Healthcare Insights
Largest IDNs in North Carolina
North Carolina is the 10th largest state in the U.S. by population. There are nearly 200 hospitals in North Carolina and healthcare facilities tracked in our platform, many of which are part of a broader integrated delivery network (IDN), or health system.
Having a greater understanding of the IDNs in North Carolina can prove invaluable for your healthcare commercialization strategy. While there are many metrics concerning IDNs, two key ones include their size (based on their number of affiliated hospitals) and financial strength (based on their net patient revenue). Targeting large health systems allows for greater distribution of a product or service, and IDNs with high NPRs may be looking to upgrade or expand their services.
Using the Definitive Healthcare HospitalView product, we created lists of the highest-earning and largest IDNs in North Carolina.
| Rank | NC IDN name | City | Definitive ID | # of affiliated hospitals | Net patient revenue | # of staffed beds | # of discharges | Explore dataset |
|---|---|---|---|---|---|---|---|---|
| 1 | Advocate Health | Charlotte | 1057655 | 70 | $20,146,366,247 | 11,764 | 507,996 | Explore |
| 2 | UNC Health (FKA UNC Health Care) | Chapel Hill | 274282 | 26 | $7,025,364,424 | 3,871 | 145,790 | Explore |
| 3 | Novant Health | Winston Salem | 4736 | 24 | $5,809,072,619 | 3,754 | 141,980 | Explore |
| 4 | Atrium Health (FKA Carolinas HealthCare System) | Charlotte | 4697 | 22 | $6,059,954,023 | 3,489 | 161,535 | Explore |
| 5 | ECU Health (FKA Vidant Health) | Greenville | 4905 | 10 | $2,106,516,050 | 1,367 | 51,413 | Explore |
| 6 | HCA North Carolina Division (AKA Mission Health System) | Asheville | 7226 | 10 | $1,686,229,869 | 1,818 | 54,056 | Explore |
| 7 | Atrium Health Wake Forest Baptist (FKA Wake Forest Baptist Health) | Winston Salem | 274053 | 7 | $2,866,606,159 | 1,456 | 55,017 | Explore |
| 8 | Cape Fear Valley Health System (FKA Cumberland County Hospital System) | Fayetteville | 274228 | 7 | $1,182,818,119 | 825 | 44,128 | Explore |
| 9 | VA Mid - Atlantic Health Care Network (VISN 6) | Durham | 541800 | 7 | N/A | 1,188 | N/A | Explore |
| 10 | Cone Health (FKA Moses Cone Memorial Health) | Greensboro | 274268 | 6 | $1,672,470,635 | 1,087 | 51,803 | Explore |
Fig. 1 Data is from the Definitive Healthcare HospitalView product. Data is aggregated from affiliated facilities based on data 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 North Carolina IDN has the most affiliated hospitals?
The North Carolina health system with the most hospitals is Advocate Health, with 70 hospitals. They are a faith-based nonprofit health system that has combined Advocate Health Care, Aurora Health Care of Wisconsin, and Atrium Health, bringing the networks of three IDNs under one system. This IDN spans six states: North Carolina, South Carolina, Alabama, Georgia, Illinois, and Wisconsin.
The health system with the second most affiliated hospitals is UNC Health, with 26 hospitals. They are a not-for-profit organization owned by the State of North Carolina.
Novant Health has the third-highest number of hospitals, with 24 affiliated hospitals.
The IDNs with the most hospitals within their health system have large networks where a product or service can easily be distributed to numerous facilities. Knowing this, these large IDNs can be valuable targets for sales and marketing efforts.
| Rank | NC IDN name | City | Definitive ID | # of affiliated hospitals | Net patient revenue | # of staffed beds | # of discharges | Explore dataset |
|---|---|---|---|---|---|---|---|---|
| 1 | Advocate Health | Charlotte | 1057655 | 70 | $20,146,366,247 | 11,764 | 507,996 | Explore |
| 2 | UNC Health (FKA UNC Health Care) | Chapel Hill | 274282 | 26 | $7,025,364,424 | 3,871 | 145,790 | Explore |
| 3 | Atrium Health (FKA Carolinas HealthCare System) | Charlotte | 4697 | 22 | $6,059,954,023 | 3,489 | 161,535 | Explore |
| 4 | Novant Health | Winston Salem | 4736 | 24 | $5,809,072,619 | 3,754 | 141,980 | Explore |
| 5 | Duke Health (AKA Duke University Health System) | Durham | 4707 | 4 | $4,260,582,264 | 1,553 | 71,583 | Explore |
| 6 | Atrium Health Wake Forest Baptist (FKA Wake Forest Baptist Health) | Winston Salem | 274053 | 7 | $2,866,606,159 | 1,456 | 55,017 | Explore |
| 7 | ECU Health (FKA Vidant Health) | Greenville | 4905 | 10 | $2,106,516,050 | 1,367 | 51,413 | Explore |
| 8 | HCA North Carolina Division (AKA Mission Health System) | Asheville | 7226 | 10 | $1,686,229,869 | 1,818 | 54,056 | Explore |
| 9 | WakeMed Health and Hospitals (AKA WakeMed) | Raleigh | 274058 | 5 | $1,673,846,596 | 1,004 | 50,753 | Explore |
| 10 | Cone Health (FKA Moses Cone Memorial Health) | Greensboro | 274268 | 6 | $1,672,470,635 | 1,087 | 51,803 | Explore |
Fig. 2 Data is from the Definitive Healthcare HospitalView product. Data is aggregated from affiliated facilities based on data 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 North Carolina IDN has the highest net patient revenue (NPR)?
The IDN in North Carolina with the highest net patient revenue is Advocate Health, with an NPR of $20.1 billion. They are one of the top-performing IDNs in the US, based on NPR. This high NPR is thanks to its large number of staffed beds and discharges, which equates to more patients receiving care services and, as a result, bringing in more revenue.
The IDN with the second highest NPR in North Carolina is UNC Health, with an NPR of $7 billion. It is North Carolina’s largest academic health system and focuses on allowing its patients to receive care close to home.
Atrium Health IDN has the third-highest NPR in North Carolina, with an NPR of $6 billion. This IDN contains the Charlotte region’s best hospitals and the only hospitals in the Charlotte region that are nationally ranked for their care by U.S. News & World Report.
How can NPR guide IDN targeting in North Carolina?
Net patient revenue is the total amount of money generated from patient services after any deductions, including discounts and allowances, are removed. It is a common metric of an IDN’s financial strength because it shows which facilities have more cash coming in. From a marketing standpoint, NPR can indicate which IDNs have the means to expand their services or update their technology.
Still, even though NPR is a key indicator of an IDN’s financial strength, there are other metrics to consider for more targeted and effective sales conversations, such as prescription patterns, integration level, affiliations, and referrals. As such, anyone who is looking to sell into the North Carolina healthcare industry should understand the broad health system landscape in order to strategize and market in a way that converts leads to clients. Discover our top tips for how to sell to IDNs in a consolidating healthcare market.
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Healthcare Insights are created using data from the Definitive Healthcare platform. Want even more insights on hospitals in North Carolina? Begin a free trial now and get access to the latest healthcare commercial intelligence on hospitals, physicians, and other healthcare providers.
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