This article needs to be updated.(June 2024) |
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.)
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]
Hospital networks that do not have reliable sources may not be included; these are not necessarily complete lists.
This is a list of hospital networks with a capacity of more than 2,500 beds.
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 | [12] | |
HCA Healthcare | United States | 309,000 | 2024 | [28] |
Kaiser Permanente | United States | 219,930 | 2024 | [29] |
CommonSpirit Health | United States | 175,000 | 2024 | [30] |
Alberta Health Services | Canada | 133,050 | 2024 | [31] |
Helios | Germany | 125,000 | 2021 | [32] |
AdventHealth | United States | 96,000 | 2024 | [33] |
University of Pittsburgh Medical Center | United States | 100,000 | 2024 | [15] |
Advocate Aurora Health | United States | 155,000 | 2024 | [34] |
Mayo Clinic | United States | 70,000 | 2019 | [35] |
Cleveland Clinic | United States | 80,642 | 2024 | [17] |
Apollo Hospitals | India | 62,939 | 2020 | [13] |
IHH Healthcare | Malaysia | 55,000 | [11] | |
Johns Hopkins Medicine | United States | 53,352 | 2018 | [36] |
Asklepios Kliniken | Germany | 36,265 | 2019 | [10] |
SingHealth | Singapore | 31,570 | 2021 | [22] |
Manchester University NHS Foundation Trust | United Kingdom | 23,000 | 2019 | [37] |
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]
Notes:
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]
HCA Healthcare, Inc. is an American for-profit operator of health care facilities that was founded in 1968. It is based in Nashville, Tennessee, and, as of May 2020, owned and operated 186 hospitals and approximately 2,400 sites of care, including surgery centers, freestanding emergency rooms, urgent care centers and physician clinics in 20 states and the United Kingdom. As of 2024, HCA Healthcare is ranked #61 on the Fortune 500 rankings of the largest United States corporations by total revenue.
Health care in Ireland is delivered through public and private healthcare. The public health care system is governed by the Health Act 2004, which established a new body to be responsible for providing health and personal social services to everyone living in Ireland – the Health Service Executive. The new national health service came into being officially on 1 January 2005; however the new structures are currently in the process of being established as the reform programme continues. In addition to the public-sector, there is also a large private healthcare market.
Fresenius SE & Co. KGaA is a European multinational health care company based in Bad Homburg vor der Höhe, Germany. It provides products and services for dialysis in hospitals, as well as inpatient and outpatient medical care. The company is involved in hospital management and in engineering and services for medical centers and other health care facilities.
Netcare Limited is a South African private healthcare company. It operates through a number of subsidiaries and employs just over 21 000 people.
The Niagara Health System, or Niagara Health (NH), is a Canadian multi-site hospital amalgamation, comprising five sites serving over 450,000 residents across the 12 municipalities making up the Regional Municipality of Niagara, Canada. Niagara Health is one of Ontario's largest hospital systems, with 4,800 employees, 600 physicians and 850 volunteers. As of 2019, its annual operating budget was approximately $550 million.
A private hospital is a hospital not owned by the government, including for-profits and non-profits. Funding is by patients themselves ("self-pay"), by insurers, or by foreign embassies. Private hospitals are commonly part, albeit in varying degrees, of the majority of healthcare systems around the world.
Advocate Aurora Health (AAH) is a non-profit health care system with dual headquarters located in Milwaukee, Wisconsin, and Downers Grove, Illinois. As of 2021, the AAH system has 26 hospitals and more than 500 sites of care, with 75,000 employees, including 10,000 employed physicians. The health system formed as a result of a merger between Illinois-based Advocate Health Care and Wisconsin-based Aurora Health Care. AAH is a teaching affiliate of the University of Wisconsin School of Medicine and Public Health.
Healthcare in the United Kingdom is a devolved matter, with England, Northern Ireland, Scotland and Wales each having their own systems of publicly funded healthcare, funded by and accountable to separate governments and parliaments, together with smaller private sector and voluntary provision. As a result of each country having different policies and priorities, a variety of differences have developed between these systems since devolution.
Banner Health is a non-profit health system in the United States, based in Phoenix, Arizona. It operates 33 hospitals and several specialized facilities across 6 states. The health system is the largest employer in Arizona and one of the largest in the United States with over 55,000 employees.
The National Health Service (NHS) is the publicly funded healthcare system in England, and one of the four National Health Service systems in the United Kingdom. It is the second largest single-payer healthcare system in the world after the Brazilian Sistema Único de Saúde. Primarily funded by the government from general taxation, and overseen by the Department of Health and Social Care, the NHS provides healthcare to all legal English residents and residents from other regions of the UK, with most services free at the point of use for most people. The NHS also conducts research through the National Institute for Health and Care Research (NIHR).
Healthcare in Wales is mainly provided by the Welsh public health service, NHS Wales. NHS Wales provides healthcare to all permanent residents that is free at the point of need and paid for from general taxation. Health is a matter that is devolved, and considerable differences are now developing between the public healthcare systems in the different countries of the United Kingdom, collectively the National Health Service (NHS). Though the public system dominates healthcare provision, private health care and a wide variety of alternative and complementary treatments are available for those willing to pay.
Memorial Hospital is a short-term acute care hospital located in South Bend, Indiana. The hospital was founded in 1894 with three patient beds. Today, the hospital has 526 beds and is a designated Level II trauma center. The hospital places a large emphasis on innovation, and is the second-largest employer in the St. Joseph County, Indiana area.
Hennick Bridgepoint Hospital, formerly Bridgepoint Active Healthcare, is a complex care and rehabilitation hospital in Toronto, Ontario. It is a member of the Sinai Health system and affiliated with the University of Toronto
Examples of health care systems of the world, sorted by continent, are as follows.
Yale New Haven Health System (YNHHS) is a nonprofit healthcare system with headquarters in New Haven, Connecticut. It is Connecticut's largest healthcare system with 2,409 beds and includes hospitals, physicians and related health services throughout Connecticut as well as New York and Rhode Island. Institutions affiliated with the system include Bridgeport Hospital, Greenwich Hospital, Lawrence + Memorial Hospital, Westerly Hospital, Smilow Cancer Hospital, Yale New Haven Hospital, Yale New Haven Children's Hospital, Yale New Haven Psychiatric Hospital and Northeast Medical Group.
Healthcare in the West Midlands was, until July 2022, the responsibility of five integrated care groups: Birmingham and Solihull, Sandwell and West Birmingham, Dudley, Wolverhampton, and Walsall.
Ramsay Health Care UK is a healthcare company based in the United Kingdom. It was founded by Australian businessman Paul Ramsay, who established its parent company: Ramsay Health Care, in Sydney, Australia, in 1964 and has grown to become a global hospital group operating 151 hospitals and day surgery facilities across Australia, the United Kingdom, France, Indonesia and Malaysia.
Unity Health Toronto is a Catholic hospital network serving Toronto, Ontario, Canada. It was initially founded in 2017 under the provisional name Our Shared Purpose through the merger of St. Michael's Hospital, Providence Healthcare and St. Joseph's Health Centre. It is the largest Catholic health care network in Canada. All three facilities in the network are members of the Catholic Health Sponsors of Ontario and the CHSO is responsible for ensuring consistency with the founding principles of the Sisters of St. Joseph. Tim Rutledge is the CEO.
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.
Last year, the group served 3.8 million outpatients and 194,000 inpatients with more than 3,200 beds.