Top 25 Integrated Delivery Networks

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

  1. HCA HEALTHCARE INC: 48,261
  2. VETERANS HEALTH ADMINISTRATION: 33,478
  3. KAISER PERMANENTE: 27,913
  4. COMMONSPIRIT HEALTH: 27,635
  5. ASCENSION HEALTH: 27,285

RANKED BY TOTAL NUMBER OF HOSPITALS

  1. HCA HEALTHCARE INC: 233
  2. COMMONSPIRIT HEALTH: 158
  3. VETERANS HEALTH ADMINISTRATION: 148
  4. ASCENSION HEALTH: 145
  5. SELECT MEDICAL CORP: 122

RANKED BY TOTAL NUMBER OF OUTPATIENT CENTERS

  1. ASCENSION HEALTH: 1,944
  2. HCA HEALTHCARE INC: 1,729
  3. SELECT MEDICAL CORP: 1,459
  4. COMMONSPIRIT HEALTH: 1,451
  5. VETERANS HEALTH ADMINISTRATION: 1,372

RANKED BY TOTAL NUMBER OF NURSING / ASSISTED LIVING

  1. PROMEDICA: 245
  2. VETERANS HEALTH ADMINISTRATION: 76
  3. TRINITY HEALTH: 56
  4. ASCENSION HEALTH: 54
  5. COMMONSPIRIT HEALTH: 42