Premier Inc. is a leading technology-driven healthcare improvement company, providing solutions to two-thirds of all healthcare providers in the U.S. with a network of more than 4,350 member hospitals and health systems. Premier has a top-tier group purchasing organization (GPO) that serves it members and contracted supplier partners through its comprehensive databases of actionable data, clinical best practices, and efficiency improvement strategies. 

Premier’s “15 Top Health Systems” program provides an objective measure of health system performance overall and offers insight into the ability of a system’s hospitals to deliver consistent top performance across the communities they serve, all based on our national health system scorecard.

If you're a sales rep or accounts manager for a health care manufacturer, distributor, or purchased services provider, you need to prioritize getting to know Premier and it's member health systems. They'll be some of your best and biggest customers. 

So, who are Premier’s current top IDNs in 2025? 

Top 5 Large Health Systems:

Premier defines “large” health systems as those with:

• --  $5B or more in aggregate of their system hospitals' total operating expenses
• --  $3B or more in system hospitals' total operating expenses AND system hospitals that reside in three or more U.S. states
• --  $3B or more in system hospitals' total operating expenses AND system owns five or more short-term, acute care, general hospitals

1. 1.  Houston Methodist (Houston, TX)
2. 2.  Baylor Scott & White Health (Dallas, TX)
3. 3.  Sutter Health (Sacramento, CA)
4. 4.  Intermountain Health (Salt Lake City, UT)
5. 5.  UCHealth (Aurora, CO)

Top 5 Medium Health Systems

Premier defines “medium” health systems as those which:

• --  Own five or more short-term acute care general hospitals AND has $1B or more in aggregate of their system hospitals' total operating expenses
• --  Have $1.5B or more in system hospitals' total operating expenses

1. 1.  Saint Francis Health System (Tulsa, OK)
2. 2.  HCA Continental Division (Denver, CO)
3. 3.  HCA Mountain Division (Cottonwood Heights, UT)
4. 4.  HCA Central and West Texas Division (Austin, TX)
5. 5.  CHI Health (Omaha, NE)

Top 5 Small Health Systems

• --  A small health system is one which did not meet the above criteria to be a large or medium system.

1. 1.  CHI Memorial (Chattanooga, TN)
2. 2.  CHRISTUS Spohn Health System (Corpus Christi, TX)
3. 3.  CHI Saint Joseph Health (Lexington, KY)
4. 4.  Health First (Rockledge, FL)
5. 5.  Baptist Health Care (Pensacola, FL)

About the IDN Directory

The IDN Directory provides insights into the supply chains for the biggest health systems in the country to give manufacturer reps, distribution reps, and national accounts managers a quick, accurate view of what’s going on with their customers - right now. 

More than just a database, the IDN Directory's supply chain-focused content provides a clear and comprehensive idea of your customers’ supply chain needs and activities, empowering them to achieve success with GPO, Direct, and Regional contracting. 

To schedule a demo of the IDN Directory, email us at Demo@IDNDirectory.com.