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. Indian Health Service (Rockville, Md.): 46 [22 Federal and 24 Tribal] hospitals
19. Prime Healthcare (Ontario, Calif.): 44 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. Jefferson Health (Philadelphia): 32 hospitals
27. Ardent Health Services (Nashville, Tenn.): 30 hospitals
28. Texas Health Resources (Arlington): 29 hospitals
29. Universal Health Services (King of Prussia, Pa.): 28 hospitals
30. Adventist Health (Roseville, Calif.): 28 hospitals
31. Great Plains Health Alliance (Wichita, Kan.): 26 hospitals
32. Piedmont Healthcare (Atlanta): 25 hospitals
33. West Virginia University Health System (Morgantown): 25 hospitals
34. Orlando (Fla.) Health: 25 hospitals
35. Community Hospital Corp. (Plano, Texas): 24 hospitals
36. SSM Health (St. Louis): 23 hospitals
37. Baptist (Memphis, Tenn.): 23 hospitals
38. Cleveland Clinic: 23 hospitals
39. Sutter Health (Sacramento, Calif.): 22 hospitals
40. Northwell Health (New Hyde Park, N.Y.): 22 hospitals
41. Corewell Health (Grand Rapids, Mich.): 22 hospitals