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Healthcare Insights

Largest IDNs in Alabama

The 5.1 million residents of Alabama rely on 128 hospitals and healthcare facilities, many of which are part of a broader integrated delivery network (IDN).

Using the Definitive Healthcare HospitalView product, we created two lists: one of the largest IDNs in Alabama based on their number of affiliated hospitals, and another ranking Alabama IDNs based on their net patient revenue, or the amount of money they receive from patient services.

Alabama IDNs with the most hospitals

RankAL IDN nameCityDefinitive ID# of affiliated hospitalsNet patient revenue# of staffed beds# of dischargesExplore dataset
1Encompass Health Corporation (FKA HealthSouth)Birmingham7277165$4,101,595,6839,435201,248Explore
2Huntsville Hospital Health SystemHuntsville54215814$1,975,837,9612,25281,525Explore
3UAB Medicine (AKA UAB Health System)Birmingham700810$2,937,586,1931,71058,969Explore
4Ascension St Vincents Health SystemBirmingham2743395$824,193,55577635,113Explore
5Brookwood Baptist Health (FKA Baptist Health System Birmingham AL)Birmingham70405$822,020,3171,21235,414Explore
6Infirmary Health SystemMobile72095$852,661,92375137,384Explore
7Noland Health ServicesBirmingham72275$33,078,630187957Explore
8Baptist Health (AL)Montgomery70374$818,465,51255327,635Explore
9USA Health (AKA University of South Alabama Health System)Mobile2741013$895,606,66671435,784Explore
10DCH Health SystemTuscaloosa70433$555,598,67063725,120Explore

Fig. 1 Analysis of data from the Definitive Healthcare HospitalView product. Data is sourced from the Medicare Cost Report and is displayed according to the most recent 12-month interval tracked in our database. Data accessed May 2024.

What Alabama IDN has the most affiliated hospitals?

The Alabama health system affiliated with the most hospitals is Encompass Health Corporation, with 165 hospitals. They are the largest owner and operator of rehabilitation hospitals within the U.S., and their 165 hospitals span 36 states and Puerto Rico. Encompass Health Corporation is in the top 10 IDNs in the U.S. when ranking based on the number of affiliated hospitals.

The health system with the second most affiliated hospitals is Huntsville Hospital Health System, with 14 hospitals. Two other Alabama IDNs—Marshall Medical Centers and Helen Keller Hospital Health System—fall under this parent IDN. The Huntsville Hospital Health System services those in North Alabama and Southern Tennessee.

UAB Medicine (UAB Health System) has the third-highest number of hospitals, with 10 affiliated hospitals. Their facilities stretch the limits of medicine, with a team of cardiovascular surgeons and interventional cardiologists at the University of Alabama at Birmingham Cardiovascular Institute being some of the first in the world to use a new transcatheter aortic valve replacement system to complete a valve-in-valve procedure.

Alabama IDNs by net patient revenue

RankAL IDN nameCityDefinitive ID# of affiliated hospitalsNet patient revenue# of staffed beds# of dischargesExplore dataset
1Encompass Health Corporation (FKA HealthSouth)Birmingham7277165$4,101,595,6839,435201,248Explore
2UAB Medicine (AKA UAB Health System)Birmingham700810$2,937,586,1931,71058,969Explore
3Huntsville Hospital Health SystemHuntsville54215814$1,975,837,9612,25281,525Explore
4USA Health (AKA University of South Alabama Health System)Mobile2741013$895,606,66671435,784Explore
5Infirmary Health SystemMobile72095$852,661,92375137,384Explore
6Ascension St Vincents Health SystemBirmingham2743395$824,193,55577635,113Explore
7Brookwood Baptist Health (FKA Baptist Health System Birmingham AL)Birmingham70405$822,020,3171,21235,414Explore
8Baptist Health (AL)Montgomery70374$818,465,51255327,635Explore
9DCH Health SystemTuscaloosa70433$555,598,67063725,120Explore
10East Alabama Health (FKA East Alabama Medical Center Health System)Opelika5853842$419,127,09227712,968Explore

Fig. 2 Data analysis from the Definitive Healthcare HospitalView product. Data sourced from Medicare Cost Report and is displayed according to the most recent 12-month interval tracked in our database. Data accessed May 2024.

What Alabama IDN has the highest net patient revenue (NPR)?

The IDN in Alabama with the highest net patient revenue is Encompass Health Corporation, with an NPR of $4.1 billion. With nearly 10,000 beds across its 165 hospitals, Encompass Health Corporation’s inpatient rehabilitation has the capacity to provide specialized care to its patients.

The IDN with the second highest NPR in Alabama is UAB Medicine (UAB Health System), with an NPR of $2.9 billion.

Huntsville Hospital Health System has the next-highest net patient revenue in Alabama, with an NPR of $1.9 billion. Huntsville Hospital, the flagship hospital of this health system, has recently initiated a Mobile Medical Unit, allowing them to assist even more patients. They also have the region’s only long-term acute care facility.

Interestingly, the same three IDNs are in the top three on both lists, whether ranked by the number of beds or NPR. Even though Huntsville Hospital Health System has more hospitals within its IDN, more staffed beds, and more discharges, their NPR is lower than UAB Medicine.

This indicates that while NPR is one way to define an IDN’s financial strength, those looking to sell into a consolidating healthcare market should use other metrics, such as referrals, integration level, and affiliation data to develop a more comprehensive picture of the market.

Targeting IDNs in Alabama

When bringing a service to market, or selling a medical device to IDNs, knowing which Alabama IDNs have the most affiliated hospitals and the highest NPR can help inform your healthcare commercialization strategy.

Furthermore, targeting these large and financially strong health systems can promote greater distribution of your product or service among affiliated hospitals, clinics, ambulatory surgery centers, and imaging centers, ultimately leading to a greater impact.

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