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. Many of its 356 hospitals across the state work together in large-scale health systems to provide consistent and high-quality care across the state.
What is the difference between an IDN and a health system?
An IDN is an acronym for integrated delivery network. Also called an integrated health network (IHN) or multihospital system (MHS), an IDN is a group of healthcare providers and facilities that operate within specific geographic regions and usually offers a wide range of healthcare services.
While IDNs are considered health systems, not all health systems may be classified as IDNs.
An IDN is a form of health system, but traditional health systems differ in that they are typically independent organizations that work together through contractual agreements and share financial and medical responsibilities.
An IDN has a more cohesive structure, as it oversees all hospitals, facilities, providers, administrators, and technologies within the system.
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. Data was accessed on August 16, 2023.
Largest Florida-based health systems ranked by number of affiliated hospitals
| Rank | Florida health system name | Health system headquarter city | Net patient revenue | Systemwide total # of staffed beds | Systemwide total # of hospital members | Explore dataset |
|---|---|---|---|---|---|---|
| 1 | AdventHealth | Altamonte Springs | $13,135,499,152 | 9,063 | 53 | Explore |
| 2 | HCA Florida Healthcare - HCA West Florida Division | Tampa | $3,515,214,850 | 3,890 | 18 | Explore |
| 3 | BayCare Health System | Clearwater | $4,066,583,419 | 3,440 | 18 | Explore |
| 4 | HCA Florida Healthcare - HCA North Florida Division | Tallahassee | $3,971,147,004 | 2,788 | 15 | Explore |
| 5 | HCA Florida Healthcare - HCA East Florida Division | Ft Lauderdale | $3,894,931,020 | 3,772 | 14 | Explore |
| 6 | Shriners Hospitals for Children | Tampa | $28,171,963 | 581 | 14 | Explore |
| 7 | Baptist Health South Florida | Coral Gables | $4,342,159,039 | 2,655 | 12 | Explore |
| 8 | Orlando Health | Orlando | $4,064,110,622 | 2,682 | 11 | Explore |
| 9 | University of Florida Health | Gainesville | $3,219,854,475 | 2,682 | 9 | Explore |
| 10 | Oglethorpe Inc | Tampa | $87,852,136 | 497 | 8 | Explore |
| 11 | VA Sunshine Healthcare Network | Tampa | N/A | 2,057 | 8 | Explore |
| 12 | Baptist Health | Jacksonville | $2,040,694,912 | 1,138 | 7 | Explore |
| 13 | Jackson Health System | Miami | $1,471,427,135 | 3,005 | 6 | Explore |
| 14 | Landmark Hospitals | Bonita Springs | $59,639,352 | 168 | 6 | Explore |
| 15 | Palm Beach Health Network | Coral Springs | $1,621,022,100 | 1,559 | 6 | Explore |
| 16 | Memorial Healthcare System | Hollywood | $2,522,801,239 | 1,804 | 6 | Explore |
| 17 | Ascension Sacred Heart Health System | Pensacola | $1,300,747,804 | 951 | 5 | Explore |
| 18 | Lee Health | Fort Myers | $2,322,630,663 | 1,736 | 5 | Explore |
| 19 | Broward Health | Fort Lauderdale | $1,115,980,121 | 1,392 | 5 | Explore |
| 20 | Ascension St Vincents HealthCare | Jacksonville | $878,563,725 | 850 | 4 | Explore |
Fig. 1 Data is from Definitive Healthcare’s HospitalView product. Data is propriety and updated on a continuous basis. Data is accurate as of August 2023.
Which health system headquartered in Florida has the most affiliated hospitals?
AdventHealth is the largest Florida-based health system with 53 member hospitals and 9,063 staffed beds across its nationwide network. Founded more than 100 years ago, it has spent the last century acquiring its 53 hospitals, as well as 64 imaging centers, 8 skilled nursing facilities, and 10 physician groups. With significantly more hospitals across its network than any other Florida-based system, AdventHealth also has a higher net patient revenue (NPR) and number of staffed beds than any other health system on our list.
Both HCA Florida Healthcare – West Florida Division and BayCare Health System are tied in second with 18 hospitals across their total networks. Interestingly, HCA Florida Healthcare – West Florida Division has more staffed beds with 3,890, but BayCare has a higher NPR at more than $4 billion.
HCA Florida Healthcare – West Florida Division is also a part of the larger and broader parent company, HCA Healthcare, one of the largest health systems in the country. Florida-based HCA Healthcare subnetworks such as this account for three out of the top five health systems on this list.
HCA Healthcare’s work with other hospitals outside of its network, as well as their rapid expansion throughout the 1960s and 1970s, has led to the creation of multiple divisions across different healthcare sectors which still exist today.
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 metric that is used to identify financially successful healthcare organizations. The calculation for NPR is the total patient revenues minus patient discounts. If a healthcare organization has a negative NPR, its discounts are greater than its total revenue.
Because NPR is an indicator of financial strength, healthcare systems with higher net patient revenues often have more room to expand their business, which in turn may lead to them acquiring more member hospitals.
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