Healthcare Insights

Top 20 largest IDNs and health systems in Florida

Florida is the third largest state in the U.S by population with more than 23 million people. Its 325 hospitals across the state work together in large-scale health systems to provide consistent and high-quality care across the state.

Using HospitalView, we looked at the largest health systems in Florida with the most member hospitals.

Florida health systems with the most member hospitals

RankIDN nameCity# of hospitalsNet patient revenue# of staffed beds# of dischargesExplore dataset
1AdventHealthAltamonte Springs47$11,511,262,240 8,371363,386Explore
2HCA Florida Healthcare - HCA West Florida DivisionTampa18$3,222,326,348 3,736164,207Explore
3BayCare Health SystemClearwater18$3,992,206,377 3,383156,152Explore
4HCA Florida Healthcare - HCA North Florida DivisionTallahassee15$3,612,158,542 2,648171,266Explore
5HCA Florida Healthcare - HCA East Florida DivisionFt Lauderdale14$3,064,739,686 3,484146,687Explore
6Baptist Health South FloridaCoral Gables12$4,042,529,348 2,55699,883Explore
7Orlando HealthOrlando11$3,796,417,431 2,661156,003Explore
8University of Florida HealthGainesville9$2,846,457,272 2,75299,638Explore
9Baptist HealthJacksonville7$1,950,975,863 1,13853,184Explore
10Oglethorpe IncTampa7$106,049,175 47311,100Explore
11Jackson Health SystemMiami6$1,315,420,355 2,61655,882Explore
12Landmark HospitalsNaples6$67,894,482 1681,503Explore
13Tenet FloridaCoral Springs6$1,549,752,969 1,58765,621Explore
14Memorial Healthcare SystemHollywood6$2,139,852,380 1,80461,135Explore
15Ascension Sacred Heart Health SystemPensacola5$1,187,160,872 88838,234Explore
16Lee HealthFort Myers5$2,090,400,978 1,73684,937Explore
17Broward HealthFort Lauderdale5$921,012,698 1,39246,522Explore
18Ascension St Vincents HealthCareJacksonville4$863,061,262 83636,307Explore
19Health FirstRockledge4$983,840,309 90449,389Explore
20Bethesda HealthBoynton Beach3$338,186,610 51416,309Explore

Fig. 1 Data is from Definitive Healthcare’s HospitalView product. Data is accurate as of August 2022.

Which health system has the most affiliated hospitals?

AdventHealth is the largest IDN in Florida with 47 member hospitals and 8,371 staffed beds across its network. Founded more than 100 years ago, it has spent the last century acquiring its 47 hospitals, as well as 49 imaging centers, 17 skilled nursing facilities, and 8 physician groups among others. Together, all of these contribute to their consistently higher net patient revenue (NPR) and number of staffed beds than any other network on our list.

Both HCA Florida Healthcare – West Division and BayCare Health System are tied with 18 hospitals in their networks respectively. Interestingly, HCA Florida West has more staffed beds and discharges. However, BayCare has a higher NPR at more than $3.9 billion.

HCA is also one of the largest IDNs in the country. Its work with other hospitals outside its network, as well as a rapid expansion throughout the 1960’s and 1970’s, led to the creation of multiple divisions across different healthcare sectors which still exist today.

Many of the hospitals on our list are also featured in a U.S News and World Report ranking of hospitals offering the best quality of care. The ranking of these facilities was determined by patient outcomes and procedure volume. AdventHealth’s Orlando facility ranks #2 in overall quality of care on this list. Baptist Health and the University of Florida Health are also ranked in the top 10 by them.

What is an IDN?

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 that operate within a specific geographic region and usually offers a wide range of healthcare services. The purpose of an IDN is to offer a full spectrum of care with as many different specialties as possible.

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