Top IDNs by CBSA region

Core-based statistical areas (CBSAs) are U.S. geographic zones defined by the Office of Management and Budget (OMB). Healthcare suppliers and providers use CBSAs as a framework for understanding markets associated with urban centers and their surrounding counties.

Introduced by the OMB 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 states or regions, CBSAs can be leveraged by businesses selling into the healthcare industry to provide useful insights for suppliers and manufacturers.

The following table lists the top three largest integrated delivery networks (IDN) by net patient revenue operating in each of the top 10 CBSAs.

3 highest-earning IDNs by CBSA regions

CBSA IDN Name Definitive ID Net Patient Revenue (Millions) Hospitals
Nashville-Davidson--Murfreesboro--Franklin TN HCA Healthcare 4710 $43,987 211
  Community Health Systems 542233 $10,438 91
  LifePoint Health 7004 $6,629 75
Chicago-Naperville-Elgin IL-IN-WI CommonSpirit Health 981465 $30,173 164
  Advocate Aurora Health 965729 $8,211 30
  Northwestern Medicine 550112 $5,537 12
New York-Newark-Jersey City NY-NJ-PA Northwell Health 4744 $8,937 20
  NYU Langone Health 579801 $8,808 8
  New York-Presbyterian Healthcare System 7066 $7,964 13
Dallas-Fort Worth-Arlington TX Tenet Healthcare 4685 $13,307 82
  Baylor Scott & White Health 577357 $8,444 50
  CHRISTUS Health 4702 $5,509 39
St. Louis MO-IL Ascension Health 4695 $21,972 131
  Mercy (MO) 7027 $5,919 40
  SSM Health 6446 $5,361 34
San Francisco-Oakland-Berkeley CA University of California Health 560423 $15,147 22
  Dignity Health 4698 $13,889 51
  University of California San Francisco Health System 551802 $5,249 9
Philadelphia-Camden-Wilmington PA-NJ-DE-MD Universal Health Services 7055 $8,723 179
  Penn Medicine 7033 $6,621 12
  Jefferson Health 7210 $5,078 16
Seattle-Tacoma-Bellevue WA Providence St Joseph Health 4716 $16,232 57
  UW Medicine 274119 $3,737 4
  Virginia Mason Franciscan Health 274190 $3,516 10
Los Angeles-Long Beach-Anaheim CA Cedars-Sinai Health System 551851 $4,972 4
  Providence Health & Services - Northern California 7062 $3,850 9
  Los Angeles County Health Services 6443 $3,407 4
Detroit-Warren-Dearborn MI Trinity Health 4712 $19,433 107
  BHSH Beaumont Health 4746 $3,840 8
  Henry Ford Health 4709 $3,442 7

Fig. 1 Data is from the Definitive Healthcare HospitalView product for 2021. Data accurate as of July 2022.

How do healthcare organizations use CBSAs?

Different industries use data around CBSAs to drive their business decisions in different ways.

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, while 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 more accurately monitor the spread of disease. There are innumerable ways to analyze and employ data on the entire healthcare market using CBSAs.

What is an integrated delivery network?

Also known as a health system, IDNs are organizations that own and operate one or more healthcare facilities. They may comprise a variety of inpatient and outpatient care facilities, including hospitals, physician offices, health clinics, ambulatory surgery centers or imaging centers.

IDNs are broadly categorized into four types by level of integration. System II IDNs are multi-hospital systems integrated horizontally. IDNs categorized under System III are integrated vertically and aim to provide the full continuum of care from birth through death. System IIIA IDNs are structured around a single hospital.

Finally, System IV IDNs utilize careful strategy and organizational structure to control all information systems, administrative control, purchasing and distribution systems across every facility within the network.

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