The combined organization consists of 28 hospitals, two stand-alone behavioral health facilities, and more than 150 employed physician practices in Iowa, Minnesota, Nebraska, and North Dakota.

Alegent Health was created in 1996, resulting from the merger between the Lutheran Immanuel Medical Center and the Catholic Bergan Mercy Medical Center under the Community Health Vision.

Also merged were Mercy Hospital in Council Bluffs, Iowa, and two regional health partners, Corning and Schuyler, each retaining their religious affiliations.

Also in 2012, Immanuel left the Alegent partnership to focus on its senior programs and Alegent became solely sponsored by Catholic Health Initiatives.

[3] In February 2019, parent company CHI merged with Dignity Health, forming CommonSpirit Health,[4] the second-largest nonprofit hospital chain in the United States.