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HCA Healthcare (Nashville, Tenn.): 185 hospitals. HCA Healthcare has more than 38,000 active physicians and 94,000 registered nurses worldwide. The health system reports 31.2 million patient encounters and 8.9 million emergency room visits per year. HCA Healthcare has been ranked No. 63 on the Fortune 500 list and named among the World's Most Ethical Companies list for 10 consecutive years.
Ascension Health (St. Louis): 151 hospitals. Ascension is a nonprofit Catholic health system with around 156,000 associates and 34,000 aligned providers. Systemwide, Ascension offers 2,600 care sites in 21 states and Washington, D.C. The health system provides around 25 million outpatient visits per year and 3.1 million ER visits.
CommonSpirit Health (Chicago): 142 hospitals. CommonSpirit Health was created in early 2019 as a combination of Englewood, Colo.-based Catholic Health Initiatives and San Francisco-based Dignity Health. When it launched, the health system included 150,000 employees and 25,000 physicians. The faith-based health system has hospitals and care centers in 21 states and is accessible to 25 percent of U.S. residents.
Community Health Systems (Franklin, Tenn.): 105 hospitals. CHS has more than 30 years of history, acquiring individual community and small hospitals. It spun off Brentwood, Tenn.-based Quorum Health as a 38-hospital health system in April 2016 and now includes 105 hospitals in 18 states. The publicly traded health system has 17,000 licensed beds across all facilities.
Trinity Health (Livonia, Mich.): 92 hospitals. Trinity Health is a Catholic health system with 92 hospitals and 107 continuing care locations. It employs around 129,000 individuals, including 7,800 physicians and clinicians. The health system has locations in 22 states and serves communities that include about 30 million people nationwide.
Tenet Healthcare (Dallas): 65 hospitals. In addition to its 65 acute care hospitals, Tenet Healthcare has 475 outpatient centers that provide 10 million patient encounters per year. The health system was ranked No. 172 on the Fortune 500 rankings and has around 110,000 employees.
Vibra Healthcare (Mechanicsburg, Pa.): 65 hospitals. Founded in 2004, Vibra Healthcare has grown significantly over the past 15 years to employ more than 9,000 individuals and operate 65 specialty acute care hospitals and outpatient physical therapy centers. The health system has more than 2,900 licensed beds in 19 states.
Providence St. Joseph Health (Renton, Wash.): 51 hospitals. Providence St. Joseph Health supports 51 hospitals, 829 clinics and more than 119,000 employees across five states. It was formed in 2016 by the combination of Providence Health & Services and St. Joseph Health, and now includes a single health plan with 2.1 million covered lives.
Atrium Health (Charlotte, N.C.): 50 hospitals. In 2018, Carolinas HealthCare System rebranded as Atrium Health, a health system with history dating back to 1940 when its flagship hospital opened its doors. Now, the health system includes 50 hospitals and around 900 care locations that include physician offices, behavioral health centers and nursing homes. The health system has earned HIMSS Analytics Stage 7 certification in both the acute care and ambulatory environments.
AdventHealth (Altamonte Springs, Fla.): 50 hospitals. AdventHealth, formerly known as Adventist Health System, unites 38 hospital campuses and hundreds of other care sites across nine states to provide faith-based healthcare. The health system rebranded in January and launched a transformation to become more consumer-centric. The health system serves more than 5 million patients annually and has more than 1,200 care sites.
Bon Secours Mercy Health (Cincinnati): 48 hospitals. Bon Secours Mercy Health has more than 60,500 team members and 1,000 points of care across two countries. The health system has a presence in seven states and supports a research team focused on innovation to change the healthcare landscape. The nonprofit health system also employs 2,100 physicians and advanced practice providers.
Prime Healthcare (Ontario, Calif.): 45 hospitals. Since its founding in 2001, Prime Healthcare has grown to employ 40,000 people and operate hospitals across 14 states. The for-profit health system hasn't sold or closed any hospitals since inception and has invested $1.4 billion in capital improvements since 2005.
Sanford Health (Sioux Falls, S.D.): 44 hospitals. Sanford Health is an integrated health system that includes more than 200 senior living facilities and 482 clinics. The health system also supports a 190,000-member health plan and 48,622 employees. More than 1,300 physicians and 9,700 registered nurses deliver care at the health system's facilities across 26 states and nine countries.
Mercy (St. Louis): 41 hospitals. The Sisters of Mercy founded this health system in 1986. For the past four years Mercy has been named one of the top five largest health systems in the U.S. by IBM Watson Health. It has 41 acute care, managed and specialty hospitals, as well as 900 physician practices and 2,400 Mercy Clinic physicians. Mercy also supports an IT division, supply chain organization and Mercy Virtual, which serves providers and patients nationwide.
UPMC (Pittsburgh): 40 hospitals. UPMC reports 40 academic, community and specialty hospitals with 4,900 employed physicians and 87,000 staff members. It also has rehabilitation, retirement and long-term care facilities, as well as a 3.5-million-member health plan. The health system has programs in four continents outside of North America and has a commercial arm, UPMC Enterprises, that aims to support innovation and efforts to lower the cost of care with data-focused digital solutions.
MercyOne (Clive, Iowa): 39 hospitals. MercyOne was founded in 1998 as a collaboration between Englewood, Colo.-based Catholic Health Initiatives and Livonia, Mich.-based Trinity Health, and the two Catholic health systems continue to support MercyOne. The health system has grown to serve 15 communities in Iowa. It has 20,000 care providers and staff members.
Steward Health Care (Dallas): 37 hospitals. Steward Health Care serves more than 800 communities with hospitals, urgent care centers and preferred skilled nursing facilities across nine states. The health system has more than 42,000 employees and 7,900 beds systemwide. The Steward Health Care Network reports around 12 million patient encounters per year.
Christus Health (Irving, Texas): 35 hospitals. Christus Health is a nonprofit health system with more than 600 healthcare-related centers. The system has around 45,000 team members, including 15,000 physicians that provide care in North and South America. The faith-based health system has an ACO that participates in the Medicare Shared Savings Program.
Avera Health (Sioux Falls, S.D.): 33 hospitals. Avera Health has more than 330 locations across 100 communities, covering a patient population of 1 million people. The faith-based health system has 18,000 employees and healthcare experts in 60 medical specialties. It also provides management and consultation services and group purchasing for rural healthcare facilities.
Ardent Health Services (Nashville, Tenn.): 30 hospitals. Ardent has invested more than $1.4 billion in new hospitals as well as expanding services at existing facilities since 2001. The health system covers 4,393 licensed beds and 25,000 employees, including 1,150 employed care providers. The health system aims to keep growing, with a recapitalization that was supported by Ventas and Equity Group Investments.
Great Plains Health Alliance (Wichita, Kan.): 29 hospitals. Great Plains Health Alliance is a nonprofit organization that leases, manages and affiliates with hospitals in Kansas and Nebraska. Dating back to 1950, the health system has served rural communities and now works with team members to develop innovative solutions to overcome the challenges community hospitals face through consolidation in the healthcare space.
Texas Health Resources (Arlington, Texas): 29 hospitals. In 1997, Texas Health Resources was formed through assets of Harris Methodist Health System in Fort Worth, Texas, and Presbyterian Healthcare Resources in Dallas. Since then, the health system has grown to include 29 hospitals and more than 3,900 licensed beds. THR employs around 23,000 individuals and has about 6,000 physicians with staff privileges.
Indian Health Service (Rockville, Md.): 26 hospitals. Indian Health Services is an agency within HHS that provides health services to around 2.6 million American Indians and Alaska Natives belonging to 573 recognized tribes in 37 states. The health system includes CMS designated critical access hospitals in rural areas as well as other locations.
Quorum Health Corp. (Brentwood, Tenn.): 26 hospitals. Quorum Health has 26 affiliated hospitals in rural and mid-sized markets across 14 states. The health system has 2,458 licensed beds and also operates outpatient services providers. Quorum Health also has a subsidiary, Quorum Health Resources, which provides management and consulting services to more than 150 hospitals.
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