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Integrated Delivery Networks (IDNs) offer both healthcare services and health insurance coverage to patients within a geographic area. Each IDN is unique in its function and offerings, but generally they provide primary care, acute care, specialty care (including clinics), long-term care, and home health care. IDNs often leverage their size to increase purchasing power, negotiating lower prices with medical device suppliers for their member facilities.
The following table lists the top 50 IDNs in the U.S. according to net patient revenue. The IDN with the greatest net revenue on our list, HCA Healthcare, leads by a significant margin, generating over $10 billion more per year than CommonSpirit Health in second place. Only five of the top 50 IDNs reported more than 100 in-network hospitals, with three of those in the top five.
On average, the top 50 IDNs brought in more than $7.9 billion in net patient revenue during the most recent reporting period. This is about one-fifth of the net patient revenue earned by HCA Healthcare, the largest IDN. Additionally, the top 50 IDNs contain an average of 39 in-network hospitals, though the IDN with the highest net patient revenue contains more than 5 times that number.
Top 50 IDNs by Net Patient Revenue
| IDN Name | Net Patient Revenue | Number of Hospitals | Number of Discharges | |
|
1. |
HCA Healthcare (TN) |
$39,776,570,364 |
211 |
1,873,943 |
|
2. |
CommonSpirit Health (IL) |
$28,420,823,528 |
202 |
1,001,278 |
|
3. |
Ascension Health (MO) |
$17,090,314,410 |
124 |
705,559 |
|
4. |
Providence St Joseph Health (WA) |
$15,235,703,657 |
57 |
470,818 |
|
5. |
Trinity Health (MI) |
$13,894,648,951 |
61 |
568,624 |
|
6. |
Tenet Healthcare (TX) |
$13,598,155,515 |
84 |
655,371 |
|
7. |
Dignity Health (CA) |
$11,813,375,044 |
48 |
386,764 |
|
8. |
University of California Health (CA) |
$12,037,715,447 |
20 |
176,720 |
|
9. |
Northwell Health (NY) |
$8,993,294,199 |
23 |
310,432 |
|
10. |
Community Health Systems (TN) |
$10,861,711,462 |
111 |
538,915 |
|
11. |
Cleveland Clinic Health System (OH) |
$8,377,012,312 |
19 |
225,473 |
|
12. |
Partners HealthCare (MA) |
$7,546,947,766 |
15 |
158,727 |
|
13. |
New York-Presbyterian Healthcare System (NY) |
$8,639,415,105 |
13 |
213,470 |
|
14. |
Universal Health Services (PA) |
$8,828,174,645 |
173 |
670,671 |
|
15. |
University of Pittsburgh Medical Center (PA) |
$8,056,954,680 |
36 |
271,565 |
|
16. |
Atrium Health (NC) |
$7,626,467,360 |
39 |
268,003 |
|
17. |
Baylor Scott & White Health (TX) |
$7,170,574,656 |
51 |
268,993 |
|
18. |
LifePoint Health (TN) |
$7,897,128,960 |
86 |
312,173 |
|
19. |
Advocate Aurora Health (IL) |
$7,884,934,714 |
30 |
270,102 |
|
20. |
Bon Secours Mercy Health (OH) |
$7,598,915,710 |
39 |
305,897 |
|
21. |
AdventHealth (FL) |
$7,374,244,045 |
38 |
314,600 |
|
22. |
Sutter Health (CA) |
$6,722,495,150 |
30 |
165,370 |
|
23. |
NYU Langone Health (NY) |
$6,367,558,092 |
7 |
114,962 |
|
24. |
Mayo Clinic Health System (MN) |
$6,373,701,687 |
23 |
121,657 |
|
25. |
University of Texas System (TX) |
$5,384,305,964 |
10 |
97,087 |
|
26. |
NYC Health and Hospitals (NY) |
$5,626,899,758 |
12 |
144,305 |
|
27. |
Indiana University Health (IN) |
$4,520,214,139 |
18 |
111,419 |
|
28. |
Penn Medicine (PA) |
$5,659,696,584 |
10 |
139,362 |
|
29. |
Stanford Medicine (CA) |
$5,857,963,567 |
4 |
47,859 |
|
30. |
Banner Health (AZ) |
$5,774,913,766 |
31 |
236,107 |
|
31. |
Mount Sinai Health System (NY) |
$4,942,490,226 |
9 |
135,323 |
|
32. |
Mercy (MO) |
$4,962,551,792 |
37 |
195,480 |
|
33. |
Johns Hopkins Health System (MD) |
$4,406,170,200 |
6 |
112,177 |
|
34. |
Montefiore Health System (NY) |
$3,972,696,844 |
10 |
136,978 |
|
35. |
SSM Health (MO) |
$4,622,169,999 |
30 |
181,174 |
|
36. |
Hackensack Meridian Health (NJ) |
$4,364,314,858 |
16 |
155,224 |
|
37. |
BJC HealthCare (MO) |
$4,588,808,483 |
16 |
148,377 |
|
38. |
Northwestern Medicine (IL) |
$4,288,496,959 |
11 |
105,687 |
|
39. |
Beth Israel Lahey Health (MA) |
$4,131,809,903 |
13 |
142,175 |
|
40. |
Stanford Health Care (CA) |
$4,396,563,098 |
3 |
34,354 |
|
41. |
Adventist Health (CA) |
$3,962,096,929 |
20 |
135,454 |
|
42. |
Memorial Hermann Health System (TX) |
$4,416,797,459 |
21 |
186,472 |
|
43. |
RWJ Barnabas Health (NJ) |
$4,344,909,726 |
16 |
174,877 |
|
44. |
Intermountain Healthcare (UT) |
$4,420,608,890 |
25 |
127,578 |
|
45. |
Advocate Health Care (IL) |
$4,480,091,341 |
15 |
166,171 |
|
46. |
Steward Health Care System (TX) |
$4,448,187,497 |
39 |
200,151 |
|
47. |
University of California San Francisco Health System (CA) |
$4,223,673,020 |
7 |
46,430 |
|
48. |
MedStar Health (MD) |
$4,331,003,459 |
10 |
122,938 |
|
49. |
University of North Carolina Health Care (NC) |
$4,094,567,144 |
18 |
117,673 |
|
50. |
Yale New Haven Health System (CT) |
$4,059,324,359 |
9 |
111,328 |
Fig 1. Data from Definitive Healthcare based on combined net patient revenue reported by IDN member hospitals from fiscal year 2016, the most recent data available. Number of discharges based on compilation of reports from IDN member hospitals.