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 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.)

See also: Health system

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  United States 48,855 2019 [6]
Ascension  United States 27,843 2020 [7]
Asklepios Kliniken  Germany 27,090 2019 [8]
IHH Healthcare  Malaysia 15,000 [9]
Veterans Health Administration  United States 13,000 [10]
Apollo Hospitals  India 10,261 2020 [11]
Chang Gung Medical Foundation  Taiwan 10,050 [12]
First Affiliated Hospital of Zhengzhou University  China 7,000 [13]
Cleveland Clinic  United States 6,026 2019 [14]
Manipal Hospitals India  India 5,000 [15]
SingHealth  Singapore 4,699 2020 [16]
National Healthcare Group  Singapore 4,683 2019 [17]
West China Medical Center  China 4,300 [18]
Fortis Healthcare  India 4,000 2020 [19]
Manchester University NHS Foundation Trust  United Kingdom 2,500 2019 [20]

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 [10]
HCA Healthcare  United States 280,000 2019 [6]
Kaiser Permanente  United States 217,126 2020 [21]
CommonSpirit Health  United States 150,000 2020 [22]
Mayo Clinic  United States 70,000 2019 [23]
Cleveland Clinic  United States 67,554 2019 [14]
Apollo Hospitals  India 62,939 2020 [11]
IHH Healthcare  Malaysia 55,000 [9]
Johns Hopkins Medicine  United States 53,352 2018 [24]
Asklepios Kliniken  Germany 36,265 2019 [8]
SingHealth  Singapore 29,894 2020 [16]
Manchester University NHS Foundation Trust  United Kingdom 23,000 2019 [20]
National Healthcare Group  Singapore 20,594 2019 [17]

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.[25] There were 6,146 hospitals in the United States in 2020, of which 2,240 were managed by the largest 45 hospital networks.[26][27]

Hospital networks headquartered in the United States
Network HQ City State No. of Hospitals in network Funding Founded
United States Department of Veterans Affairs Washington, D.C.Washington, D.C.163[28]public (Federal)1989
HCA Healthcare NashvilleTennessee185for-profit1968
Ascension Health St. LouisMissouri151non-profit Catholic1999
CommonSpirit Health ChicagoIllinois142non-profit Catholic2019
Community Health Systems FranklinTennessee105for-profit1985
Trinity Health LivoniaMichigan92non-profit Catholic2000
LifePoint Health BrentwoodTennessee86for-profit1999
Tenet Healthcare DallasTexas65for-profit1969
Vibra Healthcare MechanicsburgPennsylvania65for-profit2004
Catholic Health Initiatives EnglewoodColorado53[28]non-profit Catholic1996
Providence St. Joseph Health RentonWashington51non-profit2016
Atrium Health CharlotteNorth Carolina50non-profit1940
AdventHealth Altamonte SpringsFlorida50non-profit (Seventh-day Adventist Church)1973
Baylor Scott & White Health DallasTexas48for-profit1897
Bon Secours Mercy Health CincinnatiOhio48non-profit2018
Prime Healthcare Services OntarioCalifornia45for-profit2001
Sanford Health Sioux FallsSouth Dakota44non-profit1894
Mercy Health St. LouisMissouri41non-profit Catholic1871
University of Pittsburgh Medical Center (UPMC) PittsburghPennsylvania40non-profit1893
Kaiser Permanente OaklandCalifornia39consortium of for-profit and non-profit1945
MercyOne CliveIowa39non-profit Catholic1998[Note 1]
CommonSpiritHealth San FranciscoCalifornia39[28]non-profit Catholic1986[Note 2]
Steward Health Care System DallasTexas37for-profit2010
Christus Health IrvingTexas35non-profit Catholic1999
Avera Health Sioux FallsSouth Dakota33non-profit faith based1897
Ardent Health Services NashvilleTennessee30for-profit1993
Great Plains Health Alliance WichitaKansas29non-profit1950
Texas Health Resources ArlingtonTexas29non-profit faith based1997
Advocate Aurora Health Oak LawnIllinois28non-profit2018[Note 3]
Banner Health PhoenixArizona28non-profit1999
NewYork-Presbyterian Healthcare System New York CityNew York26[28]non-profit Presbyterian2015
Providence Health & Services RentonWashington26[28]non-profit Catholic1859
Indian Health Service RockvilleMaryland26public (Federal)1955
Quorum Health Corporation[31][25] BrentwoodTennessee26for-profit2015[Note 4]
Universal Health Services King of PrussiaPennsylvania26for-profit1979
Intermountain Healthcare Salt Lake CityUtah24non-profit1970
Sutter Health SacramentoCalifornia24non-profit1921
Community Hospital Corporation PlanoTexas23for-profit1996
Mayo Clinic Health System RochesterMinnesota23non-profit1992
Northwell Health New Hyde ParkNew York23non-profit1997
SSM Health Care St. LouisMissouri23non-profit Catholic1872
Baptist Health MemphisTennessee22non-profit Baptist1955
UnityPoint Health West Des MoinesIowa22non-profit1993
Ballad Health[32] Johnson CityTennessee21non-profit2018
Hospital Sisters Health System SpringfieldIllinois15non-profit Catholic1978
BJC HealthCare St. LouisMissouri15non-profit1993[33]
Allina Health MinneapolisMinnesota12non-profit1983[33]
Community Medical Centers FresnoCalifornia4non-profit[34]

Notes:

  1. MercyOne is run under a joint operating agreement between Catholic Health Initiatives and Trinity Health.[29]
  2. In February 2019, Dignity Health merged with Catholic Health Initiatives, becoming CommonSpirit Health.[30]
  3. Advocate Aurora Health was formed in 2018 as a merger between Advocate Health Care and Aurora Health Care[25]
  4. 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:[35][36]

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. "Consolidated Statistical Information" (PDF). Ascension. Retrieved 2021-01-26.
  8. https://www.asklepios.com/dam/jcr:02ae2b01-9496-493b-b5a8-b487c412f218/Key%20figures_31.12.2019.pdf
  9. "IHH Healthcare Berhad". www.ihhhealthcare.com. Retrieved 2021-01-26.
  10. 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.
  11. "Annual Report 2019-20" (PDF). Retrieved 2021-01-26.
  12. "Overview". chang-gung.com. Retrieved 31 May 2020.
  13. "The world's biggest hospital « Week In China". Week In China. 2015-07-03. Retrieved 2019-08-12.
  14. "Facts & Figures". clevelandclinic.org. Retrieved 2020-10-24.
  15. "About Manipal Hospitals, Bangalore India". www.manipalhospitals.com. Retrieved 2021-01-25.
  16. "SingHealth Duke-NUS Academic Medical Centre Annual Report 2019/2020" (PDF). singhealth.com.sg. 31 March 2020. Retrieved 26 September 2020.
  17. "NHG Corporate Yearbook FY2019". corp.nhg.com.sg. Retrieved 2021-01-25.
  18. "Top 10 largest hospitals in the world". www.healthcareglobal.com.
  19. "FHL Annual Report 2019-20" (PDF). Retrieved 2021-01-25.
  20. "Manchester University NHS Foundation Trust Annual Report and Accounts 1st April 2019 to 31st March 2020" (PDF). Manchester University NHS Foundation Trust.
  21. "Fast facts". www.about.kaiserpermanente.org. Retrieved 2021-01-26.
  22. "UNAUDITED PRO FORMA QUARTERLY REPORT" (PDF). commonspirit.org. CommonSpirit Health. 2020-05-15. Retrieved 2021-01-26.
  23. "About Us - Mayo Clinic Facts". Mayo Clinic. Retrieved 2021-01-25.
  24. "The Impact of Johns Hopkins in Maryland" (PDF). December 2020.
  25. "100 of the largest hospitals and health systems in America in 2019". Becker's Hospital Review. 2019. Retrieved November 6, 2020.
  26. "Fast Facts about US hospitals". American Hospital Association. 2020. Retrieved November 12, 2020.
  27. "Healthcare fast facts – largest hospital systems in America". Alight Health Solutions. Retrieved November 16, 2020., date of information uncertain
  28. "Ranking the Nation's 25 Largest Healthcare Systems by Employees". Dark Daily. Retrieved November 7, 2020., American Hospital Directory, Modern Healthcare
  29. "About Us". MercyOne.org. MercyOne.org. Retrieved 20 April 2020.
  30. Chandler, Michele. "Merger of Dignity Health and Catholic Health Initiatives is approved". USA TODAY. Retrieved 2020-02-02.
  31. Weaver, Christopher; Jaramillo, Cassandra. "Community Health Spinoff to Focus on Smaller Markets". The Wall Street Journal. ISSN 0099-9660. Retrieved 2015-11-09.
  32. "About Us". Ballad Health. Retrieved November 12, 2020.
  33. "52 great health systems to know in 2018". Beckers Hospital Review. 2018. Retrieved November 18, 2020.
  34. "Community Medical Centers". Retrieved November 23, 2020.
  35. "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.
  36. "Six hospital groups 'most fundamental reform in decades'". Irish Medical Times. 14 May 2013. Retrieved 27 May 2019.
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