Hospital network

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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

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

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

Ranked by capacity

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

Ranked by staff

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

Hospital Country Staff As of year Ref
Veterans Health Administration File:Flag of the United States.svg United States 330,000 [10]
HCA Healthcare File:Flag of the United States.svg United States 309,000 2024 [24]
Kaiser Permanente File:Flag of the United States.svg United States 219,930 2024 [25]
CommonSpirit Health File:Flag of the United States.svg United States 175,000 2024 [26]
Advocate Health File:Flag of the United States.svg United States 155,000 2024 [27]
Alberta Health Services File:Flag of Canada (Pantone).svg Canada 133,050 2024 [28]
Helios File:Flag of Germany.svg Germany 125,000 2021 [29]
AdventHealth File:Flag of the United States.svg United States 100,000 2025 [30]
University of Pittsburgh Medical Center File:Flag of the United States.svg United States 100,000 2024 [15]
Mayo Clinic File:Flag of the United States.svg United States 70,000 2019 [31]
Cleveland Clinic File:Flag of the United States.svg United States 80,642 2024 [17]
Apollo Hospitals File:Flag of India.svg India 62,939 2020 [14]
IHH Healthcare File:Flag of Malaysia.svg Malaysia 55,000 [9]
Johns Hopkins Medicine File:Flag of the United States.svg United States 53,352 2018 [32]
Asklepios Kliniken File:Flag of Germany.svg Germany 36,265 2019 [8]
SingHealth File:Flag of Singapore.svg Singapore 31,570 2021 [19]
Manchester University NHS Foundation Trust File:Flag of the United Kingdom (1-2).svg United Kingdom 23,000 2019 [33]

By country

United States

Script error: No such module "Labelled list hatnote". 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 Nashville Tennessee 184 (2021)[37] for-profit 1968
Ascension St. Louis Missouri 139 (2021)[37] non-profit Catholic 1999
CommonSpirit Health[Note 1] Chicago Illinois 137 (2021)[37] non-profit Catholic 2019
Community Health Systems Franklin Tennessee 84 (2021)[37] for-profit 1985
Trinity Health Livonia Michigan 92 (2021)[37] non-profit Catholic 2000
LifePoint Health Brentwood Tennessee 84 (2021)[37] for-profit 1999
Advocate Health Charlotte North Carolina 69 (2024)[39] non-profit 2022
Tenet Healthcare Dallas Texas 65 (2021)[37] for-profit 1969
Vibra Healthcare Mechanicsburg Pennsylvania 45 (2021)[37] for-profit 2004
Providence Health & Services Renton Washington 52 (2021)[37] non-profit Catholic 2016
AdventHealth Altamonte Springs Florida 55 (2025)[40] non-profit (Seventh-day Adventist Church) 1973
Baylor Scott & White Health Dallas Texas 52 (2021)[37] for-profit 1897
Bon Secours Mercy Health Cincinnati Ohio 50 (2021)[37] non-profit Catholic 2018
Prime Healthcare Services Ontario California 45 (2021)[37] for-profit 2001
Sanford Health Sioux Falls South Dakota 46 (2021)[37] non-profit 1894
Mercy Health St. Louis Missouri 40 (2021)[37] non-profit Catholic 1871
University of Pittsburgh Medical Center (UPMC) Pittsburgh Pennsylvania 40 (2021)[37] non-profit 1893
Kaiser Permanente Oakland California 39 (2021)[37] consortium of for-profit and non-profit 1945
MercyOne Clive Iowa 25 (2021)[37] non-profit Catholic 1998[Note 2]
Christus Health Irving Texas 60 (2021)[37] non-profit Catholic 1999
Avera Health Sioux Falls South Dakota 35 (2021)[37] non-profit Catholic 1897
Ardent Health Services Nashville Tennessee 30 (2021)[37] for-profit 1993
Great Plains Health Alliance Wichita Kansas 29 (2021)[37] non-profit 1950
Texas Health Resources Arlington Texas 27 (2021)[37] non-profit faith based 1997
Banner Health Phoenix Arizona 30 (2021)[37] non-profit 1999
NewYork-Presbyterian Healthcare System New York City New York 26[36] non-profit Presbyterian 2015
Providence Health & Services Renton Washington 52 (2021)[37][36] non-profit Catholic 1859
Indian Health Service Rockville Maryland 46 (2021)[Note 3] public (Federal) 1955
Quorum Health Corporation[42][37] Brentwood Tennessee 22 (2021)[37] for-profit 2015[Note 4]
Universal Health Services King of Prussia Pennsylvania 26 (2021)[37] for-profit 1979
Intermountain Health Salt Lake City Utah 24 (2021)[37] non-profit 1970
Sutter Health Sacramento California 24 (2021)[37] non-profit 1921
Community Hospital Corporation Plano Texas 29 (2021)[37] for-profit 1996
Mayo Clinic Health System Rochester Minnesota 20 (2021)[37] non-profit 1992
Northwell Health New Hyde Park New York 23 (2021)[37] non-profit 1997
SSM Health St. Louis Missouri 23 (2021)[37] non-profit Catholic 1872
Baptist Health Memphis Tennessee 22 (2021)[37] non-profit Baptist 1955
UnityPoint Health West Des Moines Iowa 39 (2021)[37] non-profit 1993
Ballad Health[43] Johnson City Tennessee 21 (2021)[37] non-profit 2018
Hospital Sisters Health System Springfield Illinois 15 non-profit Catholic 1978
BJC HealthCare St. Louis Missouri 15 non-profit 1993[44]
Allina Health Minneapolis Minnesota 12 non-profit 1983[44]

Notes:

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  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

Irish headquartered hospital networks

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

Other

See also

References

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  2. ^ Summit's maternity facility to be folded into Alta Bates Script error: No such module "webarchive". September 16, 2001 ANG News Online. Accessed September 3, 2007.
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