TPC expands independent health system network with three new members

TPC has added three independent health systems to its member roster, widening its footprint into the Pacific Northwest and the Central Plains while deepening a model built around shared purchasing power, revenue cycle improvement and clinical performance work. Valley Medical Center & Clinics in Washington, Nebraska Methodist Health System in Omaha and Salina Regional Health Center in Kansas now bring TPC’s membership to 10 systems, representing $6.7 billion in combined annual net patient revenue.

The expansion is more than a membership count. Independent health systems are operating under relentless pressure from labor costs, supply chain volatility, payer friction and the capital demands of modern care delivery. TPC’s pitch is that scale can be achieved without surrendering local governance, and the new additions extend that thesis into regions where community identity still carries real operational weight.

Over the past decade, TPC members have documented more than $825 million in validated savings and performance improvement. Those gains have come through strategic sourcing, revenue cycle performance improvement and clinical performance improvement, all linked by shared analytics, benchmarking and disciplined execution. In practical terms, the structure is designed to do what many hospitals struggle to do alone: turn fragmented purchasing and inconsistent process performance into measurable enterprise results.

One sentence captures the shift plainly: the network’s value proposition now reaches a broader geography and a larger operating base.

Mid-America Service Solutions folds into the broader TPC platform

Nebraska Methodist Health System and Salina Regional Health Center arrive through their ownership of Mid-America Service Solutions, the Kansas-based supply chain aggregation group founded in 2008. For nearly two decades, that organization has brought independent systems across the Central Plains and Midwest together to capture the scale, contract portfolio and shared discipline more often associated with a much larger health system.

The combination matters because supply chain strategy in healthcare is never just about buying lower-cost products. It affects physician preference items, contracting consistency, inventory handling, procedural standardization and ultimately the cost base that feeds directly into reimbursement pressure. By welcoming the health systems that have participated in Mid-America Service Solutions into the TPC platform and governance structure, the network is extending a model that already appears familiar to those organizations while broadening the set of tools available to them.

TPC also shares a common strategic sourcing partner with the three new members, which helps preserve continuity across contract portfolios and supplier relationships. That continuity can reduce disruption during integration, especially in hospitals that depend on predictable access to supplies, stable vendor relationships and contract terms that align with ongoing operations. In a field where even modest friction can spill into operating rooms, clinics and revenue cycle workflows, avoiding needless churn carries direct clinical and financial value.

Equal governance is central to the pitch

TPC’s leaders continue to frame the organization around a simple proposition: independent systems should not have to choose between local control and access to scale. Geoff Brenner, president and chief executive officer of TPC, described the new members as strong independent organizations with deep community roots that want measurable results such as lower costs, stronger revenue and higher clinical quality while retaining identity and control.

Shane Plymell, chair of TPC’s board of managers and president and chief executive officer of Shannon Health, placed the governance model at the center of the organization’s identity. Each member system has an equal voice regardless of size, and member organizations participate in governance and committees while retaining control over local operations. In healthcare, where consolidations often trigger fears of decision-making shifting away from patients and communities, that structure is one of the few parts of the release that speaks directly to the governance anxiety independent systems feel every day.

For Valley Medical Center & Clinics, the alliance adds scale without asking the public hospital district to abandon its local mandate. Valley serves more than 625,000 residents of South King County and is Washington state’s oldest and largest public hospital district. Jeannine Erickson Grinnell, the organization’s chief executive officer, said the partnership strengthens independence through greater scale and capabilities, bringing together independent hospitals with a shared commitment to high-quality care, innovation and collaboration.

Frontier AI becomes part of the operating model

TPC also says it is among the first healthcare performance improvement organizations to deploy advanced AI models inside a private, secure environment across more than 16 years of sourcing, revenue cycle and clinical performance data. The company’s AI Innovations Lab is intended to speed identification and implementation of improvement opportunities across its membership.

In operational terms, this is where the organization is trying to move beyond the familiar language of group purchasing. Traditional purchasing coalitions can improve price points, but the data and workflow layers are where real differentiation now lives. When a system can benchmark performance across members, test sourcing behavior against historical results and detect revenue cycle or clinical variation faster, the opportunity is not only to save money but also to retain it by making gains harder to reverse.

The release does not quantify the specific AI-driven outputs for the newly added systems, and no detailed clinical outcome data are provided for patient care changes. Even so, the claim signals a broader shift in how performance improvement groups are trying to operate: less as static contracting hubs and more as data-enabled management platforms.

The new members bring regional reach and operational depth

Nebraska Methodist Health System extends the group into Nebraska and Iowa, adding a regional health system with a network of hospitals and clinics and a long relationship with Mid-America Service Solutions. Josie Abboud, the system’s president and chief executive officer, said the organization intends to remain independent while using the scale and sourcing discipline of a larger platform alongside peers with shared values.

Salina Regional Health Center expands TPC’s presence in Kansas and brings an integrated system with hospitals, clinics and specialty services for communities across North Central Kansas. Joel Phelps, the organization’s president and chief executive officer, emphasized the need for capabilities and resources that help an independent community-owned system operate efficiently while continuing to deliver high-quality care.

The final clinical and operational implication is straightforward: these systems are not joining for symbolism. They are joining for purchasing leverage, process discipline, governance access and the chance to translate scale into measurable operating improvement without relinquishing local stewardship.

TPC’s own framing is likely to resonate most strongly with boards and executives under margin pressure, but the release leaves several practical questions open. It does not specify which service lines, supply categories or revenue cycle functions will see the earliest gains, and it does not detail how the new AI tools will be validated across different health system environments. What remains concrete is the expansion itself: a larger, more geographically diverse coalition of independent systems now tied to a model that promises savings, quality improvement and governance parity rather than outright consolidation.


Reporting by Dr. Clara Evans, DDS, MS, FACS for Medicine World Foundation, with additional data provided by Healthcare Dive.