Integrated Delivery Networks (IDNs) are systems of care providers and facilities that offer both healthcare services and health insurance coverage to patients within a geographic area. Each is unique in its function and offerings, but generally they provide primary care, acute care, specialty care (including clinics), long-term care, and home health care. The primary differentiation between an IDN and a hospital system is that IDNs are more heavily coordinated, offering a comprehensive set of services that are often covered by the IDN’s insurance plan. IDNs are able to leverage their size to increase purchasing power, negotiating lower prices with medical device suppliers for member facilities.

The following table lists the top 50 IDNs in the U.S. according to net patient revenue. The IDN with the greatest net revenue on our list leads by a significant margin, taking in more than double the net revenue of the network in second place. Our highest-ranking IDN also includes over 200 hospitals in its network, which is approximately 25% larger than the next-largest network.

On average, the top 50 IDNs brought in more than $7.2 billion in net patient revenue, and more than $7.7 billion in total revenues during the most recent reporting period. This is about one-fifth of the net patient revenue earned by the largest IDN. Additionally, the top 50 IDNs contain an average of 40 in-network hospitals, though the network with the highest net patient revenue contains more than 5 times that number.

To learn more, download The Definitive List: Top 50 IDNs by Net Patient Revenue by filling out the form.