Five founding members lead HVHC, including four leading health systems – Dartmouth-Hitchcock, Denver Health, Intermountain Healthcare, and Mayo Clinic – along with The Dartmouth Institute for Health Policy and Clinical Practice, which serves as the program coordinator for the Collaborative. Since its formation in 2010, 15 other health systems around the country have joined HVHC, Baylor Health Care System, Beaumont Health System, Beth Israel Deaconess Medical Center, Eastern Maine Health Systems, Hawaii Pacific Health, MaineHealth, North Shore-LIJ, NYU Langone Medical Center, Providence Health & Services, Scott & White Healthcare, Sinai Health System, UCLA Health, University of Iowa Health Care, Virginia Mason Medical Center.

Founding Members

The Dartmouth Institute for Health Policy and Clinical Practice (TDI) was founded in 1988 by Dr. John E. Wennberg as the Center for the Evaluative Clinical Sciences (CECS).

Among its 30 years of accomplishments, it has established a new discipline and educational focus in the Evaluative Clinical Sciences, introduced and advanced the concept of shared decision-making for patients, demonstrated unwarranted variation in the practice and outcomes of medical treatment, and shown that more health care is not necessarily better care.

Healthy skepticism about new treatments and medical “breakthroughs,” an understanding of the risks and benefits of many common therapies and surgeries, and unique educational programs have produced more informed agents of change among physicians, health professionals, the media, and the public.

Dartmouth-Hitchcock is a national leader in patient-centered health care and building a sustainable health system. Founded in 1893, the system includes New Hampshire’s only Level 1 trauma center and its only air ambulance service, as well as the Norris Cotton Cancer Center, one of only 41 National Cancer Institute-designated Comprehensive Cancer Centers in the nation, and the Children’s Hospital at Dartmouth-Hitchcock. As an academic medical center, Dartmouth-Hitchcock provides access to nearly 1,000 primary care doctors and specialists in almost every area of medicine, as well as world-class research at the Audrey and Theodor Geisel School of Medicine at Dartmouth.

Denver Health is the Rocky Mountain Region’s Level I academic trauma center, and the safety net hospital for the Denver area. The Denver Health system, which integrates acute and emergency care with public and community health, includes the Rocky Mountain Regional Trauma Center, Denver’s 911 emergency medical response system, Denver Health Paramedic Division, eight family health centers, 14 school-based health centers, the Rocky Mountain Poison and Drug Center, NurseLine, Denver CARES, Denver Public Health, the Denver Health Foundation and the Rocky Mountain Center for Medical Response to Terrorism, Mass Casualties and Epidemics.

Intermountain Healthcare is an integrated nonprofit system serving the residents of Utah and southern Idaho. Intermountain consists of 22 hospitals in urban and rural areas, 185 clinics, a Medical Group with some 1,000 employed physicians, a health plans division called Select Health with 600,000 members, home health agencies, and other health services. Intermountain is widely recognized as a leader in transforming healthcare through high quality and sustainable costs. Intermountain and its facilities are routinely ranked among the nation’s best. As part of its charitable mission, Intermountain provides needed medical care to region residents, regardless of ability to pay.



Mayo Clinic is the first and largest integrated, not-for-profit group practice in the world. More than 3,700 physicians and scientists and 50,000 allied staff work at Mayo Clinic in Minnesota, Florida and Arizona. Mayo Clinic reinvests everything we earn into improving medical practice, research and education. For more than 100 years, millions of people from all walks of life have found answers at Mayo Clinic. These patients tell us they leave Mayo Clinic with peace of mind knowing they received care from the world’s leading experts. To best serve patients, Mayo Clinic works with many insurance companies, does not require a physician referral in most cases and is an in-network provider for millions of people.

Collaborative Members

Baylor Health Care System is a not-for-profit, faith-based supporting organization providing services to a network of acute care hospitals and related health care entities that provide patient care, medical education, research and community service. Baylor recorded more than 2.8 million patient encounters, $4.1 billion in total operating revenue, $5.3 billion in total assets and $502 million in community benefit in fiscal year 2011 (as reported to the Texas Department of State Health Services). Baylor’s network of more than 360 access points includes 30 owned/operated/ ventured/affiliated hospitals; joint ventured ambulatory surgical centers; satellite outpatient locations; senior centers and more than 190 HealthTexas Provider Network physician clinics.

Beaumont Health System is a three-hospital regional health system with 1,726 licensed beds, more than 14,000 full-time equivalent employees and nearly 3,100 physicians, including 500 employed physicians in the Beaumont Medical Group and more than 2,600 private-practice physicians. In addition to its hospitals in Royal Oak, Troy and Grosse Pointe, Beaumont has 54 community-based sites of care including medical centers in Oakland, Macomb and Wayne counties, family practice and internal medicine practices, five nursing centers, home care services and hospice. The Beaumont Research Institute has 1,100 active research studies with more than 82,000 participants. Beaumont is the exclusive clinical teaching site for the Oakland University William Beaumont School of Medicine.

Beth Israel Deaconess, a Harvard Medical School teaching hospital, is a fully integrated medical center providing adult services from cardiology to obstetrics, gastrointestinal disorders to cancer care. It has been recognized as a national leader in patient care quality, safety and transparency by The Leapfrog Group, Truven Health’s Top 100 Hospitals and The Society of Critical Care Medicine. BIDMC was the first hospital in the country to achieve meaningful use of electronic medical records, meeting a key set of new federal government standards. BIDMC is home to a renowned academic research program, where scientific discoveries help to transform medical care. It currently ranks third in the country for National Institutes of Health funding among independent hospitals. With revolutionary advances and therapies happening within our walls, BIDMC is a national and international leader in “bench-to-bedside” research.

EMHS is a not-for-profit integrated health delivery system headquartered in Brewer, Maine. The EMHS family includes seven hospitals, numerous physician practices, longterm care facilities, home health and hospice, and ground and air emergency transport. As a top performing Pioneer ACO, EMHS has a proven record of quality outcomes, cost reduction, and highly engaged patients. Their inclusive statewide network of care is tailored to community and patient to ensure Maine people have the care they need close to home. Through collaborative teamwork, EMHS is busy reinventing their system to meet today’s unique challenges. As a result, clinical and operational integration has accelerated dramatically. They have strong volunteer board leadership, elemedicine links clinicians across a broad geography, robotic technology provides leading edge surgical care, and provide they comprehensive cancer care.

Hawai‘i Pacific Health is a nonprofit health care system and the state’s largest health care provider, committed to providing the highest quality medical care and service to the people of Hawai‘i and the Pacific Region through its four hospitals, 50 outpatient clinics and service sites, and more than 1,600 affiliated physicians. The system is anchored by its four nonprofit hospitals: Kapi‘olani Medical Center for Women & Children, Pali Momi Medical Center, Straub Clinic & Hospital, and Wilcox Memorial Hospital. They have leading strategic initiatives in women’s health, pediatric care, cardiovascular services, cancer care and bone and joint services. Hawai‘i Pacific Health ranks among the top 5 percent of hospitals nationwide in the adoption of electronic medical records, with system-wide implementation that allows its hospitals and physicians to offer integrated, coordinated care throughout the state.

MaineHealth is a nationally-recognized family of leading, high-quality health care providers dedicated to ensuring their communities are among the healthiest in America. As an integrated healthcare delivery system offering a comprehensive range of healthcare services for Southern, Central and Western Maine, Maine-Health is a group of organizations comprised of people known and trusted in their communities, working together to make high quality healthcare accessible to all. We’re hospitals, physicians, nurses, outpatient care centers, home health agencies, outpatient surgery centers, diagnostic centers and much more, with a common goal to support healthy individuals and healthy communities. And, as
a not-for-profit organization, we’re part of the fabric of our community, using our collective strengths to improve the health of area residents.

The nation’s third-largest, non-profit, secular healthcare system, North Shore-LIJ delivers world-class clinical care throughout the New York metropolitan area, pioneering research at The Feinstein Institute for Medical Research and a visionary approach to medical education, highlighted by the Hofstra North Shore-LIJ School of Medicine. North Shore-LIJ cares for people at every stage of life at 16 hospitals, long-term care facilities and nearly 400 outpatient physician practices throughout the region. North Shore-LIJ’s owned hospitals and long-term care facilities house more than 6,000 beds, employ more than 10,000 nurses and have affiliations with more than 9,400 physicians. With a workforce of more than 46,000, North Shore-LIJ is the largest employer on Long Island and the third-largest private employer in New York City.

NYU Langone Medical Center, a world-class, patient-centered, integrated academic medical center, is one of the nation’s premier centers for excellence in clinical care, biomedical research, and medical education. Located in the heart of Manhattan, NYU Langone is composed of four hospitals— Tisch Hospital, its flagship acute care facility; Rusk Rehabilitation; the Hospital for Joint Diseases, the Medical Center’s dedicated inpatient orthopaedic hospital; and Hassenfeld Pediatric Center—plus the NYU School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. The Medical Center’s tri-fold mission to serve, teach, and discover is achieved 365 days a year through the seamless integration of a culture devoted to excellence in patient care.

Providence Health & Services, Oregon is a not-for-profit Catholic health care ministry committed to providing for the needs of the communities it serves. It offers a comprehensive array of health and education services through its eight hospitals, medical clinics, health plans, long-term care facilities and home health services. In 2012, Providence affiliated with Swedish Health Services for a combined scope of services including 32 hospitals, 400 physician clinics, senior services, supportive housing and many other health and educational services. The combined health systems employ more than 64,000 people across five states—Alaska, California, Montana, Oregon and Washington. Providence and Swedish also provided more than $807 million in community benefit, including $270 million in free and discounted care for those who could not afford to pay. Providence Health & Services continues a tradition of caring that the Sisters of Providence began more than 155 years ago.

Scott & White Healthcare is a non-profit collaborative health care system established in 1897 in Temple, Texas. Among the leading health systems encompassing one of the nation’s largest multi-specialty group practices, Scott & White provides personalized, comprehensive, high-quality care enhanced by medical education and research to residents in a 29,000-square-mile service area. The system owns, partners or manages 12 hospital sites, two additional announced facilities, more than 65 clinic locations providing care in 46 medical specialties, and a 215,000+ member health plan. The Temple campus is home to a 4-year medical school for the Texas A&M Health Science Center College of Medicine and provides graduate medical education for over 400 residents and fellows.

Sinai Health System is located on the west side of Chicago and is recognized for their vision to become a national model for the delivery of urban healthcare. Sinai Health System is comprised of Mount Sinai Hospital, Holy Cross Hospital, Sinai Children’s Hospital, Schwab Rehabilitation Hospital, Sinai Medical Group, Sinai Community Institute and Sinai Urban Health Institute. The entities of Sinai Health System collectively deliver a full range of high quality outpatient and inpatient services as well as a large number of innovative and impactful community-based health, research and social service programs. They focus their depth of expertise and collective passion to improve the health of the 1.5 million people who live in their culturally rich, socioeconomically diverse service area.

For more than half a century, UCLAHealth has provided the best in healthcare and the latest in medical technology to the people of Los Angeles and throughout the world. Comprised of Ronald Reagan UCLA Medical Center, UCLA Medical Center, Santa Monica, Resnick Neuropsychiatric Hospital at UCLA, Mattel Children’s Hospital UCLA, and the UCLA Medical Group with its wide-reaching system of 150 primary-care and specialty-care offices throughout the region, UCLA Health is among the most comprehensive and advanced healthcare systems in the world. UCLA Health is at the cutting edge of biomedical research, and our doctors and scientists are world leaders in performing pioneering work across an astounding range of disciplines, from organ transplantation and cardiac surgery to neurosurgery and cancer treatment, and bringing the latest discoveries to virtually every field of medicine.

University of Iowa Health Care is a fully integrated academic medical center, uniting the UI Roy and Lucille A. Carver College of Medicine, University of Iowa Hospitals and Clinics, and UI Physicians, the largest multi-specialty group practice in Iowa. In addition we offer the services of board-certified physicians in more than 200 specialties. As the state’s only comprehensive academic medical center, UI Health Care is committed to world class patient care, biomedical research and medical education. Together they employ 12,457 people, support $277 million in revenue for the state, and provide a total economic impact of more than $4.6 billion. In FY2012, UI Hospitals and Clinics admitted more than 32,000 patients for in-patient, hospital care and exceeded 59,000 emergency department visits. We also represent more than 200 outpatient clinics and care areas, receiving 977,337 clinic-patient visits in FY2012.

Virginia Mason Medical Center, founded in 1920, is a nonprofit comprehensive regional health care system in Seattle that combines a primary and specialty care group practice of more than 440 physicians with a 336-bed acute care hospital. Virginia Mason operates a network of clinics throughout the Puget Sound area, and Bailey-Boushay House, a skilled-nursing facility and chronic care management program for people with HIV/AIDS. The medical center is affiliated with Benaroya Research Institute at Virginia Mason, internationally recognized in autoimmune disease research. Virginia Mason is known for applying manufacturing principles to health care to improve quality and patient safety.