| 1 | Northwestern Memorial Healthcare Illinois | Illinois | 87 | $9.1B | 78.0% | A |
| 2 | Nyu Langone Hospitals New York | New York | 87 | $8.9B | 78.0% | A |
| 3 | Bon Secours Mercy Health Inc Ohio | Ohio | 87 | $8.7B | 78.0% | A |
| 4 | Mount Sinai Hospital New York | New York | 87 | $3.9B | 78.0% | A |
| 5 | Norton Hospitals Inc Kentucky | Kentucky | 87 | $3.0B | 78.0% | A |
| 6 | Corewell Health Michigan | Michigan | 87 | $2.9B | 78.0% | A |
| 7 | University Of Chicago Medical Center Illinois | Illinois | 87 | $2.9B | 78.0% | A |
| 8 | Miltons S Hershey Medical Center Pennsylvania | Pennsylvania | 87 | $2.6B | 78.0% | A |
| 9 | Presbyterian Healthcare Services New Mexico | New Mexico | 87 | $2.4B | 78.0% | A |
| 10 | Community Health Network Inc Indiana | Indiana | 87 | $2.2B | 78.0% | A |
| 11 | Northeast Georgia Medical Center Inc Georgia | Georgia | 87 | $2.0B | 78.0% | A |
| 12 | Bon Secours Richmond Health System Ohio | Ohio | 87 | $1.9B | 78.0% | A |
| 13 | Mayo Clinic Group Return Minnesota | Minnesota | 86 | $14.0B | 78.0% | A |
| 14 | Banner Health Arizona | Arizona | 86 | $9.5B | 78.0% | A |
| 15 | Memorial Hermann Health System Texas | Texas | 86 | $7.6B | 78.0% | A |
| 16 | Stanford Health Care 227 California | California | 86 | $7.0B | 78.0% | A |
| 17 | Inova Health Care Services Virginia | Virginia | 86 | $5.7B | 78.0% | A |
| 18 | Fairview Health Services Minnesota | Minnesota | 86 | $4.7B | 78.0% | A |
| 19 | Duke University Health System Inc North Carolina | North Carolina | 86 | $4.7B | 78.0% | A |
| 20 | Mercy Health Ohio | Ohio | 86 | $4.6B | 78.0% | A |
| 21 | Multicare Health System Washington | Washington | 86 | $4.5B | 78.0% | A |
| 22 | Baptist Healthcare System Inc Kentucky | Kentucky | 86 | $3.7B | 78.0% | A |
| 23 | Osf Healthcare System Illinois | Illinois | 86 | $3.4B | 78.0% | A |
| 24 | Peacehealth Washington | Washington | 86 | $3.3B | 78.0% | A |
| 25 | Trinity Health Michigan Michigan | Michigan | 86 | $3.0B | 78.0% | A |
| 26 | Honorhealth Arizona | Arizona | 86 | $2.9B | 78.0% | A |
| 27 | Christiana Care Health Services Inc Delaware | Delaware | 86 | $2.7B | 78.0% | A |
| 28 | Rush University Medical Center Illinois | Illinois | 86 | $2.7B | 78.0% | A |
| 29 | Florida Health Sciences Center Inc Florida | Florida | 86 | $2.4B | 78.0% | A |
| 30 | Fred Hutchinson Cancer Center Washington | Washington | 86 | $2.3B | 78.0% | A |
| 31 | Shands Teaching Hospital And Clinics Inc Florida | Florida | 86 | $2.3B | 78.0% | A |
| 32 | The Nemours Foundation Florida | Florida | 86 | $2.1B | 78.0% | A |
| 33 | Childrens Mercy Hospital Missouri | Missouri | 86 | $2.0B | 78.0% | A |
| 34 | St Elizabeth Medical Center Inc Kentucky | Kentucky | 86 | $1.9B | 78.0% | A |
| 35 | Mass General Brigham Incorporated And Affiliates Group Rtn Massachusetts | Massachusetts | 85 | $22.7B | 78.0% | A |
| 36 | Ihc Health Services Inc Utah | Utah | 85 | $9.6B | 78.0% | A |
| 37 | Rwj Barnabas Health Inc New Jersey | New Jersey | 85 | $7.1B | 78.0% | A |
| 38 | Adventist Health System Sunbelt Inc Florida | Florida | 85 | $6.3B | 78.0% | A |
| 39 | Ochsner Clinic Foundation Louisiana | Louisiana | 85 | $5.1B | 78.0% | A |
| 40 | Scripps Health California | California | 85 | $4.1B | 78.0% | A |
| 41 | Beth Israel Deaconess Medical Center Inc Massachusetts | Massachusetts | 85 | $2.7B | 78.0% | A |
| 42 | Lucile Salter Packard Childrens Hospital At Stanford California | California | 85 | $2.6B | 78.0% | A |
| 43 | City Of Hope National Medical Center California | California | 85 | $2.5B | 78.0% | A |
| 44 | Fresno Community Hospital And Medical Center California | California | 85 | $2.5B | 78.0% | A |
| 45 | The Nebraska Medical Center Nebraska | Nebraska | 85 | $2.1B | 78.0% | A |
| 46 | Cooper Health System A New Jersey Non Profit Corporation New Jersey | New Jersey | 85 | $2.0B | 78.0% | A |
| 47 | Mary Hitchcock Memorial Hospital New Hampshire | New Hampshire | 85 | $2.0B | 78.0% | A |
| 48 | Cook Childrens Medical Center Texas | Texas | 85 | $1.9B | 78.0% | A |
| 49 | Childrens Hospital Colorado Colorado | Colorado | 85 | $1.9B | 78.0% | A |
| 50 | Memorial Sloan Kettering Cancer Center New York | New York | 84 | $7.5B | 78.0% | A |
| 51 | Allina Health System Minnesota | Minnesota | 84 | $5.4B | 78.0% | A |
| 52 | Sutter Bay Hospitals California | California | 84 | $5.2B | 78.0% | A |
| 53 | Yale New Haven Hospital Connecticut | Connecticut | 84 | $4.2B | 78.0% | A |
| 54 | Texas Childrens Hospital Texas | Texas | 84 | $3.8B | 78.0% | A |
| 55 | A Mainehealth Hcsr Maine | Maine | 84 | $3.7B | 78.0% | A |
| 56 | Lehigh Valley Hospital Pennsylvania | Pennsylvania | 84 | $3.2B | 78.0% | A |
| 57 | The Johns Hopkins Hospital Maryland | Maryland | 84 | $3.2B | 78.0% | A |
| 58 | Swedish Health Services Washington | Washington | 84 | $3.0B | 78.0% | A |
| 59 | Thomas Jefferson University Hospital Pennsylvania | Pennsylvania | 84 | $2.6B | 78.0% | A |
| 60 | St Lukes Regional Medical Center Idaho | Idaho | 84 | $2.5B | 78.0% | A |
| 61 | Boston Medical Center Corporation Massachusetts | Massachusetts | 84 | $2.4B | 78.0% | A |
| 62 | University Of Maryland Medical System Corporation Maryland | Maryland | 84 | $2.2B | 78.0% | A |
| 63 | West Virginia University Hospitals Inc West Virginia | West Virginia | 84 | $2.1B | 78.0% | A |
| 64 | Mayo Clinic Minnesota | Minnesota | 84 | $2.0B | 78.0% | A |
| 65 | Lenox Hill Hospital New York | New York | 84 | $2.0B | 78.0% | A |
| 66 | Pitt County Memorial Hospital Inc North Carolina | North Carolina | 84 | $1.8B | 78.0% | A |
| 67 | The New York And Presbyterian Hospital New York | New York | 83 | $10.3B | 78.0% | A |
| 68 | Hackensack Meridian Health Inc New Jersey | New Jersey | 83 | $7.5B | 78.0% | A |
| 69 | Advocate Health And Hospitals Corporation Illinois | Illinois | 83 | $6.9B | 78.0% | A |
| 70 | Montefiore Medical Center New York | New York | 83 | $5.1B | 78.0% | A |
| 71 | Henry Ford Health System Michigan | Michigan | 83 | $4.5B | 78.0% | A |
| 72 | Long Island Jewish Medical Center New York | New York | 83 | $4.1B | 78.0% | A |
| 73 | North Shore University Hospital New York | New York | 83 | $3.7B | 78.0% | A |
| 74 | Memorial Health Services Group Return California | California | 83 | $2.7B | 78.0% | A |
| 75 | Hartford Hospital Connecticut | Connecticut | 83 | $2.6B | 78.0% | A |
| 76 | Southern Baptist Hospital Of Florida Inc Florida | Florida | 83 | $2.2B | 78.0% | A |
| 77 | Wakemed North Carolina | North Carolina | 83 | $2.1B | 78.0% | A |
| 78 | Keck Medical Center Of Usc California | California | 83 | $1.9B | 78.0% | A |
| 79 | Corewell Health Michigan | Michigan | 82 | $10.4B | 78.0% | A |
| 80 | Vanderbilt University Medical Center Tennessee | Tennessee | 82 | $6.9B | 78.0% | A |
| 81 | Providence Health & Services Oregon Washington | Washington | 82 | $5.5B | 78.0% | A |
| 82 | Orlando Health Inc Florida | Florida | 82 | $4.2B | 78.0% | A |
| 83 | Kaiser Foundation Health Plan Of Washington Washington | Washington | 82 | $4.2B | 78.0% | A |
| 84 | Commonspirit Health Colorado | Colorado | 82 | $3.9B | 78.0% | A |
| 85 | The Childrens Hospital Of Philadelphia Pennsylvania | Pennsylvania | 82 | $3.4B | 78.0% | A |
| 86 | University Of Vermont Medical Center Inc Vermont | Vermont | 82 | $2.1B | 78.0% | A |
| 87 | Ohiohealth Corporation Ohio | Ohio | 82 | $1.9B | 78.0% | A |
| 88 | Kennestone Hospital Inc Georgia | Georgia | 82 | $1.8B | 78.0% | A |
| 89 | Cleveland Clinic Foundation Ohio | Ohio | 81 | $15.6B | 78.0% | A |
| 90 | Northside Hospital Inc Georgia | Georgia | 81 | $6.8B | 78.0% | A |
| 91 | Bjc Health System Missouri | Missouri | 81 | $6.7B | 78.0% | A |
| 92 | Indiana University Health Inc Indiana | Indiana | 81 | $5.8B | 78.0% | A |
| 93 | Sutter Valley Hospitals California | California | 81 | $4.7B | 78.0% | A |
| 94 | Novant Health Inc North Carolina | North Carolina | 81 | $4.0B | 78.0% | A |
| 95 | Sentara Hospitals Virginia | Virginia | 81 | $4.0B | 78.0% | A |
| 96 | Dignity Community Care California | California | 81 | $3.6B | 78.0% | A |
| 97 | Franciscan Alliance Inc Indiana | Indiana | 81 | $3.5B | 78.0% | A |
| 98 | Prisma Health Upstate South Carolina | South Carolina | 81 | $2.9B | 78.0% | A |
| 99 | Catholic Health Initiatives Colorado Colorado | Colorado | 81 | $2.6B | 78.0% | A |
| 100 | Baptist Hospital Of Miami Inc Florida | Florida | 81 | $2.3B | 78.0% | A |
| 101 | Uc Healthcare System Ohio | Ohio | 81 | $2.3B | 78.0% | A |
| 102 | Rhode Island Hospital Rhode Island | Rhode Island | 81 | $2.0B | 78.0% | A |
| 103 | Kaiser Foundation Health Plan Of The Mid Atlantic States Inc Maryland | Maryland | 80 | $5.9B | 78.0% | A |
| 104 | University Hospitals Health System Inc Ohio | Ohio | 80 | $5.3B | 78.0% | A |
| 105 | Ohiohealth Corporation Grant Riverside Doctors Dublin Met Ohio | Ohio | 80 | $4.5B | 78.0% | A |
| 106 | Kaiser Foundation Health Plan Of Colorado Colorado | Colorado | 80 | $4.3B | 78.0% | A |
| 107 | Umass Memorial Health Care Inc Massachusetts | Massachusetts | 80 | $3.7B | 78.0% | A |
| 108 | Careoregon Inc Oregon | Oregon | 80 | $2.5B | 78.0% | A |
| 109 | Froedtert Memorial Lutheran Hospital Inc Wisconsin | Wisconsin | 80 | $2.5B | 78.0% | A |
| 110 | Ssm Health Care St Louis Missouri | Missouri | 80 | $2.2B | 78.0% | A |
| 111 | Presbyterian Hospital North Carolina | North Carolina | 80 | $2.0B | 78.0% | A |
| 112 | Parkview Hospital Inc Indiana | Indiana | 80 | $1.9B | 78.0% | A |
| 113 | Methodist Hospitals Of Dallas Texas | Texas | 80 | $1.9B | 78.0% | A |
| 114 | Geisinger Medical Center Pennsylvania | Pennsylvania | 80 | $1.9B | 78.0% | A |
| 115 | John Muir Health California | California | 80 | $1.8B | 78.0% | A |
| 116 | Kaiser Foundation Health Plan Inc California | California | 79 | $75.1B | 78.0% | B |
| 117 | The Cleveland Clinic Foundation Ohio | Ohio | 79 | $7.6B | 78.0% | B |
| 118 | Metroplus Health Plan Inc New York | New York | 79 | $5.2B | 78.0% | B |
| 119 | Kaiser Foundation Health Plan Of The Northwest Oregon | Oregon | 79 | $5.1B | 78.0% | B |
| 120 | Cedars Sinai Medical Center California | California | 79 | $4.7B | 78.0% | B |
| 121 | Boston Medical Center Health Plan Inc Massachusetts | Massachusetts | 79 | $4.1B | 78.0% | B |
| 122 | Commonwealth Care Alliance Inc Massachusetts | Massachusetts | 79 | $2.6B | 78.0% | B |
| 123 | Kaiser Foundation Health Plan Of Georgia Inc Georgia | Georgia | 79 | $2.4B | 78.0% | B |
| 124 | Providence Health System Southern California Washington | Washington | 79 | $2.2B | 78.0% | B |
| 125 | Hoag Memorial Hospital Presbyterian California | California | 79 | $1.8B | 78.0% | B |
| 126 | Elderplan Inc New York | New York | 79 | $1.6B | 78.0% | B |
| 127 | Healthfirst Phsp Inc New York | New York | 78 | $12.1B | 78.0% | B |
| 128 | Ucare Minnesota Minnesota | Minnesota | 78 | $6.2B | 78.0% | B |
| 129 | Sentara Health Plans Virginia | Virginia | 78 | $5.2B | 78.0% | B |
| 130 | Texas Childrens Health Plan Inc Texas | Texas | 78 | $3.1B | 78.0% | B |
| 131 | Childrens Hospital Corporation Massachusetts | Massachusetts | 78 | $2.7B | 78.0% | B |
| 132 | Grady Memorial Hospital Corporation Georgia | Georgia | 78 | $2.4B | 78.0% | B |
| 133 | Vns Choice New York | New York | 78 | $2.3B | 78.0% | B |
| 134 | Seattle Childrens Hospital Washington | Washington | 78 | $2.3B | 78.0% | B |
| 135 | Sutter Valley Medical Foundation California | California | 78 | $2.0B | 78.0% | B |
| 136 | Providence Health & Services Washington Washington | Washington | 77 | $9.8B | 78.0% | B |
| 137 | North Carolina Baptist Hospital North Carolina | North Carolina | 77 | $3.0B | 78.0% | B |
| 138 | H Lee Moffitt Cancer Center And Research Institute Hospital Inc Florida | Florida | 77 | $2.0B | 78.0% | B |
| 139 | Hh Medstar Health Inc Maryland | Maryland | 77 | $1.9B | 78.0% | B |
| 140 | Kaiser Foundation Hospitals California | California | 76 | $32.8B | 78.0% | B |
| 141 | Dignity Health California | California | 76 | $9.9B | 78.0% | B |
| 142 | Scan Health Plan California | California | 76 | $4.9B | 78.0% | B |
| 143 | Childrens Hospital Medical Center Ohio | Ohio | 76 | $3.1B | 78.0% | B |
| 144 | Temple University Hospital Inc Pennsylvania | Pennsylvania | 76 | $2.1B | 78.0% | B |
| 145 | Harvard Pilgrim Health Care Inc Massachusetts | Massachusetts | 74 | $2.2B | 78.0% | B |
| 146 | Froedtert Thedacare Health Inc Wisconsin | Wisconsin | 74 | $1.1B | 78.0% | B |
| 147 | Caresource Ohio Inc Ohio | Ohio | 73 | $8.5B | 78.0% | B |
| 148 | The Methodist Hospital Texas | Texas | 73 | $2.9B | 78.0% | B |
| 149 | Trinity Health Corporation Michigan | Michigan | 73 | $2.6B | 78.0% | B |
| 150 | Childrens Healthcare Of Atlanta Inc Georgia | Georgia | 73 | $2.6B | 78.0% | B |
| 151 | Northwestern Memorial Healthcare Illinois | Illinois | 73 | $2.1B | 78.0% | B |
| 152 | St Jude Childrens Research Hospital Inc Tennessee | Tennessee | 73 | $1.7B | 78.0% | B |
| 153 | Rwjbh Corporate Services Inc New Jersey | New Jersey | 73 | $1.7B | 78.0% | B |
| 154 | Wellstar Health System Inc Georgia | Georgia | 72 | $2.1B | 78.0% | B |
| 155 | Health Share Of Oregon Oregon | Oregon | 71 | $3.4B | 78.0% | B |
| 156 | Northwell Healthcare Inc New York | New York | 71 | $2.5B | 78.0% | B |
| 157 | Mayo Clinic Minnesota | Minnesota | 68 | $7.1B | 78.0% | B |
| 158 | Childrens Health System Of Texas Texas | Texas | 68 | $2.4B | 78.0% | B |
| 159 | Sutter Health California | California | 68 | $1.9B | 78.0% | B |
| 160 | Adventist Health System Sunbelt Healthcare Corporation Florida | Florida | 68 | $1.6B | 78.0% | B |
| 161 | Bjc Health System Missouri | Missouri | 68 | $1.3B | 78.0% | B |
| 162 | Northshore University Healthsystem Illinois | Illinois | 67 | $2.2B | 78.0% | B |
| 163 | Novartis Patient Assistance Foundation New Jersey | New Jersey | 60 | $2.8B | 78.0% | C |