Some of the country’s biggest health systems built on their financial scale in 2025, with total assets across the industry reflecting years of capital investment, strategic acquisitions and balance sheet growth, even as operating and margin pressures heightened for many organizations.
Kaiser Permanente, HCA Healthcare and CommonSpirit Health led the ranking, each holding tens of billions in their assets. However, size alone doesn’t tell the entire story. Many systems in the top tier faced operating losses and margin challenges in the same period their asset bases expanded.
Here are 66 health systems ranked by total assets:
Editor’s note: This is not an exhaustive list. To be included, please reach out to Madeline Scheetz at mashley@beckershealthcare.com with your health system’s latest financial results. Total assets are reported as of fiscal year-end 2025 or the 12 months ending Dec. 31, 2025, unless otherwise stated.
- Kaiser Permanente (Oakland, Calif.): $133.3 billion
- HCA Healthcare (Nashville, Tenn.): $60.7 billion
- CommonSpirit Health (Chicago): $57.3 billion
- Advocate Health (Charlotte, N.C.): $54.6 billion
- Mayo Clinic (Rochester, Minn.): $41.9 billion
- Ascension (St. Louis): $39.9 billion *Results for the 12 months ending June 30, 2025
- Mass General Brigham (Somerville, Mass.): $35.8 billion
- Trinity Health (Livonia, Mich.): $34.7 billion
- Intermountain Health (Salt Lake City): $33.5 billion
- AdventHealth (Altamonte Springs, Fla.): $32.2 billion
- University of California Health (Oakland): $30 billion
- Tenet Healthcare (Dallas): $29.7 billion
- Cleveland Clinic: $29.6 billion
- Providence (Renton, Wash.): $29.2 billion
- Sutter Health (Sacramento, Calif.): $27 billion
- Northwell Health (New Hyde Park, N.Y.): $24.6 billion
- UPMC (Pittsburgh): $24.1 billion
- Baylor Scott & White Health (Dallas): $22.9 billion
- NYU Langone (New York City): $22.4 billion
- Northwestern Medicine (Chicago): $21.7 billion
- Banner Health (Phoenix): $20.9 billion
- BJC Health System (St. Louis): $19.7 billion
- Bon Secours Mercy Health (Cincinnati): $19 billion
- Corewell Health (Southfield, Mich.): $18.5 billion
- Indiana University Health (Indianapolis): $17.9 billion
- Novant Health (Winston-Salem, N.C.): $17.7 billion
- Penn Medicine (Philadelphia): $17.3 billion
- Inova Health System (Falls Church, Va.): $16.8 billion
- Universal Health Services (King of Prussia, Pa.): $15.5 billion
- RWJBarnabas Health (West Orange, N.J.): $15.1 billion
- Stanford Health Care (Palo Alto, Calif.): $14.3 billion
- Mount Sinai Health System (New York City): $14.2 billion
- Orlando Health (Orlando, Fla.): $14.1 billion
- Hackensack Meridian Health (Edison, N.J.): $13.6 billion
- Community Health Systems (Franklin, Tenn.): $13.2 billion
- BayCare Health System (Clearwater, Fla.): $13 billion
- Piedmont Healthcare (Atlanta): $12 billion
- Sanford Health (Sioux Falls, S.D.): $11.5 billion
- Mercy Health (Chesterfield, Mo.): $11 billion
- Christus Health (Irving, Texas): $10.7 billion
- Henry Ford Health (Detroit): $10.6 billion
- Beth Israel Lahey Health (Cambridge, Mass.): $10.4 billion
- Duke University Health System (Durham, N.C.): $10 billion
- Scripps Health (San Diego): $9.7 billion
- Adventist Health (Roseville, Calif.): $9.5 billion
- Sharp HealthCare (San Diego): $9.2 billion
- MedStar Health (Columbia, Md.): $9 billion
- MultiCare Health System (Tacoma, Wash.): $8.7 billion
- Vanderbilt University Medical Center (Nashville, Tenn.): $7.8 billion
- University Hospitals (Cleveland): $7.7 billion
- Oregon Health & Science University (Portland): $7 billion
- OSF HealthCare (Peoria, Ill.): $6.9 billion
- Allina Health (Minneapolis): $6.7 billion
- Norton Healthcare (Louisville, Ky.): $5.8 billion
- Presbyterian Healthcare Services (Albuquerque, N.M.): $5.8 billion
- University of Chicago Health System: $5.8 billion
- Ardent Health (Brentwood, Tenn.): $5.3 billion
- HonorHealth (Scottsdale, Ariz.): $5.2 billion
- Allegheny Health Network (Pittsburgh): $4.8 billion
- SSM Health (St. Louis): $4.3 billion
- Essentia Health (Minneapolis): $4.2 billion
- Community Health Network (Indianapolis): $4.1 billion
- ProMedica (Toledo, Ohio): $3.6 billion
- Legacy Health (Portland): $3.5 billion
- Montefiore (New York City): $2.6 billion
- WakeMed Health & Hospitals (Raleigh, N.C.): $2.6 billion
- Tufts Medicine (Boston): $2 billion
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