Hospital bed counts can provide a granular measurement when assessing health system size.
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There are about 920,000 staffed beds across U.S. hospitals. In conversation, hospital leaders express frustration today with the split position they find themselves in ' they expect healthcare delivery to increasingly move out of the hospital, but there is need for more staffed beds today.
Inpatient hospital volumes are set to increase by 2% over the next 10 years. Healthcare consultant Sg2 notes that the case mix index ' reflecting patient severity ' is up 5% since while the average length of stay for patients admitted to a hospital has risen 10%.
Below are the top 25 U.S. health systems in descending order of hospital beds. Bed data is from the Compendium of U.S. Health Systems for , released in December , from the Agency for Healthcare Research and Quality. Find a listing of the largest hospitals by beds and health systems by hospitals here.
HCA Healthcare (Nashville, Tenn.): 37,478
CommonSpirit Health (Chicago): 17,107
Ascension Health (St. Louis): 16,103
Trinity Health (Livonia, Mich.): 14,706
Tenet Healthcare (Dallas): 12,690
Advocate Health (Charlotte, N.C.): 10,528
Community Health Systems (Franklin, Tenn.): 10,077
Providence (Renton, Wash.): 9,511
Kaiser Permanente (Oakland, Calif.): 9,217
AdventHealth (Altamonte Springs, Fla.): 8,041
Prime Healthcare Services (Ontario, Calif.): 6,473
Bon Secours Mercy Health (Cincinnati): 6,053
UPMC (Pittsburgh): 6,047
Lifepoint Health (Brentwood, Tenn.): 6,013
Universal Health Services (King of Prussia, Pa.): 5,792
Northwell Health (New Hyde Park, N.Y.): 5,287
Banner Health (Phoenix): 5,189
Cleveland Clinic: 5,106
Corewell Health (Grand Rapids, Mich.): 4,689
Mercy (Chesterfield, Mo.): 4,453
Steward Health Care System (Dallas): 4,143
SSM Health (St. Louis): 4,105
Baylor Scott and White Health (Dallas): 3,991
RWJBarnabas Health (West Orange, N.J.): 3,972
NewYork-Presbyterian Healthcare System (New York City): 3,970
Fig. 1 Data is from the Definitive Healthcare HospitalView product and obtained from a variety of sources including the Medicare Cost Report and proprietary research. Accessed February .
HCA Healthcare hospitals have more than 41,600 beds in total making it the largest health system in the U.S. by bed size. It is also the largest health system by total number of hospitals and net patient revenue. It has about 16,400 more beds than the second largest U.S. health system.
The U.S. Department of Veterans Affairs is the second largest healthcare system in the country with more than 25,200 beds across its hospitals.
The top 10 healthcare systems cover 1,210 hospitals and more than 185,000 hospital beds.
Here are some quick facts and figures about the top five largest IDNs by bed count in the U.S. in descending order:
Ascension Health, based in St. Louis, Missouri is the fifth largest U.S. healthcare system with 17,286 staffed member hospital beds. The faith-based organization has facilities in 12 states and Washington D.C., with facilities concentrated in the Midwest, Southeast, and South.
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Fast facts:
Catholic Health Initiatives and Dignity Health merged in to form CommonSpirit Health, now the fourth largest healthcare system by bed size. The organization has 19,405 staffed beds and 157 hospitals across 18 states. Some of the states with the most CommonSpirit Health hospitals are located in the western U.S. including California, Colorado, Arizona, and Washington.
Fast facts:
Universal Health Services ranks third for total hospital beds among U.S. healthcare systems, with more than 21,000 staffed beds. . The health system is headquartered in King of Prussia, Pennsylvania and its facilities are found in 40 states including Texas, Florida, and Nevada.
Fast facts:
VA hospitals provide healthcare services to nine million veterans that served in the U.S. military. It is the second largest healthcare system in the U.S. by hospital bed count with more than 25,000 beds and 161 hospitals. VA hospitals cover all 50 states, Washington D.C. and Puerto Rico. VA hospitals are government run and do not report financial figures.
Fast facts:
Ranked as the largest U.S. healthcare system by total member hospital beds is HCA Healthcare with over 41,000 staffed beds. Headquartered in Nashville, Tennessee, its facilities cover 18 states, with the most hospitals in Texas, Florida, Tennessee, and Virginia.
Fast facts:
HCA Healthcare has remained the largest IDN in the country for a number of years and has continued to grow. Compared to historical HospitalView data, HCA's bed count increased by 10% from to .
IDNs provide an array of healthcare services, from outpatient surgical centers and imaging facilities to specialized cancer centers and children's hospitals. They grow their coverage by adding to their service offerings, building new healthcare facilities, and through mergers and acquisitions. Large health systems aim to retain as many patients as possible in network while providing quality care.
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