Methodology

For the ranking, Fortune expanded upon ServiceNow's Enterprise AI Maturity Index, which provided a framework for assessing AI readiness across organizations, and partnered with ETR to evaluate Fortune 500 companies on their AI implementation.

Between July 10 and Aug. 11, ETR surveyed technology leaders at Fortune 500 companies, asking them to assess the value of their organization's AI investments as well as their impression of how peer companies were adopting AI. A total of 167 responses were included.

The final AIQ ranking was calculated based on a weight average of four component scores:

1. Self-report score: This score is calculated based on survey responses where respondents reflected on AI implementation at their own company. Questions focused on AI implementation, return on investment, spending, and value.
2. Peer-report score: This score is calculated based on survey responses where respondents reflected on AI implementation at other companies in their sector. Questions focused on AI implementation, business development, competitive advantage, governance, and more.
3. Peer-selection score: This score is based on how frequently respondents selected a company in their sector as "most effective" at implementing AI.
4. AI-Agents Score: This score measures the maturity, realized value, and scale of an organization's AI agent deployment.

The companies leading the way with AI

The top 10 companies on Fortune's 2026 AIQ 75 were:

1. JPMorgan Chase
2. Alphabet
3. Coca-Cola
4. Amazon
5. Nvidia
6. Mastercard
7. Visa
8. Carrier Global
9. Cleveland Cliffs
10. Microsoft

Five healthcare companies also made the list for their success with AI:

30. UnitedHealth Group*
31. Elevance Health
36. DaVita
48. Pfizer
75. Thermo Fisher Scientific

"Every company on Fortune AIQ 75 list understands that AI fundamentally transforms business, but people will determine the outcomes. They're redesigning how work gets done and positioning their people close to where the change actually happens," said Jacqui Canney, chief people and AI enablement officer at ServiceNow. "These 75 companies know that as technology moves faster, your competitive edge comes from the people who can read where the business is headed and steer their teams through the shift."

*Advisory Board is a subsidiary of Optum, a division of UnitedHealth Group. All Advisory Board research, expert perspectives, and recommendations remain independent.