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20 The List Issue enhance their skills and training. Banner is also well-known for the Alzheimer's disease research conducted by the Banner Alzheimer's Institute and the Banner Sun Health Research Institute. Banner received in two grants of nearly $50 mil- lion to sustain this research into Alzheimer's dis- ease prevention. Baylor Scott & White Health (Dallas). Baylor Scott & White Health is a relative new-comer in the world of health systems, since it formed in October 2013 from a merger of Dallas-based Bay- lor Health Care System and Temple, Texas-based Scott & White Healthcare. However, the system — which is the largest nonprofit health system in the state — has risen to prominence despite the fact that it is just over one year old. For example, the 46-hospital system created the Baylor Scott & White Quality Alliance, a 3,700-physician network that is one of the larg- est accountable care organizations in the na- tion. It was also named a Mega Deal of the Year by D Magazine in the 2014 Mergers & Acquisi- tions Awards. By integrating two health systems' functions, Baylor Scott & White has been able to achieve $39 million in efficiencies. In March, the nonprofit system announced a partnership with for-profit Dallas-based Tenet Healthcare at five Texas hospitals to focus on inte- grated, value-based care delivery. e two systems will jointly own five organizations, with Baylor Scott & White holding the majority ownership. is wasn't the first partnership between the two systems; their respective ACOs affiliated in Feb- ruary to increase access to care at four hospitals, six outpatient centers and among more than 170 physicians. BJC HealthCare (St. Louis). BJC HealthCare in- cludes 12 hospitals, multiple community health locations, net revenues of $4 billion and more than 26,500 employees today, but it started a lot smaller. e system was formed in 1993 aer a merger of Barnes-Jewish, an urban academic medical center affiliated with Washington University School of Medicine, and Christian Health Services, a subur- ban community hospital network. With 805 staffed beds and 9,190 employees, BJC HealthCare's largest hospital is Barnes- Jewish Hospital. Barnes-Jewish is Magnet rec- ognized for nursing excellence and was ranked as the No. 1 hospital in the St. Louis metro area and in Missouri in U.S. News & World Report's 2014-15 rankings. Two other system hospitals — Boone Hospital Center in Columbia, Mo., and St. Louis Children's Hospital — are also Magnet recognized. In addition to its excellent hospitals, BJC Health- Care also has a Medicare accountable care orga- nization known as BJC ACO as well as several other entities, including BJC Behavioral Health, BJC Corporate Health Services, BJC Home Care Services and BJC Medical Group, which employs more than 300 physicians, nurse practitioners and physician assistants who serve patients in nearly 100 practice locations. Carilion Clinic (Roanoke, Va.). Formerly known as Carilion Health System, Carilion Clinic is a nonprofit system providing care to nearly 1 mil- lion Virginians. e $1.5 billion integrated system includes a multispecialty physician group, eight hospitals, the Jefferson College of Health Sciences and a medical school joint venture with Blacks- burg-based Virginia Tech. e system and its components have received na- tional recognition for excellence. For instance, some of its hospitals have Magnet designation from the American Nurses Credentialing Center for nursing excellence, and Carilion Roanoke (Va.) Memorial Hospital has been ranked among the top 10 hospi- tals in the state by U.S. News & World Report. In 2014, Carilion Clinic and Virginia Tech made history when the Virginia Tech Carilion School of Medicine's charter class earned their diplomas aer four years of education and research. Now, 11 of the 40 members of the graduating class are pursuing their residency training at Carilion. Carolinas HealthCare System (Charlotte, N.C.). Carolinas HealthCare System boasts more than 900 care sites, including dozens of hospitals, in North and South Carolina, but it had humble beginnings as it grew out of a community hospital founded in 1940. It has since evolved into a com- prehensive health system with more than 7,460 li- censed beds and an annual budget exceeding $7.7 billion. It is led by Michael Tarwater, who has held the CEO position since 2002. Carolinas is one of the nation's leaders when it comes to using data pulled from its ambulatory EHR. In recognition of that fact, the system re- ceived the HIMSS Stage 7 Ambulatory Award in 2015 for 230 of its clinic locations. Just 6.2 percent of ambulatory clinics across the country have re- ceived this award. Additionally, the system and its components have received many major awards recognizing qual- ity of care and general excellence. For example, Carolinas was honored by the North Carolina Hospital Association for its commitment to qual- ity improvement and patient safety as part of its participation in CMS' Hospital Engagement Net- work initiative. e system has also been recog- nized nationally for its workplace engagement — the system made Forbes' list of America's 500 best employers, clocking in at No. 89. Catholic Health Initiatives (Englewood, Colo.). Formed in 1996, CHI is a nonprofit, faith- based system made aer the consolidation of four Catholic health systems, including Catholic Health Corp., Franciscan Health System and Sis- ters of Charity Health Care Systems. Now one of the nation's largest health systems, CHI operates in 19 states and has 105 hospitals, including four academic health centers or major teaching hospi- tals as well as 30 critical access hospitals. Many of the hospitals and systems that comprise CHI have received national recognition of excel- lence. For example, Alegent Creighton Health in Omaha, Neb., which is part of CHI, was named one of the 2015 15 Top Health Systems by Truven Health Analytics. e system itself is not the only entity receiv- ing major awards: CHI's CEO, Kevin Loon, received the American College of Healthcare Ex- ecutives' Gold Medal Award in 2015. e Gold Medal Award is the highest annual honor given by ACHE to healthcare executives and recognizes those who "best exemplify leadership" and "con- tinually contribute to the improvement of health- care" even beyond the organizations they lead. Cleveland Clinic. While Cleveland Clinic is well- known for its flagship facility in Ohio, its reach extends across the country and even around the world, with Cleveland Clinic Canada in Toronto and the new Cleveland Clinic Abu Dhabi, which started accepting patients this year. e system has outposts in Weston, Fla., and Las Vegas, as well as eight community hospitals throughout Ohio. Additionally, Cleveland Clinic boasts a net- work of outpatient facilities in northern Ohio. All told, the system has 4,450 beds, with more than 1,400 of those located on the Cleveland Clin- ic main campus. It has more than 3,000 full-time salaried physicians and researchers and 11,000 nurses. Cleveland Clinic was named No. 2 on the Diver- sityInc Top 5 Hospitals and Health Systems for Diversity in 2015 list, meaning it scored highly on diversity management in numerous areas. It was also named one of the World's Most Ethical Com- panies by Ethisphere for the fih time in the last seven years in 2015. It was just one of five hospi- tals to make the list. Dignity Health (San Francisco). Dignity Health, a faith-based system that aims to meet patients' physical, mental and spiritual needs, was founded in 1986. Today, it has more than 60,000 caregivers and staff located in 21 states. It is the fih-largest system in the U.S. and the largest hospital pro- vider in California. Dignity Health is committed to improving patient safety, and in a two-year span it reduced hospital- acquired infections and readmissions, positively affecting more than 10,000 patients and saving about $30 million. With its headquarters in San Francisco, Dignity Health has partnered with local sports teams as their official healthcare provider. e system's caregivers provide medical services for the MLB's San Francisco Giants and fans who visit AT&T Park as well as for the NFL's San Francisco 49ers and fans visiting Levi's Stadium. Froedtert & the Medical College of Wisconsin (Milwaukee). e regional healthcare network of Froedtert has three hospitals and more than 25 lo- cations. e three hospitals have 781 staffed beds and 40,000 annual admissions. e system's flag- ship hospital, Froedtert Hospital in Milwaukee, is one of fewer than 120 academic medical cen- ters in the U.S. and one of just two in Wisconsin, made capable by the system's partnership with the Medical College of Wisconsin.