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Healthcare Insights

Top 10 largest IDNs headquartered in Tennessee

 Tennessee is one of the largest states in the southern U.S with a population of more than 7 million people. It’s also home to 178 active hospitals, according to our HospitalView product. Most of these hospitals are part of large-scale health systems, also known as integrated delivery networks (IDNs), focused on providing the best possible comprehensive care for their patients.

Here’s a data-driven look at the largest health systems headquartered in Tennessee by the number of hospitals in their network.

Tennessee-based health systems with the most member hospitals

RankIDN nameCityDefinitive ID# of hospitalsNet patient revenue# of staffed beds# of dischargesExplore dataset
1HCA Healthcare (FKA Hospital Corporation of America)Nashville4710222$53,682,874,499 41,7131,989,692Explore
2LifePoint Health (FKA LifePoint Hospitals)Brentwood700494$7,659,179,636 7,706248,245Explore
3Community Health Systems (AKA CHS)Franklin54223373$10,357,187,361 8,772355,963Explore
4Acadia HealthcareFranklin723048$1,320,715,143 4,287127,851Explore
5Ardent (FKA Ardent Health Services)Brentwood705433$4,843,380,675 3,352144,110Explore
6Baptist Memorial Health Care CorporationMemphis473423$3,271,531,756 2,981133,086Explore
7Ballad HealthJohnson City96339820$2,123,183,108 1,73884,064Explore
8Duke LifePoint HealthcareBrentwood54193316$1,681,214,247 1,42744,438Explore
9Surgery Partners (FKA Symbion Healthcare)Brentwood57462716$1,632,632,958 48916,914Explore
10TriStar Division - TriStar HealthNashville55019015$2,825,611,612 2,07098,159Explore

Fig. 1 Analysis of data from the Definitive Healthcare HospitalView product. Data accessed December 2024.

Which Tennessee health system has the most affiliated hospitals?

HCA Healthcare is the largest IDN headquartered in Tennessee with 222 hospitals across the network and 41,713 staffed beds. Although not all of its member hospitals are in Tennessee, HCA Healthcare is headquartered in Nashville and has 19 member hospitals across the state. LifePoint Health is second with 94 hospitals across its network and 7,706 staffed beds. Third is Community Health Systems with 73 member hospitals in its network and 8,772 staffed beds.

Tennessee is also home to some of the largest health networks in the country, as four IDNs headquartered in Tennessee also appear on the top IDNs in the U.S. by number of hospitals list with HCA Healthcare taking the top national spot.

What is an integrated delivery network (IDN)?

An IDN is an acronym that stands for integrated delivery network. IDNs can also be referred to as integrated health networks (IHNs) or multihospital systems (MHS).

An IDN consists of a group of healthcare providers that operate across multiple geographic regions. An IDN usually offers a wide range of healthcare services with a goal of providing integrated care and sharing learnings across hospitals in the network in order to improve the quality of care for everyone.

How many IDNs are there in the U.S?

Currently, there are about 1,000 IDNs throughout the U.S. according to data in our HospitalView product. Between 40% and 70% of healthcare providers in this country are affiliated with an IDN, and between 30% and 70% of facilities are owned by one.

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