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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.