The American hospital landscape is in constant motion.
Fueled by demographic shifts, consolidation pressures and a post-pandemic push to expand capacity, many of the nation’s largest health systems are growing at a remarkable pace by adding patient towers, absorbing regional competitors and scaling their workforces to meet rising demand. The result is an industry that looks different than it did a decade ago, with sprawling multistate systems now commanding hundreds of hospitals and thousands of beds across the country.
Below is Becker’s Healthcare’s annual look at the 40 largest health systems by number of hospitals and 60 largest hospitals by number of beds, offering a snapshot of the organizations shaping the future of American healthcare. Data was compiled by the Becker’s Healthcare editorial team based on the most recent data available in February 2026.
This is not a definitive list of all hospitals and health systems. If you have an addition or update to the list, please contact Anna Falvey at afalvey@beckershealthcare.com.
Health systems
HCA Healthcare (Nashville, Tenn.): 190 hospitalsVeterans Health Administration: 170 hospitalsCommonSpirit Health (Chicago): 158 hospitalsLifePoint Health (Brentwood, Tenn.): 135 hospitalsAscension (St. Louis): 119 hospitalsScionHealth (Louisville, Ky.): 94 hospitalsTrinity Health (Livonia, Mich.): 92 hospitalsAdvocate Health (Charlotte, N.C.): 69 hospitalsChristus Health (Irving, Texas): 66 hospitalsCommunity Health Systems (Franklin, Tenn.): 65 hospitalsAdventHealth (Altamonte Springs, Fla.): 57 hospitalsSanford Health (Sioux Falls, S.D.): 56 hospitalsBaylor Scott & White Health (Dallas): 53 hospitalsProvidence (Renton, Wash.): 51 hospitalsTenet Healthcare (Dallas): 50 hospitalsMercy (St. Louis): 50 hospitalsBon Secours Mercy Health (Cincinnati): 47 hospitalsOchsner Health (New Orleans): 47 hospitalsPrime Healthcare (Ontario, Calif.): 45 hospitalsUPMC (Pittsburgh): 40+ hospitalsKaiser Permanente (Oakland, Calif.): 40 hospitalsAvera Health (Sioux Falls, S.D.): 38 hospitalsIntermountain Healthcare (Salt Lake City): 34 hospitalsGreat Plains Health Alliance (Wichita, Kan.): 32 hospitalsBanner Health (Phoenix): 33 hospitalsJefferson Health (Philadelphia): 33 hospitalsArdent Health Services (Nashville, Tenn.): 30 hospitalsNorthwell Health (New Hyde Park, N.Y.): 28 hospitalsTexas Health Resources (Arlington): 29 hospitalsUniversal Health Services (King of Prussia, Pa.): 29 hospitalsAdventist Health (Roseville, Calif.): 27 hospitalsPiedmont Healthcare (Atlanta): 27 hospitalsOrlando (Fla.) Health: 25 hospitalsWest Virginia University Health System (Morgantown): 25 hospitalsBaptist (Memphis, Tenn.): 24 hospitalsCommunity Hospital Corp. (Plano, Texas): 23 hospitalsSSM Health (St. Louis): 23 hospitalsCleveland Clinic: 23 hospitalsSutter Health (Sacramento, Calif.): 21 hospitalsIndian Health Service (Rockville, Md.): 21 hospitals
Hospitals
AdventHealth Orlando (Fla.): 2,247 bedsMontefiore Medical Center (Bronx, N.Y.): 1,558 bedsJackson Memorial Hospital (Miami): 1,550 bedsYale New Haven (Conn.) Hospital: 1,541 bedsBarnes-Jewish Hospital (St. Louis): 1,315 bedsCleveland Clinic: 1,288 bedsMayo Clinic Hospital-Saint Marys Campus (Rochester, Minn.): 1,265 bedsUAB Hospital (Birmingham, Ala.): 1,207 bedsThe Johns Hopkins Hospital (Baltimore): 1,145 bedsUF Health Shands Hospital (Gainesville, Fla.): 1,145 bedsMount Sinai Hospital (New York City): 1,139 bedsMemorial Hermann-Texas Medical Center (Houston): 1,137 bedsSaint Francis Hospital (Tulsa, Okla.): 1,112 bedsDuke University Hospital (Durham, N.C.): 1,106 bedsCorewell Health William Beaumont University Hospital (Royal Oak, Mich.): 1,090 bedsBergen New Bridge Medical Center (Paramus, N.J.): 1,070 bedsAtrium Health Carolinas Medical Center (Charlotte, N.C.): 1,064 bedsMassachusetts General Hospital (Boston): 1,059 bedsOhioHealth Riverside Methodist Hospital (Columbus): 1,059 bedsMichigan Medicine (Ann Arbor): 1,043 bedsChristiana Hospital (Newark, Del.): 1,039 bedsUH Cleveland Medical Center: 1,032 bedsBaptist Hospital of Miami (Fla.): 1,020 bedsUNC Hospitals (Chapel Hill, N.C.): 1,000+ bedsWake Forest Baptist Medical Center (Winston-Salem, N.C.): 1,000+ bedsTampa (Fla.) General Hospital: 982 bedsECU Health Medical Center (Greenville, N.C.): 974 bedsTexas Children’s Hospital (Houston): 973 bedsMiami Valley Hospital (Dayton, Ohio): 970 bedsGrady Hospital (Atlanta): 953 bedsNorthwestern Memorial Hospital (Chicago): 943 bedsAurora St. Luke’s Medical Center of Aurora Health Care (Milwaukee): 938 bedsInova Fairfax Hospital (Falls Church, Va.): 928 bedsThomas Jefferson University Hospital (Philadelphia): 926 bedsBaylor University Medical Center (Dallas): 914 bedsMedStar Washington Hospital Center: 912 bedsHouston Methodist Hospital: 907 bedsOur Lady of the Lake Regional Medical Center (Baton Rouge, La.): 900 bedsThe University of Kansas Hospital (Kansas City): 900+ bedsMedical City Dallas: 899 bedsSarasota Memorial Hospital (Fla.): 897 bedsLakeland (Fla.) Regional Health: 892 bedsCedars-Sinai Medical Center (Los Angeles): 886 bedsParkland Memorial Hospital (Dallas): 882 bedsBaylor St. Luke’s Medical Center (Houston): 881 bedsHuntsville (Ala.) Hospital: 881 bedsNovant Health Forsyth Medical Center (Winston-Salem, N.C.): 879 bedsHenry Ford Hospital (Detroit, Mich.): 877 bedsHartford (Conn.) Hospital: 867 bedsNewYork-Presbyterian/Weill Cornell Medical Center (New York City): 862 bedsBaptist Health Medical Center-Little Rock (Ark.): 827 bedsNew Hanover Regional Medical Center (Wilmington, N.C.): 823 bedsOhio State University Hospital (Columbus): 820 bedsMethodist Hospital (San Antonio): 811 bedsUniversity of Chicago Medical Center: 811 bedsOrlando (Fla.) Health Orlando Regional Medical Center: 808 bedsBrigham and Women’s Hospital (Boston): 800+ bedsVanderbilt University Hospital (Nashville, Tenn.): 800+ bedsMayo Clinic Hospital-Methodist Campus (Rochester, Minn.): 794 beds
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