| 1 | Novant Health INC Winston Salem | $7.8B | $6.5B | $14.6B |
| 2 | Duke University Health System INC Durham | $7.2B | $5.8B | $8.6B |
| 3 | North Carolina Baptist Hospital Winstonsalem | $3.3B | $3.3B | $2.8B |
| 4 | Wakemed Raleigh | $2.6B | $2.3B | $2.0B |
| 5 | Presbyterian Hospital Winston Salem | $2.3B | $2.3B | $4.8B |
| 6 | Pitt County Memorial Hospital INC Greenville | $2.1B | $2.1B | $1.7B |
| 7 | Rex Hospital INC Raleigh | $1.7B | $1.7B | $1.8B |
| 8 | Forsyth Memorial Hospital INC Winston Salem | $1.6B | $1.6B | $3.2B |
| 9 | First Health of the Carolinas INC Pinehurst | $1.2B | $1.2B | $1.7B |
| 10 | Gaston Memorial Hospital INC Gastonia | $791.1M | $790.9M | $895.1M |
| 11 | The Moses H Cone Memorial Hospital Operating Corporation Greensboro | $622.2M | $598.6M | $2.0B |
| 12 | East Carolina Health Greenville | $597.3M | $596.8M | $383.7M |
| 13 | High Point Regional Health High Point | $502.9M | $502.9M | $487.6M |
| 14 | Gothic Hsp Corporation Durham | $490.2M | $490.2M | $2.5B |
| 15 | Atrium Health Foundation Charlotte | $471.4M | $150.1M | $556.7M |
| 16 | University Health Systems of Eastern Carolina INC Greenville | $401.4M | $401.3M | $508.4M |
| 17 | Cumberland County Hospital System INC Fayetteville | $396.0M | $346.9M | $1.8B |
| 18 | Wayne Memorial Hospital INC Goldsboro | $382.2M | $382.1M | $515.2M |
| 19 | Blue Ridge Healthcare Hospitals INC Morganton | $365.3M | $334.0M | $723.5M |
| 20 | Group Health Program of the Natnl Telecommunications Coop Assoc Asheville | $353.3M | $353.3M | $332.5M |
| 21 | Vidant Medical Group LLC Greenville | $336.6M | $336.6M | $91.2M |
| 22 | Southeastern Regional Medical Center Lumberton | $334.3M | $334.3M | $333.9M |
| 23 | Fletcher Hospital INC Hendersonvlle | $332.3M | $332.2M | $330.7M |
| 24 | Scotland Memorial Hospital Incorporated Laurinburg | $296.8M | $296.7M | $379.0M |
| 25 | Moses H Cone Memorial Hospital Greensboro | $272.7M | $53.7M | $2.2B |
| 26 | Community Care of North Carolina INC Garner | $233.0M | $233.0M | $129.3M |
| 27 | Duke University Affiliated Physicans INC Durham | $230.5M | $230.5M | $83.1M |
| 28 | Ah Georgia INC Charlotte | $213.6M | $213.6M | $366.2M |
| 29 | Caldwell Memorial Hospital INC Lenoir | $207.5M | $207.5M | $139.8M |
| 30 | Wake Forest University Baptist Medical Center Winstonsalem | $173.9M | $172.6M | $648.8M |
| 31 | Lenoir Memorial Hospital INC Kinston | $166.5M | $165.7M | $172.0M |
| 32 | Caromont Medical Group INC Gastonia | $165.8M | $165.7M | $82.8M |
| 33 | Columbus Regional Healthcare System Whiteville | $162.4M | $161.4M | $230.0M |
| 34 | Wrmc Hospital Operating Corporation N Wilkesboro | $156.1M | $156.1M | $123.7M |
| 35 | The Outer Bank Hospital INC Greenville | $146.6M | $146.6M | $144.9M |
| 36 | Daymark Recovery Services INC Salisbury | $141.5M | $117.9M | $79.8M |
| 37 | Harnett Health System INC Dunn | $140.5M | $140.5M | $166.2M |
| 38 | Hugh Chatham Memorial Hospital INC Elkin | $139.5M | $139.5M | $221.6M |
| 39 | Legacy Healthcare Services INC Raleigh | $139.3M | $139.3M | $104.0M |
| 40 | Wake Forest Emergency Providers Winstonsalem | $118.8M | $118.8M | $28.6M |
| 41 | Alamance Regional Medical Center Greensboro | $107.6M | $107.5M | $776.0M |
| 42 | Easter Seals Ucp North Carolina & Virginia INC Raleigh | $104.2M | $104.2M | $36.9M |
| 43 | Piedmont Health Services INC Chapel Hill | $94.9M | $94.9M | $62.2M |
| 44 | Carolina Healthcare Associates INC Winston Salem | $93.3M | $93.3M | $30.0M |
| 45 | Murphy Medical Center INC Murphy | $71.1M | $70.2M | $64.2M |
| 46 | Associated Health Services INC Durham | $69.0M | $69.0M | $33.7M |
| 47 | Unc Rockingham Health Care INC Eden | $66.5M | $66.5M | $36.3M |
| 48 | Goshen Medical Center Incorporated Faison | $66.0M | $66.0M | $89.2M |
| 49 | Blue Ridge Healthcare Medical Group INC Morganton | $64.5M | $64.5M | $21.1M |
| 50 | North Carolina Medical Society Employee Benefit Trust Raleigh | $64.0M | $47.8M | $24.1M |