Healthcare Insights

Top IDNs by net patient revenue

Net patient revenue (NPR) is a metric used to identify financially successful healthcare organizations. To gain a bigger picture of how financially strong a network of facilities is, the NPR of an integrated delivery network (IDN), or health system, can be a key indicator.

What is an IDN in healthcare?

An integrated delivery network (IDN), also referred to as a health system, is an organization that owns and operates a network of healthcare facilities. An IDN may include facilities such as hospitals, physician groups, clinics, ambulatory surgery centers, and imaging centers, to name a few.

Using the Definitive Healthcare HospitalView product, we have created a list of the top IDNs in the U.S. by their net patient revenue. The data is aggregated from affiliated facilities based on data from the Medicare Cost Report and is according to the most recent 12-month interval tracked in our database.

Top 25 largest IDNs in the U.S. by net patient revenue

RankDefinitive IDIDN nameCityStateNet patient revenue Explore dataset
14710HCA Healthcare (FKA Hospital Corporation of America)NashvilleTN$48,179,695,081 Explore
2981465CommonSpirit HealthChicagoIL$30,957,192,494 Explore
34695Ascension HealthSaint LouisMO$22,146,200,529 Explore
44713Kaiser PermanenteOaklandCA$21,466,800,788 Explore
54712Trinity Health (FKA CHE Trinity Health)LivoniaMI$20,688,489,330 Explore
61057655Advocate HealthCharlotteNC$19,026,724,669 Explore
74716Providence St Joseph Health (AKA Providence)RentonWA$17,388,860,227 Explore
8560423University of California Health (AKA UC Health-CA)OaklandCA$16,683,722,920 Explore
94685Tenet HealthcareDallasTX$14,320,649,530 Explore
104698Dignity HealthSan FranciscoCA$14,187,995,174 Explore
11845347Kaiser Permanente Northern CaliforniaOaklandCA$11,306,310,062 Explore
12542233Community Health Systems (AKA CHS)FranklinTN$10,815,134,425 Explore
13274173Cleveland Clinic Health SystemClevelandOH$10,811,857,015 Explore
144694AdventHealth (FKA Adventist Health System)Altamonte SpringsFL$10,673,024,175 Explore
154744Northwell Health (AKA North Shore Long Island Jewish Health System)New Hyde ParkNY$10,322,251,261 Explore
166448University of Pittsburgh Medical Center (AKA UPMC)PittsburghPA$9,793,022,925 Explore
177055Universal Health ServicesKing Of PrussiaPA$9,629,719,858 Explore
18845346Kaiser Permanente Southern CaliforniaPasadenaCA$9,499,179,595 Explore
197001Mass General Brigham (FKA Partners HealthCare)BostonMA$9,401,472,112 Explore
207066NewYork-Presbyterian Healthcare SystemNew YorkNY$9,343,667,708 Explore
217104Mayo ClinicRochesterMN$8,957,642,234 Explore
22577357Baylor Scott & White HealthDallasTX$8,898,041,633 Explore
234727Intermountain Health (FKA Intermountain Healthcare)Salt Lake CityUT$8,551,024,876 Explore
244717Sutter HealthSacramentoCA$8,501,170,541 Explore
25975303Bon Secours Mercy HealthCincinnatiOH$8,463,451,952 Explore

Fig. 1 Data is from the Definitive Healthcare HospitalView product. Data is aggregated from affiliated facilities based on data from the Medicare Cost Report and is displayed according to the most recent 12-month interval tracked in our database. Data accessed July 2023.

What is the largest health system in the U.S. by net patient revenue?

The top IDN in the U.S. by net patient revenue is HCA Healthcare. This health system is also both the largest IDN in the U.S. by the number of member hospitals and by the number of staffed beds. With the most hospitals and bed capacity across the country, we might expect that this health system sees more patients leading to a high net patient revenue.

Commonspirit Health comes in second place in the list of top IDNs by NPR. Like HCA Healthcare, this health system also makes the list of largest health systems in the U.S. by number of member hospitals (third place) and by number of staffed beds (fourth place). Additionally, Commonspirit Health tops the list of IDNs with the greatest number of affiliations. Having more affiliated facilities may allow this IDN to reach more patients, which would contribute to a higher NPR.

In third place is Ascension Health. Similar to the other top IDNs by net patient revenue, this IDN shares characteristics of being one of the largest health systems by the number of member hospitals (sixth place) and by the number of staffed beds (fifth place).

These three IDNs also rank in the top three spots in the list of top healthcare systems by operating expenses, as well.

What is the average net patient revenue for IDNs?

The average net patient revenue for all IDNs in the U.S. is $1.6 billion. The average NPR for the top 25 IDNs listed above is much greater at $14.8 billion.

The combined NPR for these 25 IDNs accounts for 26% of the nationwide IDN net patient revenue.

Keys to marketing and selling to IDNs

By marketing to a health system, you can reach decision-makers that are responsible for leading care at a wider network of facilities, which could allow for greater distribution of your product or therapy.

While net patient revenue is a key indicator of the financial strength of these IDNs there are other metrics to consider prior to sales conversations. Other key IDN metrics include prescription patterns, integration level, affiliations, referrals, and relationships.

Learn more

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