
The United States' healthcare system is a complex landscape, with a mix of federal health insurance plans, private insurance, and uninsured individuals. The number of hospitals in the country has been declining since 1975, and community hospitals, which are non-federal general acute care hospitals, make up about 85% of all hospitals. The American Hospital Association's 2023 survey reports 6,093 hospitals in the US, while Definitive Healthcare's HospitalView product tracks over 7,300 active hospitals. These numbers vary depending on how each organization classifies hospital types and the number of hospitals included in their data.
| Characteristics | Values |
|---|---|
| Number of hospitals | 6,093 or 7,300 depending on the source |
| Types of hospitals | Community hospitals, government hospitals, critical access hospitals, children's hospitals, obstetrics and gynecology hospitals, psychiatric hospitals, rehabilitation hospitals, religious non-medical healthcare institutions, etc. |
| Hospital bed density | Varies by state |
| Occupancy rate | Not found for 2025, but the rate has been declining since 1975 |
| Most common type | Short-term acute care hospitals |
| Second most common type | Critical access hospitals |
| Number of health systems in metropolitan areas | 4 or more health systems in 33% of metropolitan areas |
| Market competitiveness | Nearly all (97%) metropolitan areas had highly concentrated markets for inpatient hospital care in 2023 |
| Share of hospitals affiliated with health systems | 69% in 2023 |
| Share of hospitals that are independent | Declining; 69% are now part of a larger system |
| Staffing | Staff shortage is a growing problem due to aging population, stress, burnout, high turnover, difficulty recruiting new staff, and effects of the COVID-19 pandemic |
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What You'll Learn

There are over 6,000 hospitals in the US
There are over 6,000 hospitals in the United States, according to the American Hospital Association's (AHA) annual survey. The AHA's role as the national advocate for hospitals and health systems involves providing statistics and data on hospitals in the US. The survey includes details on the number of government hospitals, hospitals in each state, and hospital beds.
The US has a diverse range of hospitals, including community hospitals, which make up around 85% of all hospitals. These are non-federal general acute-care hospitals, and most are non-profit or government-owned. There are also specialty hospitals, such as obstetrics and gynecology, eye, ear, nose, and throat hospitals, and psychiatric hospitals.
The US healthcare landscape is complex, with federal health insurance plans like Medicaid, CHIP, and Medicare, but also a significant reliance on private health insurance. This multi-payer system contributes to high administrative health costs per capita compared to other wealthy nations.
The number of hospitals in the US has been declining since 1975, and staff shortages are a growing problem, exacerbated by an aging population, stress, burnout, and recruitment challenges. Despite this, hospital employment continues to rise, and critical access hospitals play an essential role in serving rural communities.
The availability of hospitals varies across the country, with larger metropolitan areas tending to have more competitive markets for inpatient hospital care. Nearly all metropolitan areas had highly concentrated markets for inpatient care in 2023, indicating a lack of competition between providers.
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85% are community hospitals
There are over 6,000 hospitals in the United States. 85% of these hospitals are community hospitals.
Community hospitals are defined by the American Hospital Association (AHA) as "all nonfederal, short-term general, and other special hospitals." They are accessible to the general public and provide a range of medical services, usually short-term, in a cost-effective setting. These hospitals are typically small and may be located in rural or urban areas. They are often led by GPs, in collaboration with consultants, nurses, and other healthcare professionals.
Community hospitals play a critical role in providing essential healthcare services to local communities, particularly to patients who may struggle to access larger healthcare organizations. They can be a hub for services, offering rehabilitation, therapy, and inpatient and outpatient care. In some cases, community hospitals may be chosen as a location for teaching and academic purposes, though health associations typically classify teaching hospitals separately.
Community hospitals face various challenges, including timely Medicare reimbursements and regulatory uncertainty. They are an essential component of the US healthcare system, providing access to healthcare for millions of Americans.
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The US has the highest administrative health costs per capita among wealthy nations
There are around 6,093 hospitals in the United States, according to the American Hospital Association's 2023 Annual Survey. However, another source suggests there are over 7,300 hospitals in the country.
A study by researchers from Johns Hopkins Bloomberg School of Public Health found that in 2016, US per capita health care spending was about 25% higher than that of Switzerland, 108% higher than Canada, and 145% higher than the OECD median. The researchers attributed this difference primarily to higher prices rather than greater healthcare utilization.
Another factor contributing to higher administrative costs in the US is the variation in payments between public and private insurers for the same healthcare services. Private insurers and self-insured corporations pay significantly more than public insurers, leading to increased overall spending. Additionally, the US spends more on preventive care than peer nations, with a per capita expenditure of $589 compared to an average of $426 in other countries.
The high administrative costs in US healthcare have been a focus of national conversations, and efforts have been made to address them. For example, the Inflation Reduction Act, signed into law in 2022, includes provisions to lower the cost of prescription drugs, which are often priced higher in the US than in peer countries.
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The number of hospitals has declined since 1975
The number of hospitals in the United States has been steadily declining since 1975. In 1975, there were 7,156 hospitals in the country. However, according to the American Hospital Association's annual survey, there were only 6,093 hospitals in the US as of 2023. This decline in the number of hospitals has resulted in a decrease in the total number of hospital beds available. In 2022, there were 916,752 hospital beds in the US, a significant drop from the 1.5 million beds available in 1975.
There are various types of hospitals in the US, including community hospitals, teaching hospitals, and long-term care hospitals. Community hospitals are nonfederal, short-term general, or other special hospitals, such as obstetrics and gynecology, eye, ear, nose, and throat, rehabilitation, and orthopedic facilities. Long-term care hospitals are defined as hospitals with an average length of stay of 30 or more days.
The decline in the number of hospitals in the US can be attributed to several factors, including financial vulnerabilities, changes in healthcare policies, and the increasing cost of healthcare. Rural and safety-net hospitals, in particular, face financial challenges that contribute to the overall decline in the number of hospitals. Additionally, changes in healthcare policies and the reduction of federal payments to hospitals can impact the number of hospitals able to operate viably.
The American Hospital Association (AHA) conducts an annual survey of hospitals in the United States, tracking more than 7,300 active hospitals across the nation. The AHA's survey includes data on the number of government hospitals, hospitals in each state, and the number of hospital beds. This information is crucial for understanding trends in the healthcare landscape and making informed decisions in the industry.
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Critical access hospitals are the second most common type
There are approximately 6,093 hospitals in the United States, according to the American Hospital Association's 2023 Annual Survey. This figure includes a range of hospital types, such as government hospitals, community hospitals, and specialty hospitals.
Among these, Critical Access Hospitals (CAHs) are the second most prevalent type, with over 1,300 hospitals of this kind across the nation. CAHs are small, rural hospitals that cater to underserved communities. They are defined as hospitals located in rural areas, typically more than 35 miles from another hospital, and they play a crucial role in improving healthcare access and reducing financial vulnerability for rural healthcare institutions.
CAHs are licensed under specific conditions that allow them to benefit from flexible Medicare Conditions of Participation (CoP) and related cost savings. They have 25 or fewer inpatient beds and maintain an annual average length of stay of 96 hours or less for acute inpatient care. CAHs are also required to provide 24-hour emergency care services seven days a week.
The establishment of CAHs is supported by the Medicare Rural Hospital Flexibility Program, also known as the Flex Program, which was created by Congress in the Balanced Budget Act of 1997. This program aims to enhance the financial stability of rural hospitals and improve access to healthcare services for rural residents.
CAHs are essential in addressing the unique healthcare challenges faced by individuals living in rural areas, who are more likely to experience poverty and preventable illnesses. By providing more affordable and accessible healthcare, CAHs play a vital role in improving the overall health and well-being of these communities.
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Frequently asked questions
There are 6,093 hospitals in the United States.
This figure includes community hospitals, which make up 85% of hospitals in the US. It also includes government hospitals, psychiatric hospitals, rehabilitation hospitals, and religious non-medical healthcare institutions.
Community hospitals are non-federal general acute care hospitals. They include academic medical centres or other teaching hospitals. Around 60% are non-profit, while the rest are state/local government-owned or for-profit.
Hospitals not accessible to the general public, such as prison hospitals or college infirmaries, are not included in this figure.











































