2024 Fair Share Spending: Top 10 Systems
These health systems had the largest fair share surpluses in the country, meaning their spending on community investments exceeded the value of their tax exemption. System affiliation is based on the most recent data available.
See the full list of hospitals and systems with Fair Share surpluses here.
Top 10 Surplus Systems
| SYSTEM | NUMBER OF HOSPITALS | FAIR SHARE SURPLUS |
| Hacksensack Meridian Health | 9 | $358 M |
| Nebraska Medicine | 2 | $119 M |
| Christus Health | 20 | $108 M |
| Wellstar Health System | 7 | $85 M |
| Northwell Health | 14 | $80 M |
| Sinai Chicago | 2 | $71 M |
| Saint Francis Health System | 4 | $60 M |
| Houston Methodist | 7 | $54 M |
| Medisys Health Network | 2 | $54 M |
| Covenant Health | 9 | $48 M |