Healthcare Insights

Top 25 IDNs in Texas with the most hospitals

Texas is the second most populated state in the U.S. and home to many health systems. In fact, Definitive Healthcare data reveals that the state has 96 IDNs as of September 2022. Together, these facilities provide care across the vast square miles the state encompasses.

Here is a look at the largest IDNs in Texas ranked by the number of member hospitals in their network.

Top 25 IDNs in Texas with the greatest number of hospitals

RankIDN nameCity# of hospitalsExplore dataset
1Tenet HealthcareDallas82Explore
2Baylor Scott & White HealthDallas50Explore
3Steward Health Care SystemDallas40Explore
4CHRISTUS HealthIrving39Explore
5Texas Health ResourcesArlington29Explore
6Oceans HealthcarePlano22Explore
7Community Hospital CorporationPlano21Explore
8Memorial Hermann Health SystemHouston19Explore
9Cornerstone Healthcare GroupDallas18Explore
10HCA Medical City HealthcareDallas16Explore
11Nutex HealthHouston16Explore
12HCA Gulf Coast Division - HCA Houston HealthcareHouston15Explore
13Ascension SetonAustin14Explore
14Baptist Health System - San Antonio TXSan Antonio14Explore
15Nobis Rehabilitation PartnersAllen14Explore
16University of Texas SystemAustin12Explore
17HCA San Antonio DivisionSan Antonio11Explore
18Texas Department of State Health ServicesAustin11Explore
19UT Health East TexasTyler10Explore
20ClearSky HealthWest Lake Hills10Explore
21Methodist Health SystemDallas10Explore
22Community Hospital Corporation ContinueCAREPlano9Explore
23HCA Central & West Texas Division - St David’s HealthCareAustin9Explore
24Houston MethodistHouston8Explore
25CHI St Luke’s HealthHouston8Explore

Fig. 1 Data from the Definitive Healthcare HospitalView product. Data accessed September 2022.

Which Texas health system has the most hospitals?

Tenet Healthcare, located in Dallas, ranks number one on our list with 82 member hospitals in its network. Next is Baylor Scott & White Health, with 50 hospitals. And Steward Health Care System takes third, with 40 member hospitals.

Notably, six of the top IDNs in Texas are in Dallas. This makes sense, because Dallas is the third most populous city in the state, behind Houston and San Antonio, which are also home to many of the top-performing health systems in Texas.

The top 25 health systems have 507 hospitals throughout Texas, with an average of 20 hospitals per health system.

What is a health system?

A health system is a healthcare organization that owns and manages a network of healthcare facilities. Most health systems consist of both inpatient and outpatient facilities, helping them provide a wide variety of comprehensive medical care.

What is an IDN?

An integrated delivery network (IDN) is another term for a health system.

What makes up the “number of hospitals” metric?

In the Definitive Healthcare platform, the “number of hospitals” metric calculates the total hospitals an IDN has under its organization. This metric can help indicate the size of an IDN. Though, it’s worth noting that the number of member hospitals alone does not determine the size of an IDN since health systems are also comprised of ASCs, imaging centers, physician groups, and more.

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