13 Largest Non-Profit Hospital Systems By Number of Hospitals

Note: Hospital systems are listed in order by number of hospitals in the organization, according to information from the American Hospital Directory. Systems with the same number of hospitals in their network are listed alphabetically by state.

Catholic Health Initiatives (Denver, Colo.). Catholic Health Initiatives is a faith-based, national healthcare system headquartered in Denver. The system currently operates 78 hospitals, including 22 critical-access facilities and 30 rural hospitals, in 20 states. The system oversees 40 long-term care, assisted- and residential-living facilities and two community health-services organizations. Annual revenues are around $8.2 billion.

Kevin E. Lofton leads CHI as its president and CEO. Mr. Lofton has been with CHI since 1998, having previously served as executive vice president and COO before assuming the role of CEO. In 2008, CHI provided $536 million in charity care and community benefit.

Ascension Health (St. Louis, Mo.). Ascension Health, based in St. Louis, Mo., is one of the nation's largest Catholic and non-profit health systems, with 67 acute-care hospitals and locations in 20 states and the District of Columbia. The system is sponsored by organizations such as the Daughters of Charity National Health System in St. Louis, Mo., the Congregation of St. Joseph in Cleveland and the Sisters of St. Joseph of Carondelet in St. Louis, Mo.

Ascension Health is led by Anthony R. Tersigni, EdD, FACHE, president and CEO. Dr. Tersigni previously served as executive vice president and COO of Ascension Health and was president and CEO of St. John Health in Detroit, Mich., Ascension's largest integrated health system.

Trinity Health (Novi, Mich.).
Trinity Health, located in Novi, Mich., consists of 44 hospitals (32 owned, 12 managed), 379 outpatient clinics/facilities, numerous long-term care facilities, home health and hospice programs and senior housing communities in seven states. Trinity Health identifies itself as a Unified Enterprise Ministry. The system is sponsored by Catholic Health Ministries.

Joseph R. Swedish serves as president and CEO of Trinity Health and has more than 35 years of experience in healthcare leadership. He currently serves the American Hospital Association's as chairman for the Institute for Diversity in Health Management, as a member of the Special Advisory Group on Improving Hospital Care for Minorities.

Catholic Healthcare West (San Francisco, Calif.). Catholic Healthcare West hospitals and facilities provide care to communities in Arizona, California and Nevada, and the system includes 41 hospitals, medical clinics, home health organizations, two health plans and five medical practice groups. Founded in 1986, the health system was formed when two congregations of the Sisters of Mercy joined their 10 hospitals together. Today, CHW is the largest hospital system in California. In fiscal year 2008, CHW provided $967 million in community benefits and care of the poor.

Lloyd H. Dean leads CHW as its president and CEO and is responsible for $11 billion in assets and the overall management, strategy and direction of CHW's integrated healthcare system. Mr. Dean joined CHW in 2000. He previously served as executive vice president and COO of Advocate Health Care in Oak Brook, Ill. Currently, he is chair of the board of trustees of the Catholic Health Association of the United States, where he oversees advocacy efforts for Catholic healthcare in the United States.

Adventist Health System (Winter Park, Fla.). Adventist Health System, based in Winter Park, Fla., is the largest non-profit Protestant healthcare provider in the nation and supports 37 hospitals and many other types of facilities in 12 states. Adventist Health System's flagship, Florida Hospital, is one of the largest healthcare providers in America and a national leader in cardiac care.

Adventist Health is led by Donald L. Jernigan, PhD, its president and CEO. Dr. Jernigan formerly was executive vice president of Adventist Health and CEO of Florida Hospital and the Florida Division of Adventist Health. He is a diplomate of the American College of Healthcare Executives, chairman of the Board of Florida Hospital and member of the Governor's Council of the Metro Orlando Economic Development Commission.

Kaiser Foundation Hospitals (Oakland, Calif.).
Kaiser Foundation Hospitals is part of Kaiser Permanente, the nation's largest non-profit healthcare system, which service 8.6 million people across the country. Currently, the Kaiser Foundation Hospitals consists of   35 hospitals, with a 36th facility joining the group in Oct. 2009. Kaiser Permanente was founded in 1945 to address the challenge of providing Americans medical care during the Great Depression and World War II, when most people could not afford healthcare.

George C. Halvorson is the chairman and CEO of Kaiser Foundation Health Plan and Kaiser Foundation Hospitals and has overseen many of Kaiser's initiatives such as its push towards using electronic medical records. He has written several books on healthcare reform and serves on the American Hospital Association's Advisory Committee on Health Care Reform, the Institute of Medicine Task Force on Evidence Based Care and the Commonwealth Commission for a High Performing Health System.

Catholic Health East (Newtown Square, Pa.). Catholic Health East is a multi-institutional Catholic health system, which is co-sponsored by nine religious congregations and Hope Ministries, a Public Juridic Person within Catholic Health East. The system includes 34 acute-care hospitals, four long-term acute-care hospitals, 25 freestanding and hospital-based long-term care facilities, 14 assisted living facilities, four continuing care retirement communities, eight behavioral health and rehabilitation facilities, 32 home health/hospice agencies and numerous ambulatory and community-based health services located in 11 eastern states from Maine to Florida.

Catholic Health East is led by Robert V. Stanek, its president and CEO, who has led the organization since 2003. Prior to becoming CEO, Mr. Stanek served as Catholic Health East's COO and also served as executive vice president of CHE's Mid-Atlantic Division since the system began in 1998. Under his leadership, the health system provided more than $301 million in community benefit commitments and care for underinsured and uninsured Americans.

Catholic Healthcare Partners (Cincinnati, Ohio). Catholic Healthcare Partners is the largest non-profit health system in Ohio and one of the largest in the nation, with facilities in Indiana, Kentucky, Ohio, Pennsylvania, Tennessee and nearby states. CHP includes 33 hospitals as well as long-term care facilities, housing sites for the elderly, home health agencies, hospice programs and wellness centers. The system was founded in 1986 by the Sisters of Mercy, Regional Community of Cincinnati and now includes five co-sponsoring Catholic organizations.

The leader of CHP is President and CEO Michael D. Connelly. Since he assumed the role in 1995, CHP's assets have grown from $1 billion to an excess of $5 billion. Community benefit commitments have also grown from $50 million to $320 million annually. Prior to joining CHP, Mr. Connelly served as regional executive and CEO of Daughters of Charity National Health System-West in Los Altos Hills, Calif.

Iowa Health System (Des Moines, Iowa).
Founded in 1995, Iowa Health System is Iowa's largest integrated health system. Iowa Health provides services throughout Iowa and western Illinois and operates 26 hospitals in metropolitan and rural communities. The Health System also employs the state's largest non-profit workforce and brings in annual revenues of $2 billion.

Bill Leaver, president and CEO, has led Iowa Health since Jan. 2008. Prior to arriving at Iowa Health, he served as president and CEO of Trinity Regional Health System in Rock Island, Ill., and during his tenure, Trinity established itself as a healthcare leader.

Providence Health & Services (Seattle, Wash.).
Providence Health & Services, based in Seattle, is a non-profit health system with facilities in five states: Alaska, Washington, Montana, Oregon and California. Providence Health includes 26 hospitals as well as non-acute facilities, physicians clinics, a liberal arts university and a high school. In 2008, Providence Health provided $508 million in community benefit programs and services.

John Koster, MD, leads Providence Health as its president and CEO. Dr. Koster previously served as vice president for targeted member services at VHA in Irving, Texas, before joining Providence Health. The health system is sponsored by the Sisters of Providence in Alaska, Washington, Montana and Oregon. The Sisters of Providence and Little Company of Mary sponsor Providence Health in Southern California.

Sutter Health (Sacramento, Calif.).
Sutter Health is one of the country's largest community-based non-profit healthcare providers in more than 100 communities in northern California. Sutter Health supports 25 locally run acute-care hospitals. It also oversees physician organizations; medical research facilities; region-wide home health, hospice and occupational health networks; and long-term care centers. It is the regional leader in infant deliveries, neonatology, pediatrics and cancer care services.

Patrick Fry is the president and CEO of Sutter Health and has served in this position since 2005. He began his career with the network in 1982 as an administrative resident at Sutter General Hospital in Sacramento, Calif. Under his leadership, Sutter Health continues to invest in healthcare, and in 2008, the network provided $478 million in care to less fortunate patients.

Carolinas HealthCare System (Charlotte, N.C.).
Carolinas HealthCare System is the Carolinas' largest healthcare system and is one of the nation's largest public non-profit health systems. The network consists of 25 hospitals in North and South Carolina and more than 300 care locations. CHS's flagship facility is Carolinas Medical Center, an 874-bed hospital in Charlotte, N.C., with a Level I trauma center, a research institute and a large number of specialty treatment units including heart, cancer, organ transplant and behavioral health. CMC also serves as one of North Carolina's five Academic Medical Center Teaching Hospitals, providing residency training for more than 240 physicians in 18 specialties. In 2008, CHS provided $770 million in community benefits among its hospitals and affiliates.

CHS is led by Michael Tarwater, the system's CEO. He served as the assistant administrator at the University of Alabama Hospitals prior to coming to CHS in 1981. Mr. Tarwater is a life member and past chairman of the board of trustees of the North Carolina Hospital Association and is a member of the American Hospital Association.

Marian Health System (Tulsa, Okla.).
Marian Health System is a Catholic, non-profit healthcare system, sponsored by the Sisters of the Sorrowful Mother. The system is comprised of three regional systems, based in Wichita, Kan., Tulsa, Okla., and Milwaukee, Wis. Marian Health has 25 hospitals in four states across the country.

Sister M. Therese Gottschalk is the president and CEO of Marian Health System. In 2008, Marian Health provided more than $260 million in community benefit services.

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