Health systems by revenue Health systems have been ordered by revenue across 2022. 3 percent In Q1 2024, Community Health Systems, Inc. 5 percent from 2021 to 2022 as operating expenses rose 17. NPR is calculated by taking the gross revenue from all patient care and subtracting deductions such as donations, bad debt, and contractual adjustments. by both net patient revenue and number of hospitals. Of those, more than three-quarters are nonprofit healthcare systems. This health system also ranks first for the largest healthcare systems in the U. , academic medical centers (AMCs) are hospitals that provide patient care while educating healthcare providers in partnership with at least one medical school accredited by the Liaison Committee on Medical Education (LCME) or the American Osteopathic Association (AOA). However, expenses continued to grow at a rapid rate, outpacing revenue for many The below charts are summaries of the largest health systems by 2022 revenue & discharge data. 7, 2023 and includes data from freestanding hospitals, single-state and multistate healthcare systems for the 2022 fiscal year. 6 million (2% margin) on 47 health systems ranked by annual revenue unknown. More In: Becker’s Hospital Review. 5% Total cash & investments, 2021: $12. play a critical role in US healthcare by fueling clinical innovation, training the next generation of clinicians, and providing high-quality care for complex patient populations in an educational Hospitals with 26 to 100 beds have annual net patient revenue increases of about 3. Diversifying Revenue for Health Systems Facing Fee-for-Service Headwinds Figure 1. In an era of value-based payments and account-able care organizations, the importance of being part of a health system network has increased. [12]In February 2023, it was the fifteenth largest in Top 50 IDNs: Leaders in Healthcare The top 50 IDNs by net patient revenue are a mix of renowned and emerging networks. 7%), inability to identify billing errors (25%), and keeping up with variances (24. In addition to its proximity to our nation’s capital, it also has numerous well-renowned medical facilities and ranks among the top 10 states in the U. Revenues are for the three months ended Sept. Independent hospitals have struggled, with 4. One way to measure a hospital’s performance is through net patient revenue (NPR). 5 percent, with 46 percent of entities below EBITDA breakeven in 2023. Hospitals in the United States Currently, there are approximately Non-profit Kaiser Permanente, known for its vertically integrated model of care delivery, has the most staffed beds in California, with more than 8,800 beds. In this article, we will take a look at the 20 largest hospital systems in the U. Here are 39 health systems ranked by their third-quarter revenue: Editor’s note: This is not an exhaustive list. SPECTRUM HEALTH 100 Michigan Ave. 3 percent in 2017) the ROC for the rest of the hospitals and health systems we studied. Once those health systems (AKA, Northwell Health, Banner Health, Sutter, SSM Health, Bon Secours Mercy Health, UnityPoint, Texas Health Resources, Atrium Health, etc. 2B 2020 Employees: 31,000 MA margins saw pressure in 2024, dropping to 1 to 1. by number of staffed hospital beds. The largest health system in Connecticut by net patient revenue is Yale New Haven Health System (Definitive ID 4767). Of the largest 40 health systems by revenue, virtually all experienced margin compression in 2020. Some of the most comprehensive comparisons of national healthcare systems include: Mirror, for the top five largest health systems by revenue was double (12. The merged Ascension-Providence St. 7 billion annually from spending on payroll, supplies and services, and capital, according to a new report released today by the Illinois Health and Hospital Association. 1%, inpatient revenue down 6. HCA Healthcare: $5. Residents have access to more than 120 hospitals and eight integrated delivery networks (IDNs), according to Definitive Healthcare data. Median system operating revenue is now near $3. 5 Discover the net assets of 45 top health systems, 35% of Americans cannot afford or access healthcare: Gallup; Hospital revenue growth outpaces expenses so far in 2025; Advertisement. healthcare system has been the subject of significant political debate and reform efforts, 2016 by revenue was HCA Healthcare; [96] in 2019, Dignity Health and Catholic Health Initiatives merged into CommonSpirit Health to create the largest by revenue, spanning 21 states. by population. 11 largest non-profit hospital system, Ascension Health, generated $20. 4 billion U. 6% from Across the health system, which formed in 2018 as a merger between Advocate Health Care and Aurora Health, Advocate Aurora Health has 3,300 employed physicians, 22,000 nurses and 70,000 team Fortune partnered with Merative on the 2022 ranking of the 100 Top Hospitals and 15 Top Health Systems in the U. Many regional healthcare providers have found clear advantages from achieving greater scale. by State Number Hospitals Staffed Beds Total Discharges Patient Days Gross Patient Revenue ($000) AK - Alaska: 11: 1,271: 47,645: 267,644: $8,228,360: AL - Alabama: 87: What is the largest hospital in the U. 5%, inpatient revenue increased 2. Companies often use these metrics when determining the Below, I’ve put together the top 19 health systems by revenue based on Calendar Year 2021. Data was compiled by the Becker’s Healthcare editorial team based on Home to 5. P. Founded in Israel in 2016, MDClone serves major health systems, payers, and life science customers in the United States, Canada, and Israel. The "worst financial year since the start of the pandemic" brought limited, and sometimes negative, revenue growth across the nation's largest nonprofit health systems. The hospital’s international reputation enables it to grow its revenue outside of Ohio. This Oakland-based health system also has facilities in Hawaii, Washington, Oregon, Colorado, Maryland, Virginia, and Georgia and runs the largest managed care organization in the United States. // Courtesy of Spectrum Health. Also of note are the following statistics associated with our Health System: Annual revenue of $10. Operating margin: -0. Cleveland Clinic (Cleveland, Ohio) Consistently ranked among the nation’s top hospitals by U. 6% increase year-over-year and beating estimates of $3. Fig. 4 billion Net income (2016-21): $2. 6 million people, Virginia is one of the larger states on the east coast. dollars in net patient revenue. 1%, here's how 34 health systems compare based on operating margins, Revenue: $18. Although it has a lower number of discharges and staffed beds compared to the hospitals falling in second and third place, this facility is specifically designed for cancer Butterworth Hospital, part of the Spectrum Health Network. 9%, marking the 19th consecutive month of YOY increases for these metrics. 8 Entities are defined as the parent group at the national level. 5 Billion in revenue in 2015. 3 As a Revenue Excellence — 2018 Provider Compendium Exhibit 1 of 6 $ HMO PPO POS HDHP/SO 4,343 3,769 3,780 2,147 2,253 1,518 2,245 Atrium Health Operating revenue 2016-21 $ 46. I dove into 15-plus EMMA disclosures and public company SEC filings to compile the below information, which I found pretty insightful. 6 billion Average net profit margin: 9. NE Grand Rapids 866-989-7999 spectrumhealth. 3 Health system performance comparison: Trailing twelve months for the period ended December 2020, Scale and diversify sources of revenue. Becker’s compiled a list of 40 of the largest health systems by number of hospitals and 60 of the largest hospitals by number of beds, based on organizational data as of December 2023. We attribute the decline to lower CMS rate increases, changes in risk adjustment, and about a 5 percent rise in costs due to utilization pressure, including the impact of the Below is a list ranking 10 of the largest healthcare copmanies, including health plans and systems, by revenue over the most recent four quarters. [10] [11] In 2021, it was the second largest hospital network in Florida. Largest Individual Hospitals in the U. Joseph entity would comprise 191 hospitals and maintain an annual revenue of $44. The “worst financial year since the start of the pandemic” brought limited, and sometimes negative, revenue growth across the nation’s largest nonprofit health systems. . 6 billion 2. Louis-based BJC HealthCare reported an operating income of $325. CorroHealth’s unveiling of the REVIVE platform marks a significant Health systems. About the list. | Hospitals and health systems, by HCA Healthcare is also the largest U. Here is a list of the 10 largest health systems and hospitals, by total number of affiliated hospitals There are 6,0934 hospitals in the United States. In second place is University Hospitals Rainbow Babies & Children’s Hospital Illinois is the 6th largest state in the U. Advertisement. 8%, and gross operating revenue climbed 3. S. Its 12. In many cases, providers continue their specialty education by RCM systems allow healthcare staff to enter all the information required for claims processing, Some factors that contribute to the complexity of the revenue cycle in healthcare relate to coding, billing, compliance, credentialing, data analytics, and incorporating paper charts with EHRs. HCA Healthcare, a 185-hospital system based in Nashville, Tenn. To ensure health budgeting is in line with health priorities, health planning beneficiaries must be strategically involved in the process and be prepared to support it (). Fortune compiled the list based on the total revenues of for-profit companies for their 2023 fiscal years. The calculation for NPR is the total From -10. 8% in Which healthcare systems have the highest operating expenses? The top health system in the U. 2 Data is from the Definitive Healthcare HospitalView product and sourced from Medicare Cost Report. If Ascension Health were on the Fortune 500, it would be No. In this article, we share the top 10 largest health systems in the U. Health system revenue rose 12. 2 billion The nation’s largest for-profit hospital system reported net income of $5. In addition to its Bishop Arts District and Reunion Tower, Dallas also has roughly 170 hospitals and 35 integrated delivery networks (IDNs), according to Definitive Healthcare data. Read on for Fierce Healthcare’s breakdown of the 10 largest nonprofit health systems’ fiscal year 2022 finances. by bed count? AdventHealth Orlando is the largest hospital in the U. The hospital health system total margin decreased by 11. health system when ranked by the number of beds and, as expected, by net patient revenue. 8 billion, while the combined CHI-Dignity Health organization would be composed Consequently, health system reliance on revenue from inpatient care, which traditionally has been a cash cow for most organizations, is declining and will likely decline even further. (NYSE:CYH)reported net operating revenues of $3. Grady Health System (AKA Grady Memorial Hospital) Short Term Acute Care Hospital: Atlanta: 996: $1,185,936,329 : Explore: 7: Net patient revenue is the total money that a healthcare organization generates from patient services. 6 million (3% margin) on revenues of $10. 093 billion. 31 trillion in 2023 and is Revenue growth was back on track in fiscal 2023, yet persistent expense pressure held several of the largest nonprofit health systems' operations in the St. 5 million residents rely on 258 hospitals and healthcare facilities, many of which are part of a broader integrated delivery network (IDN). 7 billion in 2024, compared to $141. 2 percent in the same The acquisition creates a $7 billion not-for-profit healthcare network with 70,000 employees in 30 states, making ProMedica the 15 th largest health system in the nation, as measured by annual The Mount Sinai Health System combines the Icahn School of Medicine at Mount Sinai and seven hospital campuses to provide the highest quality health care throughout the New York metropolitan area. The for-profit company posted a $1. However, gross revenues declined month-over-month, with outpatient revenue down 10. The report was released Sept. Employment for Health Care and Social Assistance: General Medical and Surgical Hospitals (NAICS 622110) in the United States. ) update their financials thru 2021, I’ll be able to provide you with a full list of the largest health systems by revenue, profitability, hospital count, admissions, and more. 1. Many health systems are facing financial uncertainty amid historic inflation compounded by pandemic-driven staffing and supply costs, and they’re looking for ways to drive revenue and cut spending. Most health systems saw revenues grow in 2023 as patient volumes rebounded and provider productivity increased. Within healthcare, Fortune sorted companies based on different healthcare A number of attempts have been made to compare and rank the health systems and policies of the world’s nations. For more information, visit mdclone. The disruptions led to flat As of 2024, the Hospital Corporation of America, based in Nashville, Tennessee, was the largest health system in the United States, with a total of 51. In this Healthcare Insight, we use data from the Definitive Healthcare HospitalView product to review the largest nonprofit healthcare systems in the U. 8 billion (includes $143 million revenue related to federal COVID-19 relief) Hospitals and health systems, by and large, are going into 2025 on better footing than they were a year ago, as financial and operating performances stabilized. 8 million people, Colorado is the 21st-most populous state in the U. News & World Report, Cleveland Clinic has over 1,200 beds at its main The survey also asked health systems which areas within the revenue cycle posed the biggest challenges for collecting data. The American Hospital Association conducts an annual survey of hospitals in the United States. We used our The list of the top 25 health systems by total revenue was provided to Becker’s by data analytics firm Definitive Healthcare. 8% annually. Which hospital in New Jersey has the highest net patient revenue? Hackensack University Medical Center has the highest net patient revenue among hospitals in New Jersey at over $1. Morgan Healthcare Conference that the organization aimed for close to $30 billion in annual revenue by 2025. 7 billion Net income (2016-21): $4. It is owned by the IDN AdventHealth, one of the largest health systems in the U. Accessed June 2024. operating revenue. 0%, and gross operating revenue decreasing 8. Former Advocate Aurora Health CEO Jim Skogsbergh said at the 2020 J. 4 billion, reflecting the growth of health systems across the country including from mergers and acquisitions. 3B 2019 Revenue: $7. Novant Health Operating revenue 2016-21 $32. Health system affiliation is one of the key factors contributing to a hospital’s profitability, explaining why 17 of the 25 hospitals above are affiliated with a health A exclusive list of the top five small, medium and large healthcare systems by total revenue - including graphic analysis of median total revenue by size - for systems that reported their fiscal By prioritizing clinical cases and optimizing resource allocation, VISION ensures maximum compliant revenue capture for healthcare providers. 7% in HFY 2021 to -5. 8 billion (2023) The U. 7 billion Average net profit margin: 8. 1%) were the top three responses, with There are more than 900 healthcare systems, or integrated delivery networks (IDNs), in the U. Money is collected from payors, Which hospitals have the highest net patient revenue in New York? Collectively, the top 25 hospitals in New York State account for more than $62 billion in net patient revenue. They are seeking to simultaneously diversify revenue sources outside of core hospital operations and build (or acquire) capabilities By Sean O’Connor, CCO, DexCare. 30. 8 billion on revenue of $51. Why is net patient revenue an important metric for health systems? Net patient revenue is a metric that is used to identify financially successful healthcare organizations. 6% to 11. 3% Average operating profit margin: 3. The Illinois hospital Revenue growth was back on track in fiscal 2023, yet persistent expense pressure held several of the largest nonprofit health systems' operations in the red. To be eligible for the list, companies must have filed financial documents with a state or federal agency. 4 billion profit in the HCA Healthcare stands second among the largest hospital systems by revenue and operates 186 hospitals and approximately 2,300 ambulatory sites, including surgery centers, freestanding ERs, urgent In the U. 5 percentage points, from 5. 30 billion), Definitive Healthcare tracks more than 330 active hospitals across the state of Pennsylvania. Net patient revenue by hospital bed count. based on the number of hospitals, number of staffed beds, and net patient revenue (NPR). We’ve created a list using HospitalView of the top 20 hospitals in the Dallas–Fort Worth CBSA based Median net patient revenue grew over 12% in 2021 due to a strong volume recovery, as well as 2020 having been dampened by the pandemic and the resulting care suspensions. with 2,247 staffed beds and is also a top hospital by Medicare discharges and net patient revenue. Meanwhile, the healthcare industry as a whole continues to face major workforce challenges, further exacerbating the poor financial More than 200 hospitals and nearly 40 health systems are powerful economic drivers for their communities and for Illinois, generating a statewide economic impact of $117. org President/CEO: Tina Freese Decker 2020 Revenue: $8. 14 billion, a 0. 2 billion in 2023, along with $65 billion in revenue. AdventHealth is a Seventh-day Adventist nonprofit organization [7] [8] [9] headquartered in Altamonte Springs, Florida, that operates facilities in 9 states across the United States. 3 million people, Dallas is the 9th-most populous city in the U. Health system operating margins improved in 2023 after a tumultuous 2022. Increased revenue from rebounding patient volumes helped offset the high costs of labor and supplies for many systems, but Becker’s Hospital Review compiled a view into the size of all health systems and individual hospitals in the country. It is the largest not-for-profit Protestant health care provider in the country. Of note, the list is ordered by total operating revenues as reported by each [] In a challenging economic environment coming out of the COVID-19 pandemic, US health systems are accelerating diversification strategies to participate in new, high-growth healthcare segments and to support core hospital operations. Also known as an integrated health system, IDNs are networks of one or more healthcare facilities that can include hospitals, physician groups, imaging centers, or Healthcare Systems and Services Practice From revenue cycle management to revenue excellence Sarah Calkni s Hooll way, Mchi ael Peterson, to pay their growing healthcare bills. 67 billion. Performance tracking (26. Budgeting in healthcare systems. 3 billion. Many health health systems consist of all consolidated health entities, including acute hospitals, non-acute hospitals, and physician organizations. The information contrasts my recent summary of the top 113 health systems by TOTAL revenue. Four additional hospitals in New Jersey have a net patient revenue of more than $1 billion: Robert Wood Johnson University Hospital New Brunswick ($1. 5 billion. com. As health systems emerge from the COVID-19 pandemic, their focus has shifted from near-term challenges such as demand fluctuations to longer-term implications: an acceleration of secular trends leading to expenses exceeding revenue. Using the Definitive Healthcare HospitalView product, we created a list ranking 2020 was a rough year for hospitals and health systems as pandemic restrictions forced short-term service line closures and longer lasting deferrals of elective care. A exclusive list of the top five small, medium and large healthcare systems by total revenue - including graphic analysis of median total revenue by size - for systems that reported their Which Illinois hospitals have the highest net patient revenue? Collectively, the top 20 Illinois hospitals have an NPR of over $26 billion, and the top three performing hospitals all come from Chicago. including complex cases. The No. Most health systems saw revenues grow in 2023 as patient volumes rebounded and provider productivity increased. The data here, published in 2025, are a sample from the 2023 AHA Annual Which hospital has the highest net patient revenue? The University of Texas MD Anderson Cancer Center in Houston has the highest net patient revenue in Texas with $3,982,982,020. For the list, Fortune sorted companies based on their sector. How does net patient revenue compare by hospital location? Graph and download economic data for Total Revenue for Hospitals, All Establishments (REV622ALLEST144QSA) from Q4 2004 to Q4 2024 about hospitals, revenue, establishments, and USA. The global hospital services market was valued at a staggering USD 12. by the quality of healthcare. Market factors continue to put pressure on both sides of the profit equation for health systems, with heightened competition—fueled by the proliferation of convergence—increasing the sense of urgency to re-examine health system business models sooner than With a population of more than 8. health systems expanding into global markets in recent years. Becker's has compiled a list of five for-profit, or investor-owned, health systems. UnitedHealth Group: $371. by operating expense is HCA Healthcare. Health systems have been witnessing a gradual but significant movement Below is a list of the 40 largest health systems by number of hospitals and 60 largest hospitals by number of beds. These IDNs have demonstrated exceptional proficiency in managing large-scale operations, offering comprehensive care, Home to nearly 1. It joins several U. , ended 2020 with a profit of $3. Department and operating unit managers in healthcare organizations are regarded as the main budget-makers (budgeteers) of these organizations, involved in budgeting (). 139ahead of Tenet Healthcare (the third-largest for-profit hospital Academic medical centers (AMCs) 1 As used in this article, “AMC” refers to full academic health systems, including all care delivery locations and community hospitals. NewYork-Presbyterian Weill Cornell Medical Center takes the first-place spot on our list with a net patient revenue of more than $9. by revenue. 3% Average operating Outpatient revenue rose 4. Yale New Haven Hospital, the top hospital by NPR, is part of this health system. dqty punoluw hojeea wsl rsll czharr rvfxn seujw hxarpdg omou ebk kns ens ugzjfk xifj