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Hospital network

Parent organization for a collection of medical facilities


Summary

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 networkCountryBedsAs of yearRef
Alberta Health ServicesCanada40,9052024
HeliosGermany38,1292021
HCA HealthcareUnited States38,0152022url=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 Marketslast1=Levinsonfirst1=Zacharylast2=Godwinfirst2=Jamielast3=Hulverfirst3=Scottlast4=Neumanfirst4=Triciadate=April 19, 2024website=KFFaccess-date=May 23, 2025}}
Asklepios KlinikenGermany27,0902019date=March 2022}}
CommonSpirit HealthUnited States17,1482022
AscensionUnited States16,2412022
IHH HealthcareMalaysia15,000title=IHH Healthcare Berhadurl=https://www.ihhhealthcare.com/overview.htmlaccess-date=2021-01-26website=www.ihhhealthcare.com}}
Trinity HealthUnited States14,6212022
Veterans Health AdministrationUnited States13,000last=Steinhauerfirst=Jenniferdate=2020-03-15title=The V.A. Prepares to Back Up a Health Care System Threatened by Coronaviruslanguage=en-USwork=The New York Timesurl=https://www.nytimes.com/2020/03/15/us/politics/veterans-affairs-coronavirus.htmlaccess-date=2021-01-26issn=0362-4331}}
Tenet HealthcareUnited States12,8222022
Manipal Hospitals IndiaIndia12,0002025
Chang Gung Medical FoundationTaiwan11,3602025title=Overviewurl=https://www.changgung.hospital/en/about.aspx?id=11&bid=1access-date=22 October 2025website=changgung.hospital}}
Advocate HealthUnited States10,5282022
Apollo HospitalsIndia10,2612020last=first=date=title=Annual Report 2019-20url=https://www.apollohospitals.com/apollo_pdf/AHEL%20AR20%20Full%20Report%20-%20Updated%20eVersion%20(20200909).pdfarchive-url=archive-date=access-date=2021-01-26website=}}
Community Health SystemsUnited States9,8502022
Providence Health & ServicesUnited States9,4452022
Kaiser PermanenteUnited States9,2172022
University of Pittsburgh Medical CenterUnited States8,8002022title=By the Numbers: UPMC Facts and Figuresurl=https://www.upmc.com/about/facts/numbersaccess-date=23 June 2022website=upmc.com}}
AdventHealthUnited States8,0382022
First Affiliated Hospital of Zhengzhou UniversityChina7,000
Cleveland ClinicUnited States6,0262019last=first=title=Facts & Figuresurl=https://my.clevelandclinic.org/about/overview/who-we-are/facts-figuresarchive-url=archive-date=access-date=2020-10-24website=clevelandclinic.org}}
University Hospitals Ruhr BochumGermany5,6452021
SingHealthSingapore4,8142021date=31 March 2021title=SingHealth Duke-NUS Academic Medical Centre Annual Report 2020/2021url=https://www.singhealth.com.sg/about-singhealth/newsroom/Documents/[Web%20Version]%20SingHealth%20DukeNUS%20Annual%20Report%2020-21.pdfaccess-date=8 September 2021website=singhealth.com.sg}}
National Healthcare GroupSingapore4,6832019title=NHG Corporate Yearbook FY2019url=https://corp.nhg.com.sg/EbooksLibrary/Corporate%20Year%20Book/69/readonline.html#page/142access-date=2021-01-25website=corp.nhg.com.sg}}
West China Medical CenterChina4,300title=Top 10 largest hospitals in the worldurl=https://www.healthcareglobal.com/top10/top-10-largest-hospitals-worldwebsite=www.healthcareglobal.comaccess-date=2021-01-26archive-date=2019-07-23archive-url=https://web.archive.org/web/20190723222828/https://www.healthcareglobal.com/top10/top-10-largest-hospitals-worldurl-status=dead}}
Fortis HealthcareIndia4,0002020
Metro Pacific Hospitals3,2002018
CharitéGermany3,0992021

Ranked by staff

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

HospitalCountryStaffAs of yearRef
Veterans Health AdministrationUnited States330,000
HCA HealthcareUnited States309,0002024
Kaiser PermanenteUnited States219,9302024
CommonSpirit HealthUnited States175,0002024
Advocate HealthUnited States155,0002024
Alberta Health ServicesCanada133,0502024
HeliosGermany125,0002021
AdventHealthUnited States100,0002025
University of Pittsburgh Medical CenterUnited States100,0002024
Mayo ClinicUnited States70,0002019
Cleveland ClinicUnited States80,6422024
Apollo HospitalsIndia62,9392020
IHH HealthcareMalaysia55,000
Johns Hopkins Medicine53,3522018
Asklepios KlinikenGermany36,2652019
SingHealthSingapore31,5702021
Manchester University NHS Foundation Trust23,0002019last=first=date=title=Manchester University NHS Foundation Trust Annual Report and Accounts 1st April 2019 to 31st March 2020url=https://mft.nhs.uk/app/uploads/2020/07/MFT-Annual-Report-2019-20-FOR-WEBSITE.pdfarchive-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

NetworkHQ cityStateNo. of hospitals in networkFundingFoundedUnited States Department of Veterans AffairsHCA HealthcareAscensionCommonSpirit HealthCommunity Health SystemsTrinity HealthLifePoint HealthAdvocate HealthTenet HealthcareVibra HealthcareProvidence Health & ServicesAdventHealthBaylor Scott & White HealthBon Secours Mercy HealthPrime Healthcare ServicesSanford HealthMercy HealthUniversity of Pittsburgh Medical Center (UPMC)Kaiser PermanenteMercyOneChristus HealthAvera HealthArdent Health ServicesGreat Plains Health AllianceTexas Health ResourcesBanner HealthNewYork-Presbyterian Healthcare SystemProvidence Health & ServicesIndian Health ServiceQuorum Health CorporationUniversal Health ServicesIntermountain HealthSutter HealthCommunity Hospital CorporationMayo Clinic Health SystemNorthwell HealthSSM HealthBaptist HealthUnityPoint HealthBallad HealthHospital Sisters Health SystemBJC HealthCareAllina 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 Employeeswebsite=Dark Dailydate=25 August 2010access-date=November 7, 2020}}, American Hospital Directory, Modern Healthcarepublic (Federal)1989
NashvilleTennessee184 (2021)for-profit1968
St. LouisMissouri139 (2021)non-profit Catholic1999
ChicagoIllinois137 (2021)non-profit Catholic2019
FranklinTennessee84 (2021)for-profit1985
LivoniaMichigan92 (2021)non-profit Catholic2000
BrentwoodTennessee84 (2021)for-profit1999
CharlotteNorth Carolina69 (2024)non-profit2022
DallasTexas65 (2021)for-profit1969
MechanicsburgPennsylvania45 (2021)for-profit2004
RentonWashington52 (2021)non-profit Catholic2016
Altamonte SpringsFlorida55 (2025)non-profit (Seventh-day Adventist Church)1973
DallasTexas52 (2021)for-profit1897
CincinnatiOhio50 (2021)non-profit Catholic2018
OntarioCalifornia45 (2021)for-profit2001
Sioux FallsSouth Dakota46 (2021)non-profit1894
St. LouisMissouri40 (2021)non-profit Catholic1871
PittsburghPennsylvania40 (2021)non-profit1893
OaklandCalifornia39 (2021)consortium of for-profit and non-profit1945
CliveIowa25 (2021)non-profit Catholic1998
IrvingTexas60 (2021)non-profit Catholic1999
Sioux FallsSouth Dakota35 (2021)non-profit Catholic1897
NashvilleTennessee30 (2021)for-profit1993
WichitaKansas29 (2021)non-profit1950
ArlingtonTexas27 (2021)non-profit faith based1997
PhoenixArizona30 (2021)non-profit1999
New York CityNew York26non-profit Presbyterian2015
RentonWashington52 (2021)non-profit Catholic1859
RockvilleMaryland46 (2021)public (Federal)1955
BrentwoodTennessee22 (2021)for-profit2015
King of PrussiaPennsylvania26 (2021)for-profit1979
Salt Lake CityUtah24 (2021)non-profit1970
SacramentoCalifornia24 (2021)non-profit1921
PlanoTexas29 (2021)for-profit1996
RochesterMinnesota20 (2021)non-profit1992
New Hyde ParkNew York23 (2021)non-profit1997
St. LouisMissouri23 (2021)non-profit Catholic1872
MemphisTennessee22 (2021)non-profit Baptist1955
West Des MoinesIowa39 (2021)non-profit1993
Johnson CityTennessee21 (2021)non-profit2018
SpringfieldIllinois15non-profit Catholic1978
St. LouisMissouri15non-profit1993
MinneapolisMinnesota12non-profiturl=https://www.beckershospitalreview.com/lists/52-great-health-systems-to-know-2018.htmltitle=52 great health systems to know in 2018website=Beckers Hospital Reviewaccess-date=November 18, 2020year=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

  1. Risse, Guenter B. (April 1999). "Mending Bodies, Saving Souls: A History of Hospitals". Oxford University Press.
  2. [http://www.acgov.org/board/district5/news/2001/summit.htm Summit's maternity facility to be folded into Alta Bates] {{webarchive. link. (2007-09-27 September 16, 2001 ANG News Online. Accessed September 3, 2007.)
  3. "History of Hospitals".
  4. Harry A. Sultz and Kristina M. Young. (2006). "Health Care USA: Understanding Its Organization and Delivery". Jones and Bartlett Publishers.
  5. "About AHS".
  6. "Anzahl der Krankenhausbetten des Klinikunternehmens Fresenius Helios bis 2021".
  7. (April 19, 2024). "Ten Things to Know About Consolidation in Health Care Provider Markets".
  8. https://www.asklepios.com/dam/jcr:02ae2b01-9496-493b-b5a8-b487c412f218/Key%20figures_31.12.2019.pdf {{Bare URL PDF. (March 2022)
  9. "IHH Healthcare Berhad".
  10. Steinhauer, Jennifer. (2020-03-15). "The V.A. Prepares to Back Up a Health Care System Threatened by Coronavirus". The New York Times.
  11. "About Manipal Hospitals, Bangalore India".
  12. "Valuation Of Manipal Hospitals hits $13 billion; Firm Eyes IPO In 2026".
  13. "Overview".
  14. "Annual Report 2019-20".
  15. "By the Numbers: UPMC Facts and Figures".
  16. (2015-07-03). "The world's biggest hospital « Week In China".
  17. "Facts & Figures".
  18. "760.000 Fälle pro Jahr".
  19. (31 March 2021). "SingHealth Duke-NUS Academic Medical Centre Annual Report 2020/2021".
  20. "NHG Corporate Yearbook FY2019".
  21. "Top 10 largest hospitals in the world".
  22. "FHL Annual Report 2019-20".
  23. (15 October 2019). "Metro Pacific Hospitals raises $684m from KKR and GIC".
  24. Berlin, Charité-Universitätsmedizin. "Facts & Figures".
  25. "Who We Are".
  26. "Fast facts".
  27. "Working at CommonSpirit Health".
  28. Muoio, Dave. (August 28, 2024). "Advocate Health's operating income grows fivefold midway through 2024".
  29. "About AHS".
  30. "Fresenius Helios {{!}} FSE".
  31. "AdventHealth hires 100,000th employee".
  32. "About Us - Mayo Clinic Facts".
  33. (December 2020). "The Impact of Johns Hopkins in Maryland".
  34. "Manchester University NHS Foundation Trust Annual Report and Accounts 1st April 2019 to 31st March 2020". Manchester University NHS Foundation Trust.
  35. "155+ Hospital Statistics: How Many Hospitals Are There?".
  36. (25 August 2010). "Ranking the Nation's 25 Largest Healthcare Systems by Employees".
  37. (2021). "100 of the largest hospitals and health systems in America 2021".
  38. Chandler, Michele. "Merger of Dignity Health and Catholic Health Initiatives is approved".
  39. Muoio, Dave. (August 28, 2024). "Advocate Health's operating income grows fivefold midway".
  40. Vogel, Susanna. (April 4, 2025). "AdventHealth taps David Banks as CEO and president".
  41. "About Us".
  42. "Community Health Spinoff to Focus on Smaller Markets". [[The Wall Street Journal]].
  43. "About Us".
  44. (2018). "52 great health systems to know in 2018".
  45. (15 May 2013). "Minister Announces Hospital Groups and Publishes The Framework for Smaller Hospitals". [[Department of Health (Ireland)]].
  46. (14 May 2013). "Six hospital groups 'most fundamental reform in decades'". Irish Medical Times.
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