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Hospital network
Parent organization for a collection of medical facilities
Parent organization for a collection of medical facilities
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 headquarters, usually within one of the regions served by the network facilities. (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.)
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.
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.
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 | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Alberta Health Services | Canada | 40,905 | 2024 | |||||||||||||
| Helios | Germany | 38,129 | 2021 | |||||||||||||
| HCA Healthcare | United States | 38,015 | 2022 | url=https://www.kff.org/health-costs/issue-brief/ten-things-to-know-about-consolidation-in-health-care-provider-markets/ | title=Ten Things to Know About Consolidation in Health Care Provider Markets | last1=Levinson | first1=Zachary | last2=Godwin | first2=Jamie | last3=Hulver | first3=Scott | last4=Neuman | first4=Tricia | date=April 19, 2024 | website=KFF | access-date=May 23, 2025}} |
| Asklepios Kliniken | Germany | 27,090 | 2019 | date=March 2022}} | ||||||||||||
| CommonSpirit Health | United States | 17,148 | 2022 | |||||||||||||
| Ascension | United States | 16,241 | 2022 | |||||||||||||
| IHH Healthcare | Malaysia | 15,000 | title=IHH Healthcare Berhad | url=https://www.ihhhealthcare.com/overview.html | access-date=2021-01-26 | website=www.ihhhealthcare.com}} | ||||||||||
| Trinity Health | United States | 14,621 | 2022 | |||||||||||||
| Veterans Health Administration | United States | 13,000 | last=Steinhauer | first=Jennifer | date=2020-03-15 | title=The V.A. Prepares to Back Up a Health Care System Threatened by Coronavirus | language=en-US | work=The New York Times | url=https://www.nytimes.com/2020/03/15/us/politics/veterans-affairs-coronavirus.html | access-date=2021-01-26 | issn=0362-4331}} | |||||
| Tenet Healthcare | United States | 12,822 | 2022 | |||||||||||||
| Manipal Hospitals India | India | 12,000 | 2025 | |||||||||||||
| Chang Gung Medical Foundation | Taiwan | 11,360 | 2025 | title=Overview | url=https://www.changgung.hospital/en/about.aspx?id=11&bid=1 | access-date=22 October 2025 | website=changgung.hospital}} | |||||||||
| Advocate Health | United States | 10,528 | 2022 | |||||||||||||
| Apollo Hospitals | India | 10,261 | 2020 | last= | first= | date= | title=Annual Report 2019-20 | url=https://www.apollohospitals.com/apollo_pdf/AHEL%20AR20%20Full%20Report%20-%20Updated%20eVersion%20(20200909).pdf | archive-url= | archive-date= | access-date=2021-01-26 | website=}} | ||||
| Community Health Systems | United States | 9,850 | 2022 | |||||||||||||
| Providence Health & Services | United States | 9,445 | 2022 | |||||||||||||
| Kaiser Permanente | United States | 9,217 | 2022 | |||||||||||||
| University of Pittsburgh Medical Center | United States | 8,800 | 2022 | title=By the Numbers: UPMC Facts and Figures | url=https://www.upmc.com/about/facts/numbers | access-date=23 June 2022 | website=upmc.com}} | |||||||||
| AdventHealth | United States | 8,038 | 2022 | |||||||||||||
| First Affiliated Hospital of Zhengzhou University | China | 7,000 | ||||||||||||||
| Cleveland Clinic | United States | 6,026 | 2019 | last= | first= | title=Facts & Figures | url=https://my.clevelandclinic.org/about/overview/who-we-are/facts-figures | archive-url= | archive-date= | access-date=2020-10-24 | website=clevelandclinic.org}} | |||||
| University Hospitals Ruhr Bochum | Germany | 5,645 | 2021 | |||||||||||||
| SingHealth | Singapore | 4,814 | 2021 | date=31 March 2021 | title=SingHealth Duke-NUS Academic Medical Centre Annual Report 2020/2021 | url=https://www.singhealth.com.sg/about-singhealth/newsroom/Documents/[Web%20Version]%20SingHealth%20DukeNUS%20Annual%20Report%2020-21.pdf | access-date=8 September 2021 | website=singhealth.com.sg}} | ||||||||
| National Healthcare Group | Singapore | 4,683 | 2019 | title=NHG Corporate Yearbook FY2019 | url=https://corp.nhg.com.sg/EbooksLibrary/Corporate%20Year%20Book/69/readonline.html#page/142 | access-date=2021-01-25 | website=corp.nhg.com.sg}} | |||||||||
| West China Medical Center | China | 4,300 | title=Top 10 largest hospitals in the world | url=https://www.healthcareglobal.com/top10/top-10-largest-hospitals-world | website=www.healthcareglobal.com | access-date=2021-01-26 | archive-date=2019-07-23 | archive-url=https://web.archive.org/web/20190723222828/https://www.healthcareglobal.com/top10/top-10-largest-hospitals-world | url-status=dead}} | |||||||
| Fortis Healthcare | India | 4,000 | 2020 | |||||||||||||
| Metro Pacific Hospitals | 3,200 | 2018 | ||||||||||||||
| Charité | Germany | 3,099 | 2021 |
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 | |||||||||||
| HCA Healthcare | United States | 309,000 | 2024 | ||||||||||
| Kaiser Permanente | United States | 219,930 | 2024 | ||||||||||
| CommonSpirit Health | United States | 175,000 | 2024 | ||||||||||
| Advocate Health | United States | 155,000 | 2024 | ||||||||||
| Alberta Health Services | Canada | 133,050 | 2024 | ||||||||||
| Helios | Germany | 125,000 | 2021 | ||||||||||
| AdventHealth | United States | 100,000 | 2025 | ||||||||||
| University of Pittsburgh Medical Center | United States | 100,000 | 2024 | ||||||||||
| Mayo Clinic | United States | 70,000 | 2019 | ||||||||||
| Cleveland Clinic | United States | 80,642 | 2024 | ||||||||||
| Apollo Hospitals | India | 62,939 | 2020 | ||||||||||
| IHH Healthcare | Malaysia | 55,000 | |||||||||||
| Johns Hopkins Medicine | 53,352 | 2018 | |||||||||||
| Asklepios Kliniken | Germany | 36,265 | 2019 | ||||||||||
| SingHealth | Singapore | 31,570 | 2021 | ||||||||||
| Manchester University NHS Foundation Trust | 23,000 | 2019 | last= | first= | date= | title=Manchester University NHS Foundation Trust Annual Report and Accounts 1st April 2019 to 31st March 2020 | url=https://mft.nhs.uk/app/uploads/2020/07/MFT-Annual-Report-2019-20-FOR-WEBSITE.pdf | archive-url= | archive-date= | access-date= | website= | publisher=Manchester University NHS Foundation Trust}} |
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.{{cite web|url=https://www.beckershospitalreview.com/largest-hospitals-and-health-systems-in-america-2019.html
| Network | HQ city | State | No. of hospitals in network | Funding | Founded | United States Department of Veterans Affairs | HCA Healthcare | Ascension | CommonSpirit Health | Community Health Systems | Trinity Health | LifePoint Health | Advocate Health | Tenet Healthcare | Vibra Healthcare | Providence Health & Services | AdventHealth | Baylor Scott & White Health | Bon Secours Mercy Health | Prime Healthcare Services | Sanford Health | Mercy Health | University of Pittsburgh Medical Center (UPMC) | Kaiser Permanente | MercyOne | Christus Health | Avera Health | Ardent Health Services | Great Plains Health Alliance | Texas Health Resources | Banner Health | NewYork-Presbyterian Healthcare System | Providence Health & Services | Indian Health Service | Quorum Health Corporation | Universal Health Services | Intermountain Health | Sutter Health | Community Hospital Corporation | Mayo Clinic Health System | Northwell Health | SSM Health | Baptist Health | UnityPoint Health | Ballad Health | Hospital Sisters Health System | BJC HealthCare | Allina Health | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Washington, D.C. | Washington, D.C. | url=https://www.darkdaily.com/ranking-the-nations-25-largest-healthcare-systems-by-employees-825/ | title=Ranking the Nation's 25 Largest Healthcare Systems by Employees | website=Dark Daily | date=25 August 2010 | access-date=November 7, 2020}}, American Hospital Directory, Modern Healthcare | public (Federal) | 1989 | ||||||||||||||||||||||||||||||||||||||||||||
| Nashville | Tennessee | 184 (2021) | for-profit | 1968 | ||||||||||||||||||||||||||||||||||||||||||||||||
| St. Louis | Missouri | 139 (2021) | non-profit Catholic | 1999 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Chicago | Illinois | 137 (2021) | non-profit Catholic | 2019 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Franklin | Tennessee | 84 (2021) | for-profit | 1985 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Livonia | Michigan | 92 (2021) | non-profit Catholic | 2000 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Brentwood | Tennessee | 84 (2021) | for-profit | 1999 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Charlotte | North Carolina | 69 (2024) | non-profit | 2022 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Dallas | Texas | 65 (2021) | for-profit | 1969 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Mechanicsburg | Pennsylvania | 45 (2021) | for-profit | 2004 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Renton | Washington | 52 (2021) | non-profit Catholic | 2016 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Altamonte Springs | Florida | 55 (2025) | non-profit (Seventh-day Adventist Church) | 1973 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Dallas | Texas | 52 (2021) | for-profit | 1897 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Cincinnati | Ohio | 50 (2021) | non-profit Catholic | 2018 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Ontario | California | 45 (2021) | for-profit | 2001 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Sioux Falls | South Dakota | 46 (2021) | non-profit | 1894 | ||||||||||||||||||||||||||||||||||||||||||||||||
| St. Louis | Missouri | 40 (2021) | non-profit Catholic | 1871 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Pittsburgh | Pennsylvania | 40 (2021) | non-profit | 1893 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Oakland | California | 39 (2021) | consortium of for-profit and non-profit | 1945 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Clive | Iowa | 25 (2021) | non-profit Catholic | 1998 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Irving | Texas | 60 (2021) | non-profit Catholic | 1999 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Sioux Falls | South Dakota | 35 (2021) | non-profit Catholic | 1897 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Nashville | Tennessee | 30 (2021) | for-profit | 1993 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Wichita | Kansas | 29 (2021) | non-profit | 1950 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Arlington | Texas | 27 (2021) | non-profit faith based | 1997 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Phoenix | Arizona | 30 (2021) | non-profit | 1999 | ||||||||||||||||||||||||||||||||||||||||||||||||
| New York City | New York | 26 | non-profit Presbyterian | 2015 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Renton | Washington | 52 (2021) | non-profit Catholic | 1859 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Rockville | Maryland | 46 (2021) | public (Federal) | 1955 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Brentwood | Tennessee | 22 (2021) | for-profit | 2015 | ||||||||||||||||||||||||||||||||||||||||||||||||
| King of Prussia | Pennsylvania | 26 (2021) | for-profit | 1979 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Salt Lake City | Utah | 24 (2021) | non-profit | 1970 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Sacramento | California | 24 (2021) | non-profit | 1921 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Plano | Texas | 29 (2021) | for-profit | 1996 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Rochester | Minnesota | 20 (2021) | non-profit | 1992 | ||||||||||||||||||||||||||||||||||||||||||||||||
| New Hyde Park | New York | 23 (2021) | non-profit | 1997 | ||||||||||||||||||||||||||||||||||||||||||||||||
| St. Louis | Missouri | 23 (2021) | non-profit Catholic | 1872 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Memphis | Tennessee | 22 (2021) | non-profit Baptist | 1955 | ||||||||||||||||||||||||||||||||||||||||||||||||
| West Des Moines | Iowa | 39 (2021) | non-profit | 1993 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Johnson City | Tennessee | 21 (2021) | non-profit | 2018 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Springfield | Illinois | 15 | non-profit Catholic | 1978 | ||||||||||||||||||||||||||||||||||||||||||||||||
| St. Louis | Missouri | 15 | non-profit | 1993 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Minneapolis | Minnesota | 12 | non-profit | url=https://www.beckershospitalreview.com/lists/52-great-health-systems-to-know-2018.html | title=52 great health systems to know in 2018 | website=Beckers Hospital Review | access-date=November 18, 2020 | year=2018}} |
Notes:
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
- The Ottawa Hospital, Ottawa, Ontario, 3 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:
- 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
References
References
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- Chandler, Michele. "Merger of Dignity Health and Catholic Health Initiatives is approved".
- Muoio, Dave. (August 28, 2024). "Advocate Health's operating income grows fivefold midway".
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- "About Us".
- "Community Health Spinoff to Focus on Smaller Markets". [[The Wall Street Journal]].
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- (14 May 2013). "Six hospital groups 'most fundamental reform in decades'". Irish Medical Times.
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