Jordan Ellis
The largest hospitals in the United States are at the forefront of medical innovation, equipped with state-of-the-art technology and expansive facilities to handle a wide range of medical conditions and emergencies. With over 6,000 hospitals across the country, determining the largest hospital depends on various metrics, including net patient revenue, bed count, and the number of hospitals in the system. These hospitals are renowned for their financial strength, innovative treatments, and the quality of care they provide to millions of patients each year. They play a pivotal role in driving advancements and setting industry standards in the competitive healthcare landscape.
| Characteristics | Values |
|---|---|
| Name of the largest hospital in America | AdventHealth Orlando |
| Number of staffed beds | 2,247 |
| Owner | IDN AdventHealth |
| Bed utilization rate | 64.1% |
| Average length of stay | 6 days |
| Second largest hospital in America | Jackson Memorial Hospital |
| Number of staffed beds in the second largest hospital | 1,893 |
| Bed utilization rate of the second largest hospital | 58.9% |
| Average length of stay in the second largest hospital | 7 days |
| Largest hospital system in the U.S. by revenue | HCA Healthcare, Inc. |
| Number of hospitals in the largest system | Over 180 |
| Number of ambulatory sites in the largest system | Approximately 2,000 |
| Number of hospital beds in the U.S. | 6,120 |
| Number of beds in UAB Hospital, the eighth-largest hospital in the U.S. | 1,207 |
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What You'll Learn
AdventHealth Orlando: largest by bed count
In the United States, hospitals are often judged by their size and financial strength, with net patient revenue being a key financial metric. The number of staffed beds is also a valuable indicator of a hospital's size.
AdventHealth Orlando is the largest hospital in the US by bed count. It has 2,247 staffed beds and is also a top hospital by Medicare discharges and net patient revenue. It is owned by the IDN AdventHealth, one of the largest health systems in the US by net patient revenue and the number of hospitals. According to the most recent Medicare Cost Report, AdventHealth Orlando has a bed utilization rate of 64.1%. This figure measures the percentage of beds occupied on an average night over a given period and can indicate how well a hospital manages its resources and patient care. On average, patients at AdventHealth Orlando stay for six days.
AdventHealth Orlando is not only the largest hospital in the US by bed count, but it is also part of one of the largest health systems in the country. Its high bed count means it can treat a large number of patients, and its bed utilization rate suggests it is an efficient hospital that manages its resources well.
While AdventHealth Orlando is the largest by bed count, other hospitals have higher net patient revenues. St. Luke's University Hospital in Bethlehem, Pennsylvania, is the top hospital by net patient revenue, with a total of $8.9 billion. New York-Presbyterian Weill Cornell Medical Center in New York City is the second-largest, with $7.6 billion, and Tisch Hospital, also in New York City, is third with $7.2 billion. These hospitals are in the largest city in the US, and their high patient volumes contribute to their higher net patient revenues.
The number, size, and quality of hospitals are ever-changing, and while AdventHealth Orlando currently leads in terms of bed count, this could change in the future. Other hospitals are also distinguished by their expansive facilities, state-of-the-art technology, and highly skilled healthcare professionals.
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St. Luke's University Hospital: largest by net patient revenue
When it comes to the largest hospitals in America, there are a few metrics that can be used to determine size. One of the key metrics is net patient revenue (NPR), which is the total money generated from patient services. By this metric, St. Luke's University Hospital in Bethlehem, Pennsylvania, is the largest hospital in America, with a net patient revenue of $8.9 billion.
St. Luke's University Hospital is the headquarters of the nonprofit St. Luke's University Health Network, which consists of 15 campuses and over 300 outpatient sites. The hospital has a long history of providing quality care and addressing community health needs, dating back to its founding in 1902 and its establishment as a health system in 2006. The hospital's commitment to delivering high-quality, compassionate care is evident in its annual revenue of $490 million, far surpassing its top competitor, University Hospitals, which earns $4.2 billion annually.
St. Luke's University Hospital's success can be attributed to its dedicated nursing teams and ongoing investment in its organizational culture. Their focus on providing tailored, compassionate care to the communities they serve has led to significant outcomes that benefit both their patients and their partners. The hospital's high net patient revenue also enables them to remain financially stable and continue investing in state-of-the-art technology and skilled healthcare professionals.
While St. Luke's University Hospital ranks first in terms of net patient revenue, it is important to consider other metrics as well. AdventHealth Orlando, for example, is the largest hospital in terms of staffed beds, with 2,247 beds and a high bed utilization rate of 64.1%. This metric indicates the effective management of resources and patient care, showcasing another aspect of hospital size and performance.
In conclusion, St. Luke's University Hospital in Bethlehem, Pennsylvania, is the largest hospital in America by net patient revenue. Its success is a testament to its dedication to quality care and community health, as well as its strong financial standing. However, when considering the largest hospitals, it is important to look at multiple metrics, including bed count and utilization rates, to gain a comprehensive understanding of their size and performance.
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HCA Healthcare: largest health system by number of hospitals
HCA Healthcare, formerly known as Hospital Corporation of America, is the largest health system in the US by number of hospitals. It was founded in 1968 and is based in Nashville, Tennessee. As of May 2020, HCA Healthcare owned and operated 186 hospitals and approximately 2,400 sites of care, including surgery centres, freestanding emergency rooms, urgent care centres, and physician clinics in 20 states and the United Kingdom.
The company has experienced significant growth since its founding. In 1969, when it filed its initial public offering on the New York Stock Exchange (NYSE), HCA Healthcare included 11 hospitals. By the end of that year, the company had expanded to 26 hospitals and 3,000 beds. The 1970s marked a period of rapid growth for the company, and by the end of 1981, HCA Healthcare operated 349 hospitals with more than 49,000 beds. In 1987, the company reached its peak, operating a total of 463 hospitals (255 owned and 208 managed).
HCA Healthcare has continued to expand its presence in the healthcare industry through strategic acquisitions. In 2017, the company acquired the Memorial University Medical Center in Savannah, Georgia, and three hospitals in Houston, Texas, from Tenet Healthcare. In 2019, HCA Healthcare further expanded its footprint by purchasing the Mission Health System, which operates hospitals in North Carolina. The company has also diversified its offerings by acquiring healthcare cost management companies and healthcare app development firms.
In addition to its focus on growth and expansion, HCA Healthcare has become a significant provider of clinical and medical education. It is the largest sponsor of graduate medical education programs in the US, with 56 teaching hospitals in 14 states, addressing regions with a deficit of physician training programs. The company includes renowned institutions such as the Research College of Nursing and Mercy School of Nursing, and it operates several advanced nursing simulation training centres.
HCA Healthcare's scale and presence in the healthcare industry have had a significant impact. The company reported revenue of $15.06 billion in 2021 and ranked #61 on the Fortune 500 list of the largest United States corporations by total revenue in 2024. With its extensive network of hospitals and care sites, HCA Healthcare is committed to delivering superior, patient-centred care and creating healthier communities.
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UAB Hospital: eighth-largest, with 1,207 beds
The UAB Hospital in Birmingham, Alabama, is the eighth-largest hospital in the United States, with 1,207 beds. It is the flagship hospital of the UAB Health System and climbed three spots to break into the top ten in 2021, according to Becker's Hospital Review.
The University of Alabama at Birmingham (UAB) has made significant strides in various areas, including cutting-edge treatments and technologies. The hospital's talented physicians, nurses, and staff provide world-class, compassionate care to patients throughout Alabama and beyond. UAB Hospital is the only hospital in Alabama to receive Magnet Nursing Designation by the American Nurses Credentialing Center and is one of only 21 hospitals worldwide to receive this designation five consecutive times.
The hospital has a Level 4 Regional Neonatal Intensive Care Unit, which was part of a Guinness World Record for the youngest premature infant to survive globally. Additionally, UAB Hospital garnered seven prestigious Women's Choice Awards in 2021, including best hospital for obstetrics, heart care, orthopaedics, cancer care, breast care, stroke centre, and patient experience.
UAB Hospital also houses the state's leading organ transplant program, the National Cancer Institute-designated O'Neal Comprehensive Cancer Center, and Alabama's only Proton Therapy Center. Furthermore, UAB maintains the only Adult Level 1 Trauma Center in Alabama accredited by the American College of Surgeons. The hospital's Comprehensive Transplant Institute, cancer treatment facilities, and trauma centre contribute to its stature as one of the largest and most prestigious hospitals in the nation.
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Barnes-Jewish Hospital: 1,368 beds
Barnes-Jewish Hospital, located in St. Louis, Missouri, is the largest hospital in the state, with 1,368 beds. It is the adult teaching hospital for Washington University School of Medicine and a major component of the Washington University Medical Center. The hospital is consistently ranked among the top hospitals in the nation by U.S. News & World Report, and it has been named on their Honor Roll of America's best hospitals several times.
Barnes-Jewish Hospital is a nationally recognized academic medical center known for its exceptional quality and unmatched experience. It is a principal sponsor of the Area Rescue Consortium of Hospitals (ARCH), the fifth busiest aeromedical service in the nation. The hospital's emergency department is a Level 1 Trauma Service, seeing 80,000 patients annually.
The hospital is also a center for multiple specialties, including cancer, cardiology and heart surgery, neurology and neurosurgery, orthopedics, obstetrics and gynecology, digestive disorders, ear, nose and throat, and urology. In addition to its medical expertise, Barnes-Jewish Hospital is committed to educating the next generation of medical professionals. It is fully accredited by the Joint Commission on Accreditation of Healthcare Organizations.
Barnes-Jewish Hospital was formed by the merger of two hospitals: Barnes Hospital, which opened in 1914 with a 373-bed capacity, and Jewish Hospital, founded in 1902 by leaders of the St. Louis Jewish community to care for "the sick and disabled of, 'any creed or nationality.'". Today, the hospital is the largest private employer in Greater St. Louis, employing 10,125 people in 2018, including 1,723 attending physicians and over 850 residents and fellows.
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Frequently asked questions
AdventHealth Orlando is the largest hospital in the US with 2,247 staffed beds.
HCA Healthcare, Inc. is one of the largest healthcare services in the US, with a reported revenue of $15.06 billion in 2021.
St. Luke’s University Hospital in Bethlehem, Pennsylvania, is the top US hospital by net patient revenue, with a total revenue of $8.9 billion.
UAB Hospital, the flagship hospital of the UAB Health System, is the eighth-largest hospital in the US. It has 1,207 hospital beds.
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