Healthcare Insights
Largest IDNs in Virginia
When ranking based on population, Virginia is the 12th largest state in the U.S., and its 8.7 million residents rely on more than 150 healthcare facilities and hospitals that are often part of an integrated delivery network (IDN) or health system.
Knowing which Virginia IDNs are the largest and most financially successful can provide valuable insights for your commercialization strategy. For instance, targeting large health systems could allow for your product or service to see a greater distribution among their affiliated hospitals, imaging centers, and clinics, showing how one strategic target can lead to numerous sales.
Using HospitalView by Definitive Healthcare, we compiled a list of the largest IDNs in Virginia based on their number of affiliated hospitals, as well as a list of the IDNs with the greatest net patient revenue (NPR).
| Rank | VA IDN name | City | Definitive ID | # of hospitals | # of staffed beds | Explore dataset |
|---|---|---|---|---|---|---|
| 1 | Defense Health Agency | Falls Church | 551508 | 35 | 4,341 | Explore |
| 2 | Sentara Health (FKA Sentara Healthcare) | Norfolk | 4723 | 14 | 2,447 | Explore |
| 3 | VCU Health | Richmond | 560425 | 10 | 2,081 | Explore |
| 4 | HCA Capital Division - HCA Virginia Health System | Richmond | 780648 | 10 | 2,161 | Explore |
| 5 | Virginia Department of Behavioral Health and Developmental Services | Richmond | 274069 | 10 | 1,272 | Explore |
| 6 | Inova (AKA Inova Health System) | Fairfax | 4692 | 9 | 1,892 | Explore |
| 7 | Carilion Clinic | Roanoke | 4752 | 8 | 951 | Explore |
| 8 | U.S. Navy Medicine | Falls Church | 551506 | 8 | 689 | Explore |
| 9 | Riverside Health System | Newport News | 4741 | 6 | 588 | Explore |
| 10 | Valley Health | Winchester | 274127 | 6 | 580 | Explore |
Fig. 1 Data is from the Definitive Healthcare HospitalView product. Data is aggregated from affiliated facilities based on data from the Medicare Cost Report and is displayed according to the most recent 12-month interval tracked in our database. Data accessed July 2024.
What Virginia IDN has the most affiliated hospitals?
The Virginia health system with the most hospitals is the Defense Health Agency, with 35 hospitals. It manages the direction, authority, and control of military clinics and hospitals worldwide. It also manages the U.S. Department of Defense (DOD) health plan, Tricare.
The health system with the second most affiliated hospitals is Sentara Health, with 14 hospitals. This integrated, not-for-profit health system is one of the largest health systems in the U.S. Southeast and Mid-Atlantic and one of the top 20 largest not-for-profit health systems across the U.S.
Finally, there are three hospitals tied with the third-highest number of hospitals. VCU Health, HCA Capital Division – HCA Virginia Health System, and Virginia Department of Behavioral Health and Developmental Services all have ten hospitals within their networks.
Virginia IDNs may not have as many hospitals in their network as some of the top IDNs in the country, but there is still value in knowing which IDNs have the most expansive networks. The more hospitals in an IDN’s network, the more facilities where your product or service can be distributed and utilized. Thus, knowing which Virginia IDNs have the most hospitals can help pinpoint which IDNs should top your target list.
| Rank | VA IDN name | City | Definitive ID | # of hospitals | Net patient revenue | Explore dataset |
|---|---|---|---|---|---|---|
| 1 | Sentara Health (FKA Sentara Healthcare) | Norfolk | 4723 | 14 | 4,789,495,823 | Explore |
| 2 | Inova (AKA Inova Health System) | Fairfax | 4692 | 9 | 4,022,826,564 | Explore |
| 3 | UVA Health System (AKA University of Virginia Health System) | Charlottesville | 552518 | 5 | 2,811,511,963 | Explore |
| 4 | VCU Health | Richmond | 560425 | 10 | 2,535,213,861 | Explore |
| 5 | HCA Capital Division - HCA Virginia Health System | Richmond | 780648 | 10 | 2,456,121,851 | Explore |
| 6 | Carilion Clinic | Roanoke | 4752 | 8 | 2,029,403,736 | Explore |
| 7 | Riverside Health System | Newport News | 4741 | 6 | $1,274,890,475 | Explore |
| 8 | Valley Health | Winchester | 274127 | 6 | $1,047,616,373 | Explore |
| 9 | HCA Capital Division | Richmond | 1040619 | 4 | $700,148,216 | Explore |
| 10 | HCA Capital Division - HCA Virginia Health System - LewisGale Regional Health System | Salem | 542021 | 4 | $693,634,927 | Explore |
Fig. 2 Data is from the Definitive Healthcare HospitalView product. Data is aggregated from affiliated facilities based on data from the Medicare Cost Report and is displayed according to the most recent 12-month interval tracked in our database. Data accessed July 2024.
What Virginia IDN has the highest net patient revenue (NPR)?
The IDN in Virginia with the highest net patient revenue is nonprofit Sentara Health, with an NPR of $4.7 billion. Headquartered in Norfolk, Virginia, the IDN serves Virginia, northeastern North Carolina, and Florida. One key aspect of Sentara's vertical integration is its ownership of Sentara Health Plans, offering commercial, Medicare and Medicaid plans. This includes Optima Health.
The IDN with the second highest NPR in Virginia is nonprofit Inova, with an NPR of $4 billion. It is ranked and recognized as a national healthcare leader in quality, safety, and patient experience.
UVA Health System IDN has the third-highest net patient revenue in Virginia, with an NPR of $2.8 billion. As an academic medical center affiliated with the University of Virginia, it is home to a level I trauma center and a level IV neonatal intensive care unit (NICU). UVA Health is also notable for being the first NCI-designated Comprehensive Cancer Center in Virginia.
While net patient revenue can indicate an IDN’s financial strength, other qualities can provide more insight into an IDN. For example, all three of these high-earning IDNs in Virginia are classified as system IV integration level, which are health systems that use strategy and organization in their internal structures to align information systems, purchasing, and distribution across all their facilities. Thus, they can benefit from services and products that align with these goals.
The benefits of targeting Virginia IDNs
Selling into the healthcare space is challenging, especially when you’re looking to target IDNs. Each health system has a unique model, and this individuality is what makes a targeted approach to marketing crucial—it allows you to personalize your sales technique to increase your odds of success.
To taper your list of potential IDNs into a fine-tuned set of targets, it is essential to understand the entire health system landscape. No matter if you’re bringing a product or service to market, knowing which Virginia IDNs have the greatest number of affiliated hospitals or the highest NPR can help you choose which ones are the best to target.
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