Hailey Tran
The United States is home to thousands of hospitals, with the exact number depending on how hospital is defined. The Definitive Healthcare HospitalView product, for example, tracks over 7,300 active hospitals across the country. According to the American Hospital Association, there are 6,093 hospitals in the US as of 2025. These hospitals vary in size, ownership, system type, and hospital presence. Some of the largest US hospitals by bed count include AdventHealth Orlando with 2,247 staffed beds, St. Luke's Medical Center in Houston with 881 beds, and Huntsville Hospital in Alabama with 881 beds. Creedmoor Psychiatric Hospital is the largest hospital in terms of facility size, with nearly 9.5 million square feet of space, though it only has 349 staffed beds.
| Characteristics | Values |
|---|---|
| Number of hospitals in the US | 6,093 (as of 2023) |
| Number of active hospitals tracked by Definitive Healthcare | 7,300 (as of May 2025) |
| Number of unique health systems | 626 |
| Largest hospital by facility size | Creedmoor Psychiatric Hospital (9.5 million sq. ft.) |
| Largest hospital by number of beds | AdventHealth Orlando (2,247 beds) |
| Largest health systems by number of hospitals | HCA Healthcare (184 hospitals) |
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What You'll Learn
AdventHealth Orlando has 2,247 beds
There are 6,093 hospitals in the United States, according to the American Hospital Association. One of the largest hospitals in the country is AdventHealth Orlando, which has 2,247 beds. Formerly known as Florida Hospital Orlando, AdventHealth Orlando is part of a network of 18 hospitals and more than 100 extended service locations across Central Florida. The hospital is renowned for its comprehensive, compassionate medical care and has been recognised as the "#1 Hospital in Florida" and among the "top 1% of hospitals nationwide" by U.S. News & World Report.
AdventHealth Orlando is committed to providing world-class medical treatments, preventative care, and pioneering research. The hospital offers a range of specialised services, including cancer care, a nationally recognised transplant programme, advanced wound care, and paediatric care. During the COVID-19 pandemic, the hospital had 1,400 beds available and treated patients with monoclonal antibody therapies to keep them out of the hospital.
The hospital has undergone several expansions to meet the growing needs of the community. In 2018, the coronary care unit was expanded by adding eight beds, and the hospital received a $3 million donation to expand its Cardiovascular Institute. In 2020, AdventHealth Orlando added a second helicopter to its fleet, renovating an adjacent 10,000 square foot building for its Flight 1 programme and flight crew training.
As of May 2025, AdventHealth Orlando announced plans to add a fourteen-story patient and surgical tower to its campus, with a total of 440 inpatient beds at capacity. This expansion will increase the number of licensed beds and enable the hospital to continue providing exceptional care to the Orlando community and beyond.
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Creedmoor Psychiatric Hospital is 9.5 million sq ft
There are 6,093 hospitals in the United States, according to the American Hospital Association. The largest US hospital in terms of facility size is Creedmoor Psychiatric Hospital, which spans 9.5 million square feet. Located in Queens Village, Queens, New York, Creedmoor Psychiatric Hospital occupies more than 300 acres and includes over 50 buildings.
The site was first farmed by the Creed family and later served as a firing range from the 1870s to 1892. In 1912, the Lunacy Commission of New York State established the Farm Colony of Brooklyn State Hospital at Creedmoor, initially serving 32 patients. Creedmoor's patient population grew rapidly, reaching 7,000 inpatients by 1959. However, the hospital's census declined in the early 1960s with the introduction of new psychiatric medications and a push for deinstitutionalization.
Creedmoor Psychiatric Hospital currently has 349 staffed beds, a relatively small number compared to other large hospitals. The facility has a bed utilization rate of 87.4% and an average length of stay of 612 days. The hospital provides inpatient, outpatient, and residential services for individuals with severe mental illnesses.
In recent years, there have been redevelopment plans for the underutilized portions of the Creedmoor campus. Local officials and residents have advocated for restoring hospital beds and enhancing mental health treatment options. Governor Kathy Hochul has proposed adding 100 beds to Creedmoor, as part of her efforts to expand involuntary commitments in state psychiatric facilities.
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HCA Healthcare has 184 hospitals
As of 2021, HCA Healthcare, formerly known as Hospital Corporation of America, operates a network of 184 hospitals and approximately 2,000 outpatient facilities in the United States and the United Kingdom. HCA Healthcare is an American for-profit operator of healthcare facilities founded in 1968 and based in Nashville, Tennessee. The company owns and operates hospitals, surgery centers, freestanding emergency rooms, urgent care centers, and physician clinics in 20 states and the United Kingdom.
HCA Healthcare has grown significantly since its founding, with rapid expansion in the 1970s and continued growth through acquisitions and mergers. By the end of 1981, the company operated 349 hospitals with more than 49,000 beds. In 1987, HCA Healthcare spun off HealthTrust, a privately owned hospital company, and in 1994, it merged with the Columbia Hospital Corporation to form Columbia/HCA Healthcare Corporation.
As of 2024, HCA Healthcare is ranked #61 on the Fortune 500 list of the largest United States corporations by total revenue. The company has faced legal issues in the past, including lawsuits alleging questionable Medicare billing practices and illegal accounting practices, resulting in significant federal fines and leadership changes.
HCA hospitals are recognized for their high-quality healthcare services and state-of-the-art facilities. Some of the top-rated HCA hospitals include Methodist Hospital in Texas, Mission Hospital in Asheville, North Carolina, Medical City Dallas in Texas, and TriStar Centennial Medical Center in Tennessee. These hospitals have received accolades for their excellence in patient care and outcomes.
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6,093 hospitals in the US
As of 2023, there were 6,093 hospitals in the United States. This number includes a variety of different types of hospitals, such as long-term acute care hospitals, psychiatric hospitals, rehabilitation hospitals, and rural emergency hospitals.
Long-term acute care hospitals have average lengths of stay of 25 days or more and provide services such as respiratory therapy, head trauma treatment, and pain management. Psychiatric hospitals provide 24/7 inpatient services for the diagnosis and treatment of mental illness under the supervision of a physician. Rehabilitation hospitals focus on improving or restoring patients' functional abilities through therapy programs.
Rural emergency hospitals (REHs) are a newer type of Medicare provider designation, created to ensure essential health services remain available in rural areas where full-service hospitals are no longer sustainable. REHs operate without inpatient beds and have transfer agreements with larger hospitals for patients requiring more advanced care.
The number of hospitals in the US is influenced by various factors, including growing populations, competition, industry consolidation, and service specialization. The largest hospitals in the US by bed count include AdventHealth Orlando with 2,247 staffed beds, and Creedmoor Psychiatric Hospital with 349 staffed beds and a total facility square footage of nearly 9.5 million square feet.
The largest health systems in the US by the number of hospitals include HCA Healthcare with 184 hospitals, Veterans Health Administration with 172 hospitals, and CommonSpirit Health with 140 hospitals. These health systems reflect a trend of independent hospitals and small chains joining larger organizations for financial stability and improved access to resources.
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Hospitals with 800+ beds
There are 6,093 hospitals in the United States, according to the American Hospital Association's 2023 Annual Survey. This survey also includes data on the number of government hospitals, the number of hospitals in each state, and the number of hospital beds. Unfortunately, I could not find specific information on the number of hospitals with 800+ beds in the US. However, here is a list of some US hospitals with 800+ beds:
AdventHealth Orlando
AdventHealth Orlando is the largest hospital in the US with 2,247 staffed beds. It is owned by the IDN AdventHealth, one of the largest health systems in the country by net patient revenue and the number of hospitals. The hospital has a bed utilization rate of 80.6%.
Jackson Memorial Hospital
Jackson Memorial Hospital, a Florida-based facility, is the second-largest hospital in the US with 1,893 staffed beds. It has a bed utilization rate of 66.9% and an average length of stay of seven days. The hospital is a leading academic medical centre.
Creedmoor Psychiatric Hospital
If we define 'biggest' as 'facility size', then Creedmoor Psychiatric Hospital is the largest hospital in the US with a total facility square footage of nearly 9.5 million square feet. However, it only has 349 staffed beds. As a psychiatric hospital, it is designed to help patients with severe mental health conditions, so patients likely have larger room sizes than in a short-term acute care hospital. The hospital has a bed utilization rate of 87.4% and an average length of stay of 612 days.
HCA Healthcare
HCA Healthcare is the largest IDN in the country, with more than 41,000 beds across its hospitals. It has remained the largest for several years and has continued to grow, with a 10% increase in its bed count from 2019 to 2024.
Kaiser Permanente
Kaiser Permanente, based in Southern California, is a leading integrated managed care consortium with over 13,000 hospital beds across its network. It operates across eight states and the District of Columbia using a closed network system.
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Frequently asked questions
There are 6,093 hospitals in the United States.
There are a few ways to categorise hospitals as 'large'. One way is by the number of beds, with some hospitals having over 2,000 beds. Another way is by the number of hospitals in a health system, with some systems having over 100 hospitals. A third way is by facility size in square footage.
Some of the largest hospitals in the US by bed count include AdventHealth Orlando (2,247 beds), Yale New Haven Hospital (1,541 beds), and Orlando Health Orlando Regional Medical Center (808 beds). Large hospitals by health system include HCA Healthcare (184 hospitals), Veterans Health Administration (172 hospitals), and CommonSpirit Health (140 hospitals). Creedmoor Psychiatric Hospital is the largest hospital by facility size, with 9.5 million square feet of space.
