Some large health systems grew while others shrunk over the last year, and more consolidation could be ahead.
But changes were minimal in either direction, and the largest health systems this year remain relatively similar to previous years. Becker's compiled a list of the largest health systems in the U.S. based on the number of hospitals reported on the system's website.
Contact Anna Falvey at afalvey@beckershealthcare.com to update information on this list.
Note: The list below is not a ranking. Data includes all hospitals within the system.
1. HCA Healthcare (Nashville, Tenn.): 187 hospitals
2. Veterans Health Administration: 170 hospitals
3. CommonSpirit Health (Chicago): 137 hospitals
4. Ascension (St. Louis): 136 hospitals
5. LifePoint Health (Brentwood, Tenn.): 120+ hospitals
6. Trinity Health (Livonia, Mich.): 93 hospitals
7. ScionHealth (Louisville, Ky.): 92 hospitals
8. Community Health Systems (Franklin, Tenn.): 69 hospitals
9. Advocate Health (Charlotte, N.C.): 69 hospitals
10. Christus Health (Irving, Texas): 61 hospitals
11. Tenet Healthcare (Dallas): 52 hospitals
12. Baylor Scott & White Health (Dallas): 52 hospitals
13. AdventHealth (Altamonte Springs, Fla.): 51 hospitals
14. Providence (Renton, Wash.): 51 hospitals
15. Bon Secours Mercy Health (Cincinnati): 49 hospitals
16. Mercy (St. Louis): 49 hospitals
17. Sanford Health (Sioux Falls, S.D.): 48 hospitals
18. Prime Healthcare (Ontario, Calif.): 44 hospitals
19. Indian Health Service (Rockville, Md.): 43 [5 IHS-operated and 9 tribally operated] hospitals
20. UPMC (Pittsburgh): 40 hospitals
21. Kaiser Permanente (Oakland, Calif.): 40 hospitals
22. UnityPoint Health (West Des Moines, Iowa): 36 hospitals
23. Avera Health (Sioux Falls, S.D.): 36 hospitals
24. Intermountain Healthcare (Salt Lake City): 34 hospitals
25. Banner Health (Phoenix): 33 hospitals
26. Ardent Health Services (Nashville, Tenn.): 30 hospitals
27. Texas Health Resources (Arlington): 29 hospitals
28. Universal Health Services (King of Prussia, Pa.): 28 hospitals
29. Adventist Health (Roseville, Calif.): 28 hospitals
30. Great Plains Health Alliance (Wichita, Kan.): 26 hospitals
31. Piedmont Healthcare (Atlanta): 25 hospitals
32. West Virginia University Health System (Morgantown): 25 hospitals
33. Community Hospital Corp. (Plano, Texas): 24 hospitals
34. SSM Health (St. Louis): 23 hospitals
35. Baptist (Memphis, Tenn.): 23 hospitals
36. Cleveland Clinic: 23 hospitals
37. Sutter Health (Sacramento, Calif.): 22 hospitals
38. Northwell Health (New Hyde Park, N.Y.): 22 hospitals
39. Corewell Health (Grand Rapids, Mich.): 22 hospitals
40. University Hospitals (Cleveland): 21 hospitals