Healthcare Insights
Top 10 health systems by hospital equipment certificates of need
In our recent review of the most common types of certificates of need (CONs), purchases for new and/or replacement hospital equipment were in the top four types of requests from healthcare systems.
In the Definitive Healthcare HospitalView product, we collect CONs from the 36 states/federal jurisdictions with participating programs. CONs are capital expenditures and projects that go through certain approvals designed to help control healthcare costs.
This list reviews the healthcare systems, or integrated delivery networks (IDNs), that issued the most CONs between January 2018 and October 2022 in the “equipment new/replace” category.
| Rank | Definitive ID | IDN name | Location | Equipment CONs | Explore dataset |
|---|---|---|---|---|---|
| 1 | 274238 | Piedmont Healthcare System | Atlanta, GA | 50 | Explore |
| 2 | 4759 | Emory Healthcare | Atlanta, GA | 43 | Explore |
| 3 | 4721 | McLaren Health Care Corporation | Grand Blanc, MI | 38 | Explore |
| 4 | 4733 | Wellstar Health System | Marietta, GA | 33 | Explore |
| 5 | 7228 | Northside Hospital System | Atlanta, GA | 31 | Explore |
| 6 | 780656 | HCA South Atlantic Division | Charleston, SC | 27 | Explore |
| 7 | 4746 | BHSH Beaumont Health (AKA Beaumont Health System) | Royal Oak, MI | 23 | Explore |
| 8 | 4709 | Henry Ford Health (FKA Henry Ford Health System) | Detroit, MI | 18 | Explore |
| 9 | 7099 | Munson Healthcare | Traverse City, MI | 16 | Explore |
| 10 | 4744 | Northwell Health (AKA North Shore Long Island Jewish Health System) | New Hyde Park, NY | 16 | Explore |
Fig. 1 Data is from the Definitive Healthcare HospitalView product. CONs and hospital purchasing data are from a variety of sources and updated daily. Data accessed October 2022.
What healthcare system has the most hospital equipment CONs?
Between January 2018 and October 2022, Piedmont Healthcare System and Emory Healthcare had the most CONs for hospital equipment purchases. Emory Healthcare includes Emory University Hospital, one of the largest U.S. hospitals by net patient revenue.
Four of the healthcare systems on the list are in Georgia and four are also in Michigan. These states also appear in the top 10 for CON activity related to construction, and their laws around CONs may generate a higher volume overall.
What types of hospital equipment are most requested in CONs?
Reviewing thousands of hospital CONs, the most common types of equipment requests include those for diagnostic and medical imaging purchases. Specifically, the most reported equipment CONs include:
- Computed tomography (CT) machines
- Dialysis stations
- Linear accelerators
- Magnetic resonance imaging (MRI) machines
- Robotic surgery machines and surgical robots, such as the Da Vinci Surgical System
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