Healthcare Insights
20 largest health systems in Florida
Florida is the third largest state in the U.S. by population, with more than 23 million residents. The state is home to 300+ hospitals, many of which are part of large health systems that collaborate to deliver care across the region.
What is the difference between an IDN and a health system?
An integrated delivery network (IDN) is a network of healthcare providers and facilities within a specific geographic area, offering a wide range of services to meet the needs of the population. Also referred to as an Integrated Health Network (IHN) or Multihospital System (MHS), an IDN aims to deliver coordinated care across its network of hospitals, outpatient centers, and physicians.
While all IDNs are health systems, not all health systems are IDNs. The key distinction lies in the structure and coordination of care. An IDN operates as a unified, integrated entity that oversees all aspects of healthcare delivery, including hospitals, physicians, facilities, and administrative functions. In contrast, traditional health systems typically consist of independent organizations that collaborate through contractual agreements, without the same level of centralized control over operations and resources.
Using Definitive Healthcare’s HospitalView product, we created a list of the largest health systems headquartered in Florida based on the total number of member hospitals in their network as of late-2024.
| Rank | Health system name | City | # of hospitals | # of discharges | # of staffed beds | Net patient revenue | Explore dataset |
|---|---|---|---|---|---|---|---|
| 1 | AdventHealth | Altamonte Springs | 56 | 459,168 | 9,535 | $15.5B | Explore |
| 2 | Orlando Health | Orlando | 20 | 207,800 | 4,386 | $5.8B | Explore |
| 3 | BayCare Health System | Clearwater | 18 | 161,467 | 3,592 | $4.5B | Explore |
| 4 | HCA West Florida Division | Tampa | 17 | 168,002 | 3,922 | $3.8B | Explore |
| 5 | HCA North Florida Division | Tallahassee | 15 | 182,198 | 2,882 | $4.3B | Explore |
| 6 | HCA East Florida Division | Ft Lauderdale | 14 | 187,590 | 3,629 | $4.3B | Explore |
| 7 | Shriners Hospitals for Children | Tampa | 14 | 1,851 | 581 | $28.2M | Explore |
| 8 | University of Florida Health | Gainesville | 12 | 111,799 | 3,019 | $3.9B | Explore |
| 9 | Baptist Health South Florida | Coral Gables | 12 | 104,271 | 2,330 | $4.7B | Explore |
| 10 | VA Sunshine Healthcare Network (VISN 8) | Tampa | 8 | N/A | 2,057 | N/A | Explore |
| 11 | Palm Beach Health Network | Boca Raton | 7 | 62,723 | 1,586 | $1.6B | Explore |
| 12 | Baptist Health (Jacksonville FL) | Jacksonville | 7 | 59,160 | 1,138 | $2.4B | Explore |
| 13 | Memorial Healthcare System (FL) | Weston | 6 | 71,437 | 1,818 | $2.7B | Explore |
| 14 | Jackson Health System (FL) | Miami | 6 | 62,133 | 2,720 | $1.6B | Explore |
| 15 | Oglethorpe Inc | Tampa | 6 | 8,750 | 423 | $69.1M | Explore |
| 16 | Landmark Hospitals | Bonita Springs | 6 | 1,524 | 175 | $78.3M | Explore |
| 17 | Ascension Sacred Heart Health System | Pensacola | 5 | 40,357 | 910 | $1.4B | Explore |
| 18 | Cleveland Clinic Florida | Stuart | 5 | 62,573 | 1,048 | $1.6B | Explore |
| 19 | Lee Health | Fort Myers | 5 | 85,379 | 1,734 | $2.4B | Explore |
| 20 | Broward Health | Fort Lauderdale | 5 | 46,923 | 1,396 | $1.1B | Explore |
Fig. 1 Data is from Definitive Healthcare’s HospitalView product. Data is propriety and updated on a continuous basis. Data is accurate as of December 2024.
Which health system headquartered in Florida has the most affiliated hospitals?
Florida’s healthcare landscape is shaped by several large health systems, with AdventHealth leading the way. A faith-based health system that is affiliated with the Seventh-day Adventist Church, AdventHealth operates 56 hospitals across the state, handling over 459,000 discharges annually and maintaining 9,535 staffed beds. With a net patient revenue of $15.5 billion, AdventHealth represents a significant force in Florida’s healthcare infrastructure.
Orlando Health, another major health system, ranks second with 20 hospitals spread across the Orlando area. The system manages over 207,000 discharges each year and has 4,386 staffed beds. With a net patient revenue of $5.8 billion, Orlando Health stands as a key player in Florida’s healthcare market, providing critical services to a large and diverse population. BayCare Health System follows closely behind with 18 hospitals and a net revenue of $4.5 billion.
Other prominent health systems in Florida include HCA’s regional divisions, which operate under separate entities: West Florida, North Florida, and East Florida. Together, they represent a significant portion of the state’s healthcare services, with a combined net revenue of over $12 billion. HCA West Florida, headquartered in Tampa, oversees 17 hospitals and contributes $3.8 billion in revenue. Similarly, HCA East and North Florida divisions have extensive operations in their respective regions, each generating billions in revenue.
Other notable health systems like Shriners Hospitals for Children in Tampa and the University of Florida Health System in Gainesville provide specialized care and contribute significantly to the state’s healthcare offerings.
What determines the size of a health system?
In the Definitive Healthcare platform, the number of hospitals metric represents the total number of hospitals a health system has in its network. Since hospitals often make up a large portion of a health system’s facilities, this metric can be a good indication of the total size of a health system.
However, health systems are also comprised of ASCs, imaging centers, physician groups, and more. So, while it is a good metric for comparison, the number of member hospitals is only part of the equation for determining the total size of a health system.
Why is net patient revenue an important metric for health systems?
Net patient revenue is a metric that is used to identify financially successful healthcare organizations. The calculation for NPR is the total patient revenues minus patient discounts. If a healthcare organization has a negative NPR, its discounts are greater than its total revenue.
Because NPR is an indicator of financial strength, healthcare systems with higher net patient revenues often have more room to expand their business, which in turn may lead to them acquiring more member hospitals.
Learn more
Healthcare Insights are developed with healthcare commercial intelligence from the Definitive Healthcare platform. Want even more insights on Florida hospitals? Start a free trial now and get access to the latest healthcare commercial intelligence on hospitals, physicians and other healthcare providers.
You might also be interested in...
