Hospital network

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.)

See also: Health system

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

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 NashvilleTennessee184 (2021)[38]for-profit1968
Ascension Health St. LouisMissouri139 (2021)[38]non-profit Catholic1999
CommonSpirit Health[Note 1] Chicago Illinois 137 (2021)[38] non-profit Catholic 2019
Community Health Systems FranklinTennessee84 (2021)[38]for-profit1985
Trinity Health LivoniaMichigan92 (2021)[38]non-profit Catholic2000
LifePoint Health BrentwoodTennessee84 (2021)[38]for-profit1999
Tenet Healthcare DallasTexas65 (2021)[38]for-profit1969
Vibra Healthcare MechanicsburgPennsylvania45 (2021)[38]for-profit2004
Providence St. Joseph Health RentonWashington52 (2021)[38]non-profit Catholic2016
Atrium Health CharlotteNorth Carolina40 (2021)[38]non-profit1940
AdventHealth Altamonte SpringsFlorida50 (2021)[38]non-profit (Seventh-day Adventist Church)1973
Baylor Scott & White Health DallasTexas52 (2021)[38]for-profit1897
Bon Secours Mercy Health CincinnatiOhio50 (2021)[38]non-profit Catholic2018
Prime Healthcare Services OntarioCalifornia45 (2021)[38]for-profit2001
Sanford Health Sioux FallsSouth Dakota46 (2021)[38]non-profit1894
Mercy Health St. LouisMissouri40 (2021)[38]non-profit Catholic1871
University of Pittsburgh Medical Center (UPMC) PittsburghPennsylvania40 (2021)[38]non-profit1893
Kaiser Permanente OaklandCalifornia39 (2021)[38]consortium of for-profit and non-profit1945
MercyOne CliveIowa25 (2021)[38]non-profit Catholic1998[Note 2]
Steward Health Care System DallasTexas37for-profit2010
Christus Health IrvingTexas60 (2021)[38]non-profit Catholic1999
Avera Health Sioux FallsSouth Dakota35 (2021)[38]non-profit faith based1897
Ardent Health Services NashvilleTennessee30 (2021)[38]for-profit1993
Great Plains Health Alliance WichitaKansas29 (2021)[38]non-profit1950
Texas Health Resources ArlingtonTexas27 (2021)[38]non-profit faith based1997
Advocate Aurora Health Downers GroveIllinois26 (2021)[38]non-profit2018[Note 3]
Banner Health PhoenixArizona30 (2021)[38]non-profit1999
NewYork-Presbyterian Healthcare System New York CityNew York26[37]non-profit Presbyterian2015
Providence Health & Services RentonWashington52 (2021)[38][37]non-profit Catholic1859
Indian Health Service RockvilleMaryland46 (2021)[Note 4]public (Federal)1955
Quorum Health Corporation[41][38] BrentwoodTennessee22 (2021)[38]for-profit2015[Note 5]
Universal Health Services King of PrussiaPennsylvania26 (2021)[38]for-profit1979
Intermountain Healthcare Salt Lake CityUtah24 (2021)[38]non-profit1970
Sutter Health SacramentoCalifornia24 (2021)[38]non-profit1921
Community Hospital Corporation PlanoTexas29 (2021)[38]for-profit1996
Mayo Clinic Health System RochesterMinnesota20 (2021)[38]non-profit1992
Northwell Health New Hyde ParkNew York23 (2021)[38]non-profit1997
SSM Health Care St. LouisMissouri23 (2021)[38]non-profit Catholic1872
Baptist Health MemphisTennessee22 (2021)[38]non-profit Baptist1955
UnityPoint Health West Des MoinesIowa39 (2021)[38]non-profit1993
Ballad Health[42] Johnson CityTennessee21 (2021)[38]non-profit2018
Hospital Sisters Health System SpringfieldIllinois15non-profit Catholic1978
BJC HealthCare St. LouisMissouri15non-profit1993[43]
Allina Health MinneapolisMinnesota12non-profit1983[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.
  6. "2019 Annual Report to Shareholders" (PDF). HCA Healthcare. Retrieved 2021-01-26. At December 31, 2019, we owned and operated 179 general, acute care hospitals with 48,443 licensed beds... At December 31, 2019, we operated three psychiatric hospitals with 412 licensed beds.
  7. "Anzahl der Krankenhausbetten des Klinikunternehmens Fresenius Helios bis 2021". Statista (in German). Retrieved 2022-10-01.
  8. "Consolidated Statistical Information" (PDF). Ascension. Retrieved 2021-01-26.
  9. https://www.asklepios.com/dam/jcr:02ae2b01-9496-493b-b5a8-b487c412f218/Key%20figures_31.12.2019.pdf
  10. "IHH Healthcare Berhad". www.ihhhealthcare.com. Retrieved 2021-01-26.
  11. 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.
  12. "Annual Report 2019-20" (PDF). Retrieved 2021-01-26.
  13. "Overview". chang-gung.com. Retrieved 31 May 2020.
  14. "By the Numbers: UPMC Facts and Figures". upmc.com. Retrieved 23 June 2022.
  15. "The world's biggest hospital « Week In China". Week In China. 2015-07-03. Retrieved 2019-08-12.
  16. "Facts & Figures". clevelandclinic.org. Retrieved 2020-10-24.
  17. "AHD Hospitals by Bed in WI". AHD.com. Retrieved 2021-05-11.
  18. "Advocate Health Fact Sheets". AHD.com. Retrieved 2021-05-11.
  19. "760.000 Fälle pro Jahr". www.uk.rub.de. Retrieved 2022-10-01.
  20. "About Manipal Hospitals, Bangalore India". www.manipalhospitals.com. Retrieved 2021-01-25.
  21. "SingHealth Duke-NUS Academic Medical Centre Annual Report 2020/2021" (PDF). singhealth.com.sg. 31 March 2021. Retrieved 8 September 2021.
  22. "NHG Corporate Yearbook FY2019". corp.nhg.com.sg. Retrieved 2021-01-25.
  23. "Top 10 largest hospitals in the world". www.healthcareglobal.com.
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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.
  29. "Fresenius Helios | FSE". www.fresenius.com. Retrieved 2022-10-01.
  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.
  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. "Fast Facts about US hospitals". American Hospital Association. 2020. Retrieved November 12, 2020.
  36. "Healthcare fast facts – largest hospital systems in America". Alight Health Solutions. Retrieved November 16, 2020., date of information uncertain
  37. "Ranking the Nation's 25 Largest Healthcare Systems by Employees". Dark Daily. Retrieved November 7, 2020., American Hospital Directory, Modern Healthcare
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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. Retrieved 20 April 2020.
  41. Weaver, Christopher; Jaramillo, Cassandra. "Community Health Spinoff to Focus on Smaller Markets". The Wall Street Journal. ISSN 0099-9660. Retrieved 2015-11-09.
  42. "About Us". Ballad Health. Retrieved November 12, 2020.
  43. "52 great health systems to know in 2018". Beckers Hospital Review. 2018. Retrieved November 18, 2020.
  44. "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.
  45. "Six hospital groups 'most fundamental reform in decades'". Irish Medical Times. 14 May 2013. Retrieved 27 May 2019.
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