
The number of hospitals needed per troop depends on several factors, including the intensity of combat and the evacuation policy of the theatre of war. Combat Support Hospitals (CSHs) are transportable by aircraft and trucks and are typically located just behind Mobile Army Surgical Hospitals (MASHs) near the front line. They are equipped to provide definitive care for many cases and stabilize patients for further treatment at fixed-facility hospitals. The number of beds in a CSH can vary from 44 to 248, with 200+ beds for surgery on patients whose condition is not life-threatening, and 400 beds for evacuation hospitals providing resuscitative and restorative care. The average daily patient load in military hospitals is relatively low, serving 30 or fewer inpatients per day, according to a 2014 New York Times article.
| Characteristics | Values |
|---|---|
| Number of beds in a Combat Support Hospital (CSH) | 200+ |
| Number of beds in an evacuation hospital | 400 |
| Number of beds per Division | 1060 |
| Basis of allocation for planning purposes | One Mobile Army Surgical Hospital (MASH), one CSH, and two evacuation hospitals per Division |
| Number of beds in a CSH | 44-248, with 44 being the most common |
| Number of beds in a MASH | Enough for emergency, life-saving surgery |
| Average daily patients in military hospitals | 30 or fewer |
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What You'll Learn

Combat Support Hospitals (CSH)
CSHs are capable of providing definitive care in many cases, and they are equipped with pharmacy, laboratory, X-Ray, and dental capabilities. They can also include intensive care units, operating rooms, and emergency rooms. The size of a CSH is flexible, as tents can be chained together, and they typically deploy with between 44 and 248 hospital beds, with 44 being the most common. During the Cold War, CSHs contained the necessary functions to provide care for 200 beds, including eight medical wards, two intensive care units, four operating rooms, and other specialized facilities.
CSHs are typically only operational when deployed, and deployments are infrequent, occurring once every three to five years for active component CSHs and once every five years for reserve CSHs. When deployed, CSHs may not bring their own medical equipment and instead utilize shared equipment from Army Prepositioned Stocks (APS) or Theater Provided Equipment (TPE). This strategy aims to address the challenges of maintaining and upgrading equipment for CSHs, which has been costly and difficult due to the large amount of equipment required.
The Army is currently converting CSHs into smaller, modular Field Hospitals (FH) to enhance agility and scalability. The new FH design reconfigures the 248-bed CSH into a 32-bed FH with three additional augmentation detachments, including a surgical detachment, a medical detachment, and an Intermediate Care Ward detachment. This conversion provides flexibility and the ability to respond with tailored medical support packages that are sized according to the specific requirements of missions. The restructuring is expected to be completed over the next five years for both active duty CSHs and Army Reserve hospitals.
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Battalion aid stations
The primary mission of battalion aid stations is to collect and stabilize wounded soldiers from the battalion. They play a crucial role in triaging casualties and providing urgent care. To effectively achieve this, commanders must position their battalion aid stations as far forward as tactically feasible. This positioning ensures that wounded soldiers can receive timely medical attention while preserving the unit's fighting strength.
During peacetime, battalion aid stations in the US Army battalions typically do not have a physician or battalion surgeon due to their limited availability and high cost. However, certain battalions, such as aviation, special operations, and stryker brigade support battalions, routinely have a battalion surgeon. In the case of deployment, a military physician can be assigned to serve as the battalion surgeon through the PROFIS system.
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Medical companies of Brigade Support Battalions
The Brigade Support Battalion (BSB) is a combat service support battalion of the United States Army. It is an organic part of a brigade combat team (BCT) that provides self-sustainment to the BCT for up to 72 hours of high-intensity combat before requiring replenishment. The Brigade Support Medical Company (BSMC), colloquially known as a "Charlie Med", is a key component of the BSB, providing essential medical support to its parent unit and any other BCT units that lack their own medical resources.
The BSMC consists of a company headquarters, a preventative medicine section, a mental health section, a medical treatment platoon, a medical evacuation platoon, and a brigade medical supply office. The company headquarters plays a crucial role in providing command and control, administrative support, and logistical backing for all units within the BSMC. This includes managing general supply operations and ensuring effective communications support.
The medical treatment platoon is at the forefront of delivering healthcare to wounded soldiers. It includes combat medics, who are the first responders in the health services support chain, making medically trained decisions on the ground. The medical evacuation platoon works in tandem with the treatment platoon, facilitating ground evacuation from battalion aid stations to the brigade support area (BSA) clearing station. This platoon consists of a platoon headquarters and five ambulance squads, each with two ambulance teams, ensuring efficient patient evacuation.
The BSMC may also be augmented with forward surgical teams as required. Additionally, the area support squad within the BSMC provides emergency dental care, basic medical laboratory services, and X-ray diagnostics. This squad works collaboratively with a treatment team and a patient-holding squad, capable of providing minimal care for up to 40 patients who are expected to return to duty within 72 hours.
In summary, the medical companies of Brigade Support Battalions are vital components of the United States Army's combat service support structure. They provide critical medical care, evacuation, and logistical support to their parent units and other BCT units in need. The BSMC's ability to rapidly mobilize and adapt to the dynamic needs of the battlefield ensures that wounded soldiers receive timely and effective treatment, showcasing the pragmatism and resilience of military medical organizations.
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Forward Surgical Teams
An FST typically consists of 20 staff members: 4 surgeons, 3 RNs, 2 certified registered nurse anesthetists (CRNAs), 1 administrative officer, 1 detachment sergeant, 3 licensed practical nurses (LPNs), 3 surgical techs, and 3 medics. These teams are usually the first point of contact for wounded soldiers, providing emergency resuscitation and surgery to injured service members prior to further medical evacuation. FSTs can be deployed in a variety of ways, including with support elements such as a Forward Support Medical Company (FSMC) or an Area Support Medical Company (ASMC).
The equipment and supplies for an FST are packed into four HMMWVs, each with an M1101 trailer, and two LMTV 2.5-ton cargo trucks, each with an M1082 cargo trailer. These units are augmented with two trailers that provide power generation and air conditioning, referred to as ECU (Environmental Control Units) or GET (Generator/ECU Trailers). The airborne FSTs can be sling-loaded onto cargo helicopters and moved by the headquarters unit.
In 2013, the FST was modified to enhance its capabilities, particularly in patient resuscitation, leading to the creation of the Forward Resuscitative Surgical Team (FRST). FRSTs maintained a 20-person team but with some personnel changes. One general surgeon and two OR nurses were replaced by a second orthopedic surgeon and two emergency room physicians. FRSTs are modular and scalable, offering greater mission flexibility to the Army. They are designed to be divided into two teams with equal capabilities, allowing them to operate in separate locations.
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Military hospitals and clinics (military treatment facilities or MTFs)
Military hospitals and clinics, also referred to as Military Treatment Facilities (MTFs), are located at military bases and posts worldwide. These facilities provide medical care for service members and their families. The number of beds in a military hospital can vary depending on the type of facility and the operational environment.
Combat Support Hospitals (CSHs) are transportable field hospitals that can be delivered to the Corps Support Area and assembled into tent hospitals. They typically have between 44 and 248 beds, with 44 being the most common, but they can be expanded by chaining tents together. CSHs are equipped to provide definitive care for many cases and act as a bridge between incoming helicopter ambulances and outgoing aircraft. They specialize in performing non-life-threatening surgeries and stabilizing patients for further treatment at fixed-facility hospitals.
During the Cold War, active-duty Medical Unit Self-contained Transportable (MUST) units were staffed with essential personnel and equipped to provide care for 200 beds, including two intensive care units, eight medical wards, an emergency room, and four operating rooms, among other facilities.
Evacuation Hospitals (EVAC) are larger facilities with 400 beds, providing resuscitative and restorative care. The allocation planning basis was one Mobile Army Surgical Hospital (MASH), one CSH, and two EVAC hospitals per Division, totaling 1,060 beds. The actual bed requirements are influenced by combat intensity and evacuation policies.
MTFs can be located using resources like the TRICARE Military Treatment Facility Locator, which allows searches by ZIP code or military installation.
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Frequently asked questions
A Combat Support Hospital is a type of modern United States Army field hospital. They are transportable by aircraft and trucks and are typically assembled by staff into tent hospitals with between 44 and 248 hospital beds.
A CSH typically has 44 beds, but this can range from 44 to 248 as tents can be chained together. During the Cold War, CSHs had 200 beds and were equipped with two intensive care units, eight medical wards, an emergency room, four operating rooms, an orthopedic room, a laboratory, an X-ray room, a pharmacy, and transport vehicles.
The basis of allocation for planning purposes was one Mobile Army Surgical Hospital (MASH), one CSH, and two evacuation hospitals per Division supported, totalling 1,060 beds per Division. The number of beds required is driven by combat intensity and the theatre evacuation policy.
Battalion aid stations, the medical companies of Brigade Support Battalions, and Forward Surgical Teams are usually the first point of contact for wounded soldiers.






































