50 Integrated Delivery Systems to Know

Advocate Health Care (Oak Brook, Ill.) — 13 hospitals. The largest healthcare provider in Illinois, Advocate Health Care was named one of the top 10 U.S. health systems in quality and efficiency by Thomson Reuters in both 2009 and 2010 and the 22nd most integrated system in the country by SDI Health in 2010. Its hospitals have more than 3,000 beds and more than 28,000 employees, and the system partners with 3,600 physicians on the medical staffs of Advocate hospitals in Advocate Physician Partners, a care management and managed care contracting joint venture. In Jan. 2010, the Chicago-area system moved into downstate Illinois for the first time and acquired 221-bed BroMenn Regional Medical Center in Normal and 25-bed Eureka Hospital. Advocate's largest hospitals are 695-bed Advocate Christ Medical Center in Oak Lawn, 645-bed Advocate Lutheran General in Park Ridge and 408-bed Advocate Illinois Masonic Medical Center in Chicago. www.advocateHealth.com

Affinity Health System (Menasha, Wis.) — 3 hospitals. Affinity is a Catholic system that is a partnership between the Ministry Health Care and Wheaton Franciscan Healthcare. SDI Health named it one of the top 40 most integrated systems in 2010. Its Network Health Plan serves more than 72,000 members. Thomson Reuters listed Affinity among the top 50 hospitals for quality and efficiency in 2009-2010. Two of its hospitals rank among the top 1 percent of hospitals nationwide in terms of quality and efficiency, as determined by the 2007 Premier-CareScience Select practice National Quality Award. Its insurance plan has ranked in the Top 50 Health Insurance Plans for five consecutive years by U.S. News & World Report. HealthGrades ranked Affinity's Mercy Medical Center in the top 5 percent in the nation and No. 1 in Wisconsin.

Aurora Health Care (Milwaukee) — 14 hospitals. Aurora was named one of the top 30 most integrated systems in the nation by SDI Health in 2010. It was the top performing healthcare system in the nation in 2009, for the second year in a row, in Premier's the Hospital Quality Incentive Demonstration. Also in 2009, the QUEST: High-Performing Hospitals initiative recognized five Aurora hospitals. In 2007, the system won eight Premier Awards for quality and excellence in patient care, the most a single health system has achieved in one year. Two Aurora hospitals won the Premier Top Performer in the Nation award. The system logs 92,000 inpatient discharges, 2.2 million outpatient visits and 3.6 million ambulatory care visits a year. It has 29,642 employees, 6,021 RNs and 3,067 physicians on staff, including 1,400 employed physicians working at 155 clinics. www.aurorahealthcare.org

Banner Health (Phoenix) — 22 hospitals. Banner is one of the largest secular not-for-profit health systems in the nation, with 11 hospitals in Arizona and the rest in six other states. Banner Health was named one of the top 10 U.S. health systems by Thomson Reuters in 2010 and the 10th most integrated by SDI Health in 2010. One of the metrics that carried the greatest weight in SDI ratings was financial stability. The system had its best performance year ever in 2009. It also operates seven ASCs in the Phoenix area and recently opened 146-bed Cardon Children's Medical Center, part of a $356 million expansion of Banner Desert Medical Center in Mesa, Ariz. www.bannerHealth.com

Baptist Memorial Health Care (Memphis, Tenn.) — 14 hospitals. Founded in 1912 by the Southern Baptist conventions of Tennessee, Arkansas and Mississippi, Baptist was named the 15th most integrated health system by SDI Health in 2010. Its flagship, Baptist Memphis, earned the 2010 HealthGrades Distinguished Hospital for Clinical Excellence Award. Both Baptist Memphis and Baptist DeSoto were named 2009 Leapfrog hospitals. Baptist Health Services Group is a PPO network with 53 hospitals, 194 ancillary facilities and 4,007 physicians serving more than 2,048 employers and 423,147 covered lives. www.baptistonline.org

Baystate Health (Springfield, Mass.) — 4 hospitals. Named the 17th most integrated system by SDI Health in 2010, 783-bed Baystate Health is participating in Premier's new Accountable Care Collaborative. Its flagship, Baystate Medical Center, with 653 beds, is a campus of Tufts University School of Medicine and is participating with the CMS Hospital Quality Incentive Project. The medical center has been listed twice in the past three years as a Top 100 Hospital by Thomson Reuters and has achieved full compliance with all Leapfrog standards. It has also received the Distinguished Performer award from Premier. www.baystateHealth.com

Beaumont Hospitals (Royal Oak, Mich.) — 3 hospitals. With 1,696 beds and eight outpatient medical centers, this system is the second largest in the state and was named one of the top 30 most integrated by SDI Health in 2010. In 2006, Beaumont Hospitals achieved the Leapfrog Group's two highest safe practices scores. In 2008, Beaumont Hospital in Royal Oak was named consumers' top choice in a five-county area by the National Research Corp. The Oakland University William Beaumont School of Medicine plans to start its inaugural class in Aug. 2011. The Implant Retrieval and Analysis section of Beaumont's orthopedic research program houses more than 4,300 specimens, one of the largest joint implant libraries in the country. Beaumont Hospital, with more than 1,000 beds, is one of the 50 top-grossing hospitals in the naton, earning $3.5 billion a year. www.beaumonthospitals.com

Bon Secours Richmond Health System (Richmond, Va.) — 4 hospitals. Ranked the eighth most integrated by SDI Health in 2010, this system is participating in Premier's new Accountable Care Collaborative, the Institute of Healthcare Improvement's Saving 100,000 Lives campaign and 5 Million Lives Campaign and in CMS' Hospital Quality Initiative demonstration project. It is now installing a $150 million electronic heathcare record system, Bon Secours ConnectCare. Bon Secours means "good help" in French. The Richmond system is part of Bon Secours Health System, which runs 18 hospitals. www.richmond.bonsecours.com

Carilion Clinic (Roanoke, Va.) – 8 hospitals. This 600-physician clinic was named one of the top 40 most integrated systems by SDI Health in 2010. It oversees a 1,215-bed hospital system and partners in a medical school, Virginia Tech Carilion School of Medicine and Research Institute, which started its first class of PhD candidates in August 2010. The 703-bed Carilion Roanoke Memorial Hospital, one of the largest hospitals in the state, has an additional 60-bed neonatal intensive care unit. This 12,305-employee system logs 49,642 admissions and 185,595 ED visits. Carilion Roanoke Memorial and Community Hospital earned the National Research Corp. 2008-2009 Consumer Choice Award and Carilion New River Valley won the 2008 Thomson Reuters Top 100 Performance Improvement Leader Award. www.carilionclinic.org

Carolinas HealthCare System (Charlotte, N.C.) — 29 hospitals. This system, the largest in the Carolinas, is ranked the 14th most integrated by SDI Health in 2010. Its hospitals have 6,000 beds and employ more than 1,400 physicians practicing at more than 500 care locations. With 874-bed Carolinas Medical Center in Charlotte, N.C., as its flagship, Carolinas is continually expanding its network, often through management and affiliation agreements. The system has been opening "pavilions," described as smaller than a community hospital but larger than a traditional satellite and including a full-service ED, physician practices, advanced diagnostic imaging, a lab and a pharmacy. It has opened one pavilion and has state CON approvals for three more. www.carolinasHealthcare.org

Catholic Healthcare Partners (Cincinnati) — 34 hospitals. The largest system in Ohio, CHP is divided into nine regions in Ohio, Tennessee, Kentucky, Pennsylvania and contiguous states, employing more than 38,000 people. The whole system was recognized by Thomson Reuters as one of the top ten health systems in 2009. In a study published in the June 2008 issue of the Joint Commission Journal on Quality and Patient Safety, it ranked fifth among 73 hospital systems for quality of care. Five Catholic organizations co-sponsor this system. www.Health-partners.org

Community Health Network (Indianapolis) — 5 hospitals. SDI Health ranked this system one of the 20 most integrated in 2010, and it ranked among the 100 Most Wired hospitals 2009. The system's Indiana Heart Hospital, an all-digital facility, opened in 2003. It has more than 90 sites of care and nearly 500 integrated physicians throughout central Indiana. The system has 960 beds, 10,755 employees and more than 1,400 physicians on staff. It logs 44,164 admissions, 231,190 ED and urgent care visits and 106,336 surgeries a year. www.ecommunity.com/

Covenant Health (Knoxville, Tenn.) — 7 hospitals. Covenant Health ranked No. 34 on SDI Health's 2010 list of most integrated health systems. Thomson Reuters named it one of the Top 51 best-performing health systems in the nation in quality, length of stay, patient safety, evidence-based outcomes and patient satisfaction. In 2004, it was the only health system in Tennessee with all acute care hospitals in the top quartile for all four quarters for the CMS Appropriate Care Measure performance report. www.covenanthealth.com

Fairview Health Services (Minneapolis, Minn.) — 8 hospitals.
Thomson Reuters ranked Fairview as one of the top 10 healthcare systems in 2010. The system is part of Premier's new Accountable Care Collaborative. With 500 employed physicians, Fairview is two years into a shared-savings arrangement with the health insurer Medica, and it will add other key insurers to the arrangement, which operates like an accountable care organization. Fairview Southdale Hospital was been named by Thomson Reuters in the top 100 U.S. hospitals for cardiovascular care for the fourth time an as a Highest Value hospital by the Leapfrog Group in 2008. U.S. News & World Report recognized University of Minnesota Medical Center, Fairview as a top hospital for treatment in six different specialties. www.fairview.org

Franciscan Health System (Tacoma, Wash.) - 5 hospitals. Recognized as the 12th most integrated hospital by SDI Health in 2010, Franciscan Health received the 2006 Washington State Quality Award for performance excellence. Affiliated with Catholic Health Initiatives, it has 8,100 employees and 1,400 physicians on its medical staff. The system includes a large medical group, in-home and inpatient hospice and palliative care, ASCs and occupational health and physical therapy clinics. Flagship St. Joseph Medical Center, founded by the Sisters of St. Francis of Philadelphia in 1891, has been ranked among the Top 100 Hospitals in the U.S. seven times by Thomson Reuters. www.fhsHealth.org

Geisinger Health System (Danville, Pa.) – 2 hospitals. This physician-led system is part of the Premier Accountable Care Collaborative and was named one of the top 35 most integrated systems by SDI Health in 2010. In 2006 it launched ProvenCare, involving the use of evidence-based standards and a fixed price for certain procedures such as open heart surgery. The 404-bed Geisinger Medical Center was recently named one of the Top 100 Hospitals in the country and was designated as a Magnet hospital by the American Nurses Credentialing Center. In 2006, Geisinger had 10,899 full-time employees, 744 physicians and scientists, 317 advanced practitioners and 2,193 RNs. www.geisinger.org

Gundersen Lutheran Health System, La Crosse, Wis. — 3 hospitals. This system was named one of the top 50 most integrated health systems by SDI Health in 2010. It has 325 licensed beds, 5,723 employees and 474 physicians on staff. The system's HealthGrades 2010 Excellence Awards including cardiac care, cardiac surgery, orthopedic surgery, joint replacement surgery, pulmonary care, stroke care, general surgery, gastroenterology care and GI surgery. Its hospitals have won the Thomson Reuters 100 Top Hospitals National Benchmarks for Success, Performance Improvement Leaders and Cardiovascular Benchmarks for Success. www.gundluth.org

Health First (Rockledge, Fla.) — 3 hospitals. This system includes Health First Physicians Group and Health First Health Plans, the largest commercial health insurer in the area with excellent accreditation from the National Committee for Quality Assurance in 2006. SDI Health named it one of the top 35 most integrated systems in 2010. Holmes Regional Medical Center, its flagship, is a 514-bed hospital with more than 500 physicians on staff. The system's fourth hospital, 100-bed Viera Hospital, is scheduled to open in April 2011. www.health-first.org

HealthEast Care System (St. Paul, Minn.) — 4 hospitals. HealthEast was recognized by Thomson Reuters as one of the top 10 health systems in 2009 and is one of only two healthcare organizations nationally to receive McKesson’s 2010 Distinguished Achievement Award for using IT to manage patient flow. It was awarded the Innovation of the Year in Patient Care award by the Minnesota Hospital Association and the Best Places to Work award for five years in a row by the Minneapolis St. Paul Business Journal. HealthEast has 7,000 employees and more than 1,400 physicians on staff, including 300 employed physicians. www.Healtheast.org

Henry Ford Health System (Detroit) — 6 hospitals.
Identified by Thomson Reuters as one of the top 10 U.S. health systems, Henry Ford was also named the 11th most integrated system by SDI Health in 2010. This 2,200-bed system includes Henry Ford Medical Group, with more than 1,000 physicians and researchers, and the Health Alliance Plan of Michigan, which provides managed care and health insurance to about 540,000 members. In addition to Henry Ford Hospital, the 903-bed flagship in Detroit, the system's newest addition is 300-bed Henry Ford West Bloomfield Hospital, a high-tech, patient-friendly facility in a wooded area. The system has more than 23,000 employees, conducts more than 78,000 ambulatory surgery procedures and admits more than 93,000 patients to its hospitals each year. Henry Ford plans to merge its physician training programs with Wayne State University School of Medicine. www.henryford.com

Hospital Sisters Health System (Springfield, Ill.) — 13 hospitals.
Hospital Sisters' Care Integration Project, launched in 2008, is creating integrated patient care models enabling physicians to cooperatively develop ambulatory care services throughout the region. At the heart of the project is a partnership between the system and Prairie Cardiovascular in Springfield, Ill., to become fully integrated as one entity. This 13-hospital Catholic system has 14,541 employees, 3,349 physicians on staff and an operating revenue of $1.7 billion. It logs 128,462 admissions, 317,276 ED visits, 23,021 inpatient surgeries and 46,947 outpatient surgeries a year. www.hshs.org

Inova Health System (Falls Church, Va.) — 6 hospitals. This system is rated AA+ by Standard and Poor's Rating Agency, one of the highest ratings in the healthcare service industry. SDI Health named it one of the top 50 most integrated systems in 2010. It has 1,753 licensed beds, 16,123 employees, 5,391 nurses and 3,412 physicians on staff. It has received more than 13 Joint Commission accreditations and Gold Seals of Approval. Inova Fairfax Hospital is the only Washington, D.C.-area hospital to win the HealthGrades America's 50 Best Hospitals award four years in a row. www.inova.org

Intermountain Healthcare (Salt Lake City) — 23 hospitals. Named the fifth most integrated system in the country by SDI Health in 2010, this system comprises one-third of all hospitals in the state. It was launched in 1974, when the Church of Jesus Christ of Latter-day Saints, known as the Mormons, divested 15 hospitals. Today it has 2,217 beds and more than 32,000 employees. This system operates Intermountain Medical Group, with more than 750 doctors and clinicians, and operates an insurance company, called SelectHealth, with around 500,000 members. Flagship Intermountain Medical Center in Murray, Utah, has 440 beds, and the system's newest addition is 26-bed Intermountain Park City Medical Center. www.intermountainHealthcare.org

Kettering Health Network (Dayton, Ohio) — 5 hospitals. Named by Thomson Reuters as one of the top 10 U.S. health systems in both 2009 and 2010, this 1,300-bed system traces its name back to the man who co-founded Memorial Sloan-Kettering Cancer Center in New York, a General Motors executive named Charles F. Kettering. The system's Grandview Medical Center, with 427 beds and almost 1,300 employees, was named among HealthGrades' 50 Best Hospitals. Kettering Medical Center, with 481 beds and more than 1,000 employees, was ranked as one of the nation's top hospitals for women's health by HealthGrades in 2010. The system is acquiring Fort Hamilton Hospital in Hamilton, Ohio, and broke ground last summer on 90-bed Beavercreek Medical Center, which is expected to open in 2012. www.khnetwork.org

MaineHealth (Portland, Me.) – 7 hospitals. SDI Health named this system one of the top 30 most integrated in 2010. MaineHealth's Synernet subsidiary provides administrative and group purchasing services for MaineHealth's members and other health care organizations. MaineHealth, Maine Cardiology Associates and Cardiovascular Consultants of Maine recently affirmed their commitment to a planned integration of cardiology groups. Flagship Maine Medical Center is the state's largest hospital, with 637 licensed beds and more than 6,000 employees. www.mmc.org

Mayo Clinic (Rochester, Minn.) — 2 hospitals. Named by Thomson Reuters as one of the top 10 U.S. health systems in both 2009 and 2010, Mayo Clinic forms an integrated system with 1,969 physicians and scientists, 27,217 allied health staff using Saint Marys Hospital and Rochester Methodist Hospital. About 80 percent of Mayo patients are treated as outpatients. The clinic has been near the top of the U.S. News & World Report list of Best Hospitals for 20 years. One recent study found Mayo Clinic's cost to treat Medicare patients in their last 3 years of was 54 percent of comparable costs in nearby clinics and hospitals. www.mayoclinic.org

McLaren Health Care (Flint, Mich.) — 8 hospitals. McLaren has sustained a revenue growth rate of 20 percent annually for nearly 20 years and was named one of the top 25 most integrated systems by SDI Health in 2010. The McLaren Health Plan has achieved significant recognition from the National Committee of Quality Assurance, unsurpassed by any other Michigan HMO. McLaren Regional Medical Center recently completed a $42 million expansion, and in September the system incorporated Central Michigan Community Hospital. McLaren's Bay Regional Medical Center was awarded the Keystone Award for Care Improvement in Surgical Services, McLaren Regional Medical Center won the National 100 Top Hospital Performance Improvement Award, and McLaren Medical Management won the Governor's Award for Excellence and Quality. www.mclaren.org

Mercy Health System (Janesville, Wis.) — 3 hospitals. Mercy is the 20th most integrated system in the country, according to SDI Health in 2010, and was a recipient of the 2007 Malcolm Baldrige National Quality Award for quality and organizational performance excellence. Health Care Investment Analysts and Mercer Management Consultants recognized Mercy among the top 100 hospitals providing exemplary healthcare value and performing Benchmarks of Success. It operates a 275-bed hospital in Janesville, Wis., a six-bed hospital in Lake Geneva, Wis., and a 77-bed hospital in Harvard, Ill. www.mercyHealthsystem.org

MultiCare Health System (Tacoma, Wash.) — 4 hospitals. MultiCare was named the fourth most integrated hospital by SDI Health in 2010 and is the 2009 winner of the Organizational Davies Award from the Healthcare Information and Management Systems Society. It was named one of the nation’s Most Wired Health systems in 2010 by Health IT magazine. In 2009, it was awarded the 2009 Commission on Cancer’s Outstanding Achievement Award. The National Research Corporation honored Tacoma General with the 2009/2010 Consumer Choice award, based on surveying regional consumers. The system has more than 93 locations, more than 1,000 physicians on staff and more than 8,000 employees. www.multicare.org

North Shore - Long Island Jewish Health System (Great Neck, N.Y.) — 13 hospitals. This system was named one of the top 30 most integrated by SDI Health in 2010. It is the nation's second-largest non-profit, secular healthcare system, with more than 5,600 hospital and long-term care beds, more than 9,000 physicians and 10,000 nurses and other healthcare professionals. It has 42,000 employees, making it the largest employer on Long Island. North Shore won the National Quality Forum's 2010 National Quality Healthcare Award and the Joint Commission’s Codman Award, the first health system to attain this distinction. www.northshorelij.com

Northshore University HealthSystem (Evanston, Ill.) — 4 hospitals.
A growing system in the prosperous North Shore suburbs of Chicago, NorthShore has annual revenue of over $1.5 billion and a staff of nearly 9,000. In 2003, it was one of the first hospital systems in the country to successfully launch a system-wide EMR. NorthShore University HealthSystem Medical Group has more than 550 physicians practicing at about 75 sites in the north and northwest suburbs of Chicago. The system is affiliated with University of Chicago Pritzker School of Medicine. The 586-bed Evanston Hospital received America's 50 Best Hospitals and Emergency Medicine Excellence Awards from HealthGrades in 2010, which also has previously given it a five-star rating in knee replacement surgery. The hospital was also recognized as a Thomson Reuters Major Teaching Hospital and as a Most Wired hospital. It is home to the Kellogg Cancer Center, a cardiovascular care center and a medical genetics program. The NorthShore University HealthSystem Research Institute is a focal point for more than 1,000 active research projects and more than 150 externally funded research faculty. www.northshore.org

Novant Health (Winston-Salem, N.C.) — 12 hospitals. Operating in more than 30 counties across North and South Carolina and Virginia, Novant was named the 17th most integrated system in the country by SDI Health in 2010. The Novant Medical Group consists of almost 1,100 physicians in 359 clinic locations seeing 3.9 million patients a year. Its hospitals, with more than 3,000 beds, include an orthopedic hospital. Novant Health has 26,300 employees and hosts 119,000 surgeries, 467,000 ED visits and 117,000 discharges amounting to 706,000 inpatient days. Another division provides management services for other hospitals. It has twice received the Ernest A. Codman Award from the Joint Commission for improving system-wide the quality and safety. www.novantHealth.org

OhioHealth (Columbus, Ohio) — 8 hospitals. This central Ohio system was cited as one of the top 10 U.S. health systems in both 2009 and 2010 by Thomson Reuters and among the top 50 most integrated systems in 2010 by SDI Health. It operates HealthReach PPO in a joint venture with the Medical Group of Ohio. U.S. News & World Report named OhioHealth's Riverside Methodist Hospital one of the top 50 hospitals in the nation in heart and heart surgery, ENT, cancer care and diabetes and endocrine disorders and HealthGrades named Riverside a Distinguished Hospital for Patient Safety. The system has 1,802 staffed beds, 106,280 total admissions, 337,368 ED visits, 57,857 total surgeries and 1,713,432 outpatient visits. It has 15,000 employees, 2,500 physicians on staff and nine affiliated hospitals. www.ohioHealth.com

OSF HealthCare (Peoria, Ill.) — 7 hospitals. OSF is a shortened form for Sisters of the Third Order of St. Francis, a Catholic organization that oversees OSF Health Care. Recognized as the 16th most integrated system in the nation by SDI Health in 2010, this 2,009-bed network also operates OSF HealthPlans, with nearly 80,000 members, and OSF Medical Group, with more than 210 physicians and 41 mid-level providers at 49 office locations. Its flagship is 616-bed St. Francis Medical Center in Peoria, a major teaching affiliate of the University of Illinois College of Medicine at Peoria. www.osfHealthcare.org

Presbyterian Healthcare Services (Albuquerque, N.M.) — 7 hospitals. Presbyterian is the largest healthcare provider in the state, serving one in three New Mexicans. In addition to hospitals, this system operates a large health plan and a growing medical group, now employing more than 490 physicians and practitioners. Presbyterian was named one of the top 25 most integrated systems by SDI Health in 2010. Its hospitals reduced central line associated bloodstream infections by 89 percent and improved hand hygiene compliance by 23. U.S. News & World Report has named Presbyterian New Mexico's top-ranked health, and the system continues to earn AA credit ratings from financial agencies. www.phs.org

ProMedica Health System (Toledo, Ohio) — 8 hospitals.
This 1,272-bed system in northwest Ohio and southeast Michigan runs an HMO, several physician practices, a health education and research center and nursing homes. It was cited as the ninth most integrated system by SDI Health in 2010. In February, the system opened ProMedica Heart and Vascular Institutes, a collaboration of physicians, technology and specialty services. ProMedica emerged in 1986 as a rebranding of Toledo Hospital and Toledo Children's Hospital. Flagship Toledo Hospital has 774 beds and 1,100 physicians on staff. www.promedica.org

Providence Health & Services in Oregon (Portland, Ore.) — 27 hospitals. This system was named one of the top 35 most integrated by SDI Health in 2010. Its parent, Providence Health & Services, operates 27 hospitals across five states. The entire system has a 5.6 percent operating margin and net income of $175.8 million. The 523-bed Providence St. Vincent Medical Center in Portland has been recognized as a Thomson Reuters Top 100 hospital 10 times and has received Magnet Recognition for Excellence from the American Nurses Credentialing Center. The system runs Providence Health Plans, which provide or administer health coverage to more than 375,000 people. It has the best customer service rating of any health plan in Oregon according to the National Committee for Quality Assurance. www.providence.org

Riverside Health System (Newport News, Va.) — 4 hospitals. Riverside was named one of the top 25 most integrated systems by SDI Health in 2010. It is evolving into a physician-led organization based on Riverside Medical Group, which now has 325 physicians and providers using electronic medical records. The medical group is the 2008 winner of the American Medical Group Association Preeminence Award care for exceptional leadership, innovation and vision. Riverside Health System owns part of Virginia Health, a for-profit preferred provider organization. www.riversideonline.com

Sanford Health (Sioux Falls, S.D.) — 23 hospitals. Sanford Health serves a five-state region in the Upper Midwest with more than 1.25 million outpatient visits each year. SDI Health named it one of the top 40 most integrated systems in 2010. Sanford Health Plan is a physician-directed, non-profit health plan and Sanford Clinic has 340 physicians at more than 120 clinic locations. Its divisions include Sanford USD Medical Center, Sanford Clinic, Sanford Health Network, Sanford Health Plan and Sanford Health Foundation. Sanford USD Medical Center was named one of the nation's 100 Top Hospitals by Thomson Reuters and has earned national recognition as a Magnet nursing facility from the American Nurses Credentialing Center. www.sanfordhealth.org

St. John's Mercy Health Care (St. Louis) — 2 hospitals. St John's Mercy was recognized as the second most integrated system in the country by SDI Health in 2010. Part of the Sisters of Mercy Health System, one of the largest Catholic-sponsored healthcare organizations in the nation, St. John's Mercy runs St. John’s Mercy Affiliated Physicians and St. John's Mercy Medical Group. "We believe we are particularly strong in physician-hospital collaboration to provide more coordinated care, and in integrated technologies such as our Mercy-wide electronic health record," said President and CEO Lynn Britton. "These activities are evidence of our ability to work across geographic and organizational boundaries to improve the health of the communities we serve." www.stjohnsmercy.org

St. John's Health System (Springfield, Mo.) — 6 hospitals. Ranked the third most integrated health system by SDI Health in 2010, this system has received four consecutive Consumer Choice awards from National Research Corp. as the most preferred health system in southwest Missouri. "Mercy has proven that integration is the best way to deliver care," said President and CEO Jon Swope. "Being an integrated system assists us in enhancing clinical quality, serving our patients and creating a safer environment for patients." St. John's is a member of the Sisters of Mercy Health System in St. Louis. St. John's flagship is 866-bed St. John's Hospital in Springfield. www.stjohns.com

Scripps Health (San Diego.) — 4 hospitals. Thomson Reuters selected this 1,400-bed system, with 12,000 employees and more than 2,600 affiliated physicians, as one of the top 10 health systems in 2010. It is affiliated with Scripps Clinic and has about 400 member physicians. Scripps Memorial Hospital La Jolla and Scripps Green Hospital ranked 34th nationally in heart and heart surgery in U.S. News & World Report’s 2010-11 Best Hospitals. Scripps Mercy Medical Group was named one of the top three medical groups in San Diego and one of the top 10 in Southern California in 2005. www.scripps.org

Sentara Healthcare (Norfolk, Va.) — 8 hospitals. Ranked No. 1 on SDI Health's list of the most integrated health networks in 2010, this 1,911-bed system operates 380-physician Sentara Medical Group and Optima Health, which provides HMO coverage and other health insurance to about 350,000 Virginians. Sentara was the first in the nation to pioneer the eICU, a remote monitoring system for intensive care. For the 11th year, Sentara Norfolk General Hospital and Sentara Heart Hospital rank among the nation’s best heart programs in U.S. News & World Report's 2010-11 Best Hospitals. Sentara posts a mortality score that is better than five of the top 10 programs on U.S. News' list. www.sentara.com

Sharp HealthCare (San Diego) — 4 hospitals. This 1,657-bed system was ranked No. 1 in California and No. 6 in the nation in SDI Health's list of top integrated healthcare networks in 2010. With 14,000 employees and 2,600 physicians on staff, Sharp HealthCare won the Malcolm Baldrige National Quality Award in 2007. It operates three physician medical groups and a number of urgent care and skilled nursing facilities and clinics. www.sharp.com

Spectrum Health (Grand Rapids, Mich.) — 7 hospitals. Identified by Thomson Reuters as one of the top 10 U.S. Health systems in 2010, this system includes a large medical center, regional community hospitals, a dedicated children's hospital, a multispecialty medical group, other physician groups and a health plan, Priority Health. Spectrum won HealthGrades' Patient Safety Excellence Award and Distinguished Hospital Award for Clinical Excellence in 2010. Spectrum Health is the largest employer in West Michigan with 16,000 staff members, 1,500 physicians and 2,000 beds system wide. It is Aa3-rated by Moody's Investors Service, putting it among only 40 healthcare systems in the country to receive such a high rating. www.spectrum-Health.org

Sutter Health (Sacramento, Calif.) – 24 hospitals.
Sutter serves more than 100 communities from the Bay Area to the Central Valley. SDI Health ranked it among the top 40 most integrated systems in 2010. In 2009 the Lewin Group ranked Sutter as California’s Top Health System in Health Care Quality. The Sutter Medical Network includes 18 physician groups. Brown & Toland Physicians, one of the largest physician organizations in San Francisco, with 800 physicians, recently joined Sutter Medical Network of Northern California physicians, expanding the Sutter Medical Network to nearly 5,000 physicians. Ten Sutter Health hospitals earned the July 2010 Certificate of Excellence from the California Hospital Assessment and Reporting Task Force. The system also has 17 ASCs, eight cardiac centers and nine cancer centers. www.sutterhealth.org

Trinity Health (Novi. Mich.) — 45 hospitals. This large system, rated by Thomson Reuters as one of the top 10 U.S. Health systems in 2009, runs hospitals in eight states: Maryland, Ohio, Michigan, Indiana, Iowa, Nebraska, Idaho and California. Many of its hospitals are in medium-sized cities, such as Columbus, Ohio; Battle Creek, Mich.; Boise, Idaho; and Fresno, Calif. Its Trinity Health International unit provides consulting, training and other assistance to hospitals, and it runs a small health insurer, Mount Carmel Health Plan, in central Ohio. The origins of Trinity Health go back to Holy Cross Sisters who helped staff military hospitals in the Civil War. www.trinity-Health.org

University Hospitals (Cleveland) — 9 hospitals. University Hospitals was ranked seventh on SDI Health's 2010 list of most integrated systems and placed among Thomson Reuters' top 10 systems for 2009. The system was recognized as a top employer in the Plain Dealer's inaugural Top Workplaces program it was the only healthcare entity in Northeast Ohio to be recognized in the large employer category. In addition, 1,032-bed University Hospitals Case Medical Center is once again ranked prominently in seven specialties in U.S. News & World Report’s 2010-11 Best Hospitals. www.uhhospitals.org

WellStar Health System (Marietta, Ga.) — 5 hospitals.
In 2010, SDI Health ranked this 11,000-employee organization, with 1,311 licensed, as No. 13 on its list of most integrated health systems. The system includes WellStar Physicians Group, which has more than 450 providers in five counties and has an overall patient satisfaction score of 95 percent, ranking it in the 82nd percentile nationally. In 2010, the system improved its overall operating margin by more than 40 percent through an internal strategic initiative, Opportunities 2010. www.wellstar.org

Wheaton Franciscan Healthcare Southeast Wisconsin (Glendale, Wis.) — 6 hospitals.
This regional network was named one of the top 30 most integrated systems in the nation by SDI Health in 2010. It is part of Wheaton Franciscan Healthcare, sponsored by the Wheaton Franciscan Sisters of Wheaton, Ill. Wheaton Franciscan Medical Group is a rapidly growing network of more than 353 physicians in nearly 50 locations. The system's St. Francis and All Saints hospitals were among the top 5 percent in the nation according to a 2010 study by HealthGrades. The system is affiliated with Affinity Healthcare in the Fox Valley and United Hospital System in Kenosha. www.mywheaton.org

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