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14 100 of the largest hospitals and health systems to know | 2019 B ecker's Hospital Review compiled 40 large health systems by number of hospitals and 60 large hospitals by bed count. is list was developed based on information as of July 2019. Note: Hospitals and health systems do not pay and cannot pay for inclusion on this list. Largest Health Systems HCA Healthcare (Nashville, Tenn.): 185 hospitals. HCA Healthcare has more than 38,000 active physicians and 94,000 registered nurses worldwide. e health system reports 31.2 million patient encoun- ters and 8.9 million emergency room visits per year. HCA Healthcare has been ranked No. 63 on the Fortune 500 list and named among the World's Most Ethical Companies list for 10 consecutive years. Ascension Health (St. Louis): 151 hospitals. Ascension is a nonprof- it Catholic health system with around 156,000 associates and 34,000 aligned providers. Systemwide, Ascension offers 2,600 care sites in 21 states and Washington, D.C. e health system provides around 25 mil- lion outpatient visits per year and 3.1 million ER visits. CommonSpirit Health (Chicago): 142 hospitals. CommonSpirit Health was created in early 2019 as a combination of Englewood, Co- lo.-based Catholic Health Initiatives and San Francisco-based Dignity Health. When it launched, the health system included 150,000 employ- ees and 25,000 physicians. e faith-based health system has hospitals and care centers in 21 states and is accessible to 25 percent of U.S. residents. Community Health Systems (Franklin, Tenn.): 105 hospitals. CHS has more than 30 years of history, acquiring individual community and small hospitals. It spun off Brentwood, Tenn.-based Quorum Health as a 38-hospital health system in April 2016 and now includes 105 hospi- tals in 18 states. e publicly traded health system has 17,000 licensed beds across all facilities. Trinity Health (Livonia, Mich.): 92 hospitals. Trinity Health is a Cath- olic health system with 92 hospitals and 107 continuing care locations. It employs around 129,000 individuals, including 7,800 physicians and clinicians. e health system has locations in 22 states and serves com- munities that include about 30 million people nationwide. LifePoint Health (Brentwood, Tenn.): 86 hospitals. e National Ru- ral Health Association recognized two of the health system's hospitals — Riverview Regional Medical Center in Carthage, Tenn., and Trous- dale Medical Center in Hartsville, Tenn. — among the top 20 critical access hospitals in the nation. Tenet Healthcare (Dallas): 65 hospitals. In addition to its 65 acute care hospitals, Tenet Healthcare has 475 outpatient centers that provide 10 million patient encounters per year. e health system was ranked No. 172 on the Fortune 500 rankings and has around 110,000 employees. Vibra Healthcare (Mechanicsburg, Pa.): 65 hospitals. Founded in 2004, Vibra Healthcare has grown significantly over the past 15 years to employ more than 9,000 individuals and operate 65 specialty acute care hospitals and outpatient physical therapy centers. e health system has more than 2,900 licensed beds in 19 states. Providence St. Joseph Health (Renton, Wash.): 51 hospitals. Prov- idence St. Joseph Health supports 51 hospitals, 829 clinics and more than 119,000 employees across five states. It was formed in 2016 by the combination of Providence Health & Services and St. Joseph Health, and now includes a single health plan with 2.1 million covered lives. Atrium Health (Charlotte, N.C.): 50 hospitals. In 2018, Carolinas HealthCare System rebranded as Atrium Health, a health system with history dating back to 1940 when its flagship hospital opened its doors. Now, the health system includes 50 hospitals and around 900 care lo- cations that include physician offices, behavioral health centers and nursing homes. e health system has earned HIMSS Analytics Stage 7 certification in both the acute care and ambulatory environments. AdventHealth (Altamonte Springs, Fla.): 50 hospitals. AdventHealth, formerly known as Adventist Health System, unites 38 hospital campus- es and hundreds of other care sites across nine states to provide faith- based healthcare. e health system rebranded in January and launched a transformation to become more consumer-centric. e health system serves more than 5 million patients annually and has more than 1,200 care sites. Baylor Scott & White Health (Dallas): 48 hospitals. Baylor Scott & White was formed in 2013 as a combination of Baylor Health Care Sys- tem and Scott & White Healthcare. e system has more than 800 care sites and 7,800 active physicians. e health system also includes a health plan and supports more than 47,000 employees. In 2018-19, 16 Baylor Scott & White hospitals appeared on the U.S. News & World Report list of America's Best Hospitals. Bon Secours Mercy Health (Cincinnati): 48 hospitals. Bon Secours Mercy Health has more than 60,500 team members and 1,000 points of care across two countries. e health system has a presence in seven states and supports a research team focused on innovation to change the healthcare landscape. e nonprofit health system also employs 2,100 physicians and advanced practice providers. Sponsored by: