5 of the largest health systems carry $100B+ in debt 

The debt and liability numbers are taken from a variety of financial sources, including hospital groups' quarterly results.

Some key details:

  1. Nashville, Tenn.-based HCA Healthcare reported total debt of $37.7 billion as of Sept. 30.
  2. Chicago-based CommonSpirit reported total liabilities of $28.3 billion, including long-term debt, as of Sept. 30. That figure represented 86 percent of the group's consolidated revenues.
  3. Livonia, Mich.-based Trinity Health had approximately $6.9 billion of debt as of Dec. 1, according to a new Fitch Ratings report.
  4. Ascension reported total liabilities of $16.95 billion as of June 30, including long-term debt of $6.4 billion. The St. Louis-based system had $19.1 billion total liabilities at the same time last year.
  5. Franklin, Tenn.-based Community Health Systems had total liabilities of $16.09 billion as of Sept. 30, including $11.9 billion of long-term debt. The group reported a net loss of $42 million for the third quarter.

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