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

Becker's Hospital Reviewcompiled 40 large health systems bynumberofhospitals and 60 large hospitals bybed count.

This listwas developed based on information as ofSeptember2020.

Note: Hospitals and health systems do notpayand cannotpayforinclusion on this list.

Please contactLaura Dyrda atldyrda@beckershealthcare.com with questions orupdates for this list.

LargestHealth Systems

Prime Healthcare (Ontario, Calif.): 46 hospitals. Since its founding in 2001,

Prime Healthcare has grown to employ40,000 people and operate hospitals and outpatient facilities across 14 states. The for-profithealth system, which includes for-profitand nonprofit hospitals, hasn'tsold orclosed anyhospitals 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 significantlyoverthe past15 years to employmore than 6,000 individuals and operate 45 specialtyacute care hospitals, transitional care units and facilities, and outpatientphysical therapycenters. The health system operates facilities in 14 states.

UPMC (Pittsburgh): 40 hospitals. UPMC reports 40 academic, communityand specialty hospitals, 700 physician offices and outpatientsites, and 90,000 employees. Italso has rehabilitation, retirementand long-term care facilities, as well as a 3.9 million-memberhealth plan. The health system has programs in fourcontinents outside ofNorth America and has a

commercial arm, UPMC Enterprises, thataims to supportinnovation and efforts to lowerthe costofcare with data-focused digital solutions.

Ascension (St. Louis): 151 hospitals. Ascension is a nonprofitCatholichealth 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 outpatientvisits peryearand 3.1 million ERvisits.

CommonSpiritHealth (Chicago): 137 hospitals. CommonSpiritHealth was created in February2019 as a combination ofEnglewood, Colo.-based CatholicHealth Initiatives and San Francisco-based DignityHealth. When itlaunched, the health system included 150,000 employees and 25,000 physicians. The faith-based health system operates hospitals and care centers in 21 states.

CommunityHealth Systems (Franklin, Tenn.): 93 hospitals. CHS has more than 30 years of history, acquiring individual communityand small hospitals. Itspun offofBrentwood, Tenn.-based Quorum Health as a 38-hospital health system in April 2016 and nowincludes 93 hospitals in 16 states. The publiclytraded health system has 15,000 licensed beds across all facilities.

TrinityHealth (Livonia, Mich.): 92 hospitals. TrinityHealth is a Catholichealth system with 92 hospitals and 106 continuing care locations. Itemploys around 119,000 individuals, including 7,500 physicians and clinicians. The health system has locations in 22 states and serves communities thatinclude about30 million people nationwide.

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

TenetHealthcare (Dallas): 65 hospitals. In addition to its 65 acute care hospitals, Tenet Healthcare operates approximately510 healthcare facilities, including ambulatorysurgery

centers, outpatientcenters, urgentcare centers and imaging centers. The health system was ranked No. 172 on the Fortune 500 rankings for2020 and has around 112,000 employees.

HCAHealthcare (Nashville, Tenn.): 186 hospitals. HCAHealthcare has more than 46,000 active and affiliated physicians and 98,000 registered nurses worldwide. In 2019, the health system reported approximately35 million patientencounters and 9.2 million emergencyroom visits. HCAHealthcare ranks No. 65 on the Fortune 500 listand was named among the Ethisphere Institute's "World's MostEthical Companies" listin 2019 forthe 10th consecutive year.

Veteran's Health Administration: 170 hospitals. The VAhas 1,255 health care facilities that serve veterans and theirfamilies, including 170 medical centers. The health system has 1,074 outpatientsites as well. The VAserves around 9 million veterans peryear.

Providence (Renton, Wash.): 51 hospitals. Providence supports 51 hospitals, 1,085 clinics and more than 120,000 employees across eightstates. Itwas formed in 2016 bythe combination ofProvidence Health & Services and St. Joseph Health, and nowincludes 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 historydating backto 1940, when its flagship hospital opened its doors. Now, the health system includes nearly40 hospitals and hundreds of care locations thatinclude 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 ambulatoryenvironments.

AdventHealth (Altamonte Springs, Fla.): 49 hospitals. AdventHealth is a faith-based health system with nearly50 hospitals in nine states, serving approximately6 million patients annually. More than 80,000 team members in physician practices, hospitals, outpatientclinics, skilled nursing facilities, home health agencies and hospice centers provide individualized, whole-person care.

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

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 peryear. In 2020-21, 17 BaylorScott& White hospitals appeared on the U.S. News & World ReportlistofAmerica's BestHospitals.

Bon Secours MercyHealth (Cincinnati): 50 hospitals. Bon Secours MercyHealth has more than 60,000 team members and 2,600 providers. The nonprofitCatholichealth 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 (SiouxFalls, S.D.): 46 hospitals. Sanford Health is an integrated health system thatincludes more than 200 seniorliving facilities and more than 200 clinics. The health system also supports a 200,000-memberhealth plan and 47,757 employees. More than 1,400 physicians and 8,502 registered nurses delivercare atthe health system's locations across 26 states and 10 countries.

Mercy(St. Louis): 39 hospitals. The Sisters ofMercyfounded this health system in 1986. The health system has 39 acute care, managed and specialtyhospitals, as well as more than 900 physician practices and 2,400 MercyClinicphysicians. Mercyalso supports an ITdivision, supplychain organization and MercyVirtual, which serves providers and patients nationwide.

KaiserPermanente (Oakland, Calif.): 39 hospitals. KaiserPermanente is a 39-hospital system with 715 medical offices and nearly23,300 physicians. The health system supports more than 63,306 nurses and 217,828 employees across eightstates and Washington, D.C. Kaiseralso includes a nonprofithealth plan serving 12.4 million members.

Avera Health (SiouxFalls, S.D.): 37 hospitals. Avera Health has 315 locations across 100 communities, covering a patientpopulation of1 million people. The faith-based health system has 19,700 employees and healthcare experts in 60 medical specialties. Italso provides managementand consultation services and group purchasing forrural healthcare facilities.

Steward Health Care (Dallas): 36 hospitals. Steward Health Care is the largestprivate, physician-owned and led healthcare networkin the country. Steward serves more than 800 communities with hospitals, urgentcare centers and preferred skilled nursing facilities across

nine states. The health system has more than 37,000 employees and 7,000 beds systemwide. The Steward Health Care Networkreports around 12 million patientencounters peryear.

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

ArdentHealth Services (Nashville, Tenn.): 30 hospitals. Ardenthas invested more than $1.5 billion in newhospitals as well as expanding services atexisting facilities since 2001. The health system encompasses 4,384 licensed beds, 26,000 employees, approximately180 clinic locations and more than 1,350 employed providers. Itcontinues to focus on acquisitions ofboth in-marketand newmarketopportunities.

GreatPlains Health Alliance (Wichita, Kan.): 29 hospitals. GreatPlains Health Alliance is a nonprofitorganization thatleases, manages and affiliates with hospitals in Kansas and Nebraska. Dating backto 1950, the health system has served rural communities and nowworks with team members to develop innovative solutions to overcome the challenges community hospitals face through consolidation in the healthcare space.

BannerHealth (Phoenix): 28 hospitals. BannerHealth is a large nonprofithealth system that serves both rural and urban areas. The health system merged with the Tucson-based University ofArizona Health Networkin 2015 to form Banner-UniversityMedicine. Ithas more than 50,000 employees and is the largestemployerin the Arizona region.

CommunityHospital Corp. (Plano, Texas): 27 hospitals. CHC was founded in 1996 as a companyto help communityhospitals succeed. The health system has expanded since then to include hospitals across the nation and to provide supplychain, consulting, managementand strategicsupportservices.

Texas Health Resources (Arlington): 27 hospitals. In 1997, Texas Health Resources was formed through assets ofHarris MethodistHealth System in FortWorth, Texas, and Presbyterian Healthcare Resources in Dallas. Since then, the health system has grown to

include 27 hospitals and more than 4,000 licensed beds. Texas Health employs more than 23,000 individuals and has about6,200 physicians with staffprivileges.

Advocate Aurora Health (OakLawn, Ill.): 26 hospitals. Advocate Aurora Health reports 3 million unique patientvisits peryearatits 26 hospitals and 500 outpatientlocations. Italso has 63 Walgreens clinics and more than halfa million users ofits LiveWell app, which allows consumers to access personalized wellness information and virtual health tools across the health system. Formed in 2018 as a mergerofAdvocate 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 ofPrussia, 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; ithas been ranked on the listfor17 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 CatholicHealth Initiatives and Livonia, Mich.-based Trinity Health, and the two Catholichealth systems continue to supportMercyOne. The health system has grown to 420 locations, including 25 affiliated hospitals and 18 owned orjoint-venture medical centers.

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

The Indian Health Service is an agencywithin the HHS thatprovides healthcare services to about2.6 million American Indians and Alaska natives belonging to 574 federallyrecognized tribes in 37 states. The health system includes CMS-designated critical access hospitals in rural areas and otherlocations.

Intermountain Healthcare (SaltLake City): 24 hospitals. Intermountain Healthcare is a nonprofithealth 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 HearstHealth prize forits mental health integration program.

SutterHealth (Sacramento, Calif.): 24 hospitals. Sutteris a nonprofithealth system thathas more than 14,000 physician partners who care formore than 3.5 million patients. In addition to its hospitals, Sutterhas about36 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 ClinicHealth System has three majorcampuses in Minnesota, Arizona and Florida. The organization also serves more than 70 communities in Minnesota and Iowa through the Mayo ClinicHealth System. More than 3,800 physicians and scientists and 63,100 allied health staffworkatMayo Clinic. Collectively, these sites care forabout1.2 million people annuallyfrom all 50 states and more than 135 countries.

Northwell Health (NewHyde Park, N.Y.): 23 hospitals. In addition to its 23 hospitals, Northwell Health has more than 800 outpatientfacilities and 14,200 affiliated physicians providing care forNewYorkresidents. The health system has about70,000 team members, including 18,500 nurses and 4,500 employed physicians, along with a 1,900-plus medical residentand fellows program. More than 2 million patients receive treatmentatNorthwell facilities peryear, including 865,260 emergencyvisits and 221,580 ambulatorysurgeries.

SSM Health (St. Louis): 23 hospitals. SSM Health has about40,000 employees and 11,000 care providers. The faith-based nonprofithealth system provides care in Illinois, Missouri, Oklahoma and Wisconsin. As ofMay2019, the health system reported more than 2 million outpatientvisits and 185,112 inpatientadmissions peryear.

Baptist(Memphis, Tenn.): 22 hospitals. Baptisthas 22 hospitals and 3,561 licensed beds. The health system supports more than 19,000 team members and 5,000 affiliated physicians who perform nearlymore than 70,000 surgical procedures peryear. The health system has several specialtycenters and partnered with Semmes MurpheyClinicin 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 outpatientservices providers. Quorum Health's

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

UnityPointHealth (WestDes Moines, Iowa): 21 hospitals. UnityPointHealth has 400 physician clinics, 21 regional and 19 communitynetworkhospitals, seven communitymental health centers, fouraccredited colleges and home care services in Iowa, Illinois and Wisconsin. Ithas more than 30,000 team members in rural and metropolitan communities. The health system reports about7.9 million patientvisits peryearand has an ACO, as well as coordinated care programs.

Ballad Health (Johnson City, Tenn.): 21 hospitals. Ballad Health is a 21-hospital health system thatincludes about3,000 clinicians who care forpatients in 29 counties covering areas ofTennessee, Virginia, North Carolina and Kentucky. The system includes a children's hospital as well as several communityhospitals, long-term care facilities and retail pharmacies.