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Core-Based Statistical Areas (CBSAs) are one way for healthcare suppliers and providers to gather and analyze market data. Introduced in 2003, each CBSA incorporates a metropolitan or micropolitan area with a population of 10,000 people or more. Because they are more specific than other geographic measures like state or region, CBSAs can be leveraged by businesses selling into the healthcare industry to provide useful insights for suppliers and manufacturers.
Medical device suppliers, for example, can evaluate diagnosis and procedure analytics in various CBSAs to determine where demand is highest for a given product. Staffing firms can assess provider density in a given CBSA to improve placement rates. Technology and electronic health record (EHR) vendors can visualize technology usage and implementation by CBSA to determine new sales opportunities.
Providers, regulatory agencies like the Centers for Medicare and Medicaid Services (CMS), and payors can also utilize CBSA data to address population health issues and maintain control over the spread of disease. There are innumerable ways to analyze and employ data on the entire healthcare market using CBSAs.
The following table lists the top three largest IDNs by net patient revenue operating in each of the top 30 CBSAs.
Top IDNs by Revenue in the 30 Largest CBSAs
| CBSA | IDN Name | Definitive ID | Net Patient Revenue (M) | Hospitals | |
|---|---|---|---|---|---|
|
New York-Newark-Jersey City NY-NJ-PA |
1. | Northwell Health | 4744 | $8,970 | 21 |
| 2. | New York-Presbyterian Healthcare System |
7066 | $8,355 | 12 | |
| 3. | NYU Langone Health | 579801 | $6,920 | 7 | |
|
Los Angeles-Long Beach-Anaheim CA |
1. | Kaiser Permanente So. California | 845346 | $18,812 | 15 |
| 2. | Los Angeles County Health Agency | 6443 | $4,007 | 4 | |
| 3. | St Joseph Health | 7062 | $3,666 | 2 | |
|
Chicago-Naperville-Elgin IL-IN-WI |
1. | CommonSpirit Health | 981465 | $28,328 | 198 |
| 2. | Advocate Aurora Health | 965729 | $8,230 | 31 | |
| 3. | Advocate Health Care | 4740 | $4,568 | 15 | |
|
Dallas-Fort Worth-Arlington TX |
1. | Tenet Healthcare | 4685 | $14,019 | 86 |
| 2. | Baylor Scott & White Health | 577357 | $7,101 | 52 | |
| 3. | CHRISTUS Health | 4702 | $4,817 | 37 | |
|
Houston-The Woodlands-Sugar Land TX |
1. | Memorial Hermann Health System |
7017 | $4,716 | 19 |
| 2. | Houston Methodist | 7021 | $3,807 | 8 | |
| 3. | HCA Gulf Coast Division | 780655 | $3,200 | 15 | |
|
Philadelphia-Camden-Wilmington PA-NJ-DE-MD |
1. | Universal Health Services | 7055 | $9,430 | 170 |
| 2. | Penn Medicine | 7033 | $6,053 | 10 | |
| 3. | Jefferson Health | 7210 | $3,739 | 13 | |
|
Washington-Arlington-Alexandria DC-VA-MD-WV |
1. | Inova Health System | 4692 | $2,782 | 7 |
| 2. | Children's National | 1006882 | $1,090 | 2 | |
| 3. | Adventist HealthCare (MD) | 7092 | $1,018 | 8 | |
|
Miami-Ft Lauderdale-Pompano Beach FL |
1. | Baptist Health South Florida | 7010 | $3,515 | 12 |
| 2. | HCA East Florida Division | 780654 | $3,433 | 15 | |
| 3. | Tenet Florida | 1007137 | $2,180 | 11 | |
|
Atlanta-Sandy Springs-Alpharetta GA |
1. | Northside Hospital System | 7228 | $3,850 | 5 |
| 2. | Piedmont Healthcare System | 274238 | $3,376 | 12 | |
| 3. | Emory Healthcare | 4759 | $3,166 | 10 | |
| Boston-Cambridge-Newton | 1. | Partners HealthCare | 7001 | $8,089 | 16 |
| 2. | Beth Israel Lahey Health | 992199 | $4,335 | 13 | |
| 3. | Brigham Health | 1006269 | $2,698 | 2 | |
|
San Francisco-Oakland-Berkeley CA |
1. | Kaiser Permanente | 4713 | $38,252 | 43 |
| 2. | Kaiser Permanente Northern California | 845347 | $18,634 | 21 | |
| 3. | University of California (UC) Health | 560423 | $13,032 | 21 | |
|
Riverside-San Bernardino-Ontario CA |
1. | Prime Healthcare Services | 542003 | $4,440 | 46 |
| 2. | Loma Linda University Health | 550027 | $1,936 | 6 | |
| 3. | Prime Healthcare Services Foundation | 847806 | $1,042 | 15 | |
|
Phoenix-Mesa-Chandler AZ |
1. | Banner Health | 4732 | $5,956 | 31 |
| 2. | HonorHealth | 585502 | $1,754 | 7 | |
| 3. | Phoenix Childrens Health System | 981240 | $810 | 2 | |
|
Detroit-Warren-Dearborn MI |
1. | Trinity Health | 4712 | $13,733 | 59 |
| 2. | Beaumont Health System | 4746 | $4,258 | 8 | |
| 3. | Henry Ford Health System | 4709 | $3,677 | 8 | |
|
Seattle-Tacoma-Bellevue WA |
1. | Providence St Joseph Health | 4716 | $16,258 | 56 |
| 2. | University of Washington Medicine | 274119 | $3,189 | 4 | |
| 3. | Providence Health & Services - Washington |
846988 | $2,807 | 10 | |
|
Minneapolis-St. Paul-Bloomington MN-WI |
1. | M Health Fairview | 7103 | $3,491 | 13 |
| 2. | Allina Health | 4683 | $3,308 | 13 | |
| 3. | HealthPartners | 7127 | $1,843 | 9 | |
|
San Diego-Chula Vista-Carlsbad CA |
1. | Sharp HealthCare | 4728 | $2,592 | 7 |
| 2. | Scripps Health | 4768 | $2,384 | 6 | |
| 3. | UC San Diego Health System | 7031 | $2,116 | 5 | |
|
Tampa-St. Petersburg-Clearwater FL |
1. | BayCare Health System | 7067 | $3,476 | 17 |
| 2. | HCA West Florida Division | 780653 | $2,860 | 17 | |
| 3. | Bayfront Health | 841719 | $878 | 7 | |
|
St. Louis MO-IL |
1. | Ascension Health | 4695 | $17,814 | 124 |
| 2. | Mercy (MO) | 7027 | $5,067 | 38 | |
| 3. | SSM Health | 6446 | $4,830 | 29 | |
|
Baltimore-Columbia-Towson MD |
1. | MedStar Health | 4722 | $4,343 | 10 |
| 2. | Johns Hopkins Health System | 7213 | $4,331 | 6 | |
| 3. | University of Maryland Health System | 7094 | $3,782 | 16 | |
|
Denver-Aurora-Lakewood CO |
1. | UCHealth | 550060 | $4,667 | 13 |
| 2. | Centura Health | 274122 | $3,584 | 20 | |
| 3. | SCL Health | 7240 | $2,535 | 11 | |
|
Pittsburgh PA |
1. | University of Pittsburgh Medical Center |
6448 | $8,796 | 36 |
| 2. | Allegheny Health Network | 7155 | $2,541 | 14 | |
| 3. | Excela Health | 7202 | $441 | 3 | |
|
Charlotte-Concord-Gastonia NC-SC |
1. | Atrium Health | 4697 | $5,825 | 30 |
| 2. | Acuity Healthcare | 550206 | $80 | 6 | |
| 3. | Vizion Health | 994760 | $30 | 2 | |
|
Portland-Vancouver-Hillsboro OR-WA |
1. | PeaceHealth | 7046 | $2,614 | 10 |
| 2. | Legacy Health | 4720 | $2,099 | 8 | |
| 3. | OHSU Partners | 857556 | $1,934 | 3 | |
|
San Antonio-New Braunfels TX |
1. | HCA San Antonio Division | 550016 | $1,931 | 10 |
| 2. | Baptist Health System-San Antonio TX |
274217 | $1,308 | 13 | |
| 3. | CHRISTUS Santa Rosa Health System | 550181 | $726 | 6 | |
|
Orlando-Kissimmee-Sanford FL |
1. | AdventHealth | 4694 | $8,019 | 39 |
| 2. | Orlando Health | 7268 | $2,910 | 9 | |
| 3. | Central Florida Health | 274239 | $383 | 2 | |
|
Sacramento-Roseville-Folsom CA |
1. | Sutter Health | 4717 | $7,639 | 30 |
| 2. | Adventist Health | 7053 | $4,230 | 23 | |
| 3. | University of California Davis Health | 4763 | $2,276 | 2 | |
|
Cincinnati OH-KY-IL |
1. | Bon Secours Mercy Health | 975303 | $7,741 | 40 |
| 2. | Mercy Health | 4715 | $3,989 | 23 | |
| 3. | Cincinnati Childrens Hospital Health System |
794521 | $2,120 | 3 | |
|
Cleveland-Elyria OH |
1. | Cleveland Clinic Health System | 274173 | $8,666 | 18 |
| 2. | University Hospitals Health System | 4729 | $3,541 | 19 | |
| 3. | The MetroHealth System | 274297 | $1,022 | 3 | |
|
Kansas City OH-KY |
1. | The University of Kansas Health System |
574851 | $2,466 | 5 |
| 2. | HCA Mid America Division | 575965 | $2,377 | 10 | |
| 3. | Saint Lukes Health System | 7026 | $1,481 | 19 |
Fig 1. Data from Definitive Healthcare from the Hospitals & IDNs Database. CBSAs listed by population size as determined by the most recent census. Financial data is from the combined annual revenue of member hospitals from April 2020 Medicare Cost Report release; the next scheduled Medicare Cost Report release is July 2020. Medicare Cost Report data is collected during the preceding quarter. Most recent data available, accessed in May 2020.