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The following tables list the top 25 IDNs by the number of hospitals in-network, and by the number of discharges reported during the last available calendar year.
Though many IDNs appear on both lists, the number of hospitals in a network does not directly correlate to the number of discharges. A greater number of discharges also did not directly correlate to a higher net patient revenue.
Steward Health Care System and New York Presbyterian (NYP) Health System both reported a little over 200,000 discharges in their most recent reports. Though Steward reported a higher number of discharges than NYP, NYP reported roughly double the net patient revenue. Similarly, while Kaiser Permanente ranked among the top 10 IDNs by discharges, it reported a net patient revenue of only $300 million, the lowest on the list.
Top 25 IDNs by Number of Hospitals
| IDN Name | Net Patient Revenue | Number of Hospitals | Number of Discharges | |
|
1. |
HCA Healthcare |
$39,776,570,364 |
211 |
1,873,943 |
|
2. |
CommonSpirit Health |
$28,321,434,501 |
198 |
998,310 |
|
3. |
Universal Health Services |
$8,935,492,033 |
179 |
683,272 |
|
4. |
Encompass Health Corporation |
$3,122,737,897 |
135 |
170,299 |
|
5. |
Ascension Health |
$17,090,314,410 |
124 |
705,559 |
|
6. |
Select Medical Corporation |
$2,197,879,978 |
115 |
54,546 |
|
7. |
Community Health Systems |
$10,750,245,893 |
109 |
531,332 |
|
8. |
LifePoint Health |
$7,954,069,024 |
88 |
315,525 |
|
9. |
Tenet Healthcare |
$13,598,155,515 |
84 |
655,371 |
|
10. |
Kindred Healthcare |
$2,109,778,307 |
81 |
42,397 |
|
11. |
Trinity Health |
$13,894,648,951 |
61 |
568,624 |
|
12. |
Providence St Joseph Health |
$15,235,703,657 |
57 |
470,818 |
|
13. |
Baylor Scott & White Health |
$7,170,574,656 |
51 |
268,993 |
|
14. |
Dignity Health |
$11,813,375,044 |
48 |
386,764 |
|
15. |
Prime Healthcare Services |
$4,207,191,152 |
46 |
259,289 |
|
16. |
Indian Health Service |
$161,387,165 |
45 |
38,486 |
|
17. |
Kaiser Permanente |
$328,176,207 |
43 |
444,141 |
|
18. |
Sanford Health |
$3,499,845,466 |
40 |
77,454 |
|
19. |
Atrium Health |
$7,626,467,360 |
39 |
268,003 |
|
20. |
Steward Health Care System |
$4,448,187,497 |
39 |
200,151 |
|
21. |
Acadia Healthcare |
$795,698,967 |
39 |
100,812 |
|
22. |
MercyOne |
$2,286,203,115 |
39 |
86,666 |
|
23. |
Bon Secours Mercy Health |
$7,598,915,710 |
39 |
305,897 |
|
24. |
AdventHealth |
$7,374,244,045 |
38 |
314,600 |
|
25. |
Mercy (MO) |
$4,972,097,996 |
38 |
195,762 |
Fig 1. Data from Definitive Healthcare based on combined net patient revenue reported by IDN member hospitals from fiscal year 2016, the most recent data available. Number of discharges based on compilation of reports from IDN member hospitals.
Top 25 IDNs by Number of Discharges
| IDN Name | Net Patient Revenue | Number of Hospitals | Number of Discharges | |
|
1. |
HCA Healthcare |
$39,776,570,364 |
211 |
1,873,943 |
|
2. |
CommonSpirit Health |
$28,321,434,501 |
198 |
998,310 |
|
3. |
Ascension Health |
$17,090,314,410 |
124 |
705,559 |
|
4. |
Universal Health Services |
$8,935,492,033 |
179 |
683,272 |
|
5. |
Tenet Healthcare |
$13,598,155,515 |
84 |
655,371 |
|
6. |
Trinity Health |
$13,894,648,951 |
61 |
568,624 |
|
7. |
Community Health Systems |
$10,750,245,893 |
109 |
531,332 |
|
8. |
Providence St Joseph Health |
$15,235,703,657 |
57 |
470,818 |
|
9. |
Kaiser Permanente |
$328,176,207 |
43 |
444,141 |
|
10. |
Dignity Health |
$11,813,375,044 |
48 |
386,764 |
|
11. |
LifePoint Health |
$7,954,069,024 |
88 |
315,525 |
|
12. |
AdventHealth |
$7,374,244,045 |
38 |
314,600 |
|
13. |
Northwell Health |
$8,993,294,199 |
23 |
310,432 |
|
14. |
Bon Secours Mercy Health |
$7,598,915,710 |
39 |
305,897 |
|
15. |
University of Pittsburgh Medical Center |
$8,377,440,934 |
37 |
283,733 |
|
16. |
Advocate Aurora Health |
$7,884,934,714 |
30 |
270,102 |
|
17. |
Baylor Scott & White Health |
$7,170,574,656 |
51 |
268,993 |
|
18. |
Atrium Health |
$7,626,467,360 |
39 |
268,003 |
|
19. |
Prime Healthcare Services |
$4,207,191,152 |
46 |
259,289 |
|
20. |
Banner Health |
$5,774,913,766 |
31 |
236,107 |
|
21. |
Cleveland Clinic Health System |
$8,377,012,312 |
19 |
225,473 |
|
22. |
Kaiser Permanente - Northern California Region |
N/A |
21 |
214,586 |
|
23. |
NewYork-Presbyterian Healthcare System |
$8,639,415,105 |
13 |
213,470 |
|
24. |
Steward Health Care System |
$4,448,187,497 |
39 |
200,151 |
|
25. |
Mercy |
$4,972,097,996 |
38 |
195,762 |
Fig 2. Data from Definitive Healthcare based on combined net patient revenue reported by IDN member hospitals from fiscal year 2016, the most recent data available. Number of discharges based on compilation of reports from IDN member hospitals.