| 1 | Inova Health Care Services Virginia | Virginia | 94 | $5.7B | $22.0M | A |
| 2 | Commonwealth Care Alliance Inc Massachusetts | Massachusetts | 93 | $2.6B | $6.4M | A |
| 3 | Vanderbilt University Medical Center Tennessee | Tennessee | 91 | $6.9B | $24.6M | A |
| 4 | Long Island Jewish Medical Center New York | New York | 91 | $4.1B | $908K | A |
| 5 | University Of Chicago Medical Center Illinois | Illinois | 91 | $2.9B | $20.3M | A |
| 6 | Hartford Hospital Connecticut | Connecticut | 91 | $2.6B | $426K | A |
| 7 | West Virginia University Hospitals Inc West Virginia | West Virginia | 91 | $2.1B | $6.1M | A |
| 8 | Cook Childrens Medical Center Texas | Texas | 91 | $1.9B | $6.2M | A |
| 9 | North Shore University Hospital New York | New York | 90 | $3.7B | $1.1M | A |
| 10 | Texas Childrens Health Plan Inc Texas | Texas | 90 | $3.1B | $3.4M | A |
| 11 | Lucile Salter Packard Childrens Hospital At Stanford California | California | 90 | $2.6B | $9.2M | A |
| 12 | Wakemed North Carolina | North Carolina | 90 | $2.1B | $12.2M | A |
| 13 | Mary Hitchcock Memorial Hospital New Hampshire | New Hampshire | 90 | $2.0B | $13.8M | A |
| 14 | Rwj Barnabas Health Inc New Jersey | New Jersey | 89 | $7.1B | $20.1M | A |
| 15 | Orlando Health Inc Florida | Florida | 89 | $4.2B | $14.7M | A |
| 16 | Mount Sinai Hospital New York | New York | 89 | $3.9B | $12.1M | A |
| 17 | Boston Medical Center Corporation Massachusetts | Massachusetts | 89 | $2.4B | $4.2M | A |
| 18 | Yale New Haven Hospital Connecticut | Connecticut | 88 | $4.2B | $10.6M | A |
| 19 | Beth Israel Deaconess Medical Center Inc Massachusetts | Massachusetts | 88 | $2.7B | $2.9M | A |
| 20 | City Of Hope National Medical Center California | California | 88 | $2.5B | $10.3M | A |
| 21 | Mass General Brigham Incorporated And Affiliates Group Rtn Massachusetts | Massachusetts | 87 | $22.7B | $105.2M | A |
| 22 | Hackensack Meridian Health Inc New Jersey | New Jersey | 87 | $7.5B | $39.4M | A |
| 23 | Ochsner Clinic Foundation Louisiana | Louisiana | 87 | $5.1B | $40.1M | A |
| 24 | Florida Health Sciences Center Inc Florida | Florida | 87 | $2.4B | $10.2M | A |
| 25 | Lenox Hill Hospital New York | New York | 87 | $2.0B | $897K | A |
| 26 | Kaiser Foundation Health Plan Inc California | California | 86 | $75.1B | $90.8M | A |
| 27 | Kaiser Foundation Health Plan Of The Mid Atlantic States Inc Maryland | Maryland | 86 | $5.9B | $14K | A |
| 28 | University Hospitals Health System Inc Ohio | Ohio | 86 | $5.3B | $18.2M | A |
| 29 | Metroplus Health Plan Inc New York | New York | 86 | $5.2B | $5.4M | A |
| 30 | A Mainehealth Hcsr Maine | Maine | 86 | $3.7B | $6.7M | A |
| 31 | Careoregon Inc Oregon | Oregon | 86 | $2.5B | $4.0M | A |
| 32 | Cooper Health System A New Jersey Non Profit Corporation New Jersey | New Jersey | 86 | $2.0B | $18.1M | A |
| 33 | Northwestern Memorial Healthcare Illinois | Illinois | 85 | $9.1B | $20.3M | A |
| 34 | Ucare Minnesota Minnesota | Minnesota | 85 | $6.2B | $168K | A |
| 35 | Providence Health & Services Oregon Washington | Washington | 85 | $5.5B | — | A |
| 36 | Mercy Health Ohio | Ohio | 85 | $4.6B | $23.1M | A |
| 37 | Scripps Health California | California | 85 | $4.1B | $24.1M | A |
| 38 | Swedish Health Services Washington | Washington | 85 | $3.0B | $498K | A |
| 39 | University Of Vermont Medical Center Inc Vermont | Vermont | 85 | $2.1B | $9.4M | A |
| 40 | Parkview Hospital Inc Indiana | Indiana | 85 | $1.9B | $4.4M | A |
| 41 | Nyu Langone Hospitals New York | New York | 84 | $8.9B | $41.9M | A |
| 42 | Sutter Valley Hospitals California | California | 84 | $4.7B | $30K | A |
| 43 | Multicare Health System Washington | Washington | 84 | $4.5B | $11.7M | A |
| 44 | Lehigh Valley Hospital Pennsylvania | Pennsylvania | 84 | $3.2B | $10.6M | A |
| 45 | Froedtert Memorial Lutheran Hospital Inc Wisconsin | Wisconsin | 84 | $2.5B | — | A |
| 46 | The Nebraska Medical Center Nebraska | Nebraska | 84 | $2.1B | $10.4M | A |
| 47 | Childrens Hospital Colorado Colorado | Colorado | 84 | $1.9B | $12.9M | A |
| 48 | Northside Hospital Inc Georgia | Georgia | 83 | $6.8B | $11.2M | A |
| 49 | Henry Ford Health System Michigan | Michigan | 83 | $4.5B | $21.0M | A |
| 50 | Sentara Hospitals Virginia | Virginia | 83 | $4.0B | $12.1M | A |
| 51 | Norton Hospitals Inc Kentucky | Kentucky | 83 | $3.0B | $4.1M | A |
| 52 | Miltons S Hershey Medical Center Pennsylvania | Pennsylvania | 83 | $2.6B | $4.3M | A |
| 53 | Thomas Jefferson University Hospital Pennsylvania | Pennsylvania | 83 | $2.6B | $2.6M | A |
| 54 | Fresno Community Hospital And Medical Center California | California | 83 | $2.5B | $8.3M | A |
| 55 | Fred Hutchinson Cancer Center Washington | Washington | 83 | $2.3B | $16.5M | A |
| 56 | Community Health Network Inc Indiana | Indiana | 83 | $2.2B | $15.9M | A |
| 57 | H Lee Moffitt Cancer Center And Research Institute Hospital Inc Florida | Florida | 83 | $2.0B | $3.9M | A |
| 58 | The New York And Presbyterian Hospital New York | New York | 82 | $10.3B | $57.4M | A |
| 59 | Umass Memorial Health Care Inc Massachusetts | Massachusetts | 82 | $3.7B | $21.2M | A |
| 60 | Shands Teaching Hospital And Clinics Inc Florida | Florida | 82 | $2.3B | $10.7M | A |
| 61 | Southern Baptist Hospital Of Florida Inc Florida | Florida | 82 | $2.2B | $1.4M | A |
| 62 | Kennestone Hospital Inc Georgia | Georgia | 82 | $1.8B | $7.4M | A |
| 63 | Memorial Hermann Health System Texas | Texas | 81 | $7.6B | $8.2M | A |
| 64 | Sentara Health Plans Virginia | Virginia | 81 | $5.2B | $3.4M | A |
| 65 | The Childrens Hospital Of Philadelphia Pennsylvania | Pennsylvania | 81 | $3.4B | $17.6M | A |
| 66 | Honorhealth Arizona | Arizona | 81 | $2.9B | $14.9M | A |
| 67 | Bjc Health System Missouri | Missouri | 80 | $6.7B | $12.1M | A |
| 68 | Adventist Health System Sunbelt Inc Florida | Florida | 80 | $6.3B | $16.0M | A |
| 69 | Texas Childrens Hospital Texas | Texas | 80 | $3.8B | $51.4M | A |
| 70 | Kaiser Foundation Health Plan Of Georgia Inc Georgia | Georgia | 80 | $2.4B | $244K | A |
| 71 | Temple University Hospital Inc Pennsylvania | Pennsylvania | 80 | $2.1B | $5.4M | A |
| 72 | Keck Medical Center Of Usc California | California | 80 | $1.9B | $924K | A |
| 73 | Hoag Memorial Hospital Presbyterian California | California | 80 | $1.8B | $9.4M | A |
| 74 | Mayo Clinic Group Return Minnesota | Minnesota | 79 | $14.0B | $102.9M | B |
| 75 | Providence Health & Services Washington Washington | Washington | 79 | $9.8B | $52.2M | B |
| 76 | Bon Secours Mercy Health Inc Ohio | Ohio | 79 | $8.7B | $35.9M | B |
| 77 | Ohiohealth Corporation Grant Riverside Doctors Dublin Met Ohio | Ohio | 79 | $4.5B | $18.1M | B |
| 78 | North Carolina Baptist Hospital North Carolina | North Carolina | 79 | $3.0B | $24.6M | B |
| 79 | Prisma Health Upstate South Carolina | South Carolina | 79 | $2.9B | — | B |
| 80 | Mayo Clinic Minnesota | Minnesota | 79 | $2.0B | $1.2M | B |
| 81 | Rhode Island Hospital Rhode Island | Rhode Island | 79 | $2.0B | $1.3M | B |
| 82 | Bon Secours Richmond Health System Ohio | Ohio | 79 | $1.9B | $1.6M | B |
| 83 | Ohiohealth Corporation Ohio | Ohio | 79 | $1.9B | $2.9M | B |
| 84 | Geisinger Medical Center Pennsylvania | Pennsylvania | 79 | $1.9B | $1.4M | B |
| 85 | Stanford Health Care 227 California | California | 78 | $7.0B | $13.6M | B |
| 86 | Boston Medical Center Health Plan Inc Massachusetts | Massachusetts | 78 | $4.1B | $5.4M | B |
| 87 | Baptist Healthcare System Inc Kentucky | Kentucky | 78 | $3.7B | $5.1M | B |
| 88 | Rush University Medical Center Illinois | Illinois | 78 | $2.7B | $33.0M | B |
| 89 | The Nemours Foundation Florida | Florida | 78 | $2.1B | $21.8M | B |
| 90 | Northeast Georgia Medical Center Inc Georgia | Georgia | 78 | $2.0B | $2.3M | B |
| 91 | St Elizabeth Medical Center Inc Kentucky | Kentucky | 78 | $1.9B | $9.2M | B |
| 92 | Pitt County Memorial Hospital Inc North Carolina | North Carolina | 78 | $1.8B | $3.7M | B |
| 93 | Cleveland Clinic Foundation Ohio | Ohio | 77 | $15.6B | $80.3M | B |
| 94 | Ihc Health Services Inc Utah | Utah | 77 | $9.6B | $44.5M | B |
| 95 | Banner Health Arizona | Arizona | 77 | $9.5B | $44.1M | B |
| 96 | Kaiser Foundation Health Plan Of The Northwest Oregon | Oregon | 77 | $5.1B | $280K | B |
| 97 | Vns Choice New York | New York | 77 | $2.3B | $753K | B |
| 98 | Baptist Hospital Of Miami Inc Florida | Florida | 77 | $2.3B | $3.3M | B |
| 99 | Ssm Health Care St Louis Missouri | Missouri | 77 | $2.2B | $3.9M | B |
| 100 | Elderplan Inc New York | New York | 77 | $1.6B | $1.1M | B |
| 101 | The Cleveland Clinic Foundation Ohio | Ohio | 76 | $7.6B | $25.4M | B |
| 102 | Memorial Sloan Kettering Cancer Center New York | New York | 76 | $7.5B | $51.0M | B |
| 103 | Fairview Health Services Minnesota | Minnesota | 76 | $4.7B | $19.5M | B |
| 104 | Duke University Health System Inc North Carolina | North Carolina | 76 | $4.7B | $11.6M | B |
| 105 | Osf Healthcare System Illinois | Illinois | 76 | $3.4B | $17.7M | B |
| 106 | The Johns Hopkins Hospital Maryland | Maryland | 76 | $3.2B | $218K | B |
| 107 | Christiana Care Health Services Inc Delaware | Delaware | 76 | $2.7B | $13.9M | B |
| 108 | Catholic Health Initiatives Colorado Colorado | Colorado | 76 | $2.6B | — | B |
| 109 | Harvard Pilgrim Health Care Inc Massachusetts | Massachusetts | 76 | $2.2B | $97K | B |
| 110 | Childrens Mercy Hospital Missouri | Missouri | 76 | $2.0B | $11.6M | B |
| 111 | Sutter Valley Medical Foundation California | California | 76 | $2.0B | — | B |
| 112 | Presbyterian Hospital North Carolina | North Carolina | 76 | $2.0B | $2.2M | B |
| 113 | Methodist Hospitals Of Dallas Texas | Texas | 76 | $1.9B | $15.5M | B |
| 114 | Healthfirst Phsp Inc New York | New York | 75 | $12.1B | — | B |
| 115 | Indiana University Health Inc Indiana | Indiana | 75 | $5.8B | $13.3M | B |
| 116 | Allina Health System Minnesota | Minnesota | 75 | $5.4B | $22.8M | B |
| 117 | Sutter Bay Hospitals California | California | 75 | $5.2B | $474K | B |
| 118 | Franciscan Alliance Inc Indiana | Indiana | 75 | $3.5B | $6.9M | B |
| 119 | Trinity Health Michigan Michigan | Michigan | 75 | $3.0B | $12.5M | B |
| 120 | Grady Memorial Hospital Corporation Georgia | Georgia | 75 | $2.4B | $10.7M | B |
| 121 | University Of Maryland Medical System Corporation Maryland | Maryland | 75 | $2.2B | $13.8M | B |
| 122 | Corewell Health Michigan | Michigan | 74 | $10.4B | — | B |
| 123 | Dignity Health California | California | 74 | $9.9B | $82.1M | B |
| 124 | Scan Health Plan California | California | 74 | $4.9B | $12.6M | B |
| 125 | Commonspirit Health Colorado | Colorado | 74 | $3.9B | $28.4M | B |
| 126 | Dignity Community Care California | California | 74 | $3.6B | — | B |
| 127 | Corewell Health Michigan | Michigan | 74 | $2.9B | $28.1M | B |
| 128 | Presbyterian Healthcare Services New Mexico | New Mexico | 74 | $2.4B | $21.3M | B |
| 129 | Seattle Childrens Hospital Washington | Washington | 74 | $2.3B | $8.2M | B |
| 130 | Hh Medstar Health Inc Maryland | Maryland | 74 | $1.9B | $2.5M | B |
| 131 | John Muir Health California | California | 74 | $1.8B | $8.3M | B |
| 132 | Novant Health Inc North Carolina | North Carolina | 73 | $4.0B | $28.8M | B |
| 133 | St Lukes Regional Medical Center Idaho | Idaho | 73 | $2.5B | — | B |
| 134 | Montefiore Medical Center New York | New York | 71 | $5.1B | — | B |
| 135 | Childrens Hospital Medical Center Ohio | Ohio | 71 | $3.1B | $11.9M | B |
| 136 | Caresource Ohio Inc Ohio | Ohio | 69 | $8.5B | — | B |
| 137 | Kaiser Foundation Health Plan Of Colorado Colorado | Colorado | 69 | $4.3B | — | B |
| 138 | Peacehealth Washington | Washington | 69 | $3.3B | $19.4M | B |
| 139 | Memorial Health Services Group Return California | California | 69 | $2.7B | $25.4M | B |
| 140 | Froedtert Thedacare Health Inc Wisconsin | Wisconsin | 69 | $1.1B | $17.5M | B |
| 141 | Advocate Health And Hospitals Corporation Illinois | Illinois | 68 | $6.9B | $5.4M | B |
| 142 | Kaiser Foundation Health Plan Of Washington Washington | Washington | 68 | $4.2B | $203K | B |
| 143 | Childrens Hospital Corporation Massachusetts | Massachusetts | 68 | $2.7B | $19.4M | B |
| 144 | Uc Healthcare System Ohio | Ohio | 68 | $2.3B | $8.0M | B |
| 145 | Cedars Sinai Medical Center California | California | 67 | $4.7B | $21.3M | B |
| 146 | Childrens Healthcare Of Atlanta Inc Georgia | Georgia | 67 | $2.6B | $7.8M | B |
| 147 | Northshore University Healthsystem Illinois | Illinois | 66 | $2.2B | $25.1M | B |
| 148 | Kaiser Foundation Hospitals California | California | 65 | $32.8B | — | B |
| 149 | Northwell Healthcare Inc New York | New York | 65 | $2.5B | $28.0M | B |
| 150 | St Jude Childrens Research Hospital Inc Tennessee | Tennessee | 64 | $1.7B | $9.3M | C |
| 151 | Providence Health System Southern California Washington | Washington | 63 | $2.2B | — | C |
| 152 | The Methodist Hospital Texas | Texas | 62 | $2.9B | $16.5M | C |
| 153 | Wellstar Health System Inc Georgia | Georgia | 62 | $2.1B | $46.9M | C |
| 154 | Northwestern Memorial Healthcare Illinois | Illinois | 62 | $2.1B | $19.8M | C |
| 155 | Rwjbh Corporate Services Inc New Jersey | New Jersey | 62 | $1.7B | $47.9M | C |
| 156 | Health Share Of Oregon Oregon | Oregon | 60 | $3.4B | — | C |
| 157 | Childrens Health System Of Texas Texas | Texas | 59 | $2.4B | $33.6M | C |
| 158 | Adventist Health System Sunbelt Healthcare Corporation Florida | Florida | 58 | $1.6B | $23.5M | C |
| 159 | Trinity Health Corporation Michigan | Michigan | 56 | $2.6B | $19.7M | C |
| 160 | Mayo Clinic Minnesota | Minnesota | 55 | $7.1B | $21.1M | C |
| 161 | Bjc Health System Missouri | Missouri | 53 | $1.3B | $31.5M | C |
| 162 | Sutter Health California | California | 46 | $1.9B | $32.8M | D |
| 163 | Novartis Patient Assistance Foundation New Jersey | New Jersey | 42 | $2.8B | — | D |