20 largest nonprofit hospital systems | 2015

Here are 20 of the largest nonprofit hospital systems in the U.S., based on number of short-term, acute care hospitals.

The list is based on data from the American Hospital Directory, which contains information from hospital cost reports submitted to CMS. Data was accessed Dec. 21, 2015. Hospital cost reports are submitted to fiscal intermediaries about three months after the end of a hospital's fiscal year, and the most common fiscal year ending dates are Dec. 31, June 30 and Sept. 30.  

Systems are listed in descending order based on the number of acute care hospitals. The system rankings total 20, although the list includes ties, which means there are more than 20 individual systems listed.

1. Ascension Health (St. Louis) — 76
2. Trinity Health (Livonia, Mich.) — 45
3. Kaiser Permanente (Oakland, Calif.) — 37
4. Dignity Health (San Francisco) — 36
5. Catholic Health Initiatives (Englewood, Colo.) — 33
6. Adventist Health System (Winter Park, Fla.) — 31
7. Sutter Health (Sacramento, Calif.) — 26
7. Providence Health and Services (Renton, Wash.) — 26
8. Banner Health (Phoenix) — 20
9. Baylor Scott & White Health (Dallas) — 19 
9. CHRISTUS Health (Irving, Texas) — 19
10. SSM Health Care (St. Louis) — 18
11. Intermountain Health Care (Salt Lake City) — 17 
11. Mercy Health (Cincinnati) — 17
*Formerly Catholic Healthcare Partners
11. NewYork-Presbyterian Healthcare System (New York City) — 17
12. Adventist Health (Roseville, Calif.) — 16
12. UPMC (Pittsburgh) — 16
13. North Shore-Long Island Jewish Health System (Great Neck, N.Y.) — 15
13. UnityPoint Health (Des Moines, Iowa) — 15
14. Hospital Sisters Health System (Springfield, Ill.) — 14
14. Mercy (Chesterfield, Mo.) — 14 
14. Texas Health Resources (Arlington) — 14
15. Aurora Health Care (Milwaukee) — 13
15. Baptist Memorial Health Care (Memphis, Tenn.) — 13
15. Franciscan Alliance (Mishawaka, Ind.) — 13 
15. Saint Joseph Health (Orange, Calif.) — 13 
16. Carolinas HealthCare System (Charlotte, N.C.) — 12 
17. Bon Secours Health System (Marriottsville, Md.) — 11
17. Mayo Clinic Health System (Rochester, Minn.) — 11
18. Sentara Healthcare (Norfolk, Va.) — 12 
19. Novant Health (Winston-Salem, N.C.) — 10
20. East Texas Medical Center Regional Healthcare System (Tyler) — 7 

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