Here are the 50 largest healthcare systems ranked by their total healthcare expenses:
- HCA Healthcare (Nashville, Tenn.): $36,403,674,734
- CommonSpirit Health (Chicago): $30,664,498,796
- Ascension Health (St. Louis,): $21,354,568,514
- Kaiser Permanente (Oakland, Calif.): $20,789,810,903
- Trinity Health (Livonia, Mich.): $20,506,649,563
- Providence St Joseph Health (Renton, Wash.): $18,685,433,892
- Advocate Health (Charlotte, N.C.): $16,920,358,815
- University of California Health (Oakland): $15,503,082,174
- Dignity Health (San Francisco): $14,627,328,108
- Northwell Health (New Hyde Park, N.Y.): $13,025,392,983
- Tenet Healthcare (Dallas): $12,793,970,632
- Kaiser Permanente Northern California (Oakland): $11,410,309,906
- Mass General Brigham (Boston): $11,298,833,557
- Cleveland Clinic Health System (Ohio): $11,199,583,582
- AdventHealth (Altamonte Springs, Fla.): $11,044,255,818
- NewYork-Presbyterian Healthcare System (New York City): $10,218,916,403
- UPMC: $9,664,165,775
- NYC Health and Hospitals (New York City): $9,502,262,194
- Community Health Systems (Franklin, Tenn.) $9,008,371,101
- Universal Health Services (King of Prussia, Pa.): $8,781,522,623
- Kaiser Permanente Southern California (Pasadena): $8,578,561,607
- Sutter Health (Sacramento, Calif.): $8,441,515,741
- Advocate Aurora Health (Downers Grove, Ill., and Milwaukee): $8,383,491,535
- Baylor Scott & White Health (Dallas): $7,988,132,198
- Bon Secours Mercy Health (Cincinnati): $7,920,981,710
- Intermountain Healthcare (Salt Lake City): $7,874,337,601
- Mayo Clinic (Rochester, Minn.): $7,734,531,299
- Stanford (Calif.) Medicine: $7,643,422,166
- Corewell Health (Grand Rapids, Mich.): $7,611,777,297
- Banner Health (Phoenix): $7,546,621,196
- University of Texas System (Austin): $7,448,872,061
- Penn Medicine (Philadelphia): $6,997,382,600
- NYU Langone Health (New York CIty): $6,841,228,308
- Mount Sinai Health System (New York City): $6,659,977,399
- LifePoint Health (Brentwood, Tenn.): $6,596,432,940
- University Hospitals Health System (Cleveland): $6,477,609,295
- UNC Health (Chapel Hill, N.C.): $6,176,784,570
- Montefiore Health System (New York City): $6,168,161,490
- RWJBarnabas Health (West Orange, N.J.): $6,129,224,285
- Indiana University Health (Indianapolis): $5,830,363,142
- Hackensack Meridian Health (Edison, N.J.): $5,675,850,304
- Northwestern Medicine (Chicago): $5,625,996,921
- Stanford (Calif.) Health Care: $5,609,678,997
- Vanderbilt Health (Nashville): $5,575,114,126
- Christus Health (Irving, Texas): $5,525,213,560
- Yale New Haven Health System (New Haven, Conn.): $5,486,300,135
- Providence Health & Services-Southern California (Mission Hills): $5,481,985,634
- Jefferson Health (Philadelphia): $5,479,428,891
- Ochsner Health System (New Orleans): $5,471,984,077
- SSM Health (St. Louis): $5,453,554,487
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