Healthcare Insights
20 largest health systems in Florida
Florida is the third largest state in the U.S. by population, with more than 23 million residents. The state is home to 300+ hospitals, many of which are part of large health systems that collaborate to deliver care across the region.
What is the difference between an IDN and a health system?
An integrated delivery network (IDN) is a network of healthcare providers and facilities within a specific geographic area, offering a wide range of services to meet the needs of the population. Also referred to as an Integrated Health Network (IHN), an IDN aims to deliver coordinated care across its network of hospitals, outpatient centers, and physicians.
While all IDNs are health systems, not all health systems are IDNs. The key distinction lies in the structure and coordination of care. An IDN operates as a unified, integrated entity that oversees all aspects of healthcare delivery, including hospitals, physicians, facilities, and administrative functions. In contrast, traditional health systems typically consist of independent organizations that collaborate through contractual agreements, without the same level of centralized control over operations and resources.
Using Definitive Healthcare’s HospitalView product, we created a list of the largest health systems headquartered in Florida based on the total number of member hospitals in their network as of February 2026.
| Rank | Health system | HQ city | # of hospitals | Explore dataset |
|---|---|---|---|---|
| 1 | AdventHealth | Altamonte Springs | 54 | Explore |
| 2 | Orlando Health | Orlando | 21 | Explore |
| 3 | BayCare Health System | Clearwater | 18 | Explore |
| 4 | HCA West Florida Division | Tampa | 18 | Explore |
| 5 | AdventHealth West Florida Division | Tampa | 16 | Explore |
| 6 | HCA North Florida Division | Tallahassee | 15 | Explore |
| 7 | HCA East Florida Division | Fort Lauderdale | 14 | Explore |
| 8 | Shriners Hospitals for Children | Tampa | 14 | Explore |
| 9 | University of Florida Health | Gainesville | 12 | Explore |
| 10 | AdventHealth Central Florida Division | Orlando | 11 | Explore |
| 11 | Baptist Health South Florida | Coral Gables | 11 | Explore |
| 12 | VA Sunshine Healthcare Network | Tampa | 8 | Explore |
| 13 | AdventHealth East Florida Division | Orange City | 8 | Explore |
| 14 | Baptist Health (Jacksonville FL) | Jacksonville | 7 | Explore |
| 51 | Palm Beach Health Network | Boca Raton | 7 | Explore |
| 16 | Tampa General Hospital | Tampa | 6 | Explore |
| 17 | Jackson Health System (FL) | Miami | 6 | Explore |
| 18 | Memorial Healthcare System (FL) | Hollywood | 6 | Explore |
| 19 | Lee Health | Fort Myers | 6 | Explore |
| 20 | Cleveland Clinic Florida | Weston | 5 | Explore |
Fig. 1 Data is from Definitive Healthcare’s HospitalView product. Data is accurate as of February 2026.
Largest health systems in Florida by hospital count
Florida’s healthcare market is concentrated. A small group of large health systems controls a majority share of the state’s hospital capacity, shaping referral patterns, contracting leverage, and access to care.
At the center of that landscape is AdventHealth. Headquartered in Altamonte Springs and affiliated with the Seventh-day Adventist Church, it operates 54 hospitals across Florida as of February 2026, giving it an outsized presence in both urban and suburban markets. Orlando Health follows with 21 hospitals concentrated in Central Florida, reinforcing the dominance of large, regionally anchored systems. BayCare Health System and HCA’s West Florida Division each operate 18 hospitals.
HCA’s broader footprint further amplifies this hospital consolidation: its North Florida and East Florida Divisions operate 15 and 14 hospitals, respectively, collectively representing a substantial share of statewide inpatient capacity. For commercial and clinical stakeholders alike, engaging Florida’s healthcare market often means engaging these systems.
At the same time, specialty and academic institutions anchor key segments of care. Shriners Hospitals for Children provides focused pediatric and rehabilitative services, while University of Florida Health serves as a major academic and research hub.
Regional systems such as Baptist Health South Florida, Tampa General Hospital, Jackson Health System, and Lee Health round out the landscape, delivering critical access across distinct geographic markets.
| Rank | Health system | HQ city | Net patient revenue | Explore dataset |
|---|---|---|---|---|
| 1 | AdventHealth | Altamonte Springs | $17.3B | Explore |
| 2 | AdventHealth Central Florida Division | Orlando | $7.2B | Explore |
| 3 | Orlando Health | Orlando | $6.2B | Explore |
| 4 | Baptist Health South Florida | Coral Gables | $5.3B | Explore |
| 5 | BayCare Health System | Clearwater | $5.2B | Explore |
| 6 | HCA East Florida Division | Fort Lauderdale | $4.8B | Explore |
| 7 | University of Florida Health | Gainesville | $4.8B | Explore |
| 8 | HCA North Florida Division | Tallahassee | $4.7B | Explore |
| 9 | HCA West Florida Division | Tampa | $4.3B | Explore |
| 10 | AdventHealth West Florida Division | Tampa | $4.1B | Explore |
| 11 | Memorial Healthcare System (FL) | Hollywood | $2.9B | Explore |
| 12 | Baptist Health (Jacksonville, FL) | Jacksonville | $2.8B | Explore |
| 13 | Lee Health | Fort Myers | $2.7B | Explore |
| 14 | Tampa General Hospital | Tampa | $2.6B | Explore |
| 15 | AdventHealth East Florida Division | Orange City | $2.4B | Explore |
| 16 | Cleveland Clinic Florida | Weston | $1.8B | Explore |
| 17 | Palm Beach Health Network | Boca Raton | $1.8B | Explore |
| 18 | Jackson Health System (FL) | Miami | $1.6B | Explore |
| 19 | Shriners Hospitals for Children | Tampa | $28.2M | Explore |
| 20 | VA Sunshine Healthcare Network | Tampa | N/A | Explore |
Fig. 2 Data is from Definitive Healthcare’s HospitalView product. Data is accurate as of February 2026.
What determines the size of a health system?
In the Definitive Healthcare platform, the number of hospitals metric represents the total number of hospitals a health system has in its network. Since hospitals often make up a large portion of a health system’s facilities, this metric can be a good indication of the total size of a health system.
However, health systems are also comprised of ASCs, imaging centers, physician groups, and more. So, while it is a good metric for comparison, the number of member hospitals is only part of the equation for determining the total size of a health system.
Why is net patient revenue an important metric for health systems?
Net patient revenue is a practical indicator of financial health. The calculation for NPR is the total patient revenues minus patient discounts. In practical terms, NPR reflects the revenue a hospital realizes from delivering care, making it a more meaningful indicator of financial performance than gross charges alone.
High-level health system rankings based on NPR or hospital counts only tell part of the story. With Definitive Healthcare’s HospitalView, users can drill down into individual health systems to examine physician composition, referral patterns, affiliated facilities, market footprint, and more, allowing teams to move from identifying high-volume sites to understanding the providers and networks driving care in a specific market.
Learn more
Healthcare Insights are developed with data from the Definitive Healthcare product portfolio and from CMS. Want even more insights? Start a free trial now and get access to the latest intelligence on hospitals, physicians, and other healthcare providers.
