As health systems adapt to shifting financial pressures and strategic imperatives, the country’s largest players are reshaping their footprints through bold mergers and portfolio overhauls.
Organizations like Ascension and Community Health Systems have streamlined their operating models via strategic hospital divestitures in certain markets, while others — including Sanford Health and Northwell Health — have expanded their geographic reach through high-profile mergers.
From multistate giants such as HCA Healthcare and CommonSpirit to influential regional systems like Intermountain Health, here’s a snapshot of the total assets of 62 prominent health systems, based on their most recent financial disclosures.
Editor’s note: This is not an exhaustive list. For questions or to suggest additions, please contact Alan Condon at acondon@beckershealthcare.com.
- Kaiser Permanente (Oakland, Calif.): $126.5 billion
- HCA Healthcare (Nashville, Tenn.): $60 billion
- CommonSpirit (Chicago): $56.4 billion
- Advocate Health (Charlotte, N.C.): $47.8 billion
- Ascension (St. Louis): $39.4 billion
- Mayo Clinic (Rochester, Minn.): $36.5 billion
- Trinity Health (Livonia, Mich.): $34.2 billion
- Mass General Brigham (Somerville, Mass): $32.6 billion
- Intermountain Health (Salt Lake City): $31.4 billion
- Tenet Healthcare (Dallas): $29.2 billion
- Providence (Renton, Wash.): $28 billion
- Cleveland Clinic: $26 billion
- UPMC (Pittsburgh): $22.8 billion
- Sutter Health (Sacramento, Calif.): $21.9 billion
- Baylor Scott & White Health (Dallas): $21.9 billion
- New-York Presbyterian (New York City): $21.4 billion
- Northwell Health (New Hyde Park, N.Y.): $26.8 billion (includes Danbury, Conn.-based Nuvance Health following their merger)
- NYU Langone (New York City): $21.1 billion
- Northwestern Medicine (Chicago): $20.3 billion
- Banner Health (Phoenix): $19.4 billion
- Jefferson Health (Philadelphia): $18 billion
- BJC HealthCare (St. Louis): $17.8 billion
- Bon Secours Mercy Health (Cincinnati): $17.6 billion
- Corewell Health (Southfield, Mich.): $16.8 billion
- IU Health (Indianapolis): $16 billion
- Inova Health System (Falls Church, Va.): $14.7 billion
- Universal Health Services (King of Prussia, Pa.): $14 billion
- Community Health Systems (Franklin, Tenn.): $13.9 billion
- Orlando (Fla.) Health): $12.8 billion
- SSM Health (St. Louis): $12.3 billion
- BayCare Health System (Clearwater, Fla.): $11.6 billion
- Sanford Health (Sioux Falls, S.D.): $10.9 billion (includes Marshfield (Wis.) Clinic after their merger)
- Mercy (St. Louis): $10.7 billion
- Baptist Health South Florida (Coral Gables, Fla.): $10.6 billion
- Christus Health (Irving, Texas): $10.1 billion
- Henry Ford Health (Detroit): $9.6 billion
- Beth Israel Lahey Health (Cambridge, Mass.): $9 billion
- Scripps Health (San Diego): $9 billion
- Sharp HealthCare (San Diego): $8.7 billion
- Montefiore Health (New York City): $7.7 billion
- University Hospitals (Cleveland): $7.3 billion
- Ochsner Health (New Orleans): $6.7 billion
- Prisma Health (Greenville, S.C.): $6.7 billion
- UnityPoint Health (West Des Moines, Iowa): $6.6 billion
- West Virginia University Health System (Morgantown, W.Va.): $6.5 billion
- Allina Health (Minneapolis): $6.1 billion
- Presbyterian Healthcare Services (Albuquerque, N.M.): $5.5 billion
- University Health (San Antonio): $5.5 billion
- Norton Healthcare (Louisville, Ky.): $5.3 billion
- HonorHealth (Scottsdale, Ariz.): $4.9 billion
- Ardent Health (Nashville, Tenn.): $4.9 billion
- Allegheny Health Network (Pittsburgh): $4.6 billion
- ProMedica (Toledo, Ohio): $4 billion
- Community Health Network (Indianapolis): $3.9 billion
- Legacy Health (Portland): $3.7 billion
- Dartmouth Health (Lebanon, N.H.): $3.6 billion
- Essentia Health (Minneapolis): $3.5 billion
- Deaconess Health System (Evansville, Ind.): $3.4 billion
- MyMichigan Health (Midland): $2.3 billion
- Inspira Health (Vineland, N.J.): $2.2 billion
- Tufts Medicine (Boston): $2 billion
- Adena Health System (Chillicothe, Ohio): $860 million
