
TOP 25 INTEGRATED DELIVERY NETWORKS
Updated October 2020
Ascension Takes Top Spot in 2020 Ranking of Largest IDNs
Ascension Health of Saint Louis, Missouri, tops our list of the largest Integrated Delivery Networks (IDNs) in the U.S. With more than 2,195 facilities, this faith-based organization dominates the healthcare continuum largely through its footprint of outpatient facilities. Ascension is also a strong player in the management of hospitals and residential facilities. Ascension works with nearly 26,870 physicians.
Healthcare delivery in the U.S. has evolved rapidly over the past few years, causing a dynamic shift in how purchasing decisions are made. Economic challenges and the Affordable Care Act have driven the emergence of large care delivery networks with common branding that focus on better patient outcomes and cost reductions. IDNs own or manage groups of hospitals, medical offices, nursing homes and other site types. To achieve economies of scale and holistic outcomes, decision making across these networks is centralized. IDNs have significant control over issues related to formulary, treatments, health IT adoption, commercial access, drug sampling policies, new product uptake and other protocols.
REPORT METHODOLOGY
The ranking of the Top 25 IDNs changes continuously as systems expand their networks and range through provider employment, affiliations and new management contracts. Our ranking is based on the total number of facilities for which an IDN has ownership and purchasing authority.
Through extensive primary research, trusted government and industry data, and customer input, IQVIA has identified approximately 960 IDNs with their headquarters location. IQVIA’s OneKey database pinpoints key decision makers such as CEOs, presidents, VPs, formulary directors, department directors, administrators, physicians, mid-level providers and others.
This multi-dimensional database includes linkages to hospital sites, residential facilities, and outpatient centers such as medical groups and clinics. It is a comprehensive view of the IDN ecosystem. Like all IQVIA’s information products, OneKey is continuously verified by a dedicated team of data stewards to ensure the highest level of accuracy and freshness.
INFLUENCERS OF PHYSICIAN TREATMENT BEHAVIOR
Integrated delivery networks are focused on expanding their networks and influence to meet population health management goals and objectives.
Top 25 Integrated Delivery Networks
Rank | IDN Name | City | State | Hospitals | Outpatient Centers | Nursing / Assisted Living | Total Facilities | Total MDs and DOs |
1 | ASCENSION HEALTH | SAINT LOUIS | MO | 145 | 1,944 | 54 | 2,143 | 27,285 |
2 | HCA HEALTHCARE INC | NASHVILLE | TN | 233 | 1,729 | 10 | 1,972 | 48,261 |
3 | COMMONSPIRIT HEALTH | CHICAGO | IL | 158 | 1,451 | 42 | 1,651 | 27,635 |
4 | VETERANS HEALTH ADMINISTRATION | WASHINGTON | DC | 148 | 1,372 | 76 | 1,596 | 33,478 |
5 | SELECT MEDICAL CORP | MECHANICSBURG | PA | 122 | 1,459 | 1 | 1,582 | 8,217 |
6 | TRINITY HEALTH | LIVONIA | MI | 85 | 1,275 | 56 | 1,416 | 21,488 |
7 | PROVIDENCE SAINT JOSEPH HEALTH | RENTON | WA | 61 | 1,099 | 31 | 1,191 | 15,622 |
8 | UPMC | PITTSBURGH | PA | 45 | 1,100 | 23 | 1,168 | 10,363 |
9 | COMMUNITY HEALTH SYSTEMS INC | FRANKLIN | TN | 113 | 1,027 | 11 | 1,151 | 14,090 |
10 | TENET HEALTHCARE | DALLAS | TX | 100 | 997 | 3 | 1,100 | 22,838 |
11 | BON SECOURS MERCY HEALTH INC | CINCINNATI | OH | 43 | 1,025 | 15 | 1,083 | 9,351 |
12 | MERCY | CHESTERFIELD | MO | 42 | 807 | 1 | 850 | 4,835 |
13 | ADVOCATE AURORA HEALTH | DOWNERS GROVE | IL | 29 | 781 | 1 | 811 | 9,447 |
14 | LIFEPOINT HEALTH | BRENTWOOD | TN | 89 | 676 | 12 | 777 | 8,038 |
15 | ATRIUM HEALTH | CHARLOTTE | NC | 41 | 721 | 11 | 773 | 6,729 |
16 | SUTTER HEALTH | SACRAMENTO | CA | 33 | 710 | 2 | 745 | 9,109 |
17 | NORTHWELL HEALTH | NEW HYDE PARK | NY | 25 | 695 | 7 | 727 | 13,842 |
18 | KAISER PERMANENTE | OAKLAND | CA | 44 | 637 | 4 | 685 | 27,913 |
19 | UC HEALTH | OAKLAND | CA | 17 | 648 | NULL | 665 | 14,733 |
20 | ADVENTHEALTH | ALTAMONTE SPRINGS | FL | 43 | 604 | 14 | 661 | 10,077 |
21 | BAYLOR SCOTT AND WHITE HEALTH | DALLAS | TX | 36 | 577 | 1 | 614 | 6,229 |
22 | PROMEDICA | TOLEDO | OH | 14 | 341 | 245 | 600 | 2,854 |
23 | NOVANT HEALTH INC | WINSTON SALEM | NC | 16 | 558 | 2 | 576 | 3,938 |
24 | MASS GENERAL BRIGHAM | BOSTON | MA | 17 | 509 | 3 | 529 | 10,734 |
25 | INDIAN HEALTH SERVICE | ROCKVILLE | MD | 41 | 484 | 3 | 528 | 2,534 |
Top 5 Integrated Delivery Networks
RANKED BY TOTAL NUMBER OF PHYSICIANS
- HCA HEALTHCARE INC: 48,261
- VETERANS HEALTH ADMINISTRATION: 33,478
- KAISER PERMANENTE: 27,913
- COMMONSPIRIT HEALTH: 27,635
- ASCENSION HEALTH: 27,285
RANKED BY TOTAL NUMBER OF HOSPITALS
- HCA HEALTHCARE INC: 233
- COMMONSPIRIT HEALTH: 158
- VETERANS HEALTH ADMINISTRATION: 148
- ASCENSION HEALTH: 145
- SELECT MEDICAL CORP: 122
RANKED BY TOTAL NUMBER OF OUTPATIENT CENTERS
- ASCENSION HEALTH: 1,944
- HCA HEALTHCARE INC: 1,729
- SELECT MEDICAL CORP: 1,459
- COMMONSPIRIT HEALTH: 1,451
- VETERANS HEALTH ADMINISTRATION: 1,372
RANKED BY TOTAL NUMBER OF NURSING / ASSISTED LIVING
- PROMEDICA: 245
- VETERANS HEALTH ADMINISTRATION: 76
- TRINITY HEALTH: 56
- ASCENSION HEALTH: 54
- COMMONSPIRIT HEALTH: 42