.6 billion
*Results for the 12 months ending Sept. 30, 2024
10. Mayo Clinic (Rochester, Minn.): $19.8 billion
11. Intermountain (Salt Lake City): $17.1 billion
12. Cleveland Clinic: $15.9 billion
13. Universal Health Services (King of Prussia, Pa.): $15.8 billion
14. Banner Health (Phoenix): $15.6 billion
15. Baylor Scott & White Health (Dallas): $15.5 billion
*Results for the 12 months ending June 30, 2024
16. Jefferson Health (Philadelphia): $15 billion
17. NYU Langone (New York City): $14.2 billion
18. Bon Secours Mercy Health (Cincinnati): $13.3 billion
19. Community Health Systems (Franklin, Tenn.): $12.6 billion
20. SSM Health (St. Louis): $11.4 billion
21. BJC HealthCare (St. Louis): $10.7 billion
22. Northwestern Medicine (Chicago): $9.6 billion
23. Mercy (Chesterfield, Mo.): $9.3 billion
*Results for the 12 months ending June 30, 2024
24. Indiana University Health (Indianapolis): $9.2 billion
25. Christus Health (Irving, Texas): $8.9 billion
*Results for the 12 months ending June 30, 2024
26. Stanford Health Care (Palo Alto, Calif.): $8.9 billion
*Results for the 12 months ending Aug. 31, 2024
27. Beth Israel Lahey Health (Cambridge, Mass.): $8.9 billion
*Results for the 12 months ending Sept. 30, 2024
28. MedStar Health (Columbia, Md.): $8.3 billion
*Results for the 12 months ending June 30, 2024
29. Sanford Health (Sioux Falls, S.D.): $7.7 billion
30. Orlando (Fla.) Health): $7.2 billion
*Results for the 12 months ending Sept. 30, 2024
31. Prisma Health (Greenville, S.C.): $6.4 billion
*Results for the 12 months ending Sept. 30, 2024
32. University Hospitals (Cleveland): $6.4 billion
33. BayCare Health System (Clearwater, Fla.): $6.3 billion
34. Allina Health (Minneapolis): $5.8 billion
35. Sharp HealthCare (San Diego): $5.1 billion
*Results for the 12 months ending Sept. 30, 2024
36. Allegheny Health Network (Pittsburgh): $5.1 billion
37. Scripps Health (San Diego): $4.9 billion
*Results for the 12 months ending Sept. 30, 2024
38. Tufts Medicine (Boston): $2.6 billion
*Results for the 12 months ending Sept. 30, 2024
39. Palomar Health (Escondido, Calif.): $890 million
*Results for the 12 months ending June 30, 2024
