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Hospital network

From Wikipedia, the free encyclopedia

A hospital network is a public, non-profit or for-profit company or organization that provides two or more hospitals and other broad healthcare facilities and services. A hospital network may include hospitals in one or more regions within one or more states within one or more countries. A hospital network has one headquarters, usually within one of the regions served by the network facilities. (The terms hospital system and health care system are used more broadly to define the organization of people, institutions, and resources that deliver health care services to meet the health needs of a region or country.)

History

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Some of the earliest hospital networks were affiliated with charitable, religious organizations. The Catholic Church established a hospital network in medieval Europe that was vastly improved from the merely reciprocal hospitality of the Greeks and family-based obligations of the Romans. These hospitals were established to cater to "particular social groups marginalized by poverty, sickness, and age," according to historian of hospitals, Guenter Risse.[1]

In the late 20th century hospital networks were established to make delivery of healthcare more efficient and to share specialized medical services and physicians across the network. To avoid financial losses due to shrinking reimbursements and rising costs as well as improving quality of care and avoid duplication of services, hospitals may consolidate certain services at one hospital. However, patients may need to travel farther if those services are no longer offered at their local hospital.[2][3][4]

Largest hospital networks

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Hospital networks that do not have reliable sources may not be included; these are not necessarily complete lists.

Ranked by capacity

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This is a list of hospital networks with a capacity of more than 2,500 beds.

Hospital network Country Beds As of year Ref
Alberta Health Services BERJAYA Canada 40,905 2024 [5]
Helios BERJAYA Germany 38,129 2021 [6]
HCA Healthcare BERJAYA United States 38,015 2022 [7]
Asklepios Kliniken BERJAYA Germany 27,090 2019 [8]
CommonSpirit Health BERJAYA United States 17,148 2022 [7]
Ascension BERJAYA United States 16,241 2022 [7]
IHH Healthcare BERJAYA Malaysia 15,000 [9]
Trinity Health BERJAYA United States 14,621 2022 [7]
Veterans Health Administration BERJAYA United States 13,000 [10]
Tenet Healthcare BERJAYA United States 12,822 2022 [7]
Manipal Hospitals India BERJAYA India 12,000 2025 [11][12]
Chang Gung Medical Foundation BERJAYA Taiwan 11,360 2025 [13]
Advocate Health BERJAYA United States 10,528 2022 [7]
Apollo Hospitals BERJAYA India 10,261 2020 [14]
Community Health Systems BERJAYA United States 9,850 2022 [7]
Providence Health & Services BERJAYA United States 9,445 2022 [7]
Kaiser Permanente BERJAYA United States 9,217 2022 [7]
University of Pittsburgh Medical Center BERJAYA United States 8,800 2022 [15]
AdventHealth BERJAYA United States 8,038 2022 [7]
First Affiliated Hospital of Zhengzhou University BERJAYA China 7,000 [16]
Cleveland Clinic BERJAYA United States 6,026 2019 [17]
University Hospitals Ruhr Bochum BERJAYA Germany 5,645 2021 [18]
SingHealth BERJAYA Singapore 4,814 2021 [19]
National Healthcare Group BERJAYA Singapore 4,683 2019 [20]
West China Medical Center BERJAYA China 4,300 [citation needed]
Fortis Healthcare BERJAYA India 4,000 2020 [21]
Metro Pacific Hospitals BERJAYA Philippines 3,200 2018 [22]
Charité BERJAYA Germany 3,099 2021 [23]

Ranked by staff

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This is a list of hospital networks with at least 20,000 staff.

Hospital Country Staff As of year Ref
Veterans Health Administration BERJAYA United States 330,000 [10]
HCA Healthcare BERJAYA United States 309,000 2024 [24]
Kaiser Permanente BERJAYA United States 219,930 2024 [25]
CommonSpirit Health BERJAYA United States 175,000 2024 [26]
Advocate Health BERJAYA United States 155,000 2024 [27]
Alberta Health Services BERJAYA Canada 133,050 2024 [28]
Helios BERJAYA Germany 125,000 2021 [29]
AdventHealth BERJAYA United States 100,000 2025 [30]
University of Pittsburgh Medical Center BERJAYA United States 100,000 2024 [15]
Mayo Clinic BERJAYA United States 70,000 2019 [31]
Cleveland Clinic BERJAYA United States 80,642 2024 [17]
Apollo Hospitals BERJAYA India 62,939 2020 [14]
IHH Healthcare BERJAYA Malaysia 55,000 [9]
Johns Hopkins Medicine BERJAYA United States 53,352 2018 [32]
Asklepios Kliniken BERJAYA Germany 36,265 2019 [8]
SingHealth BERJAYA Singapore 31,570 2021 [19]
Manchester University NHS Foundation Trust BERJAYA United Kingdom 23,000 2019 [33]

By country

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United States

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The largest hospital networks headquartered in the United States are included in the table below. The name, headquarters location, number of hospitals, funding type and founding year are given for each network.[34] As of 2023, there were 6,129 hospitals in the United States.[35]

Hospital networks headquartered in the United States
Network HQ city State No. of hospitals in network Funding Founded
United States Department of Veterans Affairs Washington, D.C.Washington, D.C.171 (2021)[36][37]public (Federal)1989
HCA Healthcare NashvilleTennessee184 (2021)[37]for-profit1968
Ascension St. LouisMissouri139 (2021)[37]non-profit Catholic1999
CommonSpirit Health[Note 1] Chicago Illinois 137 (2021)[37] non-profit Catholic 2019
Community Health Systems FranklinTennessee84 (2021)[37]for-profit1985
Trinity Health LivoniaMichigan92 (2021)[37]non-profit Catholic2000
LifePoint Health BrentwoodTennessee84 (2021)[37]for-profit1999
Advocate Health CharlotteNorth Carolina69 (2024)[39]non-profit2022
Tenet Healthcare DallasTexas65 (2021)[37]for-profit1969
Vibra Healthcare MechanicsburgPennsylvania45 (2021)[37]for-profit2004
Providence Health & Services RentonWashington52 (2021)[37]non-profit Catholic2016
AdventHealth Altamonte SpringsFlorida57 (2026)[40]non-profit (Seventh-day Adventist Church)1973
Baylor Scott & White Health DallasTexas52 (2021)[37]for-profit1897
Bon Secours Mercy Health CincinnatiOhio50 (2021)[37]non-profit Catholic2018
Prime Healthcare Services OntarioCalifornia45 (2021)[37]for-profit2001
Sanford Health Sioux FallsSouth Dakota46 (2021)[37]non-profit1894
Mercy Health St. LouisMissouri40 (2021)[37]non-profit Catholic1871
University of Pittsburgh Medical Center (UPMC) PittsburghPennsylvania40 (2021)[37]non-profit1893
Kaiser Permanente OaklandCalifornia39 (2021)[37]consortium of for-profit and non-profit1945
MercyOne CliveIowa25 (2021)[37]non-profit Catholic1998[Note 2]
Christus Health IrvingTexas60 (2021)[37]non-profit Catholic1999
Avera Health Sioux FallsSouth Dakota35 (2021)[37]non-profit Catholic1897
Ardent Health Services NashvilleTennessee30 (2021)[37]for-profit1993
Great Plains Health Alliance WichitaKansas29 (2021)[37]non-profit1950
Texas Health Resources ArlingtonTexas27 (2021)[37]non-profit faith based1997
Banner Health PhoenixArizona30 (2021)[37]non-profit1999
NewYork-Presbyterian Healthcare System New York CityNew York26[36]non-profit Presbyterian2015
Providence Health & Services RentonWashington52 (2021)[37][36]non-profit Catholic1859
Indian Health Service RockvilleMaryland46 (2021)[Note 3]public (Federal)1955
Quorum Health Corporation[42][37] BrentwoodTennessee22 (2021)[37]for-profit2015[Note 4]
Universal Health Services King of PrussiaPennsylvania26 (2021)[37]for-profit1979
Intermountain Health Salt Lake CityUtah24 (2021)[37]non-profit1970
Sutter Health SacramentoCalifornia24 (2021)[37]non-profit1921
Community Hospital Corporation PlanoTexas29 (2021)[37]for-profit1996
Mayo Clinic Health System RochesterMinnesota20 (2021)[37]non-profit1992
Northwell Health New Hyde ParkNew York23 (2021)[37]non-profit1997
SSM Health St. LouisMissouri23 (2021)[37]non-profit Catholic1872
Baptist Health MemphisTennessee22 (2021)[37]non-profit Baptist1955
UnityPoint Health West Des MoinesIowa39 (2021)[37]non-profit1993
Ballad Health[43] Johnson CityTennessee21 (2021)[37]non-profit2018
Hospital Sisters Health System SpringfieldIllinois15non-profit Catholic1978
BJC HealthCare St. LouisMissouri15non-profit1993[44]
Allina Health MinneapolisMinnesota12non-profit1983[44]

Notes:

  1. In February 2019, CHI merged with Dignity Health. In February 2019, Dignity Health merged with Catholic Health Initiatives, becoming CommonSpirit Health.[38]
  2. MercyOne is run under a joint operating agreement between Catholic Health Initiatives and Trinity Health.[41]
  3. Includes 24 IHS and 22 tribally operated hospitals[37]
  4. Quorum Health Corporation is a spin-off of Community Health Systems.

Canadian headquartered hospital networks

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Irish headquartered hospital networks

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A new grouping of hospitals was announced by the Irish Minister for Health, Dr. James Reilly TD in May 2013, as part of a restructure of Irish public hospitals and a goal of delivering better patient care:[45][46]

United Kingdom

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Other

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See also

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References

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  1. Risse, Guenter B (April 1999). Mending Bodies, Saving Souls: A History of Hospitals. Oxford University Press. pp. 59. ISBN 0-19-505523-3.
  2. Summit's maternity facility to be folded into Alta Bates Archived 2007-09-27 at the Wayback Machine September 16, 2001 ANG News Online. Accessed September 3, 2007.
  3. "History of Hospitals". Penn Nursing. Retrieved November 16, 2020.
  4. Harry A. Sultz and Kristina M. Young (2006). Health Care USA: Understanding Its Organization and Delivery. Sudbury, MA: Jones and Bartlett Publishers.
  5. "About AHS". Retrieved 2024-06-26.
  6. "Anzahl der Krankenhausbetten des Klinikunternehmens Fresenius Helios bis 2021". Statista (in German). Retrieved 2022-10-01.
  7. 1 2 3 4 5 6 7 8 9 10 Levinson, Zachary; Godwin, Jamie; Hulver, Scott; Neuman, Tricia (April 19, 2024). "Ten Things to Know About Consolidation in Health Care Provider Markets". KFF. Retrieved May 23, 2025.
  8. 1 2 "Key figures of the Asklepios Group" (PDF). Archived from the original (PDF) on 2021-01-31.
  9. 1 2 "IHH Healthcare Berhad". www.ihhhealthcare.com. Retrieved 2021-01-26.
  10. 1 2 Steinhauer, Jennifer (2020-03-15). "The V.A. Prepares to Back Up a Health Care System Threatened by Coronavirus". The New York Times. ISSN 0362-4331. Retrieved 2021-01-26.
  11. "About Manipal Hospitals, Bangalore India". www.manipalhospitals.com. Retrieved 2021-01-25.
  12. "Valuation Of Manipal Hospitals hits $13 billion; Firm Eyes IPO In 2026". m.rediff.com. Retrieved 2025-07-19.
  13. "Overview". changgung.hospital. Retrieved 22 October 2025.
  14. 1 2 "Annual Report 2019-20" (PDF). Retrieved 2021-01-26.
  15. 1 2 "By the Numbers: UPMC Facts and Figures". upmc.com. Retrieved 23 June 2022.
  16. "The world's biggest hospital « Week In China". Week In China. 2015-07-03. Retrieved 2019-08-12.
  17. 1 2 "Facts & Figures". clevelandclinic.org. Retrieved 2020-10-24.
  18. "760.000 Fälle pro Jahr". www.uk.rub.de. Retrieved 2022-10-01.
  19. 1 2 "SingHealth Duke-NUS Academic Medical Centre Annual Report 2020/2021" (PDF). singhealth.com.sg. 31 March 2021. Retrieved 8 September 2021.
  20. "NHG Corporate Yearbook FY2019". corp.nhg.com.sg. Retrieved 2021-01-25.
  21. "FHL Annual Report 2019-20" (PDF). Retrieved 2021-01-25.
  22. Mosqueda, Mars Jr. (15 October 2019). "Metro Pacific Hospitals raises $684m from KKR and GIC". Nikkei Asia. Retrieved 3 October 2021. Last year, the group served 3.8 million outpatients and 194,000 inpatients with more than 3,200 beds.
  23. Berlin, Charité-Universitätsmedizin. "Facts & Figures". www.charite.de. Retrieved 2022-10-01.
  24. "Who We Are". HCA Healthcare. Retrieved 2024-05-10.
  25. "Fast facts". www.about.kaiserpermanente.org. Retrieved 2021-01-26.
  26. "Working at CommonSpirit Health". CommonSpirit Health. Retrieved 2024-05-10.
  27. Muoio, Dave (August 28, 2024). "Advocate Health's operating income grows fivefold midway through 2024". FIERCE Healthcare. Retrieved May 27, 2025.
  28. "About AHS". Retrieved 2024-06-24.
  29. "Fresenius Helios | FSE". www.fresenius.com. Retrieved 2022-10-01.
  30. "AdventHealth hires 100,000th employee". Becker's Hospital Review. Retrieved February 25, 2025.
  31. "About Us - Mayo Clinic Facts". Mayo Clinic. Retrieved 2021-01-25.
  32. "The Impact of Johns Hopkins in Maryland" (PDF). December 2020.
  33. "Manchester University NHS Foundation Trust Annual Report and Accounts 1st April 2019 to 31st March 2020" (PDF). Manchester University NHS Foundation Trust.
  34. "100 of the largest hospitals and health systems in America in 2019". Becker's Hospital Review. 2019. Retrieved November 6, 2020.
  35. "155+ Hospital Statistics: How Many Hospitals Are There?". www.totalcareaba.com. Retrieved 2025-04-08.
  36. 1 2 3 "Ranking the Nation's 25 Largest Healthcare Systems by Employees". Dark Daily. 25 August 2010. Retrieved November 7, 2020., American Hospital Directory, Modern Healthcare
  37. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 "100 of the largest hospitals and health systems in America 2021". Becker's Hospital Review. 2021. Retrieved March 7, 2022.
  38. Chandler, Michele. "Merger of Dignity Health and Catholic Health Initiatives is approved". USA TODAY. Retrieved 2020-02-02.
  39. Muoio, Dave (August 28, 2024). "Advocate Health's operating income grows fivefold midway". FIERCE Health. Retrieved May 27, 2024.
  40. Siwicki, Bill (June 16, 2026). "AdventHealth is bringing precision cancer screening to the front lines of care". Healthcare IT News. Retrieved July 22, 2026.
  41. "About Us". MercyOne.org. Retrieved 20 April 2020.
  42. Weaver, Christopher; Jaramillo, Cassandra. "Community Health Spinoff to Focus on Smaller Markets". The Wall Street Journal. ISSN 0099-9660. Retrieved 2015-11-09.
  43. "About Us". Ballad Health. Retrieved November 12, 2020.
  44. 1 2 "52 great health systems to know in 2018". Beckers Hospital Review. 2018. Retrieved November 18, 2020.
  45. "Minister Announces Hospital Groups and Publishes The Framework for Smaller Hospitals". Department of Health. Department of Health (Ireland). 15 May 2013. Retrieved 15 May 2013.
  46. "Six hospital groups 'most fundamental reform in decades'". Irish Medical Times. 14 May 2013. Retrieved 27 May 2019.