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 headquarter, usually within one of the regions served by the network facilities.[1] (The term hospital system or health care system is 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.[2]

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.[3][4][5]

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
HCA Healthcare  United States 48,855 2019 [6]
Helios  Germany 38.129 2021 [7]
Ascension  United States 27,843 2020 [8]
Asklepios Kliniken  Germany 27,090 2019 [9]
IHH Healthcare  Malaysia 15,000 [10]
Veterans Health Administration  United States 13,000 [11]
Apollo Hospitals  India 10,261 2020 [12]
Chang Gung Medical Foundation  Taiwan 10,050 [13]
University of Pittsburgh Medical Center  United States 8,800 2022 [14]
First Affiliated Hospital of Zhengzhou University  China 7,000 [15]
Cleveland Clinic  United States 6,026 2019 [16]
Advocate Aurora Health  United States 5,862 2021 [17][18]
University Hospitals Ruhr Bochum  Germany 5,645 2021 [19]
Manipal Hospitals India  India 5,000 [20]
SingHealth  Singapore 4,814 2021 [21]
National Healthcare Group  Singapore 4,683 2019 [22]
West China Medical Center  China 4,300 [23]
Fortis Healthcare  India 4,000 2020 [24]
Charité  Germany 3,099 2021 [25]
Metro Pacific Hospitals  Philippines 3,200 2018 [26]

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  United States 330,000 [11]
HCA Healthcare  United States 280,000 2019 [6]
Kaiser Permanente  United States 217,126 2020 [27]
CommonSpirit Health  United States 150,000 2020 [28]
Helios  Germany 125,000 2021 [29]
University of Pittsburgh Medical Center  United States 92,000 2022 [14]
Advocate Aurora Health  United States 75,000 2021 [30]
Mayo Clinic  United States 70,000 2019 [31]
Cleveland Clinic  United States 67,554 2019 [16]
Apollo Hospitals  India 62,939 2020 [12]
IHH Healthcare  Malaysia 55,000 [10]
Johns Hopkins Medicine  United States 53,352 2018 [32]
Asklepios Kliniken  Germany 36,265 2019 [9]
SingHealth  Singapore 31,570 2021 [21]
Manchester University NHS Foundation Trust  United Kingdom 23,000 2019 [33]

By country

United States

See also: Category:Hospital networks in the United States

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] There were 6,146 hospitals in the United States in 2020, of which 2,240 were managed by the largest 45 hospital networks.[35][36]

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)[37][38] public (Federal) 1989
HCA Healthcare Nashville Tennessee 184 (2021)[38] for-profit 1968
Ascension Health St. Louis Missouri 139 (2021)[38] non-profit Catholic 1999
CommonSpirit Health[Note 1] Chicago Illinois 137 (2021)[38] non-profit Catholic 2019
Community Health Systems Franklin Tennessee 84 (2021)[38] for-profit 1985
Trinity Health Livonia Michigan 92 (2021)[38] non-profit Catholic 2000
LifePoint Health Brentwood Tennessee 84 (2021)[38] for-profit 1999
Tenet Healthcare Dallas Texas 65 (2021)[38] for-profit 1969
Vibra Healthcare Mechanicsburg Pennsylvania 45 (2021)[38] for-profit 2004
Providence St. Joseph Health Renton Washington 52 (2021)[38] non-profit 2016
Atrium Health Charlotte North Carolina 40 (2021)[38] non-profit 1940
AdventHealth Altamonte Springs Florida 50 (2021)[38] non-profit (Seventh-day Adventist Church) 1973
Baylor Scott & White Health Dallas Texas 52 (2021)[38] for-profit 1897
Bon Secours Mercy Health Cincinnati Ohio 50 (2021)[38] non-profit 2018
Prime Healthcare Services Ontario California 45 (2021)[38] for-profit 2001
Sanford Health Sioux Falls South Dakota 46 (2021)[38] non-profit 1894
Mercy Health St. Louis Missouri 40 (2021)[38] non-profit Catholic 1871
University of Pittsburgh Medical Center (UPMC) Pittsburgh Pennsylvania 40 (2021)[38] non-profit 1893
Kaiser Permanente Oakland California 39 (2021)[38] consortium of for-profit and non-profit 1945
MercyOne Clive Iowa 25 (2021)[38] non-profit Catholic 1998[Note 2]
Steward Health Care System Dallas Texas 37 for-profit 2010
Christus Health Irving Texas 60 (2021)[38] non-profit Catholic 1999
Avera Health Sioux Falls South Dakota 35 (2021)[38] non-profit faith based 1897
Ardent Health Services Nashville Tennessee 30 (2021)[38] for-profit 1993
Great Plains Health Alliance Wichita Kansas 29 (2021)[38] non-profit 1950
Texas Health Resources Arlington Texas 27 (2021)[38] non-profit faith based 1997
Advocate Aurora Health Downers Grove Illinois 26 (2021)[38] non-profit 2018[Note 3]
Banner Health Phoenix Arizona 30 (2021)[38] non-profit 1999
NewYork-Presbyterian Healthcare System New York City New York 26[37] non-profit Presbyterian 2015
Providence Health & Services Renton Washington 52 (2021)[38][37] non-profit Catholic 1859
Indian Health Service Rockville Maryland 46 (2021)[Note 4] public (Federal) 1955
Quorum Health Corporation[41][38] Brentwood Tennessee 22 (2021)[38] for-profit 2015[Note 5]
Universal Health Services King of Prussia Pennsylvania 26 (2021)[38] for-profit 1979
Intermountain Healthcare Salt Lake City Utah 24 (2021)[38] non-profit 1970
Sutter Health Sacramento California 24 (2021)[38] non-profit 1921
Community Hospital Corporation Plano Texas 29 (2021)[38] for-profit 1996
Mayo Clinic Health System Rochester Minnesota 20 (2021)[38] non-profit 1992
Northwell Health New Hyde Park New York 23 (2021)[38] non-profit 1997
SSM Health Care St. Louis Missouri 23 (2021)[38] non-profit Catholic 1872
Baptist Health Memphis Tennessee 22 (2021)[38] non-profit Baptist 1955
UnityPoint Health West Des Moines Iowa 39 (2021)[38] non-profit 1993
Ballad Health[42] Johnson City Tennessee 21 (2021)[38] non-profit 2018
Hospital Sisters Health System Springfield Illinois 15 non-profit Catholic 1978
BJC HealthCare St. Louis Missouri 15 non-profit 1993[43]
Allina Health Minneapolis Minnesota 12 non-profit 1983[43]

Notes:

  1. ^ In February 2019, CHI merged with Dignity Health. In February 2019, Dignity Health merged with Catholic Health Initiatives, becoming CommonSpirit Health.[39]
  2. ^ MercyOne is run under a joint operating agreement between Catholic Health Initiatives and Trinity Health.[40]
  3. ^ Advocate Aurora Health was formed in 2018 as a merger between Advocate Health Care and Aurora Health Care[38]
  4. ^ Includes 24 IHS and 22 tribally operated hospitals[38]
  5. ^ 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:[44][45]

United Kingdom

Other

See also

References

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  2. ^ Risse, Guenter B (April 1999). Mending Bodies, Saving Souls: A History of Hospitals. Oxford University Press. pp. 59. ISBN 0-19-505523-3.
  3. ^ 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.
  4. ^ "History of Hospitals". Penn Nursing. Retrieved November 16, 2020.
  5. ^ Harry A. Sultz and Kristina M. Young (2006). Health Care USA: Understanding Its Organization and Delivery. Sudbury, MA: Jones and Bartlett Publishers.
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  11. ^ a b 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.
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  16. ^ a b "Facts & Figures". clevelandclinic.org. Retrieved 2020-10-24.((cite web)): CS1 maint: url-status (link)
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  25. ^ Berlin, Charité-Universitätsmedizin. "Facts & Figures". www.charite.de. Retrieved 2022-10-01.
  26. ^ 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.
  27. ^ "Fast facts". www.about.kaiserpermanente.org. Retrieved 2021-01-26.
  28. ^ "UNAUDITED PRO FORMA QUARTERLY REPORT" (PDF). commonspirit.org. CommonSpirit Health. 2020-05-15. Retrieved 2021-01-26.((cite web)): CS1 maint: url-status (link)
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  30. ^ "Advocate Aurora Health - Our Story". Advocate Aurora Health. Retrieved 2021-05-11.
  31. ^ "About Us - Mayo Clinic Facts". Mayo Clinic. Retrieved 2021-01-25.
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  39. ^ Chandler, Michele. "Merger of Dignity Health and Catholic Health Initiatives is approved". USA TODAY. Retrieved 2020-02-02.
  40. ^ "About Us". MercyOne.org. MercyOne.org. Retrieved 20 April 2020.
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