Healthcare Insights

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 in 2022

CBSAIDN nameDefinitive IDNet patient revenueHospitalsExplore dataset
Nashville-Davidson--Murfreesboro--Franklin TNHCA Healthcare4710$47,440,144,679 209Explore
*Community Health Systems542233$10,660,925,865 87Explore
*LifePoint Health7004$6,939,982,920 70Explore
Chicago-Naperville-Elgin IL-IN-WICommonSpirit Health981465$31,019,616,953 165Explore
*Northwestern Medicine (AKA Northwestern Memorial Healthcare)550112$5,537,893,952 12Explore
*Advocate Health Care4740$5,237,570,295 13Explore
41860 - San Francisco-Oakland-Berkeley CAKaiser Permanente4713$21,466,800,788 43Explore
*University of California Health (AKA UC Health-CA)560423$15,158,951,541 23Explore
*Dignity Health4698$14,235,984,061 52Explore
35620 - New York-Newark-Jersey City NY-NJ-PANorthwell Health (AKA North Shore Long Island Jewish Health System)4744$10,029,546,979 20Explore
*Mount Sinai Health System (FKA Mount Sinai Medical Center)577655$8,766,335,585 10Explore
*NewYork-Presbyterian Healthcare System7066$8,197,110,141 13Explore
19100 - Dallas-Fort Worth-Arlington TXTenet Healthcare4685$14,092,955,236 83Explore
*Baylor Scott & White Health577357$8,760,492,530 50Explore
*CHRISTUS Health4702$5,514,613,644 38Explore
31080 - Los Angeles-Long Beach-Anaheim CAKaiser Permanente Southern California845346$9,499,179,595 15Explore
*Cedars-Sinai Health System551851$5,056,810,650 4Explore
*Providence Health & Services - Southern California (FKA Providence Health & Services - California)846985$4,947,818,064 11Explore
41180 - St. Louis MO-ILAscension Health4695$21,994,513,119 129Explore
*Mercy (MO)7027$5,935,055,006 41Explore
*BJC HealthCare7076$5,462,978,523 15Explore
42660 - Seattle-Tacoma-Bellevue WAProvidence St Joseph Health (AKA Providence)4716$17,318,812,826 57Explore
*MultiCare Health System4726$4,122,150,814 11Explore
*Providence Swedish1047211$3,888,498,981 9Explore
37980 - Philadelphia-Camden-Wilmington PA-NJ-DE-MDUniversal Health Services7055$9,804,358,744 178Explore
*Penn Medicine (AKA University of Pennsylvania Health System)7033$6,621,205,686 12Explore
*Jefferson Health7210$5,083,161,253 16Explore
19820 - Detroit-Warren-Dearborn MITrinity Health (FKA CHE Trinity Health)4712$20,146,316,427 105Explore
*Henry Ford Health (FKA Henry Ford Health System)4709$4,249,601,872 7Explore
*Corewell Health East (AKA Beaumont Health System)4746$4,095,906,125 8Explore

Fig. 1. Data is from the Definitive Healthcare HospitalView product. Healthcare system-level data is aggregated from the most recent 12-month interval tracked in our database and updated from the October 2022 Medicare Cost Report release. Accessed February 2023.

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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