Healthcare Insights
Largest nonprofit hospital systems
There are more than 900 healthcare systems, or integrated delivery networks (IDNs), in the U.S. Of those, more than three-quarters are nonprofit healthcare systems.
In this Healthcare Insight, we use data from the Definitive Healthcare HospitalView product to review the largest nonprofit healthcare systems by total hospital beds across the country.
Top 20 nonprofit health systems in the U.S.
| Rank | Definitive ID | IDN name | Location | Hospital staffed beds | Ownership | Explore dataset |
|---|---|---|---|---|---|---|
| 1 | 7265 | Department of Veterans Affairs (AKA Veterans Health Administration) | Washington, DC | 25,260 | Governmental - Federal | Explore |
| 2 | 981465 | CommonSpirit Health | Chicago, IL | 19,730 | Voluntary Nonprofit - Church | Explore |
| 3 | 4695 | Ascension Health | Saint Louis, MO | 18,230 | Voluntary Nonprofit - Church | Explore |
| 4 | 4712 | Trinity Health (FKA CHE Trinity Health) | Livonia, MI | 15,074 | Voluntary Nonprofit - Church | Explore |
| 5 | 1057655 | Advocate Health | Charlotte, NC | 11,653 | Voluntary Nonprofit - Other | Explore |
| 6 | 4716 | Providence St Joseph Health (AKA Providence) | Renton, WA | 10,536 | Voluntary Nonprofit - Church | Explore |
| 7 | 4713 | Kaiser Permanente | Oakland, CA | 9,773 | Voluntary Nonprofit - Other | Explore |
| 8 | 4694 | AdventHealth (FKA Adventist Health System) | Altamonte Springs, FL | 8,313 | Voluntary Nonprofit - Church | Explore |
| 9 | 4698 | Dignity Health | San Francisco, CA | 7,925 | Voluntary Nonprofit - Church | Explore |
| 10 | 6448 | University of Pittsburgh Medical Center (AKA UPMC) | Pittsburgh, PA | 7,224 | Voluntary Nonprofit - Other | Explore |
| 11 | 4732 | Banner Health | Phoenix, AZ | 5,860 | Voluntary Nonprofit - Other | Explore |
| 12 | 975303 | Bon Secours Mercy Health | Cincinnati, OH | 5,820 | Voluntary Nonprofit - Church | Explore |
| 13 | 4702 | CHRISTUS Health | Irving, TX | 5,258 | Voluntary Nonprofit - Church | Explore |
| 14 | 4744 | Northwell Health (AKA North Shore Long Island Jewish Health System) | New Hyde Park, NY | 5,204 | Voluntary Nonprofit - Other | Explore |
| 15 | 274173 | Cleveland Clinic Health System | Cleveland, OH | 5,100 | Voluntary Nonprofit - Other | Explore |
| 16 | 1044485 | Corewell Health (FKA BHSH System) | Grand Rapids, MI | 5,049 | Voluntary Nonprofit - Other | Explore |
| 17 | 577357 | Baylor Scott & White Health | Dallas, TX | 4,861 | Voluntary Nonprofit - Other | Explore |
| 18 | 7027 | Mercy (MO) | Saint Louis, MO | 4,791 | Voluntary Nonprofit - Church | Explore |
| 19 | 560423 | University of California Health (AKA UC Health-CA) | Oakland, CA | 4,735 | Governmental - State | Explore |
| 20 | 845346 | Kaiser Permanente Southern California | Pasadena, CA | 4,622 | Voluntary Nonprofit - Other | Explore |
Fig. 1. Data is from the Definitive Healthcare HospitalView product and aggregated from the most recent 12-month interval tracked in our database. Data is sourced from the April 2023 Medicare Cost Report release. Accessed May 2023.
What is the largest nonprofit health system in the U.S.?
The Department of Veterans Affairs (VA) is the largest nonprofit health system with more than 25,000 beds. There are more than 160 VA hospitals and the health system is one of the largest overall in the country by beds and total hospitals. The VA is a department of the federal government.
CommonSpirit Health and Ascension Health are the next two largest nonprofit healthcare systems – each has more than 18,000 beds. They are both church-affiliated nonprofit organizations and are headquartered in the Midwest.
What is a nonprofit hospital system?
In HospitalView, we track three main types of healthcare system ownership: governmental, proprietary, and voluntary nonprofit. Governmental and voluntary nonprofit ownerships are considered non-profit healthcare systems while proprietary systems are for-profit.
What are the different types of for-profit and nonprofit healthcare systems?
Each of the three main types of healthcare system ownership are also broken out into sub-types, including the following:
Governmental
- City
- City-County
- County
- Federal
- Hospital District
- Other
- State
Proprietary
- Corporation
- Individual
- Other
- Partnership
Voluntary Nonprofit
- Church
- Other
How many nonprofit health systems are in the U.S.?
Of the approximately 900 healthcare systems tracked in HospitalView, 705, or about 77%, are listed as governmental or voluntary nonprofit organizations.
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