52 great health systems to know | 2018

Becker's Healthcare is pleased to present the 2018 list of "52 great health systems to know," a companion to the list of "100 great hospitals in America | 2018."

The health systems featured on this list strive to provide high quality patient care and grow programs beneficial to their communities. Many of the health systems cover several hospitals, physician groups, urgent care clinics and rehabilitation centers. Large systems also tout ACOs, health plans and innovation centers.

All health systems featured here work to increase access to care across sprawling geographies in a challenging healthcare environment.

The Becker's editorial team developed this list through internal research and nominations, considering systems recognized by organizations such as IBM Watson Health and U.S. News & World Report. The team also considered a system's quality record and reputation for patient satisfaction and innovation.

Note: This list is not a ranking, and systems featured do not and cannot pay for inclusion. This list is not an endorsement of any organization featured.

Health systems are listed in alphabetical order. Contact Laura Dyrda at ldyrda@beckershealthcare.com with questions or comments on this list.

Advocate Aurora Health (Downers Grove, Ill.). With 27 hospitals, 500 outpatient care sites, 3,300 employed physicians, more than 4,800 aligned physicians and 70,000 team members, Advocate Aurora Health is the 10th largest nonprofit health system in the U.S.It's also brand new: Advocate Aurora Health was created by the merger of Downers Grove-based Advocate Health Care and Milwaukee-based Aurora Health Care, which cleared regulatory approval in March. The newly minted health system is led by co-CEOs Jim Skogsbergh, the former president and CEO of Advocate, and Nick Turkal, MD, the former president and CEO of Aurora Health. Combined, the systems have revenues of about $11 billion.

Allina Health (Minneapolis). Allina Health is a 12-hospital, $4.1 billion system. In 2017, its 29,000-plus employees and 6,000 employed and associated physicians provided care in more than 1.5 million outpatient encounters and nearly 110,000 inpatient admissions. This sprawling Midwestern system is also invested in care innovation. Allina Health was among just 32 systems in the country chosen last year by CMS to participate in the Accountable Health Communities pilot, which aims to address social determinants of health. It also inked a partnership with Aetna in 2017 to launch a jointly owned health plan.

Ascension (St. Louis). Ascension is among the largest nonprofit health systems in the U.S. and is the largest Catholic health system in the world. Ascension Health formed in 1999 through the merger of Daughters of Charity National Health System and Sisters of St. Joseph Health System, becoming simply "Ascension" more than a decade later. Ascension includes the 153-hospital Healthcare Division, as well as the Solutions Division, which provides services related to physician practice management, venture capital investing, biomedical engineering, facilities management and more. Even as the nation's largest nonprofit system, Ascension continues to grow in innovative ways. This year, for example, it partnered with Sydney, Australia-based Ramsay Health Care, one of the six largest private hospital operators in the world, in a global supply chain joint venture. Ascension also announced a new strategic direction in 2018 that aims to enhance outpatient care delivery.

Aspirus (Wausau, Wis.). Aspirus is a nonprofit, community-directed health system serving Wisconsin and the Upper Peninsula of Michigan. It is composed of eight hospitals — five of which are critical access hospitals — and more than 50 clinics staffed by more than 7,600 employees. This year, Aspirus was named to IBM Watson Health's list of 15 Top Health Systems based on publicly available clinical, operational and patient satisfaction data. It is the first system in Wisconsin to win the award since its inception in 2008.

Atlantic Health System (Morristown, N.J.). Atlantic Health System is a nonprofit health system that includes five medical centers, a children's hospital, a hospice and home care organization, rehabilitation services and 660 community-based providers from the affiliated Atlantic Medical Group. Atlantic Health System has a special focus on care coordination and population health. Its Atlantic ACO is one of the largest accountable care organizations in the nation, and Atlantic Health System is one of the five founding members of AllSpire Health Partners, an alliance focused on population health management. The system also cares for its workers: Atlantic Health System has been named a top workplace and a Great Place to Work by Fortune magazine.

Atrium Health (Charlotte, N.C.). Formerly Carolinas HealthCare System, the 47-hospital nonprofit system — the largest in the Carolinas — became Atrium Health in February 2018 to shed any geographic limitations associated with its former name. As such, Atrium Health has been aggressively pursuing growth and has a deal in the works with Macon, Ga.-based Navicent Health. Atrium is currently licensed for over 7,600 beds, employs 60,000 people and accounts for 12 million patient interactions annually.

Baylor Scott & White Health (Dallas). The 2013 merger of Baylor Health Care System and Scott & White Healthcare formed Texas' largest nonprofit healthcare system. Baylor Scott & White Health now contains 48 hospitals, more than 800 care sites, 7,800 active physicians and more than 47,000 employees. The $9.1 billion system has more than 5,000 licensed beds and cared for patients in more than 208,000 inpatient admissions and 3.8 million outpatient registrations in fiscal year 2017. In 2017, Baylor Scott & White Health also added a third payer to its ACO, the Baylor Scott & White Quality Alliance. The ACO now contracts with Cigna, Aetna and UnitedHealthcare.

BJC HealthCare (St. Louis). The $5 billion, 15-hospital nonprofit BJC HealthCare employs more than 31,000 people, touts 4,350 physicians and staffs 3,468 beds. In 2016, the health system provided $13.2 million in community health programs and $370 million in financial assistance. BJC HealthCare has seen many changes in 2018, welcoming new CEO, Richard Liekweg, in January. The health system also took over two Illinois hospitals — Memorial Hospital Belleville and Shiloh-based Memorial Hospital East — and unveiled a new 12-story inpatient tower at Barnes-Jewish Hospital.

Carilion Clinic (Roanoke, Va.). Carilion Clinic is a nonprofit network of seven hospitals and 696-plus physicians across 76 specialties. The $1.7 billion system reaches over 1 million Virginians annually. Carilion Clinic invests in its communities both directly — in 2016, Carilion gave $57.6 million in charity care and $58.9 million in other uncompensated care — and indirectly through its commitment to training tomorrow's providers. More than 261 residents and fellows train at Carilion Clinic through a partnership with Blacksburg-based Virginia Tech. This year, Carilion Clinic's Roanoke Memorial Hospital was one of 48 hospitals to rank among the top 1 percent of hospitals in the nation for earning top marks across all nine categories of U.S. News & World Report's annual ranking.

CHI St. Joseph Health (Bryan, Texas). CHI St. Joseph Health is a regional health system with five hospitals, two long-term care facilities, more than 30 clinics and a Medicare Shared Savings ACO. Its roots date back to the 1930s, when the Sisters of Francis of Sylvania (Ohio) brought a hospital to Bryan and named it after Saint Joseph. This hospital grew into St. Joseph Health System, which joined Catholic Health Initiatives in 2014. CHI St. Joseph formed a partnership with Texas A&M Health Science Center in 2015, and this year announced plans to strengthen that partnership by launching a co-branded primary care network in the Brazos Valley. CHI St. Joseph Health also earned accolades as one of the IBM Watson Health 15 Top Health Systems in 2018.

Christiana Care Health System (Wilmington, Del.). Christiana Care is a major teaching hospital with two campuses and more than 250 medical-dental residents and fellows. The system includes a 913-bed hospital in Newark, Del., a 241-bed hospital in Wilmington. The system includes the state's only level 1 trauma center for adults and children, the only center of its kind between Philadelphia and Baltimore, and its level 3 neonatal intensive care unit makes it the only delivering hospital in the state to offer this level of care for newborns. The health system is the largest private employer in the state, with more than 11,600 employees. Healthgrades named Christiana Care one of America's best hospitals in 2018 for the second year in a row.

Cleveland Clinic. Founded as a single hospital in 1921, Cleveland Clinic has since transformed into an international nonprofit health system and physician-led multispecialty group practice. The 4,538-bed health system includes a 1,398-bed flagship hospital in Cleveland, 10 regional hospitals and more than 150 outpatient locations in northeast Ohio. The health system also contains an academic medical center in southeast Florida and a 364-bed hospital in Abu Dhabi. In 2017, clinicians at Cleveland Clinic served patients from all 50 states and 185 countries through 7.6 million outpatient visits, 207,354 surgical cases, and 229,132 acute admissions and observations. U.S. News & World Report listed Cleveland Clinic as the No. 1 hospital in Ohio and the No. 2 hospital in the nation in 2017-18.

Geisinger (Danville, Pa.). Since philanthropist Abigail Geisinger founded Geisinger in 1915, the health system has grown to include more than 30,000-plus employees and 2,005 beds. In 2017, the health system conducted 6.4 million outpatient visits, 119,866 surgeries and 106,005 inpatient admissions. Geisinger took an innovative approach to value-based care in 2015 by launching its ProvenExperience initiative, which allows patients to request refunds if they are dissatisfied with their care for select specialties. So far, the health system has returned more than $1 million to patients. Geisinger is also a leader in using DNA sequencing data to better inform healthcare through its MyCode Community Health Initiative, which had more than 173,000 participants as of late 2017.

Hackensack Meridian Health (Edison, N.J.). Hackensack (N.J.) University Health Network and Neptune, N.J.-based Meridian Health merged in 2016 to form Hackensack Meridian Health, a network of 13 hospitals and more than 200 facilities across New Jersey. The health system also added another three hospitals and 20 more patient care locations through a merger with Edison, N.J.-based JFK Health in January 2018. The 4,520-bed health system now employs a total of 33,000 team members and 6,500 staff physicians. In its 2017-18 Best Hospital rankings, U.S. News & World Report named the health system's flagship hospital, Hackensack University Medical Center, the top hospital in New Jersey and the No. 4 hospital in the New York metro area.

HealthPartners (Bloomington, Minn.). Founded in 1957 as a health insurance cooperative, HealthPartners is now the largest consumer-governed nonprofit healthcare organization in the country with 26,000 employees. The integrated system contains eight hospitals, 55 primary care clinics and 22 urgent care sites where HealthPartners clinicians care for 1.2 million patients annually. The organization's health plan serves more than 1.8 million medical and dental health plan members across six states. IBM Watson Health named HealthPartners among the Top 15 Health Systems in 2018.

Henry Ford Health System (Detroit). Auto pioneer Henry Ford founded Henry Ford Health System in 1915. Today, the nonprofit health system is the fifth largest employer in metro Detroit, with more than 30,000 employees. Henry Ford Health System comprises five acute care hospitals, three behavioral health hospitals and the Henry Ford Medical Group, one of the nation's largest medical groups, comprises 1,200-plus physicians and researchers in more than 40 specialties. In 2016, the health system conducted 4.2 million outpatient visits, 3.2 million digital encounters and 275,000 home visits.

Houston Methodist. Houston Methodist contains an academic medical center, seven community hospitals and more than 120 care locations throughout the greater Houston area. The 2,264-bed health system staffs more than 6,700 physicians and 22,247 employees. In addition to providing patient care, the health system supports physician-scientists working on more than 800 clinical trials through its Houston Methodist Research Institute and offers medical training at its 35,000-square-foot surgical training center and virtual hospital. U.S. News & World Report named Houston Methodist Hospital, the system's flagship facility, the No. 1 hospital in Houston in its 2017-18 rankings.

Inova (Falls Church, Va.). Inova is a five-hospital system containing more than 1,700 licensed beds and 17,500 employees. The health system, which serves more than 2 million people annually, also offers the only level 1 trauma center and level 4 neonatal intensive care unit in the metro Washington, D.C., area. In 2016, Inova recorded 419,532 emergency room visits, 101,728 inpatient admissions and 19,765 births. The health system's new CEO, J. Stephen Jones, MD, took over in April 2018, replacing longtime leader Knox Singleton, who ran the system for more than three decades.

Intermountain Healthcare (Salt Lake City). Intermountain Healthcare is a 2,772-bed health system composed of 22 hospitals and more than 185 clinics staffed by Intermountain Medical Group, which contains about 1,400 employed primary and secondary care physicians. The nonprofit health system recorded 136,716 acute admissions, 503,489 emergency room visits and 40,524 surgeries in 2017. Intermountain also provided about $398.2 million in charity care last year, and IBM Watson Health named four of the health system's hospitals among the 100 Top Hospitals for 2017.

Johns Hopkins Medicine (Baltimore). Johns Hopkins Medicine is an integrated health system composed of the Johns Hopkins University School of Medicine and The Johns Hopkins Hospital and Health System. The system includes six academic and community hospitals, four suburban healthcare and surgery centers, and 39 primary and specialty outpatient care sites. Johns Hopkins Medicine has served as a leader in the healthcare industry since its founding in 1889, becoming the first major medical school to admit women in 1893 and the first health system to use rubber gloves during surgery in 1894. U.S. News & World Report ranked the system's flagship facility, The Johns Hopkins Hospital, the third best hospital in the nation and the No. 1 hospital in Maryland for 2017-18.

Kaiser Permanente (Oakland, Calif.). With more than 211,000 employees and more than 22,000 physicians in the Permanente Medical Group, Kaiser Permanente has established itself as one of the greats. In 2017, the health system provided care and coverage to 1.1 million more patients than in 2016. Its recognition as a leading health system in the U.S. inspired Kaiser Permanente to develop nine research centers with 167 total full-time researchers on staff. Currently, the health system is conducting 2,540 studies and clinical trials.

Mayo Clinic Health System (Rochester, Minn.). Mayo Clinic earned its position as a IBM Watson Health 2018 Top Health System through efforts to treat 1.3 million patients from all 50 states and 136 countries. Among its three flagship campus locations in Rochester, Minn.; Jacksonville, Fla.; and Phoenix, Mayo Clinic currently has 4,729 staff physicians and scientists and 58,405 administrative staff. U.S. News & World Report also took notice of Mayo Clinic's success, ranking the health system's flagship hospital in Rochester No. 1 in the nation for 2018. Mayo Clinic Jacksonville earned the No. 20 spot on the Best Hospitals list.

MemorialCare (Fountain Valley, Calif.). MemorialCare was founded 20 years ago when a group of physicians developed a brand name for five Southern California hospitals. Since its inception, the health system has grown to include 30-plus primary care health centers, 35 imaging centers, nine surgical centers and 1,450 licensed beds. With its growing presence, MemorialCare reports 350 affiliated primary care physicians and more than 2,000 specialists. Surgeons with the health system performed 57,000 ambulatory surgeries and reported 206,000 patient emergency department visits in 2017.

Mercy (Chesterfield, Mo.). As one of the largest U.S. health systems, Mercy has 30 hospitals in four states. The health system has been a consistent leader since inception in 1986, which landed Mercy a spot as an IBM Watson Health 15 Top Health Systems in 2018. The health system employs 44,000 team members to staff its 30 acute care hospitals, 11 specialty hospitals, and over 800 physician practices and outpatient facilities. The health system's staff includes 2,100 physicians, who performed 168,964 surgeries in 2017. Also in 2017, the health system was named one of the Most Wired advanced healthcare organizations by the American Hospital Association.

Mercy Health (Cincinnati). Mercy Health's 1,300 providers treat roughly 6.3 million patients annually, and its superior results have landed the health system recognition as a IBM Watson Health 2018 Top Health System. The elite physicians at Mercy Health treat patients at 23 hospitals, making it one of the largest health systems in the area. President and CEO John Starcher directs a staff of more than 33,500 people across the system's operations in Ohio and Kentucky. In February, Marriottsville, Md.-based Bon Secours Health System declared its intent to merge with Mercy Health.

Methodist Health System (Dallas). Methodist Health System has aimed to improve and save lives by providing compassionate, quality healthcare for more than 90 years. Ten North Texas hospitals carry the Methodist name, either by ownership or through affiliation. There are currently more than 25 Methodist Family Health Care centers and Methodist Urgent Care centers. The system has 1,737 licensed hospital beds, more than 8,500 employees and works with more 1,500 physicians through a variety of relationship models.

Mission Health (Asheville, N.C.). Since admitting its first patient in October 1885, Mission Health and has grown to consistently rank as one of the top health systems in the nation. Honors in 2018 include recognition as the No. 1 hospital in North Carolina for the second year in a row and receiving the Outstanding Patient Experience Award from Healthgrades. The system includes a network of more than 500 physicians and 763 beds at seven member hospitals as well as a level II trauma center.

Mount Sinai Health System (New York City). More than 7,000 primary and specialty care physicians make up the Mount Sinai Health System, created from the 2013 merger of Mount Sinai Medical Center and Continuum Health Care. The health system giant includes 12 minority-owned free-standing ambulatory surgery centers and more than 45 ambulatory practices. The system’s medical school in New York City, the Icahn School of Medicine, is a global leader in education, research and patient care.

NewYork-Presbyterian (New York City). NewYork-Presbyterian is one of the largest health systems in the nation with 2,527 certified beds, 6,500 affiliated physicians and 20,000 employees. The health system understands the need for inpatient and outpatient care, reporting 126,179 inpatient discharges and more than 2.1 million outpatient visits in 2017. Along with its mission to treat patients, NewYork-Presbyterian reported $130.8 million in charity care. All of the health system's efforts landed it the No. 8 spot on U.S. News & World Report's Honor Roll in 2017.

NorthShore University HealthSystem (Evanston, Ill.). Along with its four hospitals, NorthShore University HealthSystem includes a 970-physician multispecialty group practice that has 130 locations in the Chicago area. The health system's 10,517 employees help service 789 beds at its hospitals. In 2017, NorthShore University HealthSystem recorded 128,392 inpatient and outpatient emergency room visits, with an average length of stay of 4.3 days. NorthShore is the principal teaching affiliate of the University of Chicago Pritzker School of Medicine.

Northwell Health (New Hyde Park, N.Y.). More than 2 million patients depend on Northwell Health's 23 hospitals for treatment annually. To keep up with all the patients seeking care, Northwell Health has nearly 15,000 affiliated physicians, including 4,000 employed physicians and more than 3,100 members of Northwell Health Physician Partners. The largest private employer in New York, Northwell Health includes 650 outpatient facilities and the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell in Hempstead, N.Y.

Northwestern Memorial HealthCare (Chicago). Northwestern Memorial HealthCare serves as the corporate parent of Northwestern Medicine, a nonprofit health system that encompasses seven hospitals and the Northwestern University Feinberg School of Medicine. U.S. News & World Report ranked its flagship hospital, Chicago-based Northwestern Memorial Hospital, 13th in the nation and No. 1 in Illinois in 2017-18. The health system includes 4,000 physicians and 30,000 employees, and is involved in 4,500 clinical trials and studies.

Novant Health (Winston-Salem, N.C.). Novant Health came to fruition with the 1997 merger of Winston-Salem, N.C.-based Carolina Medicorp and Charlotte, N.C.-based Carolina Presbyterian Health Services. The four-state integrated network encompasses 1,500-plus physicians and 28,000-plus employees at more than 580 locations, including 14 medical centers. Novant Health was the first health system to receive revalidation for the Health Information and Management Systems Society Analytics Stage 7 Ambulatory Award.

Ochsner Health System (New Orleans). Established in 1942, Ochsner Health System now includes 29 owned, managed and affiliated hospitals and 60-plus neighborhood health centers. In March, the health system opened a new west campus as part of the $360 million expansion of the New Orleans-based Jefferson Highway campus with a 30-bed skilled nursing facility as well as inpatient rehabilitation. U.S. News & World Report ranked the health system's flagship hospital, Ochsner Medical Center, No. 1 in Louisiana and nationally ranked four of its adult specialties and one children's specialty in 2017-18.

OhioHealth (Columbus). Founded in 1997, faith-based OhioHealth includes 11 hospitals and 200-plus ambulatory sites, among other services, in 47 Ohio counties. The OhioHealth Research and Innovation Institute leads research on new drugs, medical devices and procedures. Columbus-based OhioHealth Doctors Hospital and 80-bed OhioHealth Dublin Methodist Hospital are named among the 2018 IBM Watson Health 100 Top Hospitals, and the health system made Fortune magazine's 100 Best Companies to Work For in 2018 for the 12th year.

Partners HealthCare (Boston). In 1994, Brigham and Women's Hospital and Massachusetts General Hospital formed Partners HealthCare, which now includes 10 hospitals, a managed care organization, a physician network, community health centers, home care and more. Partners HealthCare employs more than 73,000 people who care for 1.5 million patients annually. The health system received $1.6 billion in research funding in 2017. In May, Partners HealthCare signed an agreement to acquire Care New England, a three-hospital health system based in Providence, R.I. Under terms of the deal, Partners would also invest in Providence-based Brown University-led research taking place at Warren Alpert Medical School.

ProMedica (Toledo, Ohio). Nonprofit locally owned ProMedica serves 28 counties in northwest Ohio and southern Michigan at 13 acute care hospitals, four ambulatory surgery centers and 300-plus additional facilities. ProMedica Physicians encompasses 920-plus providers, and the health system has a locally owned insurance company, Paramount. ProMedica contributes more than $100 million in community benefits annually.

Providence St. Joseph Health (Renton, Wash.). In July 2016 Providence Health & Services and St. Joseph Health merged to form Providence St. Joseph Health with 50 hospitals and 829 clinics. The health system encompasses 25,000 physicians, 38,000 nurses and two health plans spanning seven states. Providence St. Joseph Health covers 2.1 million lives and gives $1.6 billion in community benefits.

Roper St. Francis Healthcare (Charleston, S.C.). Established 150 years ago, Roper St. Francis Healthcare includes three flagship hospitals with 657 beds and 110-plus facilities. The health system’s fourth hospital is set to open in 2019. In December 2017, CMS gave all hospitals in the health system five stars, and Roper St. Francis Healthcare ranked among IBM Watson Health’s 15 top health systems for 2018 for the sixth time.

Scripps (San Diego, Calif.). A nonprofit integrated health system, Scripps encompasses four hospitals on five campuses and 28-plus outpatient centers and clinics. The health system was founded in 1924 and has 3,000-plus affiliated physicians treating 700,000 patients annually. In March, the health system made headlines by joining the Apple Health app platform, allowing patients to access their medical records and health data on their iPhones. U.S. News & World Report named Scripps Memorial La Jolla Hospital No. 1 in the San Diego region for 2017-18. Fortune magazine also honored Scripps as one of its 100 best companies to work for, and Advisory Board named the health system workplace of the year in 2018.

Sentara Healthcare (Norfolk, Va.). Founded in 1888, Sentara Healthcare now includes 12 acute care hospitals and 300-plus sites of care in Virginia and northeastern North Carolina. The health system provides coverage to 445,000 people through its health plan, Optima Health. Sentara Healthcare was ranked among IBM Watson Health's 15 Top Health Systems for 2018.

Spectrum Health (Grand Rapids, Mich.). Spectrum Health was founded in 1996 through the merger of Grand Rapids, Mich.-based Blodgett Memorial Medical Center and Butterworth Health Corp. It’s grown into a 12-hospital system with more than 26,000 employees, including 1,900 employed physicians and advanced practice providers. The $5.7 billion system provided $372 million in community benefits in fiscal year 2017 and saw 383,000 emergency department visits and 76,000 acute care admissions the same year.

SSM Health (St. Louis). The nonprofit Catholic health system SSM Health was founded in 1872 by five German nuns who immigrated to St. Louis. Today, the system comprises 24 hospitals, 10 post-acute care facilities, home and hospice services and more than 300 physician offices and outpatient sites in the Midwest. With more than 40,000 employees and 10,000 providers in four states, SSM Health is one of the largest employers in every community it serves. In 2017, SSM Health had 188,913 inpatient admissions and more than 2 million outpatient visits.

St. Luke's Health System (Boise, Idaho). St. Luke's Health System, a 14-hospital organization, comprises 2,200 employed and independent providers and was accountable for the healthcare needs of more than 161,000 people in 2016-17. The system also provided air transportation to 500-plus mothers and children through its Air St. Luke's Maternal-Child Transport Team the same year. In fiscal year 2016, the health system saw 722,451 outpatient visits and 193,794 emergency department visits across its various facilities. St. Luke's was named one of the nation's 15 Top Health Systems by IBM Watson Health in 2018.

Sutter Health (Sacramento). Sutter Health was created through a 1996 merger of Sacramento-based Sutter Health and Bay area-based California Healthcare System, but its roots are traced to local independent community hospitals started in the 1800s. Today, the 24-hospital network includes 5,500 physicians and 53,000 network and affiliate employees. In 2017, Sutter Health had 868,837 emergency room visits, 31,780 births and 191,682 discharges. The health system invested $612 million in services for underserved communities the same year. In March, 21 Sutter Health affiliates earned recognition by the Human Rights Campaign Foundation as leaders in LGBTQ healthcare equality.

Texas Health Resources (Arlington). With 29 hospitals and 3,900-plus licensed beds, Texas Health Resources is the largest faith-based nonprofit healthcare organization in North Texas in number of patients served. The health system was formed in 1997 through the merging of Fort Worth, Texas-based Harris Methodist Health System and Dallas-based Presbyterian Healthcare Resources. The organization employs about 24,000 people, including more than 6,000 physicians with staff privileges. It has 20 outpatient facilities and more than 250 other community access points. Texas Health Resources had $4.52 billion in operating revenue in fiscal year 2016 and $7.98 billion in total assets the same year.

TriHealth (Cincinnati). TriHealth was founded in 1995 and has since grown into a five-hospital system and the fourth-largest employer in Cincinnati. The health system maintains 125 physician practice locations statewide with nearly 600 employed physicians, including medical residents. TriHealth is home to residency programs in family practice, internal medicine and general surgery, among others, and several fellowship programs. TriHealth was named one of the nation's top 15 health systems by IBM Watson Health in 2018, and three of the system's hospitals received "A" grades in patient safety from The Leapfrog Group the same year.

Trinity Health (Livonia, Mich.). The foundation for what would eventually become Trinity Health was laid more than 170 years ago by several congregations of religious women. However, the 94-hospital system was officially created in May 2013 through the merging of Trinity Health and Newtown Square, Pa.-based Catholic Health East. The health system represents one of the largest Catholic healthcare organizations in the U.S., touting more than 131,000 employees, including 7,500 physicians. With locations in22 states, Trinity Health maintains annual operating revenues of $17.6 billion and disperses about $1.1 billion annually to improve health and wellness in surrounding communities.

UCHealth (Aurora, Colo.). UCHealth comprises nine hospitals and two affiliated hospitals located across the state. The health system saw 444,150 visits to its emergency rooms and 72,488 surgeries performed across its various facilities during fiscal year 2017. With 18,963 employees throughout the health system, UCHealth was able to service 121,898 inpatient admissions and observation visits and 2.9 million outpatient visits the same year. The health system was named one of the nation's 15 Top Health Systems by IBM Watson Health in 2018. Aurora-based UCHealth University of Colorado Hospital was also named to U.S. News & World Report's 2017-18 Best Hospitals Honor Roll, landing the No. 15 spot.

UnityPoint Health (West Des Moines, Iowa). UnityPoint Health is composed of 30,000 employees, including 900 physicians, and maintains 280 clinics and a network of affiliated hospitals across locations in Iowa, Illinois and Wisconsin. The 19-hospital health system sees annual revenue of about $4.4 billion. In 2016, UnityPoint Health provided $519 million of charity care, community benefit and other uncompensated care to its surrounding community. The health system was named among the nation's Most Wired Advanced health systems by the American Hospital Association's Health Forum in 2017.

UPMC (Pittsburgh). UPMC, with more than 30 hospitals and 8,500 licensed beds, reported $16 billion in operating revenue in 2017. The health system retains 80,000 employees and maintains one of the largest international footprints of any U.S. healthcare enterprise, with partnerships in Ireland, Italy and China, among other regions. The system saw 340,000 inpatient admissions, 957,000 emergency visits and 220,000 surgeries across various facilities in 2017. UPMC Presbyterian Shadyside in Pittsburgh was ranked No. 14 on U.S. News & World Report's 2017-18 Best Hospitals Honor Roll. Williamsport, Pa.-based UPMC Susquehanna was also named one of the nation's top 15 health systems by IBM Watson Health in 2018.

Yale New Haven (Conn.) Health. Yale New Haven Health comprises five hospitals in Connecticut and was named the third-largest employer in the state by Hartford Business Journal in 2015 with 20,396 employees at the time. The health system also maintains a 1,500-employee multispecialty medical foundation, Northeast Medical Group, which is composed of 70-plus physician practices in 100 care locations. Yale New Haven Health serves as the primary teaching affiliate of New Haven-based Yale School of Medicine and the medical school's clinical practice, Yale Medicine — one of the largest multispecialty group practices in the U.S. with 800-plus physicians in 160 specialties. The health system was ranked the No. 1 hospital in Connecticut by U.S. News & World Report for 2017-18.

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