Huntsville Hospital Health System remains Alabama’s largest hospital network by several key measures, edging out UAB Health System despite the recent acquisition of St. Vincent’s, an AL.com analysis shows.

The state’s 10 largest hospital systems generated an average of $1.2 billion each in patient revenue in 2024 and 2025. Combined, those systems employ about 85,000 people and operate more than 10,000 licensed beds — nearly one in six of all beds statewide.

At a glance: Alabama’s top hospital systems

Top revenue: UAB Health System — $2.7 billion

Total licensed beds (Top 10): 10,000

Most beds: Huntsville Hospital — 2,782

Most locations: Huntsville Hospital — 118

Largest employer: UAB Health System — 24,000 staff

Average revenue (Top 10): $1.2 billion

Revenue leaders

UAB He

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