OneKey’s data on providers’ affiliations with care sites and complementary data on healthcare organizations’ relationships to one another allow us to keep a close eye on trends in corporate ownership of healthcare facilities.

Looking at over 8,700 different corporate parents, we have ranked the Top 10 owners of healthcare facilities adjusted for non-pharmacy facilities.* One important takeaway from this data is that the total number of facilities owned is not distributed evenly across the types of facilities.

Davita, Inc. rules the Top 10 with the most outpatient and residential facilities but owns no hospitals. The same is true of Fresenius who have the second most facilities of those types and no hospitals.

In 3rd and 4th ranking, Ascension and HCA have large numbers of outpatient and hospital facilities but Ascension dominates HCA in its numbers of residential, pharmacy, and lab facilities.

As corporate parents continue to grow and compete over facility ownership, the ability for sales reps to engage offices continues to diminish. There has never been a more opportune time to rethink engagement strategies.

Top 10 Corporate Parents of Healthcare Facilities

Counts of Selected Facilities
Rank Corporate Parent Total Outpatient Center Hospital Residential Lab Pharmacy
1 DAVITA INC 3277 2964 0 283 2 6
2 FRESENIUS MEDICAL CARE HOLDINGS INC 2847 2686 0 128 0 3
3 ASCENSION HEALTH 2462 2004 146 123 47 59
4 HCA HEALTHCARE INC 1847 1552 222 7 8 7
5 CATHOLIC HEALTH INITIATIVES 1738 1397 124 111 16 49
6 VETERANS HEALTH ADMINISTRATION 1583 1256 148 84 1 54
7 TRINITY HEALTH 1535 1190 88 124 46 42
8 PROVIDENCE SAINT JOSEPH HEALTH 1481 1254 62 80 12 25
9 COMMUNITY HEALTH SYSTEMS INC 1435 1201 126 62 27 3
10 SELECT MEDICAL CORP 1359 1229 119 1 0 0


Source: OneKey, May 2019

*One important name is missing from our Top 10: CVS. While the brand is dominant in its ownership of pharmacies, once adjusted for non-pharmacy facilities, CVS falls to #11 in our ranking. Ascension Health has the most pharmacies of those corporate parents in our Top 10 but still 10,000 fewer pharmacies than CVS.

IHS Systems Data

OneKey’s Corporate Parent data includes data on Integrated Health Systems (or Integrated Delivery Networks). If you are interested in IHS or IDN data, you may want to check out our IHS data list and IHS payer data.