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helping-Health Care Career Development

​About 12% of the entire U.S. workforce works in healthcare, meaning roughly 1 in every 8 workers in the country is employed in a health‑related job. This makes healthcare the largest employment sector in the United States. nchstats.com KFF

Below is a clear, structured breakdown of what this percentage means and how it fits into the broader labor market.

🩺 What Percentage of the Total U.S. Workforce Is Healthcare?
National Percentage
  • 12% of all U.S. workers are employed in healthcare.
    • This figure is supported by national workforce data showing the health sector employs 19–20 million people out of the total U.S. workforce. nchstats.com
    • KFF’s national employment data also shows healthcare = 12.0% of total employment. KFF

State-by-State Range
Healthcare’s share of total employment varies by state:

New Jersey
  • 12.4% of all workers in New Jersey are employed in healthcare.
New York
  • 14.9% of all workers in New York are employed in healthcare.
  • Lowest: ~7.6% (District of Columbia)
  • Typical Range: 10–14% in most states
  • Highest: 15.5% in West Virginia  KFF

Why This Percentage Is So High
  • Healthcare is the largest private employment sector in the U.S.
  • Demand has grown from 16.3 million workers in 2015 to nearly 20 million by 2025.
  • Growth is driven by:
    • Aging population
    • Chronic disease
    • Post‑pandemic staffing shortages
    • Expansion of outpatient and home‑based care
      nchstats.com

📊 How Healthcare Compares to Other Sectors
Healthcare now surpasses:
  • Retail
  • Manufacturing
  • Education
…in total employment, making it the largest employer in the U.S. economy. nchstats.com

🧩 What This Means
A 12% share of the national workforce indicates:
  • High job stability
  • Long‑term demand
  • Strong career mobility
  • Consistent growth across all healthcare occupations
This percentage is expected to increase further as the population ages and healthcare needs expand.

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​Health Care Career Exploration

Here’s a list of the top entry‑level healthcare career books, based on the product data and reputable sources surfaced above. These are the books that consistently show up as the strongest introductions for people exploring healthcare careers — whether you're considering clinical roles, administrative paths, or just trying to understand the field.

Top Books for Entry‑Level Healthcare Careers click on blue link to buy on Amazon

1. Introduction to Health Care & Careers
Why it’s great: A broad, beginner‑friendly foundation covering healthcare systems, roles, ethics, communication, and basic skills. Ideal for anyone unsure where they fit in healthcare.
Best for: Students exploring multiple healthcare career paths.

2. Top 100 Health‑Care Careers Guidebook
Why it’s great: Breaks down dozens of healthcare roles with job descriptions, salary ranges, required education, and day‑to‑day responsibilities.
Best for: People deciding which healthcare career to pursue.

3. Want a Career in the Healthcare Industry? (Peter Kruse)
Why it’s great: A straightforward introduction to how healthcare organizations work and what different roles look like from the inside.
Best for: Adults transitioning into healthcare from another field.

4. Healthcare Career Guide (Susan Odegaard Turner)
Why it’s great: A practical overview of healthcare roles, workplace expectations, and the skills needed to succeed.
Best for: Anyone wanting a simple, no‑nonsense guide to getting started.

5. How to Choose Your Perfect Healthcare Career (Cathleen Small)
Why it’s great: A newer, concise guide that helps readers match their interests and strengths to specific healthcare roles.
Best for: Teens, young adults, or anyone who wants a quick, modern overview.

6. Introduction to Health Care & Careers (Roxann DeLaet)
​
Why it’s great: Another strong foundational text that explains healthcare delivery, patient care basics, and career options.
Best for: Students entering certificate programs or community‑college healthcare tracks.

If you want the very best starting point…Choose Introduction to Health Care & Careers (the first one). It’s the most comprehensive, the most widely used in entry‑level programs, and the easiest to learn from without prior experience.

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15 years and counting


Practical roadmap someone should follow
​                                                    to explore healthcare careers
​

healthcare career exploration guide and checklist
File Size: 101 kb
File Type: docx
Download File


1. Start With Self‑Assessment
Before looking at jobs, a person needs to understand themselves.
They should reflect on:
  • What kind of work energizes them (hands‑on, technical, administrative, patient‑facing)
  • Comfort level with blood, illness, or emergencies
  • Strengths (communication, science, organization, empathy, problem‑solving)
  • Preferred work environment (hospital, clinic, lab, office, community setting)
  • Education willingness (short certificate vs. multi‑year degree)
This step saves people from chasing careers that don’t match who they are.

2. Explore the Full Range of Healthcare Roles
Healthcare is much bigger than “doctor or nurse.”
A person should look at categories like:
  • Clinical roles: CNA, MA, EMT, phlebotomist, radiology tech, respiratory therapist
  • Administrative roles: medical billing, health information management, patient access
  • Therapy & rehabilitation: PT assistant, OT assistant, speech therapy support
  • Diagnostic & lab roles: medical lab tech, pharmacy tech, imaging
  • Community & public health: outreach worker, health educator, care coordinator
This helps them see options they didn’t know existed.

3. Research Each Career in Detail
For each role they’re curious about, they should look up:
  • Job duties
  • Salary ranges
  • Required education or certifications
  • Work schedule (nights, weekends, holidays)
  • Physical demands
  • Job outlook
  • Typical employers (hospitals, nursing homes, private practices)
This is where career guides, school websites, and professional associations are useful.

4. Talk to Real People in the Field
This is the step most people skip — and it’s the most valuable.
They should:
  • Ask for informational interviews
  • Shadow someone for a few hours
  • Talk to instructors at local training programs
  • Attend open houses at community colleges or hospitals
Hearing the truth from someone doing the job is eye‑opening.

5. Try Entry‑Level Exposure
Hands‑on experience helps someone know if healthcare is right for them.
Options include:
  • Volunteering at a hospital or nursing home
  • Becoming a CNA, home health aide, or patient transporter
  • Working as a medical receptionist
  • Taking an intro course in anatomy, medical terminology, or health careers
These roles build confidence and help people test the waters.

6. Evaluate Education & Training Paths
Once they narrow down a few careers, they should compare:
  • Program length
  • Cost
  • Accreditation
  • Clinical hours
  • Job placement rates
  • Licensing requirements in New York (since you’re in Nanuet)
This step prevents surprises later.

7. Make a Plan and Take the First Step
A good plan includes:
  • Choosing the career path
  • Mapping out required training
  • Setting a timeline
  • Applying to programs or certifications
  • Preparing financially (aid, grants, scholarships)
Even small steps — like taking a prerequisite course — build momentum.

8. Reassess Along the Way
​
Healthcare is huge. It’s normal for someone to start in one role and move into another.
They should check in with themselves regularly:
  • Do I enjoy the work
  • Do I want more responsibility
  • Should I specialize or advance
Healthcare careers grow with the person.


The core justification for the extreme projected growth of healthcare careers over the next 10–15 years is simple: Demand is rising much faster than supply, and authoritative workforce projections show large, persistent shortages across nearly every major health profession. This is driven by demographic shifts, chronic disease trends, behavioral‑health needs, and workforce attrition.
​

Below is a clear, data‑grounded breakdown using the most recent U.S. federal projections.
​

📈 Key Statistics Showing Why Healthcare Careers Are Growing So Rapidly

​
1. Large, long‑term shortages across major health professions
Federal projections from the National Center for Health Workforce Analysis (HRSA) show severe shortages by 2036–2038:
  • Primary care physicians: Shortage of 68,020 FTEs by 2036, with only 81% adequacy of needed supply.
  • Behavioral health professions: Shortages in 9 of 11 professions, with adequacy as low as 45% for adult psychiatrists.
  • Allied health professions (2038):
    • 60,610 physical therapists
    • 12,770 respiratory therapists
    • 30,400 pharmacists
    • 43,490 dispensing opticians
    • 14,840 chiropractors
    • 5,310 podiatrists
These shortages reflect demand far outpacing supply, which directly drives job growth.

2. Behavioral health demand is exploding
HRSA notes a “well‑documented” surge in demand for mental‑health and substance‑use services. Shortages are projected even without accounting for unmet need. If unmet need were included, the U.S. would require an additional 136,350 psychologists beyond current projections.
This is one of the fastest‑growing segments in all of healthcare.

3. Workforce attrition is accelerating
Post‑pandemic data show:
  • Higher retirement rates
  • Burnout‑driven exits
  • Reduced training pipeline capacity
HRSA explicitly states that current projections incorporate larger attrition and updated post‑pandemic workforce behavior.
This means the supply of workers is shrinking faster than previously expected.

4. Population growth + aging = massive increase in service demand
The HRSA Workforce Simulation Model incorporates:
  • Population size increases
  • A rapidly aging population
  • Higher utilization of services by older adults
  • Geographic maldistribution (metro vs. non‑metro)
These demographic factors significantly raise demand for healthcare workers.

5. Chronic disease prevalence continues to rise

While not explicitly quantified in the search results, HRSA’s model accounts for patient health‑seeking behavior and disease burden, which are increasing due to:
  • Diabetes
  • Cardiovascular disease
  • Obesity
  • Long‑term effects of COVID‑19
This drives long‑term demand for nurses, therapists, physicians, and allied health professionals.

6. Healthcare remains one of the largest and fastest‑growing employment sectors

The U.S. Bureau of Labor Statistics (BLS) identifies healthcare as a top growth sector, with many of the fastest‑growing occupations falling within healthcare categories.

🧠 Underlying Factors Driving Extreme Growth (10–15 Year Outlook)

1. Aging Baby Boomer population        ( I am one of them LOL)
  • By 2035, older adults will outnumber children in the U.S.
  • Older adults use 2–5× more healthcare services than younger populations.
2. Chronic disease epidemic
  • More Americans are living longer with chronic conditions requiring ongoing care.
3. Behavioral health crisis
  • Rising rates of depression, anxiety, addiction, and youth mental‑health issues.
  • Severe shortages in psychiatry, psychology, and counseling.
4. Workforce burnout and retirements
  • Pandemic‑accelerated exits.
  • Many clinicians nearing retirement age.
5. Expansion of care settings
  • Growth in home health, telehealth, long‑term care, and community‑based services.
6. Policy and insurance expansion
  • Greater access to care increases utilization.
  • Value‑based care models require more support roles (care coordinators, techs, therapists).
7. Geographic maldistribution
  • Rural and underserved areas face the steepest shortages, increasing national demand.​

🧩 Why This Means “Extreme Growth”
When demand rises (aging population, chronic disease, mental‑health needs) and supply falls (retirements, burnout, training bottlenecks), the result is:
A structural, long‑term labor shortage that guarantees strong job growth, high job security, and rising wages across healthcare professions.
This is why healthcare is projected to remain one of the most resilient and fastest‑expanding sectors through 2036–2038 and beyond.
​


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🩺 1. What Is the Situation for Nursing in U.S. Healthcare?
The U.S. nursing workforce is experiencing high demand, persistent shortages, and significant churn due to burnout and retirements.
Key facts:
  • 138,000 nurses left the workforce since 2022.
  • 40% of nurses intend to leave by 2029, representing up to 1.6 million nurses.
  • Burnout, understaffing, workload, inadequate salary, and workplace violence are the top reasons for leaving.
  • Despite some stabilization, the workforce still faces structural shortages and high turnover.
This creates strong job security, rapid hiring, and high demand for new nurses across all settings.
​


📊 2. What Percentage of Healthcare Workers Are Nurses?
The U.S. healthcare workforce includes millions of workers across hundreds of occupations. While the exact percentage varies by dataset, the most authoritative national workforce studies show:
  • The U.S. has over 3 million Registered Nurses (RNs) and over 500,000 Licensed Practical/Vocational Nurses (LPN/LVNs).
  • Nurses are the largest single occupation in healthcare, representing the majority of direct patient‑care providers.
Based on workforce size, nurses (RNs + LPNs) account for well over one‑third of all healthcare practitioners, and in many clinical settings (hospitals, long‑term care), they represent 50–60% of the direct‑care workforce. (This percentage is an inference based on the size of the nursing workforce relative to total healthcare practitioner employment.)


📈 3. National Nursing Projections (2023–2038)
According to the HRSA Nurse Workforce Projections (2025):
Registered Nurses (RNs)
  • 8% national shortage in 2028.
  • 3% shortage by 2038, equal to 108,960 full‑time‑equivalent RNs.
  • Non‑metro areas will face far worse shortages (11% in 2038).
Licensed Practical/Vocational Nurses (LPN/LVNs)
  • Demand will grow faster than supply through 2038.
  • Projected shortage of 245,950 LPN FTEs by 2038.
  • Supply will meet only 70% of demand by 2038.
Nurse Practitioners (NPs)
  • Supply will exceed demand, but distribution is the problem (rural shortages).
Overall Trend
  • The U.S. will face persistent nursing shortages for at least the next 10–15 years, especially in rural areas and long‑term care.

🧭 4. What Is a Good Career Progression Path for a Nurse?
Below is the most common and strategic nursing career ladder, from entry‑level to advanced practice.
Step 1 — CNA (Certified Nursing Assistant)
  • Fastest entry point (4–12 weeks training).
  • Works in hospitals, nursing homes, home health.
  • Often used as a stepping stone to LPN or RN.
Step 2 — LPN/LVN (Licensed Practical/Vocational Nurse)
  • 1‑year program.
  • Works in long‑term care, clinics, home health.
  • High demand due to projected shortages.

Step 3 — RN (Registered Nurse)
Two pathways:
  • ADN (Associate Degree in Nursing) – 2 years
  • BSN (Bachelor of Science in Nursing) – 4 years
73% of nurses now hold a BSN or higher, the highest ever recorded.
RNs have the broadest job opportunities (hospital, ER, ICU, OR, community health, etc.).

​Step 4 — Advanced Practice Registered Nurse (APRN)Requires a Master’s or Doctorate.
Options include:
Nurse Practitioner (NP)
  • Highest demand among APRNs.
  • Works in primary care, psych, acute care, etc.
  • Supply exceeds demand nationally, but rural shortages persist.
Nurse Anesthetist (CRNA)
  • Highest‑paid nursing role.
  • Requires DNP or DNAP.
Nurse Midwife (CNM)
  • Works in women’s health, OB/GYN, labor & delivery.

​Step 5 — Leadership, Education, or Specialized Roles
  • Nurse Manager
  • Director of Nursing
  • Chief Nursing Officer (CNO)
  • Nurse Educator (high demand due to faculty shortages)
  • Clinical Nurse Specialist (CNS)
  • Informatics Nurse
  • Quality/Compliance Nurse


🧩 5. Summary: What This Means for You
  • Nursing is the largest and most essential workforce in U.S. healthcare.
  • Nurses represent a major share of all healthcare practitioners, with millions employed nationwide.
  • The U.S. faces long‑term shortages of RNs and LPNs through 2038.
  • Career progression is flexible, with strong opportunities to advance into high‑paying APRN or leadership roles.
  • Burnout and retirements are creating historic levels of demand, making nursing one of the most secure career paths in healthcare.


Below is a clear, data‑grounded breakdown of the fastest‑growing healthcare careers, their projected growth (2024–2034), and median annual salaries (2024) using the latest U.S. Bureau of Labor Statistics (BLS) projections. All statistics are sourced from the Occupational Outlook Handbook and BLS Employment Projections.


📈 Fastest‑Growing Healthcare Careers (2024–2034) The following occupations represent the strongest projected growth and high demand across the next decade.
🩺 1. Registered Nurses (RNs)
  • Median Salary (2024): Varies by specialty; typical RN median is around the healthcare practitioner median of $83,090
  • Growth Outlook: Faster than average (driven by aging population, chronic disease, and retirements).
  • Why High Demand:
    • Expansion of home health and long‑term care
    • Rising chronic disease burden
    • Large retirement wave among current nurses
🧠 2. Mental Health Professionals (Counselors, Therapists, Psychologists)
  • Median Salaries (2024):
    • Mental health counselors: typically in the $49k–$60k range (varies by state; BLS category median for support roles is $37,180, but counselors trend higher).
    • Psychologists: typically $85k–$110k+ depending on specialty
  • Growth Outlook: Much faster than average
  • Why High Demand:
    • National behavioral‑health crisis
    • Shortages in 9 of 11 behavioral‑health professions (HRSA)
    • Increased insurance coverage for mental‑health services
🦵 3. Physical Therapists (PTs)
  • Median Salary (2024): $99k–$105k (PTs fall within high‑earning practitioner roles; BLS median for practitioners is $83,090).
  • Growth Outlook: Much faster than average
  • Why High Demand:
    • Aging population needing mobility/rehab
    • Post‑surgical and chronic pain management
    • Growth in outpatient and home‑based rehab
🩻 4. Physician Assistants (PAs)
  • Median Salary (2024): Typically $125k–$140k (PAs fall within high‑earning practitioner roles).
  • Growth Outlook: Much faster than average
  • Why High Demand:
    • Physician shortages
    • Expansion of team‑based care
    • Ability to practice across specialties
🦷 5. Dental Hygienists
  • Median Salary (2024): $94,260
  • Growth Outlook: Faster than average
  • Why High Demand:
    • Preventive dental care expansion
    • Aging population retaining more natural teeth
🧪 6. Clinical Laboratory Technologists & Technicians
  • Median Salary (2024): $61,890
  • Growth Outlook: Faster than average
  • Why High Demand:
    • Increased diagnostic testing
    • Growth in chronic disease monitoring
🦻 7. Audiologists
  • Median Salary (2024): $92,120
  • Growth Outlook: Much faster than average
  • Why High Demand:
    • Aging population → more hearing loss
    • Advances in hearing technology
🏋️ 8. Athletic Trainers
  • Median Salary (2024): $60,250
  • Growth Outlook: Much faster than average
  • Why High Demand:
    • Increased focus on injury prevention
    • Growth in youth and collegiate sports
    • Expansion into occupational health
🫁 9. Respiratory Therapists
  • Median Salary (2024): Typically $70k–$75k
  • Growth Outlook: Faster than average
  • Why High Demand:
    • Long‑term respiratory complications post‑COVID
    • Aging population with COPD and asthma
🧬 10. Cardiovascular Technologists & Technicians
  • Median Salary (2024): $67,260
  • Growth Outlook: Faster than average
  • Why High Demand:
    • Rising heart disease prevalence
    • Increased use of diagnostic imaging


101 health systems ranked by annual revenue
The following financial results are for the 12 months ending Dec. 31, 2025, unless otherwise stated.

1. Kaiser Permanente (Oakland, Calif.): $127.7 billion

2. HCA Healthcare (Nashville, Tenn.): $75.6 billion

3. CommonSpirit Health (Chicago): $40.1 billion
*Results for the 12 months ending June 30, 2025

4. Advocate Health (Charlotte, N.C.): $38.9 billion

5. UPMC (Pittsburgh): $33.6 billion

6. Providence (Renton, Wash.): $29.5 billion 

7. University of California Health (Oakland): $25.9 billion
*Results for the 12 months ending June 30, 2025

8. Trinity Health (Livonia, Mich.): $25.4 billion
*Results for the 12 months ending June 30, 2025

9. Ascension (St. Louis): $25.3 billion
*Results for the 12 months ending June 30, 2025

10. AdventHealth (Altamonte Springs, Fla.): $23 billion


11. Mass General Brigham (Somerville, Mass.): $22.8 billion
*Results for the 12 months ending Sept. 30, 2025


12. Northwell Health (New Hyde Park, N.Y.): $22.6 billion
*Includes revenue from merger with Nuvance (Conn.) Health


13. Mayo Clinic (Rochester, Minn.): $21.5 billion
14. Tenet Healthcare (Dallas): $21.3 billion
15. Sutter Health (Sacramento, Calif.): $19.8 billion
16. Intermountain Health (Salt Lake City): $18.5 billion
17. Cleveland Clinic: $18.3 billion
18. Corewell Health (Southfield, Mich.): $17.6 billion
19. Universal Health Services (King of Prussia, Pa.): $17.4 billion
20. Baylor Scott & White Health (Dallas): $17.3 billion
*Results for the fiscal year ending June 30, 2025
21. Banner Health (Phoenix): $16 billion
22. NYC Health + Hospitals (New York City): $15.9 billion
23. Jefferson Health (Philadelphia): $15.8 billion
*Results for the fiscal year ending June 30, 2025
24. NYU Langone (New York City): $15.4 billion
25. Sentara Health (Norfolk, Va.): $14.2 billion
26. Bon Secours Mercy Health (Cincinnati): $14 billion
27. Henry Ford Health (Detroit): $13.1 billion
28. SSM Health (St. Louis): $12.7 billion
29. Community Health Systems (Franklin, Tenn.): $12.5 billion
30. BJC Health System (St. Louis): $12.1 billion
31. Novant Health (Winston-Salem, N.C.): $11.9 billion
32. Mount Sinai Health System (New York City): $11.9 billion
33. Sanford Health (Sioux Falls, S.D.): $11.7 billion
34. RWJBarnabas Health (West Orange, N.J.): $11 billion
35. Northwestern Medicine (Chicago): $10.6 billion
*Results for the 12 months ending Aug. 31, 2025
36. Mercy Health (Chesterfield, Mo.): $10.2 billion
*Results for the 12 months ending June,30, 2025
37. Orlando Health (Orlando, Fla.): $9.9 billion
*Results for the 12 months ending Sept. 30, 2025
38. Hackensack Meridian Health (Edison, N.J.): $9 billion
39. Christus Health (Irving, Texas): $9.7 billion
*Results for the 12 months ending June 30, 2025
40. Beth Israel Lahey Health (Cambridge, Mass.): $9.7 billion
*Results for the 12 months ending Sept. 30, 2025
41. Johns Hopkins Medicine (Baltimore): $9.6 billion
*Results for the 12 months ending June 30, 2025
42. Indiana University Health (Indianapolis): $9.5 billion
43. Stanford Health Care (Palo Alto, Calif.): $9.5 billion
*Results for the 12 months ending Aug. 31, 2025
44. MedStar Health (Columbia, Md.): $9 billion
*Results for the 12 months ending June 30, 2025
45. Montefiore (New York City): $8.8 billion
46. Piedmont Healthcare (Atlanta): $8.8 billion
*Results for the 12 months ending June. 30, 2025
47. University of Michigan Health (Ann Arbor): $8.7 billion
*Results for the 12 months ending June. 30, 2025
48. Cedars-Sinai (Los Angeles): $8.6 billion
*Results for the 12 months ending June. 30, 2025
49. Vanderbilt University Medical Center (Nashville, Tenn.): $8.5 billion
*Results for the 12 months ending June. 30, 2025
50. Yale New Haven (Conn.) Health: $7.6 billion
*Results for the 12 months ending Sept. 30, 2025
51. Prisma Health (Greenville, S.C.): $7.4 billion
*Results for the 12 months ending Sept. 30, 2025
52. Adventist Health (Roseville, Calif.): $7.4 billion
53. University Hospitals (Cleveland): $7.3 billion
54. Duke University Health System (Durham, N.C.): $7.2 billion
*Results for the 12 months ending June 30, 2025
55. BayCare Health System (Clearwater, Fla.): $7 billion
56. Hartford (Conn.) Healthcare: $7 billion
57. ​​Froedtert ThedaCare Health (Menomonee Falls, Wis.): $7 billion
58. Baptist Health South Florida (Coral Gables, Fla.): $7 billion
59. OhioHealth (Columbus): $7 billion
60. Presbyterian Healthcare Services (Albuquerque, N.M.): $6.8 billion
61. Inova Health System (Falls Church, Va.): $6.5 billion
62. Ardent Health (Brentwood, Tenn.): $6.3 billion
63. Allina Health (Minneapolis): $6 billion
64. Allegheny Health Network (Pittsburgh): $5.7 billion
65. Sharp HealthCare (San Diego): $5.5 billion
*Results for the 12 months ending Sept. 30, 2025
66. University of Kansas Health System (Kansas City): $5.4 billion
*Results for the 12 months ending June 30, 2025
67. Baptist Health (Louisville, Ky.): $5.2 billion
*Results for the 12 months ending Aug. 31, 2025
68. University of Chicago Health System: $5.2 billion
*Results for the 12 months ending June 30, 2025
69. OSF HealthCare (Peoria, Ill.): $5.1 billion
*Results for the 12 months ending Sept. 30, 2025
70. Norton Healthcare (Louisville, Ky.): $5 billion
71. Scripps Health (San Diego): $4.8 billion
*Results for the 12 months ending Sept. 30, 2025
72. Penn State Health (Hershey, Pa.): $4.5 billion
*Results for the 12 months ending June 30, 2025
73. HonorHealth (Scottsdale, Ariz.): $4.1 billion
74. Community Health Network (Indianapolis): $3.8 billion
75. Parkview Health (Fort Wayne, Ind.): $3.4 billion
76. Essentia Health (Minneapolis): $3.2 billion
*Results for the 12 months ending June 30, 2025
77. ProMedica (Toledo, Ohio): $3.1 billion
78. Aspirus Health (Wausau, Wis.): $3 billion
79. Tufts Medicine (Boston): $3 billion
*Results for the 12 months ending Sept. 30, 2025
80. Legacy Health (Portland): $3 billion
*Results for the 12 months ending March 31, 2025
81. Hospital Sisters Health System (Springfield, Ill.): $2.9 billion
      *Results for the 12 months ending June 30, 2025
82. Memorial Health (Marysville, Ohio): $2.5 billion
       *Results for the 12 months ending Sept. 30, 2025
83. CoxHealth (Springfield, Mo.): $2.4 billion
*Results for the 12 months ending Sept. 30, 2025
84. Deaconess Health System (Evansville, Ind.): $2.3 billion
*Results for the 12 months ending Sept. 30, 2025
85. Bronson Healthcare (Kalamazoo, Mich.): $2.1 billion
86. MyMichigan Health (Midland): $2 billion
*Results for the 12 months ending June 30, 2025
87. Hawaii Pacific Health (Honolulu): $2 billion
*Results for the 12 months ending June 30, 2025
88. Benefis Health System (Great Falls, Mont.): $1.9 billion
89. Valley Health System (Winchester, Va.): $1.6 billion
90. Catholic Health System (Buffalo, N.Y.): $1.6 billion
91. Denver Health: $1.6 billion
92. Centra Health (Lynchburg, Va.): $1.4 billion
93. TMC Health (Tucson, Ariz.): $1.3 billion


94. Inspira Health (Mullica Hill, N.J.): $1.3 billion


95. Erlanger Health System (Chattanooga, Tenn.): $1.2 billion


96. AtlantiCare Health System (Atlantic City, N.J.): $1.2 billion
​

97. Mercyhealth (Rockford, Ill.): $1.1 billion
*Results for the 12 months ending June, 30, 2025
98. Penn Highlands Healthcare (DuBois, Pa.): $1.1 billion
*Results for the 12 months ending June, 30, 2025
99. Palomar Health (Escondido, Calif.): $918 million
*Results for the 12 months ending June 30, 2025
100. Adena Health System (Chillicothe, Ohio): $815 million
101. Altru Health System (Grand Forks, N.D.): $200.6 million
Note: This article is being updated as additional health systems publish their most recent annual financial results. If your health system’s results are not included, please reach out to [email protected].

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​This site is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means to earn fees by linking to Amazon.com and affiliated sites. Additional affiliate links are also occasionally used on the site.
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​​A family publishing partnership bringing positive stories and values to young readers.​

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Buy all books on Amazon

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Special Edition crossover of Adventures of Skel and Lily Birthday Surprise
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​Skel's Holiday Adventure Published on January 9, 2026
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Print your own SkelClub.com Code of Behavior Bookmarkers

 
​ Skel loves Halloween, but now he wants to celebrate every holiday !


Skel is a happy skeleton who can’t wait to celebrate Halloween each year. But he dreams of getting to take part in the festivities for every holiday. Christmas, Thanksgiving, Valentine’s Day, and the Fourth of July—there’s so much fun to be had! Skel has a plan for the Skeleton Crew to join in on the celebrations together.

Skel and the Skeleton Crew enjoy spreading messages of positivity and good values. Children can laugh and read along with their adventures while learning important messages for growing up. Bring home Skel’s Holiday Adventure and let your kids get a jump start on reaching for the stars!

This book is ideal for young kids between ages 4 and 8. It will draw them in with the fun characters and teach them about friendship, kindness, respect, inclusiveness, and positivity. Skel's Holiday Adventure makes the perfect gift for birthdays and special occasions.
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Skel ™  and his Skel Crew ​ ™ 

Introduced Jan 9, 2026
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Skel ™ Introduced Jan 9, 2026
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Skelvis ™ Introduced Jan 9, 2026
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Skelroid ™ Introduced Jan 9, 2026
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Fetch ™
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Fetch ™ Introduced Jan 9, 2026
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Skellily ™ Introduced in book 2 - ​February 2026
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Skelema ™ Introduced in book 2 - ​February 2026
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Professor John ™ Introduced in book 2 -​February 2026
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Ned book 2 Mr Grupp book 3
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Skeljes ™ Introduced in ​March 2026
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Skelleo ™ Introduced in book 3 - ​March 2026
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Skelleo ™ Introduced in book 3 -​March 2026
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Skelbo ™ Introduced in book 7 -​july 2026
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Skelmer ™ Introduced in book 7 -​july 2026
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Officer Chris first appears in Skel's go to school Aug 2026
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Teacher Michelle first appears in Skel's go to school Aug 2026
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A family publishing partnership bringing positive stories and values to young readers. 
​
                                                       Lily's Big Sister Surprise was our first book.
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Lily's Big Sister Surprise Paperback
Large Print, July 7, 2025
by John R. Fugazzie (Author), Matthew Fugazzie (Contributor)

A Big Surprise Brings Even Bigger Joy!
​

Lily is a young girl whose life is already full of love and adventure. But one sunny morning, everything changes with Mommy and Daddy’s special announcement: Lily is going to be a big sister!

​Follow Lily as she prepares for her important new role. With help from her loving family, Lily discovers that being a big sister isn’t just about sharing toys—it’s about sharing your heart.

A tender, charming story about the joy that a new sibling can bring. It’s perfect for growing families ready to celebrate a new arrival!


​Buy on Amazon amzn.to/4lhheGr

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​Lily And Emma's Birthday Surprise
by Matthew Fugazzie (Author), John R. Fugazzie (Author)  Format: Paperback
See all formats and editions
Lily and Emma are about to have a big surprise...

While Lily and Emma played together, something magical happened: Skel and Skelily came out of their book to celebrate two very special girls.

Join Lily, Emma, Skel, and Skelily as they have a surprise birthday adventure. There is no better gift than having a wonderful sister!

Buy on Amazon now 


See more children's books on Matt's page

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6 years and counting ...
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Apprentice Celebration Video 10-17-25

MLT employee trainee story 1

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employee trainee story 2
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12 years and counting ...
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  helping-Brands.com                helping-brands.org                 helpingbrands.net                 John R. Fugazzie
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All the brand, name, graphics, images, logos, web site support and related materials are the intellectual property of John R. Fugazzie and can be licensed by partners under a written agreement. John R. Fugazzie is the developer of presentations, courses, and workshops associated with the following intellectual properties: helping-Brands, Neighbors-helping-Neighbors USA, Ask Professor John, helping-Women, helping-Veterans, helping-Latinos.and Skelclub

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