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.)
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 | ![]() | 48,855 | 2019 | [6] |
Alberta Health Services | ![]() | 40,905 | 2024 | [7] |
Helios | ![]() | 38.129 | 2021 | [8] |
Ascension | ![]() | 27,843 | 2020 | [9] |
Asklepios Kliniken | ![]() | 27,090 | 2019 | [10] |
IHH Healthcare | ![]() | 15,000 | [11] | |
Veterans Health Administration | ![]() | 13,000 | [12] | |
Apollo Hospitals | ![]() | 10,261 | 2020 | [13] |
Chang Gung Medical Foundation | ![]() | 10,050 | [14] | |
University of Pittsburgh Medical Center | ![]() | 8,800 | 2022 | [15] |
First Affiliated Hospital of Zhengzhou University | ![]() | 7,000 | [16] | |
Cleveland Clinic | ![]() | 6,026 | 2019 | [17] |
Advocate Aurora Health | ![]() | 5,862 | 2021 | [18][19] |
University Hospitals Ruhr Bochum | ![]() | 5,645 | 2021 | [20] |
Manipal Hospitals India | ![]() | 5,000 | [21] | |
SingHealth | ![]() | 4,814 | 2021 | [22] |
National Healthcare Group | ![]() | 4,683 | 2019 | [23] |
West China Medical Center | ![]() | 4,300 | [24] | |
Fortis Healthcare | ![]() | 4,000 | 2020 | [25] |
Charité | ![]() | 3,099 | 2021 | [26] |
Metro Pacific Hospitals | ![]() | 3,200 | 2018 | [27] |
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 | ![]() | 330,000 | [12] | |
HCA Healthcare | ![]() | 309,000 | 2024 | [28] |
Kaiser Permanente | ![]() | 219,930 | 2024 | [29] |
CommonSpirit Health | ![]() | 175,000 | 2024 | [30] |
Alberta Health Services | ![]() | 133,050 | 2024 | [31] |
Helios | ![]() | 125,000 | 2021 | [32] |
AdventHealth | ![]() | 96,000 | 2024 | [33] |
University of Pittsburgh Medical Center | ![]() | 100,000 | 2024 | [15] |
Advocate Aurora Health | ![]() | 155,000 | 2024 | [34] |
Mayo Clinic | ![]() | 70,000 | 2019 | [35] |
Cleveland Clinic | ![]() | 80,642 | 2024 | [17] |
Apollo Hospitals | ![]() | 62,939 | 2020 | [13] |
IHH Healthcare | ![]() | 55,000 | [11] | |
Johns Hopkins Medicine | ![]() | 53,352 | 2018 | [36] |
Asklepios Kliniken | ![]() | 36,265 | 2019 | [10] |
SingHealth | ![]() | 31,570 | 2021 | [22] |
Manchester University NHS Foundation Trust | ![]() | 23,000 | 2019 | [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]
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)[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 Catholic | 2019 |
Community Health Systems | Franklin | Tennessee | 84 (2021)[42] | for-profit | 1985 |
Trinity Health | Livonia | Michigan | 92 (2021)[42] | non-profit Catholic | 2000 |
LifePoint Health | Brentwood | Tennessee | 84 (2021)[42] | for-profit | 1999 |
Tenet Healthcare | Dallas | Texas | 65 (2021)[42] | for-profit | 1969 |
Vibra Healthcare | Mechanicsburg | Pennsylvania | 45 (2021)[42] | for-profit | 2004 |
Providence St. Joseph Health | Renton | Washington | 52 (2021)[42] | non-profit Catholic | 2016 |
Atrium Health | Charlotte | North Carolina | 40 (2021)[42] | non-profit | 1940 |
AdventHealth | Altamonte Springs | Florida | 50 (2021)[42] | non-profit (Seventh-day Adventist Church) | 1973 |
Baylor Scott & White Health | Dallas | Texas | 52 (2021)[42] | for-profit | 1897 |
Bon Secours Mercy Health | Cincinnati | Ohio | 50 (2021)[42] | non-profit Catholic | 2018 |
Prime Healthcare Services | Ontario | California | 45 (2021)[42] | for-profit | 2001 |
Sanford Health | Sioux Falls | South Dakota | 46 (2021)[42] | non-profit | 1894 |
Mercy Health | St. Louis | Missouri | 40 (2021)[42] | non-profit Catholic | 1871 |
University of Pittsburgh Medical Center (UPMC) | Pittsburgh | Pennsylvania | 40 (2021)[42] | non-profit | 1893 |
Kaiser Permanente | Oakland | California | 39 (2021)[42] | consortium of for-profit and non-profit | 1945 |
MercyOne | Clive | Iowa | 25 (2021)[42] | non-profit Catholic | 1998[Note 2] |
Steward Health Care System | Dallas | Texas | 37 | for-profit | 2010 |
Christus Health | Irving | Texas | 60 (2021)[42] | non-profit Catholic | 1999 |
Avera Health | Sioux Falls | South Dakota | 35 (2021)[42] | non-profit Catholic | 1897 |
Ardent Health Services | Nashville | Tennessee | 30 (2021)[42] | for-profit | 1993 |
Great Plains Health Alliance | Wichita | Kansas | 29 (2021)[42] | non-profit | 1950 |
Texas Health Resources | Arlington | Texas | 27 (2021)[42] | non-profit faith based | 1997 |
Advocate Aurora Health | Downers Grove | Illinois | 26 (2021)[42] | non-profit | 2018[Note 3] |
Banner Health | Phoenix | Arizona | 30 (2021)[42] | non-profit | 1999 |
NewYork-Presbyterian Healthcare System | New York City | New York | 26[41] | non-profit Presbyterian | 2015 |
Providence Health & Services | Renton | Washington | 52 (2021)[42][41] | non-profit Catholic | 1859 |
Indian Health Service | Rockville | Maryland | 46 (2021)[Note 4] | public (Federal) | 1955 |
Quorum Health Corporation[45][42] | Brentwood | Tennessee | 22 (2021)[42] | for-profit | 2015[Note 5] |
Universal Health Services | King of Prussia | Pennsylvania | 26 (2021)[42] | for-profit | 1979 |
Intermountain Healthcare | Salt Lake City | Utah | 24 (2021)[42] | non-profit | 1970 |
Sutter Health | Sacramento | California | 24 (2021)[42] | non-profit | 1921 |
Community Hospital Corporation | Plano | Texas | 29 (2021)[42] | for-profit | 1996 |
Mayo Clinic Health System | Rochester | Minnesota | 20 (2021)[42] | non-profit | 1992 |
Northwell Health | New Hyde Park | New York | 23 (2021)[42] | non-profit | 1997 |
SSM Health Care | St. Louis | Missouri | 23 (2021)[42] | non-profit Catholic | 1872 |
Baptist Health | Memphis | Tennessee | 22 (2021)[42] | non-profit Baptist | 1955 |
UnityPoint Health | West Des Moines | Iowa | 39 (2021)[42] | non-profit | 1993 |
Ballad Health[46] | Johnson City | Tennessee | 21 (2021)[42] | non-profit | 2018 |
Hospital Sisters Health System | Springfield | Illinois | 15 | non-profit Catholic | 1978 |
BJC HealthCare | St. Louis | Missouri | 15 | non-profit | 1993[47] |
Allina Health | Minneapolis | Minnesota | 12 | non-profit | 1983[47] |
Notes:
- ^ In February 2019, CHI merged with Dignity Health. In February 2019, Dignity Health merged with Catholic Health Initiatives, becoming CommonSpirit Health.[43]
- ^ MercyOne is run under a joint operating agreement between Catholic Health Initiatives and Trinity Health.[44]
- ^ Advocate Aurora Health was formed in 2018 as a merger between Advocate Health Care and Aurora Health Care[42]
- ^ Includes 24 IHS and 22 tribally operated hospitals[42]
- ^ Quorum Health Corporation is a spin-off of Community Health Systems.
Canadian headquartered hospital networks
- Alberta Health Services, Province of Alberta, 106 hospitals
- Scarborough Health Network, Toronto, Ontario, 3 hospitals
- Sinai Health System, Toronto, Ontario, 2 hospitals
- Toronto East Health Network
- Trillium Health Partners, Toronto, Ontario, 3 hospitals
- Unity Health Toronto, Toronto, Ontario, 3 hospitals
- University Health Network, Toronto, Ontario, 4 hospitals
- William Osler Health System, Brampton, Ontario, 2 hospitals
- Grey Bruce Health Services, Grey County, Ontario and Bruce County, Ontario, 6 hospitals
- Halton Healthcare, Greater Toronto Area, 3 hospitals
- London Health Sciences Centre, London, Ontario, 2 hospitals
- McGill University Health Centre, Montreal, Quebec, 7 hospitals
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]
- Dublin North East (subsequently renamed RCSI Hospitals)
- Dublin Midlands (subsequently renamed Dublin Midlands Hospital Group)
- Dublin East (subsequently renamed Ireland East Hospital Group)
- South/South West (subsequently renamed South/Southwest Hospital Group)
- West/North West (subsequently renamed Saolta University Health Care Group)
- Mid West (subsequently renamed UL Hospitals Group)
United Kingdom
- National Health Service (England)
- NHS Scotland
- NHS Wales
- Health and Social Care in Northern Ireland
Other
- Aga Khan Health Services, HQ in France
- Assistance Publique – Hôpitaux de Paris, Paris, France; 44 hospitals
- Chang Gung Medical Foundation, Taiwan, 8 hospitals
- Hirslanden Private Hospital Group, Switzerland, 17 hospitals
See also
References
- ^ American Hospital Association. "Fast Facts on US Hospitals". Retrieved September 2, 2007.
- ^ Risse, Guenter B (April 1999). Mending Bodies, Saving Souls: A History of Hospitals. Oxford University Press. pp. 59. ISBN 0-19-505523-3.
- ^ 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.
- ^ "History of Hospitals". Penn Nursing. Retrieved November 16, 2020.
- ^ Harry A. Sultz and Kristina M. Young (2006). Health Care USA: Understanding Its Organization and Delivery. Sudbury, MA: Jones and Bartlett Publishers.
- ^ "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.
- ^ "About AHS". Retrieved 2024-06-26.
- ^ "Anzahl der Krankenhausbetten des Klinikunternehmens Fresenius Helios bis 2021". Statista (in German). Retrieved 2022-10-01.
- ^ "Consolidated Statistical Information" (PDF). Ascension. Retrieved 2021-01-26.
- ^ a b https://www.asklepios.com/dam/jcr:02ae2b01-9496-493b-b5a8-b487c412f218/Key%20figures_31.12.2019.pdf [bare URL PDF]
- ^ a b "IHH Healthcare Berhad". www.ihhhealthcare.com. Retrieved 2021-01-26.
- ^ 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.
- ^ a b "Annual Report 2019-20" (PDF). Retrieved 2021-01-26.
- ^ "Overview". chang-gung.com. Retrieved 31 May 2020.
- ^ a b "By the Numbers: UPMC Facts and Figures". upmc.com. Retrieved 23 June 2022.
- ^ "The world's biggest hospital « Week In China". Week In China. 2015-07-03. Retrieved 2019-08-12.
- ^ a b "Facts & Figures". clevelandclinic.org. Retrieved 2020-10-24.
- ^ "AHD Hospitals by Bed in WI". AHD.com. Retrieved 2021-05-11.
- ^ "Advocate Health Fact Sheets". AHD.com. Retrieved 2021-05-11.
- ^ "760.000 Fälle pro Jahr". www.uk.rub.de. Retrieved 2022-10-01.
- ^ "About Manipal Hospitals, Bangalore India". www.manipalhospitals.com. Retrieved 2021-01-25.
- ^ a b "SingHealth Duke-NUS Academic Medical Centre Annual Report 2020/2021" (PDF). singhealth.com.sg. 31 March 2021. Retrieved 8 September 2021.
- ^ "NHG Corporate Yearbook FY2019". corp.nhg.com.sg. Retrieved 2021-01-25.
- ^ "Top 10 largest hospitals in the world". www.healthcareglobal.com.
- ^ "FHL Annual Report 2019-20" (PDF). Retrieved 2021-01-25.
- ^ Berlin, Charité-Universitätsmedizin. "Facts & Figures". www.charite.de. Retrieved 2022-10-01.
- ^ 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.
- ^ "Who We Are". HCA Healthcare. Retrieved 2024-05-10.
- ^ "Fast facts". www.about.kaiserpermanente.org. Retrieved 2021-01-26.
- ^ "Working at CommonSpirit Health". CommonSpirit Health. Retrieved 2024-05-10.
- ^ "About AHS". Retrieved 2024-06-24.
- ^ "Fresenius Helios | FSE". www.fresenius.com. Retrieved 2022-10-01.
- ^ "AdventHealth Locations". AdventHealth. Retrieved 2024-05-10.
- ^ "We're compelled by what's possible". Advocate Aurora Health. Retrieved 2021-05-11.
- ^ "About Us - Mayo Clinic Facts". Mayo Clinic. Retrieved 2021-01-25.
- ^ "The Impact of Johns Hopkins in Maryland" (PDF). December 2020.
- ^ "Manchester University NHS Foundation Trust Annual Report and Accounts 1st April 2019 to 31st March 2020" (PDF). Manchester University NHS Foundation Trust.
- ^ "100 of the largest hospitals and health systems in America in 2019". Becker's Hospital Review. 2019. Retrieved November 6, 2020.
- ^ "Fast Facts about US hospitals". American Hospital Association. 2020. Retrieved November 12, 2020.
- ^ "Healthcare fast facts – largest hospital systems in America". Alight Health Solutions. Retrieved November 16, 2020., date of information uncertain
- ^ a b c "Ranking the Nation's 25 Largest Healthcare Systems by Employees". Dark Daily. 25 August 2010. Retrieved November 7, 2020., American Hospital Directory, Modern Healthcare
- ^ a b c d e f g h i j k l m n o p q r s t u v w x y z aa ab ac ad ae af ag ah ai aj ak al am an ao ap "100 of the largest hospitals and health systems in America 2021". Becker's Hospital Review. 2021. Retrieved March 7, 2022.
- ^ Chandler, Michele. "Merger of Dignity Health and Catholic Health Initiatives is approved". USA TODAY. Retrieved 2020-02-02.
- ^ "About Us". MercyOne.org. Retrieved 20 April 2020.
- ^ Weaver, Christopher; Jaramillo, Cassandra. "Community Health Spinoff to Focus on Smaller Markets". The Wall Street Journal. ISSN 0099-9660. Retrieved 2015-11-09.
- ^ "About Us". Ballad Health. Retrieved November 12, 2020.
- ^ a b "52 great health systems to know in 2018". Beckers Hospital Review. 2018. Retrieved November 18, 2020.
- ^ "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.
- ^ "Six hospital groups 'most fundamental reform in decades'". Irish Medical Times. 14 May 2013. Retrieved 27 May 2019.
- v
- t
- e
components
- Almshouse
- Asclepeion (Greece)
- Bimaristan (Islamic)
- Cottage hospital (England)
- Hôtel-Dieu (France)
- Valetudinaria (Roman)
- Vaishya lying in houses (India)
- Xenodochium (Middle Ages)
- Military hospital
- Combat support hospital
- Field hospital
- Prison hospital
- Veterans medical facilities
- Women's hospital
- Cancer
- Children's hospital
- Eye hospital
- Fever hospital
- Leper colony
- Lock hospital
- Maternity hospital
- Psychiatric hospital
- Rehabilitation hospital
- Trauma center
- Verterinary hospital
- 5th
- 6th
- 7th
- 8th
- 9th
- 10th
- 11th
- 12th
- 13th
- 14th
- 15th
- 16th
- 17th
- 18th
- 19th
- 20th
- 21st