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 headquarter, usually within one of the regions served by the network facilities. [1] (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.)

Contents

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 networkCountryBedsAs of yearRef
HCA Healthcare Flag of the United States.svg  United States 48,8552019 [6]
Alberta Health Services Flag of Canada (Pantone).svg  Canada 40,9052024 [7]
Helios Flag of Germany.svg  Germany 38.1292021 [8]
Ascension Flag of the United States.svg  United States 27,8432020 [9]
Asklepios Kliniken Flag of Germany.svg  Germany 27,0902019 [10]
IHH Healthcare Flag of Malaysia.svg  Malaysia 15,000 [11]
Veterans Health Administration Flag of the United States.svg  United States 13,000 [12]
Apollo Hospitals Flag of India.svg  India 10,2612020 [13]
Chang Gung Medical Foundation Flag of the Republic of China.svg  Taiwan 10,050 [14]
University of Pittsburgh Medical Center Flag of the United States.svg  United States 8,8002022 [15]
First Affiliated Hospital of Zhengzhou University Flag of the People's Republic of China.svg  China 7,000 [16]
Cleveland Clinic Flag of the United States.svg  United States 6,0262019 [17]
Advocate Aurora Health Flag of the United States.svg  United States 5,8622021 [18] [19]
University Hospitals Ruhr Bochum Flag of Germany.svg  Germany 5,6452021 [20]
Manipal Hospitals India Flag of India.svg  India 5,000 [21]
SingHealth Flag of Singapore.svg  Singapore 4,8142021 [22]
National Healthcare Group Flag of Singapore.svg  Singapore 4,6832019 [23]
West China Medical Center Flag of the People's Republic of China.svg  China 4,300 [24]
Fortis Healthcare Flag of India.svg  India 4,0002020 [25]
Charité Flag of Germany.svg  Germany 3,0992021 [26]
Metro Pacific Hospitals Flag of the Philippines.svg  Philippines 3,2002018 [27]

Ranked by staff

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

HospitalCountryStaffAs of yearRef
Veterans Health Administration Flag of the United States.svg  United States 330,000 [12]
HCA Healthcare Flag of the United States.svg  United States 309,0002024 [28]
Kaiser Permanente Flag of the United States.svg  United States 219,9302024 [29]
CommonSpirit Health Flag of the United States.svg  United States 175,0002024 [30]
Alberta Health Services Flag of Canada (Pantone).svg  Canada 133,0502024 [31]
Helios Flag of Germany.svg  Germany 125,0002021 [32]
AdventHealth Flag of the United States.svg  United States 100,0002025 [33]
University of Pittsburgh Medical Center Flag of the United States.svg  United States 100,0002024 [15]
Advocate Aurora Health Flag of the United States.svg  United States 155,0002024 [34]
Mayo Clinic Flag of the United States.svg  United States 70,0002019 [35]
Cleveland Clinic Flag of the United States.svg  United States 80,6422024 [17]
Apollo Hospitals Flag of India.svg  India 62,9392020 [13]
IHH Healthcare Flag of Malaysia.svg  Malaysia 55,000 [11]
Johns Hopkins Medicine Flag of the United States.svg  United States 53,3522018 [36]
Asklepios Kliniken Flag of Germany.svg  Germany 36,2652019 [10]
SingHealth Flag of Singapore.svg  Singapore 31,5702021 [22]
Manchester University NHS Foundation Trust Flag of the United Kingdom.svg  United Kingdom 23,0002019 [37]

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. [38] There were 6,146 hospitals in the United States in 2020, of which 2,240 were managed by the largest 45 hospital networks. [39] [40]

Hospital networks headquartered in the United States
NetworkHQ cityStateNo. of hospitals in networkFundingFounded
United States Department of Veterans Affairs Washington, D.C. Washington, D.C. 171 (2021) [41] [42] public (Federal)1989
HCA Healthcare Nashville Tennessee 184 (2021) [42] for-profit 1968
Ascension Health St. Louis Missouri 139 (2021) [42] non-profit Catholic 1999
CommonSpirit Health [Note 1] Chicago Illinois 137 (2021) [42] non-profit Catholic2019
Community Health Systems Franklin Tennessee 84 (2021) [42] for-profit1985
Trinity Health Livonia Michigan 92 (2021) [42] non-profit Catholic2000
LifePoint Health Brentwood Tennessee 84 (2021) [42] for-profit1999
Tenet Healthcare Dallas Texas 65 (2021) [42] for-profit1969
Vibra Healthcare Mechanicsburg Pennsylvania 45 (2021) [42] for-profit2004
Providence St. Joseph Health Renton Washington 52 (2021) [42] non-profit Catholic2016
Atrium Health Charlotte North Carolina 40 (2021) [42] non-profit1940
AdventHealth Altamonte Springs Florida 50 (2021) [42] non-profit (Seventh-day Adventist Church)1973
Baylor Scott & White Health Dallas Texas 52 (2021) [42] for-profit1897
Bon Secours Mercy Health Cincinnati Ohio 50 (2021) [42] non-profit Catholic2018
Prime Healthcare Services Ontario California 45 (2021) [42] for-profit2001
Sanford Health Sioux Falls South Dakota 46 (2021) [42] non-profit1894
Mercy Health St. Louis Missouri 40 (2021) [42] non-profit Catholic1871
University of Pittsburgh Medical Center (UPMC) Pittsburgh Pennsylvania 40 (2021) [42] non-profit1893
Kaiser Permanente Oakland California 39 (2021) [42] consortium of for-profit and non-profit1945
MercyOne Clive Iowa 25 (2021) [42] non-profit Catholic1998 [Note 2]
Steward Health Care System Dallas Texas 37for-profit2010
Christus Health Irving Texas 60 (2021) [42] non-profit Catholic1999
Avera Health Sioux Falls South Dakota 35 (2021) [42] non-profit Catholic1897
Ardent Health Services Nashville Tennessee 30 (2021) [42] for-profit1993
Great Plains Health Alliance Wichita Kansas 29 (2021) [42] non-profit1950
Texas Health Resources Arlington Texas 27 (2021) [42] non-profit faith based1997
Advocate Aurora Health Downers Grove Illinois 26 (2021) [42] non-profit2018 [Note 3]
Banner Health Phoenix Arizona 30 (2021) [42] non-profit1999
NewYork-Presbyterian Healthcare System New York City New York 26 [41] non-profit Presbyterian2015
Providence Health & Services Renton Washington 52 (2021) [42] [41] non-profit Catholic1859
Indian Health Service Rockville Maryland 46 (2021) [Note 4] public (Federal)1955
Quorum Health Corporation [45] [42] Brentwood Tennessee 22 (2021) [42] for-profit2015 [Note 5]
Universal Health Services King of Prussia Pennsylvania 26 (2021) [42] for-profit1979
Intermountain Healthcare Salt Lake City Utah 24 (2021) [42] non-profit1970
Sutter Health Sacramento California 24 (2021) [42] non-profit1921
Community Hospital Corporation Plano Texas 29 (2021) [42] for-profit1996
Mayo Clinic Health System Rochester Minnesota 20 (2021) [42] non-profit1992
Northwell Health New Hyde Park New York 23 (2021) [42] non-profit1997
SSM Health Care St. Louis Missouri 23 (2021) [42] non-profit Catholic1872
Baptist Health Memphis Tennessee 22 (2021) [42] non-profit Baptist1955
UnityPoint Health West Des Moines Iowa 39 (2021) [42] non-profit1993
Ballad Health [46] Johnson City Tennessee 21 (2021) [42] non-profit2018
Hospital Sisters Health System Springfield Illinois 15non-profit Catholic1978
BJC HealthCare St. Louis Missouri 15non-profit1993 [47]
Allina Health Minneapolis Minnesota 12non-profit1983 [47]

Notes:

  1. ↑ In February 2019, CHI merged with Dignity Health. In February 2019, Dignity Health merged with Catholic Health Initiatives, becoming CommonSpirit Health. [43]
  2. ↑ MercyOne is run under a joint operating agreement between Catholic Health Initiatives and Trinity Health. [44]
  3. ↑ Advocate Aurora Health was formed in 2018 as a merger between Advocate Health Care and Aurora Health Care [42]
  4. ↑ Includes 24 IHS and 22 tribally operated hospitals [42]
  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: [48] [49]

United Kingdom

Other

See also

References

  1. ↑ American Hospital Association. "Fast Facts on US Hospitals" . Retrieved September 2, 2007.
  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. ↑ "About AHS" . Retrieved 2024-06-26.
  8. ↑ "Anzahl der Krankenhausbetten des Klinikunternehmens Fresenius Helios bis 2021". Statista (in German). Retrieved 2022-10-01.
  9. ↑ "Consolidated Statistical Information" (PDF). Ascension. Retrieved 2021-01-26.
  10. 1 2 https://www.asklepios.com/dam/jcr:02ae2b01-9496-493b-b5a8-b487c412f218/Key%20figures_31.12.2019.pdf [ bare URL PDF ]
  11. 1 2 "IHH Healthcare Berhad". www.ihhhealthcare.com. Retrieved 2021-01-26.
  12. 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.
  13. 1 2 "Annual Report 2019-20" (PDF). Retrieved 2021-01-26.
  14. ↑ "Overview". chang-gung.com. Retrieved 31 May 2020.
  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. ↑ "AHD Hospitals by Bed in WI". AHD.com. Retrieved 2021-05-11.
  19. ↑ "Advocate Health Fact Sheets". AHD.com. Retrieved 2021-05-11.
  20. ↑ "760.000 Fälle pro Jahr". www.uk.rub.de. Retrieved 2022-10-01.
  21. ↑ "About Manipal Hospitals, Bangalore India". www.manipalhospitals.com. Retrieved 2021-01-25.
  22. 1 2 "SingHealth Duke-NUS Academic Medical Centre Annual Report 2020/2021" (PDF). singhealth.com.sg. 31 March 2021. Retrieved 8 September 2021.
  23. ↑ "NHG Corporate Yearbook FY2019". corp.nhg.com.sg. Retrieved 2021-01-25.
  24. ↑ "Top 10 largest hospitals in the world". www.healthcareglobal.com. Archived from the original on 2019-07-23. Retrieved 2021-01-26.
  25. ↑ "FHL Annual Report 2019-20" (PDF). Retrieved 2021-01-25.
  26. ↑ Berlin, Charité-Universitätsmedizin. "Facts & Figures". www.charite.de. Retrieved 2022-10-01.
  27. ↑ 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.
  28. ↑ "Who We Are". HCA Healthcare. Retrieved 2024-05-10.
  29. ↑ "Fast facts". www.about.kaiserpermanente.org. Retrieved 2021-01-26.
  30. ↑ "Working at CommonSpirit Health". CommonSpirit Health. Retrieved 2024-05-10.
  31. ↑ "About AHS" . Retrieved 2024-06-24.
  32. ↑ "Fresenius Helios | FSE". www.fresenius.com. Retrieved 2022-10-01.
  33. ↑ "AdventHealth hires 100,000th employee". Becker's Hospital Review . Retrieved February 25, 2025.
  34. ↑ "We're compelled by what's possible". Advocate Aurora Health. Retrieved 2021-05-11.
  35. ↑ "About Us - Mayo Clinic Facts". Mayo Clinic. Retrieved 2021-01-25.
  36. ↑ "The Impact of Johns Hopkins in Maryland" (PDF). December 2020.
  37. ↑ "Manchester University NHS Foundation Trust Annual Report and Accounts 1st April 2019 to 31st March 2020" (PDF). Manchester University NHS Foundation Trust.
  38. ↑ "100 of the largest hospitals and health systems in America in 2019". Becker's Hospital Review. 2019. Retrieved November 6, 2020.
  39. ↑ "Fast Facts about US hospitals". American Hospital Association. 2020. Retrieved November 12, 2020.
  40. ↑ "Healthcare fast facts – largest hospital systems in America". Alight Health Solutions. Retrieved November 16, 2020., date of information uncertain
  41. 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
  42. 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 39 40 41 42 "100 of the largest hospitals and health systems in America 2021". Becker's Hospital Review. 2021. Retrieved March 7, 2022.
  43. ↑ Chandler, Michele. "Merger of Dignity Health and Catholic Health Initiatives is approved". USA TODAY. Retrieved 2020-02-02.
  44. ↑ "About Us". MercyOne.org. Retrieved 20 April 2020.
  45. ↑ Weaver, Christopher; Jaramillo, Cassandra. "Community Health Spinoff to Focus on Smaller Markets". The Wall Street Journal . ISSN   0099-9660 . Retrieved 2015-11-09.
  46. ↑ "About Us". Ballad Health. Retrieved November 12, 2020.
  47. 1 2 "52 great health systems to know in 2018". Beckers Hospital Review. 2018. Retrieved November 18, 2020.
  48. ↑ "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.
  49. ↑ "Six hospital groups 'most fundamental reform in decades'". Irish Medical Times. 14 May 2013. Retrieved 27 May 2019.
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