Health systems across the U.S. are growing as more independent hospitals and small chains move to join larger organizations amid financially challenging times.
Becker's compiled a list of 40 of the largest health systems by number of hospitals and 60 of the largest hospitals by number of beds, based on organizational data as of January 2023. Contact Anna Falvey at afalvey@beckershealthcare.com to update information on this list.
Largest Health Systems
1. HCA Healthcare (Nashville, Tenn.): 182 hospitals
2. Veterans Health Administration: 171 hospitals
3. CommonSpirit Health (Chicago): 140 hospitals
4. Ascension (St. Louis): 139 hospitals
5. Trinity Health (Livonia, Mich.): 88 hospitals
6. LifePoint Health (Brentwood, Tenn.): 84 hospitals
7. Community Health Systems (Franklin, Tenn.): 79 hospitals
8. Advocate Health (Charlotte, N.C.): 67 hospitals
9. Tenet Healthcare (Dallas): 61 hospitals
10. Christus Health (Irving, Texas): 60 hospitals
11. Providence (Renton, Wash.): 52 hospitals
12. Baylor Scott & White Health (Dallas): 51 hospitals
13. Bon Secours Mercy Health (Cincinnati): 48 hospitals
14. Sanford Health (Sioux Falls, S.D.): 47 hospitals
15. AdventHealth (Altamonte Springs, Fla.): 46 hospitals
16. Indian Health Service (Rockville, Md.): 46 [24 IHS-operated and 22 tribally operated] hospitals
17. Prime Healthcare (Ontario, Calif.): 45 hospitals
18. UPMC (Pittsburgh): 40 hospitals
19. Mercy (St. Louis): 40 hospitals
20. Kaiser Permanente (Oakland, Calif.): 39 hospitals
21. UnityPoint Health (West Des Moines, Iowa): 39 hospitals
22. Avera Health (Sioux Falls, S.D.): 37 hospitals
23. Intermountain Healthcare (Salt Lake City): 33 hospitals
24. Ardent Health Services (Nashville, Tenn.): 30 hospitals
25. Banner Health (Phoenix): 30 hospitals
26. Community Hospital Corp. (Plano, Texas): 29 hospitals
27. Texas Health Resources (Arlington): 29 hospitals
28. Universal Health Services (King of Prussia, Pa.): 28 hospitals
29. Great Plains Health Alliance (Wichita, Kan.): 26 hospitals
30. Adventist Health (Roseville, Calif.): 23 hospitals
31. Sutter Health (Sacramento, Calif.): 23 hospitals
32. MercyOne (Des Moines, Iowa): 23 hospitals
33. SSM Health (St. Louis): 23 hospitals
34. Baptist (Memphis, Tenn.): 22 hospitals
35. Cleveland Clinic: 22 hospitals
36. Piedmont Healthcare (Atlanta): 22 hospitals
37. Ballad Health (Johnson City, Tenn.): 21 hospitals
38. Northwell Health (New Hyde Park, N.Y.): 21 hospitals
39. Quorum Health Corp. (Brentwood, Tenn.): 21 hospitals
40. University Hospitals (Cleveland): 21 hospitals
41. Mayo Clinic Health System (Rochester, Minn.): 16 hospitals
Largest Hospitals
1. Yale New Haven (Conn.) Hospital: 1,541 beds
2. Jackson Memorial Hospital (Miami): 1,488 beds
3. AdventHealth Orlando (Fla.): 1,400 beds
4. Cleveland Clinic: 1,300 beds
5. Barnes-Jewish Hospital (St. Louis): 1,278 beds
6. Mayo Clinic Hospital-Saint Marys Campus (Rochester, Minn.): 1,265 beds
7. Ascension Saint Thomas Hospital (Nashville, Tenn.): 1,224 beds
8. UAB Hospital (Birmingham, Ala.): 1,207 beds
9. The Johns Hopkins Hospital (Baltimore): 1,162 beds
10. Mount Sinai Hospital (New York City): 1,139 beds
11. Beaumont Hospital-Royal Oak (Mich.): 1,131 beds
12. Saint Francis Hospital (Tulsa, Okla.): 1,112 beds
13. Atrium Health Carolinas Medical Center (Charlotte, N.C.): 1,059 beds
14. OhioHealth Riverside Methodist Hospital (Columbus): 1,059 beds
15. Memorial Hermann-Texas Medical Center (Houston): 1,058 beds
16. Tampa (Fla.) General Hospital: 1,040 beds
17. Christiana Hospital (Newark, Del.): 1,039 beds
18. UH Cleveland Medical Center: 1,032 beds
19. UF Health Shands Hospital (Gainesville, Fla.): 1,030 beds
20. Massachusetts General Hospital (Boston): 1,019 beds
21. Vanderbilt University Hospital (Nashville, Tenn.): 1,000 beds
22. Hospital of the University of Pennsylvania (Philadelphia): 988 beds
23. ECU Health Medical Center (Greenville, N.C.): 974 beds
24. Texas Children’s Hospital (Houston): 973 beds
25. Duke University Hospital (Durham, N.C.): 957 beds
26. Grady Hospital (Atlanta): 953 beds
27. UNC Medical Center (Chapel Hill, N.C.): 950 beds
28. Baptist Hospital of Miami (Fla.): 948 beds
29. Aurora St. Luke's Medical Center of Aurora Health Care (Milwaukee): 938 beds
30. Methodist Hospital (San Antonio): 933 beds
31. Thomas Jefferson University Hospital (Philadelphia): 926 beds
32. Inova Fairfax Hospital (Falls Church, Va.): 923 beds
33. Miami Valley Hospital (Dayton, Ohio): 922 beds
34. Novant Health Forsyth Medical Center (Winston-Salem, N.C.): 921 beds
35. Baylor University Medical Center (Dallas): 914 beds
36. MedStar Washington Hospital Center: 912 beds
37. The University of Kansas Hospital (Kansas City): 910 beds
38. Houston Methodist Hospital: 907 beds
39. Sarasota Memorial Hospital (Fla.): 901 beds
40. Ohio State University Hospital (Columbus): 900 beds
41. Medical City Dallas: 899 beds
42. Orlando (Fla.) Health Orlando Regional Medical Center: 898 beds
43. St. Joseph's Hospital (Tampa, Fla.): 897 beds
44. Northwestern Memorial Hospital (Chicago): 894 beds
45. Cedars-Sinai Medical Center (Los Angeles): 886 beds
46. Wake Forest Baptist Medical Center (Winston-Salem, N.C.): 885 beds
47. Huntsville (Ala.) Hospital: 881 beds
48. Henry Ford Hospital (Detroit, Mich.): 877 beds
49. Hartford (Conn.) Hospital: 867 beds
50. Lakeland (Fla.) Regional Health Medical Center: 864 beds
51. Memorial Regional Hospital (Hollywood, Fla.): 863 beds
52. NewYork-Presbyterian/Weill Cornell Medical Center (New York City): 862 beds
53. Mercy Hospital St. Louis: 859 beds
54. Texas Heart Institute at Baylor St. Luke's Medical Center (Houston): 850 beds
55. NYU Langone Hospitals (New York City): 844 beds
56. Baptist Health-Little Rock (Ark.): 843 beds
57. Parkland Health and Hospital System (Dallas): 836 beds
58. Our Lady of the Lake Regional Medical Center (Baton Rouge, La.): 800 beds
59. Mayo Clinic Hospital-Methodist Campus (Rochester, Minn.): 794 beds
60. ProMedica Toledo (Ohio) Hospital: 794 beds
61. Brigham and Women's Hospital (Boston): 793 beds
62. North Shore University Hospital (Manhasset, N.Y.): 738 beds