
There are several types of hospitals in the United States, categorized based on factors like functionality, size, location, ownership, and specialization. The American Hospital Association (AHA) estimates that there are about 6,120 hospitals in the country, with most being community hospitals. These hospitals can be further classified into critical access hospitals, children's hospitals, long-term acute care hospitals, psychiatric hospitals, rehabilitation hospitals, and more. Federal government-run hospitals, such as Veteran's Administration hospitals and Department of Defense hospitals, make up a few hundred of the total count. Additionally, there are independent hospitals, teaching hospitals, and religious non-medical healthcare institutions, each catering to diverse patient populations and communities.
| Characteristics | Values |
|---|---|
| Number of hospitals in the US | 6,093 |
| Most common type | Short-term acute care hospitals |
| Second most common type | Critical access hospitals |
| Other types | Geriatric hospitals, children's hospitals, long-term acute care hospitals, psychiatric hospitals, rehabilitation hospitals, veterans hospitals, teaching hospitals, federal hospitals, public hospitals, religious non-medical health care institutions, oncology-focused hospitals, women-focused hospitals, orthopedic hospitals, eye, ear, nose, and throat hospitals, obstetrics and gynecology hospitals |
| Classification criteria | Size, location, demographics, finances, and affiliation |
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What You'll Learn
- Hospitals can be classified based on functionality, size, location, ownership and specialisation
- Community hospitals are non-federal, short-term hospitals that are not teaching hospitals
- Critical access hospitals are small, rural hospitals with 25 or fewer beds
- Geriatric hospitals treat adults aged 65 and over and are usually small-scale operations
- Religious non-medical healthcare institutions provide 24-hour non-medical care for patients whose beliefs prevent them from accepting medical treatment

Hospitals can be classified based on functionality, size, location, ownership and specialisation
Hospitals are complex and multifaceted institutions that can be classified based on various factors, including functionality, size, location, ownership, and specialisation. These categories are not mutually exclusive, and hospitals may fall into multiple types.
Firstly, hospitals can be classified based on their functionality, which refers to the type of care they provide and how they operate within their communities. Hospitals can be general-purpose, teaching, acute care, long-term care, community, research, or trauma care centres. Teaching hospitals combine patient care with education for medical students, residents, and other learners. They are often affiliated with medical schools and may offer more cutting-edge treatments. Acute care hospitals provide intensive short-term care, while long-term acute care facilities support extended stays. Community hospitals may be tied to a specific population or geographical area and can vary in size and services offered. Research hospitals focus on innovation and advancing medical knowledge. Trauma care centres are equipped to handle severe injuries and often play a preventative and educational role in their communities.
Secondly, hospital size is typically categorised by the number of beds they have. However, this classification is subjective and can vary depending on the source. Rural hospitals tend to be smaller, with critical access hospitals having fewer than 25 beds and serving remote areas. Urban hospitals are generally larger, with more beds, and face competition from other healthcare providers in their vicinity.
Thirdly, location plays a crucial role in hospital classification. Rural hospitals are often isolated and serve as the sole source of care for their communities. They may lack advanced equipment and specialisations due to limited resources. In contrast, urban hospitals are located in densely populated areas and offer a wider range of treatments and facilities.
Fourthly, ownership significantly impacts the quality and accessibility of care. Hospitals can be privately owned, government-owned, or trust-run/charitable. Private hospitals are known for their advanced equipment and faster services but can be expensive. Government hospitals are publicly funded and provide affordable care but may face challenges like overcrowding. Trust-run or charitable hospitals focus on serving underserved communities, often at minimal or no cost.
Lastly, hospitals can be specialised or general service hospitals. Specialised hospitals focus on specific medical needs, such as cardiology, oncology, orthopaedics, geriatrics, or paediatrics. They can help reduce healthcare costs compared to general hospitals. General service hospitals offer a broad range of necessary services but may lack specialty care and long-term patient support.
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Community hospitals are non-federal, short-term hospitals that are not teaching hospitals
Hospitals can be classified based on various factors, including functionality, size, location, ownership, and specialization. Functionality, for instance, can refer to whether a hospital is a general-purpose, teaching, acute care, long-term, community, or research hospital.
Community hospitals are often independently run and serve a local demographic. They are administered by local leaders and provide financial opportunities for the local economy. Urban hospitals, which make up the majority of community hospitals, serve densely populated areas and often face competition from other hospitals in the same region. In contrast, rural community hospitals may be the only healthcare option for people in their area and may have limited access to advanced equipment or specialized procedures.
The American Hospital Association reported that there were 4,840 community hospitals operating in the United States. However, the number of public community hospitals in the US is declining due to financial burdens, with many being forced to close or become part of a private system. In 2016, there were 1,825 rural community hospitals. Community hospitals are mostly non-profit, with 76% being operated by local governments or private organizations.
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Critical access hospitals are small, rural hospitals with 25 or fewer beds
Hospitals can be classified based on several factors, including functionality, size, location, ownership, and specialization. Critical access hospitals (CAHs) are small, rural hospitals with 25 or fewer beds. They are designated by the Centers for Medicare and Medicaid (CMS) to improve access to healthcare in underserved communities. CAHs are often financially distressed and may struggle to provide the same level of care as larger hospitals due to limited funding, smaller facility sizes, and fewer staff members.
CAHs are located in rural areas, typically more than 35 miles from the nearest hospital, and serve small communities. Nearly 72% of all rural hospitals fall under this category, and they play a crucial role in providing healthcare to these regions. However, their remote locations and limited resources can make it challenging to attract and retain medical professionals, leading to a potential shortage of physicians and specialists.
The small size of CAHs, with 25 or fewer inpatient beds, is a defining characteristic. Certain beds, such as examination or procedure beds, do not count toward this limit. CAHs often have shorter average lengths of stay, with a maximum of 96 hours per patient for acute inpatient care. They may also be granted ""swing-bed" approval, allowing them to provide post-hospital skilled nursing facility-level care.
CAHs face unique financial challenges. While they receive reimbursements from CMS, they may still operate at a loss. The total margin for rural CAHs can vary, and some hospitals have even closed after converting to CAH status. CAHs' financial performance depends on various factors, including community needs, hospital service areas, and the bed limit.
In summary, critical access hospitals are small, rural hospitals with 25 or fewer beds. They play an essential role in improving healthcare access for underserved communities but face challenges related to funding, limited resources, and staff shortages. CAHs' remote locations and small sizes can impact their ability to provide specialized care and intensive services like intensive care units (ICUs) and cardiac catheterization. Nonetheless, they are vital to ensuring that rural residents have access to timely and necessary healthcare services.
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Geriatric hospitals treat adults aged 65 and over and are usually small-scale operations
Hospitals can be categorized based on functionality, size, location, ownership, and specialization. Geriatric hospitals, also known as seniors' hospitals, are a type of hospital that exclusively treats adults aged 65 and over. They focus on diseases and conditions specific to older adults, such as incontinence, adverse drug effects, and complex or multiple health problems. Geriatric hospitals are often small-scale operations with fewer than 100 beds and are sometimes located in rural communities with limited access to other medical facilities.
Geriatric hospitals aim to meet the unique healthcare needs of older adults, whose bodies and medical conditions differ from those of younger adults. Geriatricians, who are primary care doctors with specialized training in geriatric medicine, play a crucial role in these hospitals. They prioritize conditions and medications to maximize patients' physical functioning and well-being, often taking a conservative approach to prescribing new medications.
In addition to medical treatment, geriatric hospitals may offer programs to promote healthy aging, such as exercise classes and fall-prevention education. They also emphasize the importance of early physical therapy and moderate-intensity exercise during hospitalization to prevent functional decline in older patients. These hospitals are designed to provide specialized care that reduces the risk of functional decline and increases the likelihood of patients returning home upon discharge.
The small-scale nature of geriatric hospitals allows them to offer personalized care and focus on the specific needs of their older patient population. They may also collaborate with other healthcare facilities or networks to ensure access to a range of services. Geriatric hospitals play a vital role in serving the healthcare needs of aging adults in their communities, particularly in rural or underserved areas.
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Religious non-medical healthcare institutions provide 24-hour non-medical care for patients whose beliefs prevent them from accepting medical treatment
Hospitals are healthcare facilities that provide critical medical care and can be classified in various ways. As of January 2023, there were approximately 7,335 hospitals in the United States, with over 5,000 of these being general community hospitals. The number and distribution of hospitals across states can vary significantly, and there are several different types of hospitals, each serving different purposes and patient populations. Religious non-medical healthcare institutions are the least common hospital type in the United States, with only 16 active facilities tracked as of January 2023.
These institutions provide 24-hour non-medical care to patients who refuse medical examinations, diagnoses, or treatments due to religious beliefs. They cater to individuals who choose to rely solely on religious methods of healing and for whom accepting medical services would conflict with their religious tenets. The care provided by these institutions includes assistance with daily activities, moving and positioning, nutritional needs, and comfort and support measures. However, they do not provide medical items or services, including screening, examination, diagnosis, treatment, or drug administration.
To qualify as a religious non-medical healthcare institution, certain requirements must be met. These institutions must be solely dedicated to providing non-medical care and cannot be owned by or affiliated with medical treatment providers. They are also subject to specific Medicare and Medicaid conditions to be eligible for coverage. Medicare may cover non-religious, non-medical items and services, such as room and board or unmedicated wound dressings, but it does not cover the religious portion of the care.
Religious non-medical healthcare institutions fill a unique role in the healthcare landscape by serving patients whose beliefs prevent them from accepting conventional medical treatment. They offer an alternative approach to healthcare that aligns with specific religious practices while still providing essential non-medical care and support to patients in need. This type of institution underscores the diversity of hospitals and their specializations in meeting the varied healthcare needs of different patient populations.
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Frequently asked questions
There are 10 types of hospitals in the US, including:
- Children's hospitals
- Critical access hospitals
- Department of Defense hospitals
- Long-term acute care hospitals
- Psychiatric hospitals
Hospitals can be categorized based on size, location, demographics, finances, and affiliation.
Hospitals can be categorized based on their functionality, including:
- General-purpose hospitals
- Teaching hospitals
- Acute care facilities
- Long-term hospitals
- Community hospitals
- Research hospitals
- Trauma care hospitals
Some hospitals specialize in providing care for specific patient populations, such as:
- Geriatric or seniors' hospitals
- Women's hospitals
- Oncology-focused hospitals
- Obstetrics and gynecology hospitals
- Eye, ear, nose, and throat hospitals
- Orthopedic hospitals





































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