Revenue growth continued across the hospital industry in 2025, with many of the nation’s largest health systems posting mid- to high-single-digit gains fueled by stronger patient volumes, improved payment rates and the expansion of ambulatory and pharmacy operations.
But the gains were far from uniform. Some systems grew revenue by double digits through mergers, acquisitions and new payer arrangements, while others saw declines as they shed hospitals and restructured their portfolios.
Here are 102 health systems ranked by their most recent annual revenue:
Editor’s 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, 2025, unless otherwise stated.
1. Kaiser Permanente (Oakland, Calif.): $127.7 billion
2. HCA Healthcare (Nashville, Tenn.): $75.6 billion
3. CommonSpirit Health (Chicago): $40.1 billion
*Results for the 12 months ending June 30, 2025
4. Advocate Health (Charlotte, N.C.): $38.9 billion
5. UPMC (Pittsburgh): $33.6 billion
6. Providence (Renton, Wash.): $29.5 billion
7. University of California Health (Oakland): $25.9 billion
*Results for the 12 months ending June 30, 2025
8. Trinity Health (Livonia, Mich.): $25.4 billion
*Results for the 12 months ending June 30, 2025
9. Ascension (St. Louis): $25.3 billion
*Results for the 12 months ending June 30, 2025
10. AdventHealth (Altamonte Springs, Fla.): $23 billion
11. Mass General Brigham (Somerville, Mass.): $22.8 billion
*Results for the 12 months ending Sept. 30, 2025
12. Northwell Health (New Hyde Park, N.Y.): $22.6 billion
*Includes revenue from merger with Nuvance (Conn.) Health
13. Mayo Clinic (Rochester, Minn.): $21.5 billion
14. Tenet Healthcare (Dallas): $21.3 billion
15. Sutter Health (Sacramento, Calif.): $19.8 billion
16. Intermountain Health (Salt Lake City): $18.5 billion
17. Cleveland Clinic: $18.3 billion
18. Corewell Health (Southfield, Mich.): $17.6 billion
19. Universal Health Services (King of Prussia, Pa.): $17.4 billion
20. Baylor Scott & White Health (Dallas): $17.3 billion
*Results for the fiscal year ending June 30, 2025
21. Banner Health (Phoenix): $16 billion
22. NYC Health + Hospitals (New York City): $15.9 billion
23. Jefferson Health (Philadelphia): $15.8 billion
*Results for the fiscal year ending June 30, 2025
24. NYU Langone (New York City): $15.4 billion
25. Sentara Health (Norfolk, Va.): $14.2 billion
26. Bon Secours Mercy Health (Cincinnati): $14 billion
27. Henry Ford Health (Detroit): $13.1 billion
28. Mount Sinai Health System (New York City): $12.8 billion
29. SSM Health (St. Louis): $12.7 billion
30. Community Health Systems (Franklin, Tenn.): $12.5 billion
31. BJC Health System (St. Louis): $12.1 billion
32. Novant Health (Winston-Salem, N.C.): $11.9 billion
33. Mount Sinai Health System (New York City): $11.9 billion
34. Sanford Health (Sioux Falls, S.D.): $11.7 billion
35. RWJBarnabas Health (West Orange, N.J.): $11 billion
36. Northwestern Medicine (Chicago): $10.6 billion
*Results for the 12 months ending Aug. 31, 2025
37. Mercy Health (Chesterfield, Mo.): $10.2 billion
*Results for the 12 months ending June,30, 2025
38. Orlando Health (Orlando, Fla.): $9.9 billion
*Results for the 12 months ending Sept. 30, 2025
39. Hackensack Meridian Health (Edison, N.J.): $9 billion
40. Christus Health (Irving, Texas): $9.7 billion
*Results for the 12 months ending June 30, 2025
41. Beth Israel Lahey Health (Cambridge, Mass.): $9.7 billion
*Results for the 12 months ending Sept. 30, 2025
42. Johns Hopkins Medicine (Baltimore): $9.6 billion
*Results for the 12 months ending June 30, 2025
43. Indiana University Health (Indianapolis): $9.5 billion
44. Stanford Health Care (Palo Alto, Calif.): $9.5 billion
*Results for the 12 months ending Aug. 31, 2025
45. MedStar Health (Columbia, Md.): $9 billion
*Results for the 12 months ending June 30, 2025
46. Montefiore (New York City): $8.8 billion
47. Piedmont Healthcare (Atlanta): $8.8 billion
*Results for the 12 months ending June. 30, 2025
48. University of Michigan Health (Ann Arbor): $8.7 billion
*Results for the 12 months ending June. 30, 2025
49. Cedars-Sinai (Los Angeles): $8.6 billion
*Results for the 12 months ending June. 30, 2025
50. Vanderbilt University Medical Center (Nashville, Tenn.): $8.5 billion
*Results for the 12 months ending June. 30, 2025
51. Yale New Haven (Conn.) Health: $7.6 billion
*Results for the 12 months ending Sept. 30, 2025
52. Prisma Health (Greenville, S.C.): $7.4 billion
*Results for the 12 months ending Sept. 30, 2025
53. Adventist Health (Roseville, Calif.): $7.4 billion
54. University Hospitals (Cleveland): $7.3 billion
55. Duke University Health System (Durham, N.C.): $7.2 billion
*Results for the 12 months ending June 30, 2025
56. BayCare Health System (Clearwater, Fla.): $7 billion
57. Hartford (Conn.) Healthcare: $7 billion
58. Froedtert ThedaCare Health (Menomonee Falls, Wis.): $7 billion
59. Baptist Health South Florida (Coral Gables, Fla.): $7 billion
60. OhioHealth (Columbus): $7 billion
61. Presbyterian Healthcare Services (Albuquerque, N.M.): $6.8 billion
62. Inova Health System (Falls Church, Va.): $6.5 billion
63. Ardent Health (Brentwood, Tenn.): $6.3 billion
64. Allina Health (Minneapolis): $6 billion
65. Allegheny Health Network (Pittsburgh): $5.7 billion
66. Sharp HealthCare (San Diego): $5.5 billion
*Results for the 12 months ending Sept. 30, 2025
67. University of Kansas Health System (Kansas City): $5.4 billion
*Results for the 12 months ending June 30, 2025
68. Oregon Health & Science University (Portland): $5.4 billion
*Results for the 12 months ending June 30, 2025
69. Baptist Health (Louisville, Ky.): $5.2 billion
*Results for the 12 months ending Aug. 31, 2025
70. University of Chicago Health System: $5.2 billion
*Results for the 12 months ending June 30, 2025
71. OSF HealthCare (Peoria, Ill.): $5.1 billion
*Results for the 12 months ending Sept. 30, 2025
72. Norton Healthcare (Louisville, Ky.): $5 billion
73. Scripps Health (San Diego): $4.8 billion
*Results for the 12 months ending Sept. 30, 2025
74. Penn State Health (Hershey, Pa.): $4.5 billion
*Results for the 12 months ending June 30, 2025
75. HonorHealth (Scottsdale, Ariz.): $4.1 billion
76. Community Health Network (Indianapolis): $3.8 billion
77. Parkview Health (Fort Wayne, Ind.): $3.4 billion
78. Essentia Health (Minneapolis): $3.2 billion
*Results for the 12 months ending June 30, 2025
79. ProMedica (Toledo, Ohio): $3.1 billion
80. Aspirus Health (Wausau, Wis.): $3 billion
81. Tufts Medicine (Boston): $3 billion
*Results for the 12 months ending Sept. 30, 2025
82. Legacy Health (Portland): $3 billion
*Results for the 12 months ending March 31, 2025
83. Hospital Sisters Health System (Springfield, Ill.): $2.9 billion
*Results for the 12 months ending June 30, 2025
84. CoxHealth (Springfield, Mo.): $2.4 billion
*Results for the 12 months ending Sept. 30, 2025
85. Deaconess Health System (Evansville, Ind.): $2.3 billion
*Results for the 12 months ending Sept. 30, 2025
86. Bronson Healthcare (Kalamazoo, Mich.): $2.1 billion
87. MyMichigan Health (Midland): $2 billion
*Results for the 12 months ending June 30, 2025
88. Hawaii Pacific Health (Honolulu): $2 billion
*Results for the 12 months ending June 30, 2025
89. Benefis Health System (Great Falls, Mont.): $1.9 billion
90. Valley Health System (Winchester, Va.): $1.6 billion
91. Catholic Health System (Buffalo, N.Y.): $1.6 billion
92. Denver Health: $1.6 billion
93. Centra Health (Lynchburg, Va.): $1.4 billion
94. TMC Health (Tucson, Ariz.): $1.3 billion
95. Inspira Health (Mullica Hill, N.J.): $1.3 billion
96. Erlanger Health System (Chattanooga, Tenn.): $1.2 billion
97. AtlantiCare Health System (Atlantic City, N.J.): $1.2 billion
98. Mercyhealth (Rockford, Ill.): $1.1 billion
*Results for the 12 months ending June, 30, 2025
99. Penn Highlands Healthcare (DuBois, Pa.): $1.1 billion
*Results for the 12 months ending June, 30, 2025
100. Palomar Health (Escondido, Calif.): $918 million
*Results for the 12 months ending June 30, 2025
101. Adena Health System (Chillicothe, Ohio): $815 million
102. Altru Health System (Grand Forks, N.D.): $200.6 million
Note: This article is being updated as additional health systems publish their most recent annual financial results. If your health system’s results are not included, please reach out to acondon@beckershealthcare.com.
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