Net incomes for health systems tanked in 2022 as inflation hit a record high, but many systems saw their net numbers improve in 2023 as nonoperating items, such as investment returns, rebounded.
Here are 43 nonprofit health systems ranked by net income for fiscal year 2023.
Editor's note: This is not an exhaustive list. The following financial results are for the 12 months ending Dec. 31, 2023, unless otherwise stated.
1. Kaiser Permanente (Oakland, Calif.): $4.1 billion
2. Advocate Health (Charlotte, N.C.): $2.2 billion
3. Intermountain Health (Salt Lake City): $1.6 billion
4. Baylor Scott & White (Dallas): $1.5 billion
5. Mass General Brigham (Boston): $1.2 billion
*Results for 12 months ended Sept. 30
6. NYU Langone (New York City): $1.2 billion
*Results for the 12 months ending Aug. 31
7. Sutter Health (Sacramento Calif.): $1.2 billion
8. IU Health (Indianapolis): $1.1 billion
9. Mayo Clinic (Rochester, Minn): $1.1 billion
10. Northwestern Medicine (Chicago): $1.1 billion
*Results for the 12 months ending Sept. 30
11. Inova Health System (Falls Church, Va.): $1.1 billion
12. Corewell Health (Grand Rapids, Mich.): $992.8 million
13. Trinity Health (Livonia, Mich.): $959.7 million
*Results for the 12 months ended June 30, 2023
14. Cleveland Clinic: $911.2 million
15. Banner Health (Phoenix): $895.5 million
16. Orlando (Fla.) Health: $805.4 million
*Results for the 12 months ending Sept. 30
17. Stanford Health Care (Palo Alto, Calif.): $780.6 million
*Results for the 12 months ending Aug. 31
18. BJC HealthCare (St. Louis): $736.5 million
19. Sharp HealthCare (San Diego): $495.7 million
20. Sanford Health (Sioux Falls, S.D.): $494.8 million
21. Beth Israel Lahey Health (Cambridge, Mass.): $451.2 million
*Results for 12 months ended Sept. 30
22. Christus Health (Irving, Texas): $409.2 million
23. Geisinger (Danville, Pa.): $366.6 million
24. Scripps Health (San Diego): $335.2 million
*Results for 12 months ended Sept. 30
25. MedStar Health (Columbia, Md.): $332.9 million
26. OSF HealthCare (Peoria, Ill.): $323.8 million
*For the 12 months ending Sept. 30
27. Henry Ford Health (Detroit): $302.9 million
28. Prisma Health (Greenville, S.C.): $268.3 million
*For the 12 months ending Sept. 30
29. SSM Health (St. Louis): $252.6 million
30. Bon Secours Mercy Health (Cincinnati): $222.4 million
31. Norton Healthcare (Louisville, Ky.): $217.9 million
32. HonorHealth (Scottsdale, Ariz.): $150.7 million
33. Montefiore Health (New York City): $79.5 million
34. Premier Health (Dayton, Ohio): $24.5 million
35. Tufts Medicine (Boston): $1.6 million
36. UPMC (Pittsburgh) ($31 million)
37. Allegheny Health Network (Pittsburgh): ($140.3 million)
38. Allina Health (Minneapolis): ($163.8 million)
39. ProMedica (Toledo, Ohio): ($176 million)
40. Penn State Health (Hershey, Pa.): ($198 million)
*Results for 12 months ended June 30
41. CommonSpirit (Chicago): ($314 million)
*Results for 12 months ended June 30
42. Providence (Renton, Wash.) ($595.7 million)
43. Ascension (St. Louis): ($2.5 billion)
*Results for 12 months ended June 30