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 December 2023.
Contact Anna Falvey at afalvey@beckershealthcare.com to update information on this list.
Largest Health Systems
1. HCA Healthcare (Nashville, Tenn.): 184 hospitals
2. Veterans Health Administration: 172 hospitals
3. CommonSpirit Health (Chicago): 140 hospitals
4. Ascension (St. Louis): 140 hospitals
5. LifePoint Health (Brentwood, Tenn.): 124 hospitals
6. Trinity Health (Livonia, Mich.): 101 hospitals
7. ScionHealth (Louisville, Ky.): 94 hospitals
8. Community Health Systems (Franklin, Tenn.): 71 hospitals
9. Advocate Health (Charlotte, N.C.): 68 hospitals
10. Tenet Healthcare (Dallas): 61 hospitals
11. Christus Health (Irving, Texas): 61 hospitals
12. AdventHealth (Altamonte Springs, Fla.): 52 hospitals
13. Providence (Renton, Wash.): 51 hospitals
14. Baylor Scott & White Health (Dallas): 51 hospitals
15. Bon Secours Mercy Health (Cincinnati): 48 hospitals
16. Sanford Health (Sioux Falls, S.D.): 46 hospitals
17. Indian Health Service (Rockville, Md.): 46 [24 IHS-operated and 22 tribally operated] hospitals
18. Mercy (St. Louis): 45 hospitals
19. Prime Healthcare (Ontario, Calif.): 45 hospitals
20. UPMC (Pittsburgh): 40 hospitals
21. Kaiser Permanente (Oakland, Calif.): 40 hospitals
22. UnityPoint Health (West Des Moines, Iowa): 39 hospitals
23. Avera Health (Sioux Falls, S.D.): 36 hospitals
24. Great Plains Health Alliance (Wichita, Kan.): 35 hospitals
25. Intermountain Healthcare (Salt Lake City): 33 hospitals
26. Ardent Health Services (Nashville, Tenn.): 30 hospitals
27. Banner Health (Phoenix): 30 hospitals
28. Texas Health Resources (Arlington): 29 hospitals
29. Community Hospital Corp. (Plano, Texas): 28 hospitals
30. Universal Health Services (King of Prussia, Pa.): 27 hospitals
31. Adventist Health (Roseville, Calif.): 26 hospitals
32. Piedmont Healthcare (Atlanta): 23 hospitals
33. SSM Health (St. Louis): 23 hospitals
34. Sutter Health (Sacramento, Calif.): 22 hospitals
35. Baptist (Memphis, Tenn.): 22 hospitals
36. Cleveland Clinic: 22 hospitals
37. Ballad Health (Johnson City, Tenn.): 21 hospitals
38. Northwell Health (New Hyde Park, N.Y.): 21 hospitals
39. University Hospitals (Cleveland): 21 hospitals
40. Mayo Clinic Health System (Rochester, Minn.): 16 hospitals
Largest Hospitals
1. AdventHealth Orlando (Fla.): 2,247 beds
2. Yale New Haven (Conn.) Hospital: 1,541 beds
3. Jackson Memorial Hospital (Miami): 1,500+ beds
4. Cleveland Clinic: 1,326 beds
5. Mayo Clinic Hospital-Saint Marys Campus (Rochester, Minn.): 1,265 beds
6. Atrium Health Carolinas Medical Center (Charlotte, N.C.): 1,220 beds
7. Barnes-Jewish Hospital (St. Louis): 1,259 beds
8. UAB Hospital (Birmingham, Ala.): 1,207 beds
9. Mount Sinai Hospital (New York City): 1,139 beds
10. Miami Valley Hospital (Dayton, Ohio): 1,133 beds
11. Saint Francis Hospital (Tulsa, Okla.): 1,112 beds
12. Beaumont Hospital-Royal Oak (Mich.): 1,101 beds
13. UF Health Shands Hospital (Gainesville, Fla.): 1,095 beds
14. Memorial Hermann-Texas Medical Center (Houston): 1,091 beds
15. OhioHealth Riverside Methodist Hospital (Columbus): 1,059 beds
16. Duke University Hospital (Durham, N.C.): 1,048 beds
17. Tampa (Fla.) General Hospital: 1,040 beds
18. Christiana Hospital (Newark, Del.): 1,039 beds
19. UH Cleveland Medical Center: 1,032 beds
20. Massachusetts General Hospital (Boston): 1,021 beds
21. The Johns Hopkins Hospital (Baltimore): 1,000 beds
22. Hospital of the University of Pennsylvania (Philadelphia): 988 beds
23. UNC Hospitals (Chapel Hill, N.C.): 985 beds
24. ECU Health Medical Center (Greenville, N.C.): 974 beds
25. Grady Hospital (Atlanta): 953 beds
26. Baptist Hospital of Miami (Fla.): 948 beds
27. Houston Methodist Hospital: 948 beds
28. Aurora St. Luke's Medical Center of Aurora Health Care (Milwaukee): 938 beds
29. Thomas Jefferson University Hospital (Philadelphia): 926 beds
30. Inova Fairfax Hospital (Falls Church, Va.): 923 beds
31. Baylor University Medical Center (Dallas): 914 beds
32. Novant Health Forsyth Medical Center (Winston-Salem, N.C.): 913 beds
33. MedStar Washington Hospital Center: 912 beds
34. Ohio State University Hospital (Columbus): 900 beds
35. Our Lady of the Lake Regional Medical Center (Baton Rouge, La.): 900 beds
36. Medical City Dallas: 899 beds
37. Sarasota Memorial Hospital (Fla.): 897 beds
38. Northwestern Memorial Hospital (Chicago): 894 beds
39. Lakeland (Fla.) Regional Health Medical Center: 892 beds
40. Henry Ford Hospital (Detroit, Mich.): 877 beds
41. Cedars-Sinai Medical Center (Los Angeles): 886 beds
42. Wake Forest Baptist Medical Center (Winston-Salem, N.C.): 885 beds
43. Parkland Memorial Hospital (Dallas): 882 beds
44. Baylor St. Luke's Medical Center (Houston): 881 beds
45. Huntsville (Ala.) Hospital: 881 beds
46. Hartford (Conn.) Hospital: 867 beds
47. Memorial Regional Hospital (Hollywood, Fla.): 863 beds
48. NewYork-Presbyterian/Weill Cornell Medical Center (New York City): 862 beds
49. Mercy Hospital St. Louis: 859 beds
50. ProMedica Toledo (Ohio) Hospital: 859 beds
51. NYU Langone Hospitals (New York City): 844 beds
52. Baptist Health Medical Center-Little Rock (Ark.): 827 beds
53. Methodist Hospital (San Antonio): 811 beds
54. Orlando (Fla.) Health Orlando Regional Medical Center: 808 beds
55. Vanderbilt University Hospital (Nashville, Tenn.): 800 beds
56. Mayo Clinic Hospital-Methodist Campus (Rochester, Minn.): 794 beds
57. Brigham and Women's Hospital (Boston): 793 beds
58. The University of Kansas Hospital (Kansas City): 792 beds
59. North Shore University Hospital (Manhasset, N.Y.): 756 beds
60. Ascension Saint Thomas Hospital West (Nashville, Tenn.): 708 beds