Healthcare Insights
Top 25 IDNs in Texas with the most hospitals
Texas is the second-most populous state in the U.S. and home to a large number of health systems. According to Definitive Healthcare data, as of December 2024, the state is home to more than 100 integrated delivery networks (IDNs), which collectively serve the diverse and expansive population across its vast landscape. Below is a list of the largest IDNs in Texas, ranked by the number of member hospitals in their networks.
| Rank | IDN name | City | # of hospitals | Net patient revenue | # of discharges | # of staffed beds | Explore dataset |
|---|---|---|---|---|---|---|---|
| 1 | Tenet Healthcare | Dallas | 77 | $12,332,385,582 | 426,549 | 11,485 | Explore |
| 2 | Baylor Scott & White Health | Dallas | 51 | $9,692,957,750 | 223,872 | 4,824 | Explore |
| 3 | CHRISTUS Health | Irving | 40 | $6,594,232,671 | 193,853 | 5,154 | Explore |
| 4 | Ernest Health | Mesquite | 35 | $587,257,540 | 21,075 | 1,311 | Explore |
| 5 | Texas Health Resources | Dallas | 30 | $5,596,789,738 | 191,287 | 3,700 | Explore |
| 6 | Oceans Healthcare | Plano | 25 | $215,674,924 | 22,236 | 818 | Explore |
| 7 | HCA Medical City Healthcare | Dallas | 21 | $4,470,818,814 | 170,384 | 3,477 | Explore |
| 8 | Memorial Hermann Health System | Houston | 19 | $6,907,117,842 | 197,016 | 4,327 | Explore |
| 9 | Nutex Health | Houston | 19 | $12,216,397 | 184 | 16 | Explore |
| 10 | Nobis Rehabilitation Partners | Allen | 18 | $177,408,398 | 8,493 | 544 | Explore |
| 11 | HCA San Antonio Division | San Antonio | 17 | $3,046,667,454 | 124,669 | 2,620 | Explore |
| 12 | Community Hospital Corporation | Plano | 17 | $908,552,624 | 25,465 | 1,010 | Explore |
| 13 | Baptist Health System - San Antonio TX | San Antonio | 16 | $1,569,886,288 | 62,511 | 2,537 | Explore |
| 14 | HCA Gulf Coast Division - HCA Houston Healthcare | Houston | 16 | $4,546,582,416 | 172,513 | 3,664 | Explore |
| 15 | Cornerstone Healthcare Group | Dallas | 15 | $291,239,239 | 6,555 | 713 | Explore |
| 16 | Ascension Seton | Austin | 14 | $2,825,462,472 | 65,831 | 1,512 | Explore |
| 17 | University of Texas System | Austin | 12 | $8,624,413,088 | 113,039 | 3,525 | Explore |
| 18 | Texas Department of State Health Services | Austin | 11 | $369,298,541 | 3,341 | 2,671 | Explore |
| 19 | UT Health East Texas | Tyler | 10 | $1,039,736,848 | 32,637 | 833 | Explore |
| 20 | Methodist Health System | Dallas | 10 | $2,045,453,358 | 64,556 | 1,380 | Explore |
| 21 | Houston Methodist | Houston | 9 | $6,347,904,220 | 139,980 | 2,798 | Explore |
| 22 | HCA Central & West Texas Division - St Davids HealthCare | Austin | 9 | $2,406,991,968 | 85,911 | 1,514 | Explore |
| 23 | CHI St Lukes Health | Houston | 8 | $1,810,198,116 | 52,162 | 2,063 | Explore |
| 24 | Community Hospital Corporation ContinueCARE | Plano | 8 | $101,655,224 | 2,168 | 278 | Explore |
| 25 | The Hospitals of Providence | El Paso | 8 | $1,120,661,360 | 39,645 | 1,174 | Explore |
Fig. 1 Data from the Definitive Healthcare HospitalView product. Data accessed December 2024.
Which Texas health system has the most hospitals?
Tenet Healthcare, headquartered in Dallas, Texas, is the largest Texas health system on our list, with 77 hospitals and over $12 billion in net patient revenue. Tenet’s service area spans multiple states, with a strong presence in Texas, and it competes in both urban and suburban markets, offering a range of services across acute care, ambulatory surgery centers, and urgent care. As a for-profit hospital system, Tenet is owned by investors and operates with a focus on profit generation, which shapes its operational strategies.
Baylor Scott & White Health, also based in Dallas, Texas, is a non-profit health system with 51 hospitals and nearly $10 billion in net patient revenue. The system is a major player in Texas, providing comprehensive services across the state, including highly specialized care in areas such as cancer, heart disease, and orthopedics.
CHRISTUS Health, headquartered in Irving, Texas, is a Catholic non-profit health system with 40 hospitals and approximately $6.6 billion in net patient revenue. Its primary service area is centered in Texas, with additional facilities in Louisiana and other parts of the U.S., as well as some international locations.
What is a health system?
A health system is a healthcare organization that owns and manages a network of healthcare facilities. Most health systems consist of both inpatient and outpatient facilities, helping them provide a wide variety of comprehensive medical care.
What is an IDN?
An integrated delivery network (IDN) is another term for a health system.
What makes up the “number of hospitals” metric?
In the Definitive Healthcare platform, the “number of hospitals” metric calculates the total hospitals an IDN has under its organization. This metric can help indicate the size of an IDN. Though, it’s worth noting that the number of member hospitals alone does not determine the size of an IDN since health systems are also comprised of ASCs, imaging centers, physician groups, and more.
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