University Health is the only locally owned health system in Bexar County, with an operating budget of $3.5 billion for 2025 and, over the past five years, investing more than $1.7 billion in constructing new facilities to expand access to care. According to this 2025 study by the Perryman Group, University Health's mission generates more than $6.7 billion in annual expenditures, boosting the local economy by $3.6 billion each year, and supporting over 35,600 jobs across Bexar County (including multiplier effects).