43 health systems ranked by long-term debt

Becker's Healthcare April 26, 2024
Alan Condon

Long-term debt has long been a staple in healthcare, but many hospitals and health systems are responding to the increasing cost of debt and debt service in the rising rates environment.

Highly levered health systems are looking to sell hospitals, facilities or business lines to reduce their debt leverage and secure long-term sustainability, which creates significant growth opportunities for systems with balance sheets on a more solid financial footing.

Here 43 health systems ranked by their long-term debt:

Note: This is not an exhaustive list. The following long-term debt figures are taken from each health system’s most recent financial report.

1. HCA Healthcare (Nashville, Tenn.): $37.2 billion

2. CommonSpirit (Chicago): $15.3 billion

3. Tenet Healthcare (Dallas): $14.9...