The top health systems of 2023, per Fortune + Premier

Fortune and PINC AI have collaborated to identify the top health systems of the year, with the Mayo Clinic topping the list.

The annual list, which is in its 15th year, compares 361 health systems across the country using Medicare data with consideration for clinical outcomes, operational efficiency, and patient experience, ranking each category out of five.

The ranking breaks the health systems into three groups  — small, medium and large — with there typically being five health systems in each group annually. However, due to a tie, there are 16 total health systems in 2023, with six health systems included in the "medium" group.

Here are the top 16 health systems of the year.

Large health systems:

Health System

Location

Clinical outcomes

Operation efficiency

Patient experience

Mayo Clinic

Rochester, Minn.

5

5

5

HCA Continental Division

Denver

5

4

3

Intermountain Health

Salt Lake City

5

5

5

Houston Methodist

Houston

5

3

5

Baylor Scott & White Health

Dallas

5

4

5

Medium health systems:

Health System

Location

Clinical outcomes

Operation efficiency

Patient experience

HCA Mountain Division

Cottonwood Heights, Utah

5

5

4

Scipps Health

San Diego

5

5

5

Bronson Healthcare

Kalamazoo, Mich.

4

5

5

Edward Elmhurst Health

Naperville, Ill.

5

5

5

CHI Saint Joseph Health

Lexington, Ky.

5

4

2

Munson Healthcare

Traverse City, Mich.

5

5

4

Small health systems:

Health System

Location

Clinical outcomes

Operation efficiency

Patient experience

CHI Memorial

Chattanooga, Tenn.

5

5

5

Franciscan Sisters of Christian Charity Sponsored Ministries

Manitowoc, Wis.

5

5

3

AdventHealth Great Lakes Region

Chicago

5

3

4

Saint Joseph Health System

Mishawaka, Ind.

5

5

3

Excela Health

Greensburg, Penn.

5

5

2

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