100 of the largest hospitals and health systems in America | 2020

100 of the largest hospitals and health systems in America | 2020

Becker's Hospital Review compiled 40 large health systems by number of hospitals and 60 large hospitals by bed count.

This list was developed based on information as of September 2020.

Note: Hospitals and health systems do not pay and cannot pay for inclusion on this list.

Please contact Laura Dyrda at ​ldyrda@beckershealthcare.com​with questions or updates for this list.

Largest Health Systems

Prime Healthcare (Ontario, Calif.): 46 hospitals.​ ​Since its founding in 2001, Prime Healthcare​has grown to employ 40,000 people and operate hospitals and outpatient facilities across 14 states. The for-profit health system, which includes for-profit and nonprofit hospitals, hasn't sold or closed any hospitals since its inception and has invested $1.7 billion in capital improvements since 2005.

Vibra Healthcare (Mechanicsburg, Pa.): 45 hospitals.​ Founded in 2004, Vibra Healthcare and its affiliates have grown significantly over the past 15 years to employ more than 6,000 individuals and operate 45 specialty acute care hospitals, transitional care units and facilities, and outpatient physical therapy centers. The health system operates facilities in 14 states.

UPMC (Pittsburgh): 40 hospitals.​ UPMC reports 40 academic, community and specialty hospitals, 700 physician offices and outpatient sites, and 90,000 employees. It also has rehabilitation, retirement and long-term care facilities, as well as a 3.9 million-member health plan. The health system has programs in four continents outside of North America and has a

commercial arm, UPMC Enterprises, that aims to support innovation and efforts to lower the cost of care with data-focused digital solutions.

Ascension (St. Louis): 151 hospitals.​ Ascension is a nonprofit Catholic health system with around 160,000 associates and 40,000 aligned providers. Systemwide, Ascension offers 2,700 care sites in 20 states and Washington, D.C. The health system provides around 25 million outpatient visits per year and 3.1 million ER visits.

CommonSpirit Health (Chicago): 137 hospitals​. CommonSpirit Health was created in February 2019 as a combination of Englewood, Colo.-based Catholic Health Initiatives and San Francisco-based Dignity Health. When it launched, the health system included 150,000 employees and 25,000 physicians. The faith-based health system operates hospitals and care centers in 21 states.

Community Health Systems (Franklin, Tenn.): 93 hospitals.​ CHS has more than 30 years of history, acquiring individual community and small hospitals. It spun off of Brentwood, Tenn.-based Quorum Health as a 38-hospital health system in April 2016 and now includes 93 hospitals in 16 states. The publicly traded health system has 15,000 licensed beds across all facilities.

Trinity Health (Livonia, Mich.): 92 hospitals.​ Trinity Health is a Catholic health system with 92 hospitals and 106 continuing care locations. It employs around 119,000 individuals, including 7,500 physicians and clinicians. The health system has locations in 22 states and serves communities that include about 30 million people nationwide.

LifePoint Health (Brentwood, Tenn.): 88 hospitals.​ The National Rural Health Association recognized two of the health system's hospitals — Riverview Regional Medical Center in Carthage, Tenn., and Trousdale Medical Center in Hartsville, Tenn. — among the top 20 critical access hospitals in the nation in 2019. LifePoint Health is home to more than 55,000 employees.

Tenet Healthcare (Dallas): 65 hospitals.​ In addition to its 65 acute care hospitals, Tenet Healthcare operates approximately 510 healthcare facilities, including ambulatory surgery

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centers, outpatient centers, urgent care centers and imaging centers. The health system was ranked No. 172 on the Fortune 500 rankings for 2020 and has around 112,000 employees.

HCA Healthcare (Nashville, Tenn.): 186 hospitals.​ HCA Healthcare has more than 46,000 active and affiliated physicians and 98,000 registered nurses worldwide. In 2019, the health system reported approximately 35 million patient encounters and 9.2 million emergency room visits. HCA Healthcare ranks No. 65 on the Fortune 500 list and was named among the Ethisphere Institute's "World's Most Ethical Companies" list in 2019 for the 10th consecutive year.

Veteran's Health Administration: 170 hospitals.​ The VA has 1,255 health care facilities that serve veterans and their families, including 170 medical centers. The health system has 1,074 outpatient sites as well. The VA serves around 9 million veterans per year.

Providence (Renton, Wash.): 51 hospitals.​ Providence supports 51 hospitals, 1,085 clinics and more than 120,000 employees across eight states. It was formed in 2016 by the combination of Providence Health & Services and St. Joseph Health, and now includes a single health plan with 2.1 million covered lives.

Atrium Health (Charlotte, N.C.): 36 hospitals.​ In 2018, Carolinas HealthCare System rebranded as Atrium Health, a health system with history dating back to 1940, when its flagship hospital opened its doors. Now, the health system includes nearly 40 hospitals and hundreds of care locations that include physician offices, behavioral health centers and nursing homes. The health system is home to more than 55,000 employees and has earned HIMSS Analytics Stage 7 certification in both the acute care and ambulatory environments.

AdventHealth (Altamonte Springs, Fla.): 49 hospitals.​ AdventHealth is a faith-based health system with nearly 50 hospitals in nine states, serving approximately 6 million patients annually.

More than 80,000 team members in physician practices, hospitals, outpatient clinics, skilled nursing facilities, home health agencies and hospice centers provide individualized, whole-person care.

Baylor Scott & White Health (Dallas): 52 hospitals.​ Baylor Scott & White was formed in 2013 as a combination of Baylor Health Care System and Scott & White Healthcare. The system has

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more than 1,100 care sites and 7,300 active physicians. The health system also includes a health plan and supports more than 49,000 employees and more than 7.5 million patient encounters per year. In 2020-21, 17 Baylor Scott & White hospitals appeared on the U.S. News & World Report list of America's Best Hospitals.

Bon Secours Mercy Health (Cincinnati): 50 hospitals.​ Bon Secours Mercy Health has more than 60,000 team members and 2,600 providers. The nonprofit Catholic health system has a presence in seven U.S. states and Ireland, and supports a research team focused on innovation to change the healthcare landscape.

Sanford Health (Sioux Falls, S.D.): 46 hospitals.​ Sanford Health is an integrated health system that includes more than 200 senior living facilities and more than 200 clinics. The health system also supports a 200,000-member health plan and 47,757 employees. More than 1,400 physicians and 8,502 registered nurses deliver care at the health system's locations across 26 states and 10 countries.

Mercy (St. Louis): 39 hospitals.​ The Sisters of Mercy founded this health system in 1986. The health system has 39 acute care, managed and specialty hospitals, as well as more than 900 physician practices and 2,400 Mercy Clinic physicians. Mercy also supports an IT division, supply chain organization and Mercy Virtual, which serves providers and patients nationwide.

Kaiser Permanente (Oakland, Calif.): 39 hospitals.​ Kaiser Permanente is a 39-hospital system with 715 medical offices and nearly 23,300 physicians. The health system supports more than 63,306 nurses and 217,828 employees across eight states and Washington, D.C. Kaiser also includes a nonprofit health plan serving 12.4 million members.

Avera Health (Sioux Falls, S.D.): 37 hospitals.​ Avera Health has 315 locations across 100 communities, covering a patient population of 1 million people. The faith-based health system has 19,700 employees and healthcare experts in 60 medical specialties. It also provides management and consultation services and group purchasing for rural healthcare facilities.

Steward Health Care (Dallas): 36 hospitals.​ Steward Health Care is the largest private, physician-owned and led healthcare network in the country. Steward serves more than 800 communities with hospitals, urgent care centers and preferred skilled nursing facilities across

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nine states. The health system has more than 37,000 employees and 7,000 beds systemwide.

The Steward Health Care Network reports around 12 million patient encounters per year.

Christus Health (Irving, Texas): 35 hospitals.​ Christus Health is a nonprofit health system with more than 600 healthcare-related centers. The system has around 45,000 team members, including 15,000 physicians that provide care in North America and South America. The faith-based health system has an ACO that participates in the Medicare Shared Savings Program.

Ardent Health Services (Nashville, Tenn.): 30 hospitals.​ Ardent has invested more than $1.5 billion in new hospitals as well as expanding services at existing facilities since 2001. The health system encompasses 4,384 licensed beds, 26,000 employees, approximately 180 clinic locations and more than 1,350 employed providers. It continues to focus on acquisitions of both in-market and new market opportunities.

Great Plains Health Alliance (Wichita, Kan.): 29 hospitals.​ Great Plains Health Alliance is a nonprofit organization that leases, manages and affiliates with hospitals in Kansas and Nebraska. Dating back to 1950, the health system has served rural communities and now works with team members to develop innovative solutions to overcome the challenges community hospitals face through consolidation in the healthcare space.

Banner Health (Phoenix): 28 hospitals.​ Banner Health is a large nonprofit health system that serves both rural and urban areas. The health system merged with the Tucson-based University of Arizona Health Network in 2015 to form Banner-University Medicine. It has more than 50,000 employees and is the largest employer in the Arizona region.

Community Hospital Corp. (Plano, Texas): 27 hospitals.​ CHC was founded in 1996 as a company to help community hospitals succeed. The health system has expanded since then to include hospitals across the nation and to provide supply chain, consulting, management and strategic support services.

Texas Health Resources (Arlington): 27 hospitals.​ In 1997, Texas Health Resources was formed through assets of Harris Methodist Health System in Fort Worth, Texas, and Presbyterian Healthcare Resources in Dallas. Since then, the health system has grown to

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include 27 hospitals and more than 4,000 licensed beds. Texas Health employs more than 23,000 individuals and has about 6,200 physicians with staff privileges.

Advocate Aurora Health (Oak Lawn, Ill.): 26 hospitals.​ Advocate Aurora Health reports 3 million unique patient visits per year at its 26 hospitals and 500 outpatient locations. It also has 63 Walgreens clinics and more than half a million users of its LiveWell app, which allows consumers to access personalized wellness information and virtual health tools across the health system. Formed in 2018 as a merger of Advocate Health Care and Aurora Health, Advocate Aurora Health has 5,500 employed physicians and advanced practice clinicians, 22,000 nurses and 75,000 team members.

Universal Health Services (King of Prussia, Pa.): 26 hospitals.​ UHS has more than 400 hospitals, behavioral health facilities and ASCs in its system, which spans the U.S., U.K., and Puerto Rico. The health system ranked No. 281 among Fortune 500 companies in revenue for 2019; it has been ranked on the list for 17 years. The health system has more than 90,000 employees.

MercyOne (Clive, Iowa): 25 hospitals.​ MercyOne was founded in 1998 as a collaboration between Englewood, Colo.-based Catholic Health Initiatives and Livonia, Mich.-based Trinity Health, and the two Catholic health systems continue to support MercyOne. The health system has grown to 420 locations, including 25 affiliated hospitals and 18 owned or joint-venture medical centers.

Indian Health Service (Rockville, Md.): 24 IHS-operated and 22 tribally operated hospitals.

The Indian Health Service is an agency within the HHS that provides healthcare services to about 2.6 million American Indians and Alaska natives belonging to 574 federally recognized tribes in 37 states. The health system includes CMS-designated critical access hospitals in rural areas and other locations.

Intermountain Healthcare (Salt Lake City): 24 hospitals.​ Intermountain Healthcare is a nonprofit health system with 24 hospitals (one is virtual), 215 clinics and 40,000 employees. The system also has a 2,500-physician medical group and a health plan. In 2017, the health system won the Hearst Health prize for its mental health integration program.

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Sutter Health (Sacramento, Calif.): 24 hospitals.​ Sutter is a nonprofit health system that has more than 14,000 physician partners who care for more than 3.5 million patients. In addition to its hospitals, Sutter has about 36 ASCs and 4,259 licensed general acute care beds. The health system has appeared on IBM Watson Health's Top 15 Health Systems list.

Mayo Clinic Health System (Rochester, Minn.): 23 hospitals.​ Mayo Clinic Health System has three major campuses in Minnesota, Arizona and Florida. The organization also serves more than 70 communities in Minnesota and Iowa through the Mayo Clinic Health System. More than 3,800 physicians and scientists and 63,100 allied health staff work at Mayo Clinic. Collectively, these sites care for about 1.2 million people annually from all 50 states and more than 135 countries.

Northwell Health (New Hyde Park, N.Y.): 23 hospitals​. In addition to its 23 hospitals, Northwell Health has more than 800 outpatient facilities and 14,200 affiliated physicians providing care for New York residents. The health system has about 70,000 team members, including 18,500 nurses and 4,500 employed physicians, along with a 1,900-plus medical resident and fellows program. More than 2 million patients receive treatment at Northwell facilities per year, including 865,260 emergency visits and 221,580 ambulatory surgeries.

SSM Health (St. Louis): 23 hospitals.​ SSM Health has about 40,000 employees and 11,000 care providers. The faith-based nonprofit health system provides care in Illinois, Missouri, Oklahoma and Wisconsin. As of May 2019, the health system reported more than 2 million outpatient visits and 185,112 inpatient admissions per year.

Baptist (Memphis, Tenn.): 22 hospitals.​ Baptist has 22 hospitals and 3,561 licensed beds.

The health system supports more than 19,000 team members and 5,000 affiliated physicians who perform nearly more than 70,000 surgical procedures per year. The health system has several specialty centers and partnered with Semmes Murphey Clinic in 2015 to form the Brain & Spine Network.

Quorum Health Corp. (Brentwood, Tenn.): 22 hospitals.​ Quorum Health has 22 affiliated hospitals in rural and mid-sized markets in 13 states. The health system has an aggregate of 1,817 licensed beds and also operates outpatient services providers. Quorum Health's

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subsidiary, Quorum Health Resources, provides management and consulting services to more than 150 hospitals.

UnityPoint Health (West Des Moines, Iowa): 21 hospitals.​ UnityPoint Health has 400 physician clinics, 21 regional and 19 community network hospitals, seven community mental health centers, four accredited colleges and home care services in Iowa, Illinois and Wisconsin.

It has more than 30,000 team members in rural and metropolitan communities. The health system reports about 7.9 million patient visits per year and has an ACO, as well as coordinated care programs.

Ballad Health (Johnson City, Tenn.): 21 hospitals.​ Ballad Health is a 21-hospital health system that includes about 3,000 clinicians who care for patients in 29 counties covering areas of Tennessee, Virginia, North Carolina and Kentucky. The system includes a children's hospital as well as several community hospitals, long-term care facilities and retail pharmacies.

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