
The number of parking spaces a hospital should have is an important consideration in urban planning. Hospitals need to provide sufficient parking for patients, staff, service traffic, and the public. While the number of spaces will depend on the size of the hospital and its occupancy rate, there are some general rules of thumb for estimating the number of spaces required. For example, inpatient admissions/discharges can be accommodated with one space for every five beds, while inpatient nursing units should have a maximum of one space per bed. Hospital staff parking should be provided at a maximum of one space per day shift employee, and at least 10% of patient and visitor parking spaces should be accessible for those with disabilities.
| Characteristics | Values |
|---|---|
| Inpatient admissions/discharges | One space per five hospital beds |
| Visitors to inpatient nursing units | A maximum of one space per bed |
| Hospital staff (including physicians) | Up to one space per day shift employee |
| Convalescent and nursing homes | One space for each four beds |
| Parking for disabled people | 10% of all parking spots at hospitals |
| Parking for recreational vehicles (RVs) and trailers | Not exempt from coverage |
| Bicycle parking | Should be offered for workers and visitors |
| Drop-off zones | Required for wheelchair access |
| Loading bays | Necessary for large institutions |
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What You'll Learn

Accessible parking for patients with disabilities
Hospitals need to provide a sufficient number of parking spaces for patients, staff, service traffic, and the public. Local authorities' parking standards or requirements should be consulted, as these will reflect the availability of public transportation and other alternatives. However, the activities and priorities of the hospital may require more parking spaces than mandated.
Accessible parking is a crucial aspect of hospital parking, ensuring that patients with disabilities can easily access the facility. The Americans with Disabilities Act (ADA) and the U.S. Access Board have outlined specific guidelines for accessible parking at hospitals. Firstly, accessible parking spaces must be provided in compliance with the ADA Standards. These spaces should be located on the shortest accessible route to the accessible entrance, ensuring an unobstructed path for individuals with disabilities.
At hospital outpatient facilities, at least 10% of patient and visitor parking spaces must be accessible. This requirement applies to units that provide regular or continuing medical treatment without an overnight stay. Rehabilitation facilities and outpatient physical therapy facilities, including those not located within hospitals, must have a higher proportion of accessible spaces, with at least 20% of patient and visitor parking designated for this purpose.
The design of accessible parking spaces should include access aisles, which provide a designated area for individuals using wheelchairs or other mobility devices to enter and exit their vehicles. These access aisles can be shared between two parking spaces and should be marked to discourage drivers from parking in them. Additionally, accessible parking spaces should feature side easements to allow for the safe unloading of wheelchairs, and increased van-accessibility is also mandated, with at least one out of every six accessible spaces accommodating vans.
Furthermore, elevators and ramps are necessary at each elevated access point to ensure accessibility for those who cannot use stairs. The slope, both in ramp design and the parking lot itself, should be considered, with a "cross-slope" of under 2% grade recommended to facilitate wheelchair movement. Accessible passenger loading zones are also required at facilities with valet parking, and accessible spaces must be included when parking facilities are altered or added.
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Parking for different patient groups
Parking requirements vary for different patient groups. For instance, elderly and sick patients with compromised mobility need accessible spots close to entrances. Hospitals should also provide accessible parking for people with disabilities, in compliance with the Americans with Disabilities Act (ADA). The ADA requires that 10% of all parking spots at hospitals be accessible, with increased van accessibility. These spaces should have a safe unloading area for wheelchairs, and elevators and ramps should be provided at each elevated access point.
Patients who are admitted or discharged generally require one space per five hospital beds. However, inpatient facilities with longer lengths of stay would require fewer parking spaces. Visitors to inpatient nursing units may require a maximum of one space per bed, depending on the number of visitors per inpatient and daily visiting patterns.
Outpatient facilities, including physical therapy and rehabilitation centres, must also provide accessible parking. The ADA requires that at least 10% of patient and visitor parking spaces at these facilities comply with accessibility standards. Additionally, at least 20% of patient and visitor parking spaces must be accessible at outpatient physical therapy and rehabilitation facilities that specialize in treating conditions affecting mobility.
Emergency patients also have unique parking needs. Hospitals must provide loading bays for safe loading and unloading of food, medical supplies, and large assets. These areas should be separate from emergency vehicle access to ensure quick turnover. Short-term parking or drop-off and pick-up zones are also necessary for patients who are dropped off by friends, family, or taxis. These areas should be located near an entrance without impeding ambulance access to the emergency room.
Overall, hospitals should consider the diverse needs of their patient groups when designing parking facilities. By providing sufficient and accessible parking, hospitals can enhance the patient experience and improve satisfaction.
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Staff parking
Hospitals need to provide a sufficient number of parking spaces for their staff. The number of parking spaces required will depend on several factors, including the number of staff working at the hospital, the availability of public transportation, off-site parking options, and other incentives to minimize on-site parking.
One rule of thumb is to provide up to one parking space for each day shift employee. This should be considered the maximum and can be adjusted based on factors such as public transportation accessibility and off-site parking availability. For example, hospitals in urban areas with good public transportation systems may provide fewer parking spaces, while those in suburban or rural areas with limited public transportation may need to provide more.
In the case of inpatient admissions and discharges, a general guideline is to provide one space for every five hospital beds. This assumes an average length of stay of four days and an occupancy rate of 85%. Hospitals with longer average lengths of stay may require fewer parking spaces. It is also important to consider the availability of off-site parking options for staff, as this can help reduce the demand for on-site parking.
Additionally, it is crucial to ensure that accessible parking spaces are available for staff and visitors with disabilities. These spaces should be located on the shortest accessible route to an accessible entrance and have features such as access aisles, a minimum vertical clearance of 98 inches, and signage with the international symbol of accessibility. The number of accessible parking spaces required will depend on the total number of parking spaces provided and specific regulations, such as the Americans with Disabilities Act (ADA) in the United States.
To ensure adequate parking for staff, hospitals should consider conducting a formal parking or site traffic study. This can help identify peak demand periods and determine the necessary number of parking spaces. By considering all these factors, hospitals can effectively manage their parking facilities and meet the needs of their staff and visitors.
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Loading bays for deliveries
Hospitals need to provide a sufficient number of parking spaces for various groups, including patients, staff, service traffic, and the public. While the number of parking spaces required will depend on local regulations and the specific needs of the hospital, it is clear that parking is essential for hospitals.
Number of Loading Bays
The number of loading bays required will depend on the size and needs of the hospital. A large hospital with high demand for supplies will need more loading bays to accommodate the frequent deliveries. As an example, Mass General Hospital's busiest loading dock, the Lunder dock, receives over 70 truck deliveries per day. Smaller hospitals or those with less frequent deliveries may require fewer loading bays.
Location of Loading Bays
Loading bays should be located in areas that allow for efficient and safe deliveries. They should be placed in areas with sufficient space for trucks to manoeuvre and turn around, especially for large delivery trucks. Loading bays are often placed opposite emergency vehicle entrances to avoid congestion and ensure quick turnover. Consideration should also be given to the proximity of the loading bays to the storage areas or departments receiving the deliveries.
Accessibility and Safety
Loading bays should be designed with accessibility and safety in mind. The surfaces should be level and free of obstacles, with proper slope grading to accommodate wheelchairs and trolleys. Dock levelers can be installed to adjust for different truck heights and improve safety during loading and unloading. Additionally, canopies or shelters can be installed to protect staff and deliveries from weather damage.
Scheduling and Efficiency
To optimize the use of loading bays, hospitals should implement scheduling systems for deliveries. This helps prevent congestion and ensures a consistent workflow. Hospitals should also have procedures in place to handle unexpected deliveries or delays, such as redirecting deliveries to other loading docks or rescheduling them for a later time.
Vehicle Types and Sizes
Consideration should be given to the types and sizes of delivery vehicles that will be using the loading bays. Evaluating these factors will help in designing loading docks with appropriate heights, door openings, and turning radii. This ensures that deliveries can be made safely and efficiently, regardless of the vehicle size.
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Municipal requirements
Parking Spaces for Patients and Visitors
Municipalities often use a ratio of parking spaces to hospital beds or floor space to determine the required number of parking spaces. For example, Oaklawn, Illinois, mandates two parking spaces for each hospital bed, plus one space for every two employees based on the maximum number of employees per shift, and an additional space for each staff doctor. However, these requirements may vary based on local regulations and the size of the hospital.
Accessibility and ADA Compliance
Accessible parking spaces that comply with the Americans with Disabilities Act (ADA) are crucial for hospitals. These spaces have specific features, such as signage, vertical clearance, and slip-resistant surfaces, to ensure accessibility for people with disabilities. The number of accessible spaces is determined separately for each parking structure and is typically calculated as a percentage of patient and visitor parking spaces.
Parking for Hospital Staff
Hospitals should provide dedicated parking spaces for their staff, including physicians and day shift employees. The number of staff parking spaces can be influenced by the availability of public transportation, off-site parking, or incentives that encourage staff to minimise on-site parking.
Outpatient and Emergency Patient Parking
Outpatient facilities, including physical therapy and rehabilitation centres, often require a higher number of accessible parking spaces. For outpatient services, a general rule of thumb is to provide up to three spaces per exam or procedure room, considering patient turnover and escorts. For emergency patients, the rule of thumb is to provide one space for every four average daily emergency department visits.
Service Vehicles and Loading Bays
Separate parking spaces or loading bays are necessary for service vehicles, supply deliveries, and patient drop-off and pick-up. These areas should be designed to facilitate safe and efficient movement, especially during peak hours, typically between 10:00 a.m. and 2:00 p.m. on weekdays.
Reducing Parking Spots and Promoting Alternative Transportation
While parking is essential for hospitals, municipal codes are increasingly focused on reducing the number of parking spots to encourage walkable neighbourhoods and alternative transportation methods. This includes promoting ride-sharing, public transit, cycling, and walking to reduce traffic congestion and the carbon footprint associated with parking facilities.
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Frequently asked questions
A good rule of thumb is to have two parking spaces for each hospital bed, one space for every two employees, and one space for each staff doctor.
Several factors should be considered, including the availability of public transportation, public parking facilities, or other alternatives. The activities and priorities of the hospital may require more spaces than mandated. It is also important to consider the needs of patients, staff, service traffic, and the public.
Yes, the Americans with Disabilities Act (ADA) requires that at least 10% of all parking spots at hospitals be accessible, with increased van-accessibility. Accessible parking spaces should be designated by the International Symbol of Accessibility, and van-accessible spaces should be labeled as such.








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