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.
Learn more
Healthcare Insights are developed with data from the Definitive Healthcare platform. Want even more insights? Start a free trial now and get access to the highest quality healthcare commercial intelligence on hospitals, physicians and other healthcare providers.
