Fast Facts on U.S. Hospitals, 2020

The American Hospital Association conducts an annual survey of hospitals in the United States. The data below, published in 2020, are a sample from the 2018 AHA Annual Survey (FY 2018).

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AHA Hospital Statistics 2020 cover

Fast Facts on U.S. Hospitals, 2020

The American Hospital Association conducts an annual survey of hospitals in the United States. The data below, from the 2018 AHA Annual Survey, are a sample of what you will find in AHA Hospital Statistics, 2020 edition. The definitive source for aggregate hospital data and trend analysis, AHA Hospital Statistics includes current and historical data on utilization, personnel, revenue, expenses, managed care contracts, community health indicators, physician models, and much more.

AHA Hospital Statistics is published annually by Health Forum, an affiliate of the American Hospital Association. To order print copies of AHA Hospital Statistics, call (800) AHA-2626 or visit the AHA online store. An interactive online version is also available.

Note that the ICU bed data is not published in AHA Hospital Statistics.

For further information, contact the AHA Resource Center at (312) 422-2050 or rc@aha.org.

Total Number of All U.S. Hospitals

6,146

Number of U.S. Community 1 Hospitals

5,198

Number of Nongovernment Not-for-Profit Community Hospitals

2,937

Number of Investor-Owned (For-Profit) Community Hospitals

1,296

Number of State and Local Government Community Hospitals

965

Number of Federal Government Hospitals

209

Number of Nonfederal Psychiatric Hospitals

616

Other 2 Hospitals

123

 

 

Total Staffed Beds in All U.S. Hospitals

924,107

Staffed Beds in Community 1 Hospitals

792,417

Intensive Care Beds 3 in Community Hospitals

 

Medical-Surgical Intensive Care 4 Beds in Community Hospitals

55,663

Cardiac Intensive Care 5 Beds in Community Hospitals

15,160

Neonatal Intensive Care 6 Beds in Community Hospitals

22,721

Pediatric Intensive Care 7 Beds in Community Hospitals

5,115

Burn Care 8 Beds in Community Hospitals

1,198

Other Intensive Care 9 Beds in Community Hospitals

7,419

Total Admissions in All U.S. Hospitals

36,353,946

Admissions in Community 1 Hospitals

34,251,159

Total Expenses for All U.S. Hospitals

$1,112,207,387,000

Expenses for Community 1 Hospitals

$1,010,271,112,000

 

 

Number of Rural Community  Hospitals

1,821

Number of Urban Community  Hospitals

3,377

 

 

Number of Community Hospitals in a System 10

3,491


1. Community hospitals are defined as all nonfederal, short-term general, and other special hospitals. Other special hospitals include obstetrics and gynecology; eye, ear, nose, and throat; long term acute-care; rehabilitation; orthopedic; and other individually described specialty services. Community hospitals include academic medical centers or other teaching hospitals if they are nonfederal short-term hospitals.  Excluded are hospitals not accessible by the general public, such as prison hospitals or college infirmaries.

2. Other hospitals include nonfederal long term care hospitals and hospital units within an institution such as a prison hospital or school infirmary. Long term care hospitals may be defined by different methods; here they include other hospitals with an average length of stay of 30 or more days.

3. Note that intensive care bed counts are reported on the AHA Annual Survey by approximately 80% of hospitals. Therefore, we have supplemented the Intensive care bed counts based on FY2018 data reported in the CMS Healthcare Cost Report Information System (HCRIS). Total intensive care beds are not summed because the care provided is specialized..

4. Medical-surgical intensive care. Provides patient care of a more intensive nature than the usual medical and surgical care, on the basis of physicians’ orders and approved nursing care plans. These units are staffed with specially trained nursing personnel and contain monitoring and specialized support equipment for patients who because of shock, trauma or other life-threatening conditions require intensified comprehensive observation and care. Includes mixed intensive care units.

5. Cardiac intensive care. Provides patient care of a more specialized nature than the usual medical and surgical care, on the basis of physicians’ orders and approved nursing care plans. The unit is staffed with specially trained nursing personnel and contains monitoring and specialized support or treatment equipment for patients who, because of heart seizure, open-heart surgery, or other life-threatening conditions, require intensified, comprehensive observation and care. May include myocardial infarction, pulmonary care, and heart transplant units.

6. Neonatal intensive care. A unit that must be separate from the newborn nursery providing intensive care to all sick infants including those with the very lowest birth weights (less than 1500 grams). NICU has potential for providing mechanical ventilation, neonatal surgery, and special care for the sickest infants born in the hospital or transferred from another institution. A full-time neonatologist serves as director of the NICU.

7. Pediatric intensive care. Provides care to pediatric patients that is of a more intensive nature than that usually provided to pediatric patients. The unit is staffed with specially trained personnel and contains monitoring and specialized support equipment for treatment of patients who, because of shock, trauma, or other life-threatening conditions, require intensified, comprehensive observation and care.

8. Burn care. Provides care to severely burned patients. Severely burned patients are those with any of the following: (1) second-degree burns of more than 25% total body surface area for adults or 20% total body surface area for children: (2) third-degree burns of more than 10% total body surface area; (3) any severe burns of the hands, face, eyes, ears, or feet; or (4) all inhalation injuries, electrical burns, complicated burn injuries involving fractures and other major traumas, and all other poor risk factors.

9. Other intensive care. A specially staffed, specialty equipped, separate section of a hospital dedicated to the observation, care, and treatment of patients with life-threatening illnesses, injuries, or complications from which recovery is possible. It provides special expertise and facilities for the support of vital function and utilizes the skill of medical nursing and other staff experienced in the management of these problems.

10. System is defined by AHA as either a multihospital or a diversified single hospital system. A multihospital system is two or more hospitals owned, leased, sponsored, or contract managed by a central organization. Single, freestanding hospitals may be categorized as a system by bringing into membership three or more, and at least 25 percent, of their owned or leased non-hospital preacute or postacute health care organizations. System affiliation does not preclude network participation.

© 2020 by Health Forum LLC, an affiliate of the American Hospital Association

Updated March 2020


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