As employee benefits professionals, you often know ‘who the players are’ regarding insurance carriers, pharmacy benefits managers and insurance brokers/benefits consultants. However, employee benefits are mainly (at least on a dollar basis) about healthcare and the majority of healthcare dollars — your benefits budget — go to large hospital systems and the physicians that work there.
Who are the ‘players’ in the world of hospital systems?
Here is a list of the 20 largest non-profit and the 10 largest for-profit hospital systems in America — with the number of hospitals listed at the end of each.
Non-Profit Hospital Systems
- Ascension Health (St. Louis) — 76
- Trinity Health (Livonia, Mich.) — 45
- Kaiser Permanente (Oakland, Calif.) — 37
- Dignity Health (San Francisco) — 36
- Catholic Health Initiatives (Englewood, Colo.) — 33
- Adventist Health System (Winter Park, Fla.) — 31
- Sutter Health (Sacramento, Calif.) — 26
- Providence Health and Services (Renton, Wash.) — 26
- Northwell Health (Great Neck, N.Y.) — 21
- Banner Health (Phoenix) — 20
- Baylor Scott & White Health (Dallas) — 19
- CHRISTUS Health (Irving, Texas) — 19
- SSM Health Care (St. Louis) — 18
- Intermountain Health Care (Salt Lake City) — 17
- Mercy Health (Cincinnati) — 17
- New York-Presbyterian Healthcare System (New York City) — 17
- Adventist Health (Roseville, Calif.) — 16
- UPMC (Pittsburgh) — 16
- UnityPoint Health (Des Moines, Iowa) — 15
- Hospital Sisters Health System (Springfield, Ill.) — 14
- Mercy (Chesterfield, Mo.) — 14
- Texas Health Resources (Arlington) — 14
- Aurora Health Care (Milwaukee) — 13
- Baptist Memorial Health Care (Memphis, Tenn.) — 13
- Franciscan Alliance (Mishawaka, Ind.) — 13
- Saint Joseph Health (Orange, Calif.) — 13
- Carolinas HealthCare System (Charlotte, N.C.) — 12
- Bon Secours Health System (Marriottsville, Md.) — 11
- Mayo Clinic Health System (Rochester, Minn.) — 11
- Sentara Healthcare (Norfolk, Va.) — 12
- Novant Health (Winston-Salem, N.C.) — 10
- East Texas Medical Center Regional Healthcare System (Tyler) — 7
For-Profit Hospital Systems
- Community Health Systems —188
- Hospital Corporation of America (HCA) — 166
- Tenet Healthcare (Dallas) — 74
- LifePoint Health (Brentwood, Tenn.) — 56
- Prime Healthcare Services (Ontario, Calif.) — 32
- Universal Health Services (King of Prussia, Pa.) — 28
- IASIS Healthcare (Franklin, Tenn.) — 18
- Ardent Health Services (Nashville, Tenn.) — 12
- Capella Healthcare (Franklin, Tenn.) — 9
- Steward Health Care System (Boston) — 9
- National Surgical Hospitals (Chicago) — 8
This list is generated from Becker’s Hospital Review: Non-Profit Hospital List and For-Profit Hospital List.
These hospital systems generate a great deal of revenue. For example, the fifth largest non-profit hospital system, Catholic Health Initiatives, made $13.9 Billion in revenue in 2013 (according to Wikipedia) With that much revenue, Catholic Health Initiatives would be #202 on the Fortune 500 List - larger than CBS, VISA, YUM Brands (Taco Bell, KFC, Pizza Hut), Hilton Hotels and Campbell Soup.
The No. 11 largest non-profit hospital system, Ascension Health, generated $20.5 Billion in revenue in 2015. If Ascension Health were on the Fortune 500, it would be No. 139…ahead of Tenet Healthcare (the third-largest for-profit hospital system), Southwest Airlines, Starbucks and Facebook.