Gartner Announces Ranking of the Gartner Healthcare Supply Chain Top 25 for 2024

STAMFORD, Conn., November 13, 2024

AdventHealth Claims Top Spot; Cleveland Clinic Elevated to Masters Category Joining Mayo Clinic and Intermountain Health

Gartner, Inc. has released its 16th annual Gartner Healthcare Supply Chain Top 25 ranking, which recognizes U.S. health systems that demonstrate leadership in supply chain.

AdventHealth claims the top spot for the first time, jumping two spots from 2023. Stanford Health Care, Bon Secours Mercy Health, Corewell Health and Banner Health round out the top five (see Table 1). Inova, Endeavor Health, St. Luke’s Health System and Vanderbilt Health debut on the 2024 ranking, while BayCare Health System and HCA Healthcare return this year.

“In 2024, health system supply chains have been strained and service has been impacted by ongoing disruption, from natural disasters to port closures, especially in recent months,” said Eric O’Daffer, Vice President Analyst in Gartner’s Supply Chain practice. “Amid a challenging environment, leading health systems have placed a greater emphasis on risk management while continuing to build improved capabilities in their supply chains by prioritizing clinical alignment, increasing organizational collaboration and accelerating the digital supply chain.”

For the Healthcare Supply Chain Top 25 for 2024, Gartner has added a quantitative risk management component to the ranking to credit health systems for taking a leading role in their approach to risk management. Twelve health systems in the Top 25 and Masters received a score of 10 out of 10 for risk management and 23 received some credit in this area.

In its seventh year, the Healthcare Supply Chain Top 25 Masters category recognizes sustained supply chain leadership at health systems. This recognition is awarded only to supply chains that have achieved a top-five score at least seven times in the past 10 years. Cleveland Clinic attains Masters status for the first time joining Mayo Clinic and Intermountain Health, who have both achieved Masters status for seven years in a row.

Table 1: The Healthcare Supply Chain Top 25 for 2024

2024 Rank

 IDN Name

Bond  Rating1

Quality of  Patient Care2

Peer Opinion3 (78 voters)

Gartner  Opinion3

ESG Metric4

Risk Mgmt.5

Composite  Score6

1

AdventHealth

AA

Top Quintile

1,009

143

7.5

10

7.08

2

Stanford Health Care

AA-

2nd Quintile

922

143

10

10

6.78

3

Bon Secours Mercy Health

A+

2nd Quintile

544

224

10

6

6.54

4

Corewell Health

AA

3rd Quintile or Lower

646

181

8.75

10

5.86

5

Banner Health

AA-

3rd Quintile or Lower

688

230

8.75

7

5.74

6

Northwestern Medicine

AA+

2nd Quintile

618

137

2.5

7

5.69

7

Rush University System for Health

A+

Top Quintile

322

121

8.75

5.5

5.58

8

BJC HealthCare

AA

3rd Quintile or Lower

927

132

5

10

5.50

9

CommonSpirit Health

A-

Top Quintile

269

98

10

10

5.23

10

Advocate Health

AA

3rd Quintile or Lower

520

160

7.5

10

5.09

11

Ochsner Health

A

3rd Quintile or Lower

710

182

5

3

5.04

12

Sutter Health

A+

15

Top

297

75

7.5

4.5

5.03

13

Allina Health

A+

2nd Quintile

592

95

5

7

4.97

14

Trinity Health

AA-

3rd Quintile or Lower

579

160

5

10

4.96

15

Inova

AA+

Top Quintile

112

45

7.5

5.5

4.87

16

Johns Hopkins Medicine

AA-

2nd Quintile

470

121

5

0

4.61

17

Baylor Scott & White Health

AA-

Top Quintile

436

105

0

0

4.59

18

Henry Ford Health

A

3rd Quintile or Lower

384

89

10

10

4.56

19

Endeavor Health

AA-

Top Quintile

26

73

7.5

5.5

4.51

20

UPMC

A

3rd Quintile or Lower

690

232

5

0

4.50

21

St. Luke’s Health System

A

Top Quintile

147

101

2.5

10

4.49

22

Ascension

AA+

3rd Quintile or Lower

308

147

5

 

0

4.48

23

BayCare Health System

AA

Top Quintile

116

91

2.5

7

4.46

24

HCA Healthcare

BBB-

Top Quintile

574

144

2.5

0

4.42

25

Vanderbilt Health

A

2nd Quintile

565

123

0

3

4.39

1 Bond Rating: All ratings were mapped to the S&P rating system using an industry-standard mapping system.
2 Quality of Patient Care: Based on score in the Premier Inc. 2024 15 Top Health Systems Study.
3 Peer Opinion and Gartner Opinion: Based on each group’s forced-rank ordering of performance to Gartner’s Healthcare Supply Chain Top 25 Capabilities Model.
4 ESG Metric: Based on engagement level with the Healthcare Anchor Network and Practice Greenhealth as outlined in our Methodology Section.
5 Risk Management: Based on engagement level with the Healthcare Industry Resilience Collaborative as outlined in our Methodology Section.
6 Composite Score: (Peer Opinion × 25%) + (Gartner Opinion × 25%) + (Bond Rating × 15%) + (Quality of Patient Care × 20%) + (ESG x 10%) + (Risk Management x 5%).
All raw data normalized to a 10-point scale prior to composite score calculation.
Composite scores rounded to two decimal places. Rank order based on detailed scoring.

Source: Gartner (November 2024)

Top Three Themes for 2024:

Resurgence of Clinical Alignment

Leading health systems are demonstrating a renewed commitment to improving processes, investing in technology and integrating systems to enhance service delivery in clinical areas. This includes a growing emphasis on providing clinicians with better decision-making tools to identify areas of unnecessary supply variation between facilities or individual practitioners. This focus aims to minimize the impact on patient outcomes while controlling costs.

“We have found a lack of investment in the clinical side of supply chain operations by most organizations, with only 3% of the overall supply chain budget allocated to the clinical side,” noted O’Daffer. “The top 25 healthcare supply chains invest a higher percentage to work more closely with clinical areas. These efforts include managing preference/procedure cards, controlling inventory, reducing unnecessary variations and tracking costs per case.”

Improving Span of Control

The health system supply chain is involved in only 72% of the organization’s spending, indicating that on average 28% remains unmanaged centrally, according to Gartner research. Even more concerning is that health systems with net patient revenue under $5 billion, have unmanaged spend reaching 38% on average. Leading health systems are addressing this gap by broadening the influence of the supply chain through greater organizational collaboration. By doing so, they are being invited to play a role in spend allocation happening in a greater number of areas like pharmaceuticals, information technology and large categories of purchased services.   

Accelerating the Digital Supply Chain

Health systems are significantly increasing their adoption of digital solutions, automation tools and analytics solutions to enhance their supply chain operations. Initiatives include implementing warehouse automation systems, utilizing robotics and AI-driven solutions for inventory management. Continuous adoption of digital solutions will drive improvements in supply chain operations, ultimately leading to enhanced efficiency, cost savings and better patient care.

Gartner clients can read more in The Healthcare Supply Chain Top 25 for 2024.

More detailed analysis is available in the report Gartner Healthcare Supply Chain Top 25

Additional analysis on the Healthcare Supply Chain Top 25 is also available in the complimentary Gartner webinar.

About the Healthcare Supply Chain Top 25 Methodology
The Healthcare Supply Chain Top 25 ranking is derived from two main analyses: quantitative measures and opinion components. Quantitative measures provide a view into how companies have performed in the past and establish proxy connections between financial health, quality of patient care, ESG, risk management and supply chain excellence. The opinion components offer a qualitative assessment of value chain leadership and demonstrated supply chain performance — crucial characteristics of our Top 25. The qualitative and quantitative components are combined into a total composite score.

About the Gartner Supply Chain Practice

The Gartner Supply Chain Practice provides actionable, objective insights for supply chain leaders and their teams, so they can respond to disruption and innovate for the future through leading-edge supply chain management practices. Additional information is available at https://www.gartner.com/en/supply-chain. Follow news and updates from the Gartner Supply Chain Practice on LinkedIn and X using #GartnerSC. Visit the Supply Chain Newsroom for more information and insights. 

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