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Hospital and health system endowments covers 193 profiled hospitals, health systems and medical centers with combined reported endowment of USD 83,992.304 million. Shriners Children's has the largest value in this selection, USD 11,283.968 million. Values come from each organization's own reporting period.
Most values are the endowment balance a legal filer reported on IRS Form 990 Schedule D. Some come from audited consolidated financial statements. A filer can be one hospital or foundation within a larger system, so a value may not be a system-wide total. Each profile states which entity and which measure it uses.
| List rank | Institution or system | Type | State | Endowment, USD millions | Period end |
|---|---|---|---|---|---|
| 1 | Shriners Children's | health system | FL | 11,283.968 | December 31, 2025 |
| 2 | Mayo Clinic | academic medical center | MN | 7,917.000 | December 31, 2025 |
| 3 | Cincinnati Children's | academic medical center | OH | 6,278.876 | June 30, 2025 |
| 4 | The Cleveland Clinic Foundation | hospital foundation | OH | 6,242.484 | December 31, 2025 |
| 5 | Mass General Brigham | health system | MA | 5,293.627 | September 30, 2025 |
| 6 | Children's Hospital of Philadelphia | hospital | PA | 4,274.950 | June 30, 2025 |
| 7 | Scottish Rite for Children | hospital | TX | 3,466.295 | September 30, 2025 |
| 8 | Children's Healthcare of Atlanta | health system | GA | 2,886.101 | December 31, 2024 |
| 10 | Cedars-Sinai Medical Center | academic medical center | CA | 1,731.160 | June 30, 2025 |
| 11 | Memorial Sloan Kettering Cancer Center (group return) | academic medical center | NY | 1,455.535 | December 31, 2024 |
| 12 | St. Jude Children's Research Hospital | hospital | TN | 1,439.089 | June 30, 2025 |
| 9 | Boston Children's Hospital | academic medical center | MA | 1,247.071 | September 30, 2025 |
| 13 | Children's Wisconsin Foundation | hospital foundation | MA | 1,202.072 | December 31, 2024 |
| 14 | Abington Memorial Hospital Foundation | hospital foundation | PA | 1,078.477 | June 30, 2025 |
| 15 | Seattle Children's | hospital | WA | 887.160 | September 30, 2025 |
| 16 | Boston Medical Center | academic medical center | MA | 824.874 | September 30, 2025 |
| 17 | Children's Hospital Los Angeles | hospital | CA | 816.536 | June 30, 2025 |
| 18 | Mount Sinai Health System | hospital | NY | 811.784 | December 31, 2024 |
| 19 | Houston Methodist Hospital | hospital | TX | 793.833 | December 31, 2024 |
| 20 | City of Hope | academic medical center | CA | 701.177 | September 30, 2025 |
| 21 | Johns Hopkins Health System | health system | MD | 692.720 | June 30, 2025 |
| 22 | Hospital for Special Surgery | hospital | NY | 683.399 | December 31, 2024 |
| 23 | Rhode Island Hospital | hospital | RI | 661.926 | September 30, 2025 |
| 24 | Dana-Farber Cancer Institute | academic medical center | MA | 594.394 | September 30, 2025 |
| 25 | NewYork-Presbyterian | health system | NY | 586.421 | December 31, 2024 |
| 26 | Concord Hospital | hospital | NH | 573.748 | September 30, 2025 |
| 27 | Ann & Robert H. Lurie Children's Hospital of Chicago | hospital | IL | 572.696 | August 31, 2025 |
| 28 | Lucile Packard Children's Hospital Stanford | hospital | CA | 554.747 | August 31, 2025 |
| 29 | Trinity Health | health system | MI | 492.543 | June 30, 2026 |
| 30 | Henry Ford Health | health system | MI | 470.489 | December 31, 2024 |
| 31 | Penn Medicine | health system | PA | 467.763 | June 30, 2025 |
| 32 | The Foundation for Barnes-Jewish Hospital | hospital foundation | MO | 446.770 | December 31, 2024 |
| 33 | Beth Israel Deaconess Medical Center | academic medical center | MA | 444.732 | September 30, 2025 |
| 34 | Intermountain Community Care Foundation | hospital foundation | UT | 431.896 | December 31, 2024 |
| 35 | Arkansas Children's | hospital | AR | 428.356 | June 30, 2025 |
| 36 | Vanderbilt University Medical Center | academic medical center | TN | 424.864 | June 30, 2025 |
| 37 | Geisinger Medical Center | hospital | PA | 383.443 | December 31, 2024 |
| 38 | Children's Hospital of Pittsburgh Foundation | hospital foundation | PA | 380.165 | June 30, 2025 |
| 39 | Northwestern Memorial HealthCare | health system | IL | 378.556 | August 31, 2025 |
| 40 | Nemours Children's Health | hospital foundation | FL | 373.762 | December 31, 2024 |
| 41 | Baylor Health Care System Foundation | hospital foundation | TX | 355.358 | June 30, 2025 |
| 42 | University Hospitals Health System | health system | OH | 346.108 | December 31, 2024 |
| 43 | Baptist Health System Foundation | hospital foundation | FL | 332.177 | September 30, 2025 |
| 44 | CommonSpirit Health | health system | AZ | 322.000 | June 30, 2026 |
| 45 | Nationwide Children's Hospital | hospital | OH | 305.246 | December 31, 2024 |
| 46 | NYU Langone Health | health system | NY | 294.964 | August 31, 2025 |
| 47 | Rady Children's Hospital San Diego | hospital | CA | 285.355 | June 30, 2025 |
| 48 | Children's Hospital Colorado | health system | CO | 272.222 | December 31, 2024 |
| 49 | Children's Medical Center Foundation | hospital foundation | TX | 263.908 | December 31, 2024 |
| 50 | Northwell Health Foundation | hospital foundation | NY | 261.504 | December 31, 2024 |
| 51 | Sutter Bay Hospitals | hospital | CA | 258.271 | December 31, 2024 |
| 52 | Hartford HealthCare | hospital | CT | 252.966 | September 30, 2025 |
| 53 | Texas Children's Hospital | hospital | TX | 244.224 | September 30, 2025 |
| 54 | Lehigh Valley Hospital | hospital | PA | 231.235 | June 30, 2025 |
| 55 | W. I. Cook Foundation | hospital foundation | TX | 227.534 | September 30, 2025 |
| 56 | Atlantic Health System | health system | NJ | 223.928 | December 31, 2024 |
| 57 | Mount Sinai Medical Center of Florida | hospital | FL | 210.292 | December 31, 2024 |
| 58 | Children's National Hospital Foundation | hospital foundation | DC | 209.237 | June 30, 2025 |
| 59 | Middlesex Hospital | hospital | CT | 207.323 | September 30, 2025 |
| 60 | Albany Medical Center Group Organization | hospital | NY | 195.435 | December 31, 2024 |
| 61 | Hoag Memorial Hospital Presbyterian | hospital | CA | 190.498 | December 31, 2024 |
| 62 | Heritage Valley Health System | health system | PA | 171.739 | June 30, 2025 |
| 63 | Allen Memorial Hospital | hospital | IA | 169.641 | December 31, 2024 |
| 64 | Iowa Health Foundation | hospital foundation | IA | 166.530 | December 31, 2024 |
| 65 | Children's Mercy Hospital | hospital | MO | 156.333 | June 30, 2025 |
| 66 | Southern New Hampshire Medical Center | hospital | NH | 143.600 | June 30, 2025 |
| 67 | Kapiolani Health Foundation | hospital foundation | HI | 140.875 | June 30, 2025 |
| 68 | St. Barnabas Hospital | hospital | NY | 140.327 | December 31, 2024 |
| 69 | Graham Hospital Association | hospital | IL | 140.321 | June 30, 2025 |
| 70 | LSU Health Foundation New Orleans | hospital foundation | LA | 134.896 | June 30, 2025 |
| 71 | Allina Health System | health system | MN | 133.895 | December 31, 2024 |
| 72 | St. Luke's Hospital | hospital | PA | 131.675 | June 30, 2025 |
| 73 | Memorial Medical Center Foundation | hospital foundation | CA | 124.623 | June 30, 2025 |
| 74 | Le Bonheur Children's Hospital Foundation | hospital foundation | TN | 123.870 | December 31, 2024 |
| 75 | Yale New Haven Health | hospital | CT | 118.237 | September 30, 2025 |
| 76 | Christ Hospital | hospital | OH | 115.963 | June 30, 2025 |
| 77 | Indiana University Health Foundation | hospital foundation | IN | 114.253 | December 31, 2024 |
| 78 | Carroll Hospital Center | hospital | MD | 111.888 | June 30, 2025 |
| 79 | Beaumont Health Foundation | hospital foundation | MI | 108.968 | December 31, 2024 |
| 80 | Stamford Hospital | hospital | CT | 107.829 | September 30, 2025 |
| 81 | Children's Hospital of Michigan Foundation | hospital foundation | MI | 104.091 | December 31, 2024 |
| 82 | Advocate Health | hospital foundation | NC | 102.921 | December 31, 2024 |
| 83 | Baystate Health Foundation | hospital foundation | MA | 102.116 | September 30, 2025 |
| 84 | Des Moines University Osteopathic Medical Center | hospital | IA | 100.134 | June 30, 2025 |
| 85 | Riverside Community Health Foundation | hospital foundation | CA | 95.087 | December 31, 2024 |
| 86 | Lankenau Medical Center Foundation | hospital foundation | PA | 94.356 | June 30, 2025 |
| 87 | South County Health | health system | RI | 90.528 | September 30, 2025 |
| 88 | Saint Francis Hospital and Medical Center | hospital | CT | 90.083 | September 30, 2025 |
| 89 | Duke University Health System | health system | NC | 85.448 | June 30, 2025 |
| 90 | Akron Children's | hospital | OH | 83.303 | December 31, 2024 |
| 91 | Chambersburg Hospital | hospital | PA | 79.064 | June 30, 2025 |
| 92 | Montage Health Foundation | hospital foundation | CA | 78.255 | December 31, 2024 |
| 93 | Mercy Medical Center | hospital | IA | 77.906 | June 30, 2025 |
| 94 | Abington Memorial Hospital | hospital | PA | 77.865 | June 30, 2025 |
| 95 | Children's Hospital & Medical Center Foundation | hospital foundation | NE | 73.894 | December 31, 2024 |
| 96 | Orlando Health Foundation | hospital foundation | FL | 72.870 | September 30, 2025 |
| 97 | Virginia Mason Medical Center | hospital | WA | 72.643 | June 30, 2025 |
| 98 | Danbury Hospital & New Milford Hospital Foundation | hospital foundation | CT | 70.775 | September 30, 2025 |
| 99 | Christ Hospital Foundation | hospital foundation | OH | 70.213 | June 30, 2025 |
| 100 | Lahey Clinic Hospital | hospital | MA | 69.267 | September 30, 2025 |
| 101 | The Howard Young Medical Center | hospital | WI | 67.816 | June 30, 2025 |
| 102 | Temple University Hospital | hospital | PA | 67.307 | June 30, 2025 |
| 103 | White Plains Medical Center | hospital | NY | 64.214 | December 31, 2024 |
| 104 | Inova Health System Foundation | hospital foundation | VA | 62.097 | December 31, 2024 |
| 105 | Variety Children's Hospital | hospital | FL | 60.080 | December 31, 2024 |
| 106 | Elkhart General Hospital | hospital | IN | 58.874 | December 31, 2024 |
| 107 | Mary Imogene Bassett Hospital | hospital | NY | 58.799 | December 31, 2024 |
| 108 | Presbyterian Hospital Foundation | hospital foundation | NC | 58.799 | December 31, 2024 |
| 109 | St. Luke's Health Foundation Ltd | hospital foundation | ID | 58.489 | September 30, 2025 |
| 110 | Miami Valley Hospital Foundation | hospital foundation | OH | 56.918 | December 31, 2024 |
| 111 | Providence | hospital | OR | 56.447 | December 31, 2024 |
| 112 | Wood County Hospital Foundation | hospital foundation | OH | 54.182 | June 30, 2025 |
| 113 | Legacy Good Samaritan Hospital and Medical Center Payroll Dept | hospital | OR | 53.441 | March 31, 2025 |
| 114 | Greater Baltimore Medical Center | hospital | MD | 52.298 | June 30, 2025 |
| 115 | Miami Children's Health System Foundation | hospital foundation | FL | 51.847 | December 31, 2020 |
| 116 | Sentara Rmh Medical Center | hospital | VA | 51.560 | December 31, 2024 |
| 117 | Centra Health Foundation | hospital foundation | VA | 50.773 | December 31, 2024 |
| 118 | Stanford Health Care | hospital | CA | 49.836 | August 31, 2025 |
| 119 | Hanover Hospital Foundation | hospital foundation | PA | 49.612 | June 30, 2025 |
| 120 | Valley Health System | health system | VA | 47.147 | December 31, 2024 |
| 121 | Cottage Health Foundation | hospital foundation | IL | 46.592 | December 31, 2025 |
| 122 | Memorial Health System | health system | IL | 46.189 | September 30, 2025 |
| 123 | Sanford Health Foundation | hospital foundation | SD | 45.942 | December 31, 2024 |
| 124 | Superior Health Foundation | hospital foundation | MI | 45.752 | December 31, 2024 |
| 125 | Calvary Hospital | hospital | NY | 45.450 | December 31, 2024 |
| 126 | Connecticut Children's Medical Center | hospital | CT | 45.083 | September 30, 2025 |
| 127 | Norwalk Hospital Foundation | hospital foundation | CT | 44.949 | September 30, 2025 |
| 128 | SSM Cardinal Glennon Children's Hospital | hospital | MO | 44.405 | December 31, 2024 |
| 129 | Washington Hospital Foundation | hospital foundation | PA | 44.389 | June 30, 2025 |
| 130 | Berkshire Medical Center | hospital | MA | 43.922 | September 30, 2025 |
| 131 | The Nebraska Medical Center | hospital | NE | 43.547 | June 30, 2025 |
| 132 | Memorial Hospital | hospital | NH | 43.055 | September 30, 2025 |
| 133 | Benefis Health System | health system | MT | 42.822 | December 31, 2024 |
| 134 | North Shore University Hospital | hospital | NY | 42.640 | December 31, 2024 |
| 135 | Olean General Hospital Foundation | hospital foundation | NY | 42.557 | December 31, 2024 |
| 136 | Sanford Health Foundation North | hospital foundation | SD | 42.029 | December 31, 2024 |
| 137 | Kent County Memorial Hospital | hospital | RI | 38.819 | September 30, 2025 |
| 138 | Methodist Medical Center of Illinois | hospital | IL | 38.093 | December 31, 2024 |
| 139 | Swedish Medical Center Foundation | hospital foundation | WA | 37.984 | December 31, 2024 |
| 140 | Charleston Area Medical Center | hospital | WV | 37.976 | December 31, 2024 |
| 141 | Redington Memorial Hospital Association | hospital | ME | 37.623 | June 30, 2025 |
| 142 | Phoenix Children's Hospital | hospital | AZ | 36.915 | December 31, 2024 |
| 143 | Driscoll Children's Hospital | hospital | TX | 36.294 | August 31, 2025 |
| 144 | Phelps Memorial Hospital Association | hospital | NY | 36.252 | December 31, 2024 |
| 145 | Copley Memorial Hospital | hospital | IL | 35.622 | June 30, 2025 |
| 146 | Baptist Health Foundation of Birmingham | hospital foundation | AL | 35.538 | September 30, 2025 |
| 147 | Naples Community Hospital | hospital | FL | 35.496 | September 30, 2025 |
| 148 | St Joseph Hospital of Orange | hospital | CA | 35.429 | December 31, 2024 |
| 149 | Toledo Hospital | hospital | OH | 34.918 | December 31, 2024 |
| 150 | Reading Hospital Foundation | hospital foundation | PA | 34.587 | June 30, 2025 |
| 151 | High Point Regional Health Foundation | hospital foundation | NC | 33.981 | December 31, 2024 |
| 152 | Lancaster General Hospital | hospital | PA | 33.860 | June 30, 2025 |
| 153 | Adventist Health System Sunbelt | health system | FL | 33.082 | December 31, 2024 |
| 154 | Sibley Memorial Hospital Foundation | hospital foundation | DC | 33.070 | June 30, 2025 |
| 155 | Children's Hospital and Healthcare Services Foundation | hospital foundation | VA | 33.065 | June 30, 2025 |
| 156 | Children's Hospital of the Kings Daughters | hospital | VA | 33.063 | June 30, 2025 |
| 157 | York Hospital | hospital | PA | 32.520 | June 30, 2025 |
| 158 | Montefiore Medical Center | hospital | NY | 32.394 | December 31, 2024 |
| 159 | Doylestown Health Foundation | hospital foundation | PA | 32.377 | June 30, 2025 |
| 160 | Bethesda Hospital Foundation | hospital foundation | FL | 31.909 | March 11, 2021 |
| 161 | Cheshire Medical Center | hospital | NH | 31.881 | September 30, 2025 |
| 162 | Bethesda Hospital | hospital | FL | 31.753 | September 30, 2025 |
| 163 | Winona Health Foundation | hospital foundation | MN | 31.077 | September 30, 2025 |
| 164 | St. Jude Hospital | hospital | CA | 30.732 | December 31, 2024 |
| 165 | Eskenazi Health Foundation | hospital foundation | IN | 30.412 | December 31, 2024 |
| 166 | Hunterdon Medical Center | hospital | NJ | 30.077 | December 31, 2024 |
| 167 | Gaylord Hospital | hospital | CT | 29.476 | September 30, 2025 |
| 168 | Northeast Georgia Medical Center | hospital | GA | 28.506 | September 30, 2025 |
| 169 | Banner Health Foundation | hospital foundation | AZ | 28.481 | December 31, 2024 |
| 170 | Vna Health Foundation | hospital foundation | CA | 28.426 | December 31, 2024 |
| 171 | Gettysburg Hospital | hospital | PA | 28.356 | June 30, 2025 |
| 172 | Shadyside Hospital Foundation | hospital foundation | PA | 28.255 | June 30, 2025 |
| 173 | Peacehealth Southwest Medical Center Foundation | hospital foundation | WA | 28.107 | June 30, 2025 |
| 174 | Tanner Medical Center | hospital | GA | 27.887 | June 30, 2025 |
| 175 | Aspirus Health Foundation | hospital foundation | WI | 27.792 | June 30, 2025 |
| 176 | Northwest Community Hospital | hospital | IL | 27.709 | December 31, 2024 |
| 177 | Coronado Hospital Foundation | hospital foundation | CA | 27.276 | September 30, 2025 |
| 178 | Atlanticare Health System | health system | NJ | 26.985 | December 31, 2024 |
| 179 | University Health System | health system | TN | 26.787 | December 31, 2024 |
| 180 | Children's Hospital of Orange County | hospital | CA | 26.594 | June 30, 2025 |
| 181 | Exeter Hospital | hospital | NH | 26.584 | September 30, 2025 |
| 182 | Butler Hospital | hospital | RI | 25.988 | September 30, 2025 |
| 183 | Salina Regional Health Foundation | hospital foundation | KS | 25.950 | September 30, 2025 |
| 184 | Rochester Regional Health Foundation | hospital foundation | NY | 25.573 | December 31, 2024 |
| 185 | East Tennessee Children's Hospital Association | hospital | TN | 25.448 | June 30, 2025 |
| 186 | Carilion Medical Center | hospital | VA | 25.249 | September 30, 2025 |
| 187 | Saint Alphonsus Regional Medical Center | hospital | ID | 25.054 | June 30, 2025 |
| 188 | Chester County Hospital | hospital | PA | 24.711 | June 30, 2025 |
| 189 | Geneva General Hospital | hospital | NY | 24.085 | December 31, 2024 |
| 190 | Kalispell Regional Medical Center | hospital | MT | 23.961 | December 31, 2024 |
| 191 | Eisenhower Medical Center | hospital | CA | 23.746 | June 30, 2025 |
| 192 | Tmc Health Foundation | hospital foundation | AZ | 23.595 | December 31, 2024 |
| 193 | Legacy Health Foundation | hospital foundation | OR | 23.537 | March 31, 2025 |
The full compiled list of 541 records, including organizations without a profile, is at Hospital endowments list.
Period ends differ across organizations, so this table is not a common-year comparison. Schedule D balances and audited endowment net assets are different accounting measures. Year-over-year changes include gifts and spending as well as investment results.
Hospital and health system values are kept separate from the NACUBO survey tables on this site. The university and college lists use one survey year; this list does not.
The #1 most in-depth guide to endowment funds with in-depth profiles, infographics, resources, and research
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Endowments are some of the most studied investors in the world, and the numbers are scattered across financial reports, press releases and student newspapers. This site puts each endowment's figures in one place, from its own reports first, names every source, and says plainly when a number has not been published.
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Each fact names its source and its date. When two sources disagree, we show both. When an endowment has not published a number, we say so.
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Size is the tracked endowment market value in USD, mostly from the NACUBO-Commonfund Study of Endowments FY2025 public table. Linked names open a full profile with the institution's own latest figures, dates and currency.
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Ranked from published profiles only, using each endowment's latest reported fiscal year. The basis and date sit next to every number. {{ stats.queued }} endowments are still in research and will be added as their profiles publish.
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Practical guides for raising from, working with and running endowments. Each one is being written now and will publish here, free.
Tell me what you are raising for. I will tell you which endowments look like a fit, and which rooms are worth being in. I read these myself.
Correct it or claim it. It is free. Send the page, the change and a public source, and we will update it and note the date.
For board members, investment committee members, donors, students and journalists. Every profile shows value, return, spending and allocation with the fiscal year and source next to each figure.
Each fact names its source and its date. We start with the institution's own financial report, investment office report and press release, then official filings, then third-party reporting. Figures are tied to a fiscal year, because most endowments report once a year. When two sources disagree, we show both. When an endowment has not published a number, we say so rather than estimate it silently.
To report an error or ask for a change or removal, email Richard@Endowments.com or text (808) 600-9260.
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Endowments.com is a research resource on university, college and foundation endowments. It profiles 775 endowments, including university, college, foundation and hospital endowments, built from each institution's own reports and public filings, and runs the Endowments by Size Band benchmark study. Every figure carries its source and date.
I started Family Office Club 19 years ago at 26, as my 12th startup and the first one that worked. All three of my daughters are in the business with me now. My father raised $1 billion for non-profits before I ever started, so I grew up watching this.
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I am not a broker. I am not a bank. I do not charge for anything on this site. I built it because endowment figures are spread across hundreds of reports and press releases, and few places put them side by side with sources.
Text or WhatsApp me at (808) 600-9260, or email Richard@Endowments.com.
I'm Richard C. Wilson. I started Family Office Club 19 years ago. I read the messages that come in through this site myself. Text or WhatsApp me at (808) 600-9260, or email Richard@Endowments.com. Thank you.
This page is for general information only and is not investment, tax or legal advice. Figures come from the public sources listed and may have changed.