Top 50 healthcare systems by expenses

HCA Healthcare is the largest healthcare system by expenses, according to a Feb. 9 report from Definitive Healthcare. 

Here are the 50 largest healthcare systems ranked by their total healthcare expenses:

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

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