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Fast Facts on U.S. Hospitals, 2023 The American Hospital Association conducts an annual survey of hospitals in the United States. The data below, from the 2021 AHA Annual Survey, are a sample of what you will find in AHA Hospital Statistics, 2023 edition. The definitive source for aggregate hospital data and trend analysis, AHA Hospital Statistics includes current and historical data on utilization, personnel, indicators, and much more. The AHA has also created Fast Facts Infographics to provide visualizations for this data.

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

2022 PDF Infographics

For further information, contact the AHA Resource Center at [email protected].

Total Number of All U.S. Hospitals 6,129

Number of U.S. Community1 Hospitals 5,157

Number of Nongovernment Not-for-Profit Community Hospitals 2,978

Number of Investor-Owned (For-Profit) Community Hospitals 1,235

Number of State and Local Government Community Hospitals 944

Number of Federal Government Hospitals 206

Number of Nonfederal Psychiatric Hospitals 659

Other2 Hospitals 107

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Total Staffed Beds in All U.S. Hospitals 919,649

Staffed Beds in Community 1 Hospitals 787,987

Total Admissions in All U.S. Hospitals 34,011,386

Admissions in Community 1 Hospitals 31,967,073

Number of Rural Community Hospitals 1,800

Number of Urban Community Hospitals 3,357

Number of Community Hospitals in a System 3 3,514

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. 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 pre-acute or post-acute health care organizations.

© 2023 by Health Forum LLC, an affiliate of the American Hospital Association Updated May 2023

Posted on July 9, 2002

Government Funds 60% of U.S. Healthcare Costs

CONTACTS: David Himmelstein, M.D. Steffie Woolhandler, M.D. (617) 497-1268 (617) 665-1032 (617) 546-0615 (Beeper)

Government Funds 60% of U.S. Healthcare Costs - Far Higher than Previously Believed

Harvard Study Shows Government Health Spending in U.S. Exceeds Costs in any Nation With National Health Insurance

"We Pay for National Health Insurance but Don't Get It"

Government expenditures accounted for 59.8% of total U.S. health care costs in 1999, according to a Harvard Medical School study published today in the journal Health Affairs. At $2,604 per capita, government spending was the highest of any nation - including those with national health insurance. Indeed, government health spending in the U.S. exceeded total health spending (government plus private) in every other country except Switzerland. (Estimated total U.S. health spending for 2002 is $5,427 per capita, with government's share being $3,245.)

Taxes fund care for those most vulnerable to illness and expense - the elderly, the disabled, the poor, patients with end-stage kidney disease, severe mental illness, certain cancers and rare diseases, and now, Alzheimer�s (75.8% of tax-financed health expenditures). Taxes also fund coverage for all public employees, veterans, and the military (e.g. all members of Congress have publicly-funded insurance) (9.1%). And businesses get large tax-breaks for providing coverage to their employees (15.1%).

�We have a system in which we�ve �privatized the profits, and socialized the risks,� said Dr. Steffie Woolhandler, a co-author of the study and Associate Professor of Medicine at Harvard. �Insurance companies reap the profits and pay their executives millions while drowning our health system in paperwork at public expense. For their part, businesses complain bitterly of rising health care costs, yet they pay only 19% of total U.S. health costs, insure the mostly healthy and wealthy, and reap large tax- breaks (subtracting tax-breaks reduces employers share of health spending to just 11%).�

�It would be much better � for both business and the American public - to get employers out of the business of providing health insurance altogether,� continued Dr. Woolhandler. If we put everyone � young and old � healthy and ill � in the same risk pool, we could save enough on bureaucracy ($154

billion) to cover all the 40 million uninsured. We could also end �job-lock� for employees and effectively control rising health costs � something no individual business can do.�

The study analyzed data on spending for Medicare and Medicaid, as well as the costs of tax subsidies for private coverage and expenditures to purchase private insurance for government employees. These latter two categories have previously been overlooked in calculations of government health spending. It found that government's share of expenditures has nearly doubled since 1965, with tax subsidies and public employee benefit costs increasing fastest.

�National health insurance doesn�t mean spending more; it means spending wisely,� said Dr. David Himmelstein, a co-author of the study and co-founder of Physicians for a National Health Program (PNHP). �We spend over $309 billion on paperwork in insurance companies, hospitals, nursing homes and doctor�s offices � at least half of which could be saved through national health insurance. We spend over $150 billion on medications -- at prices 50% higher than Canada�s�.

�Universal coverage is affordable - without a big tax increase,� continued Dr. Himmelstein. �Because taxes already fund 60% of health care costs, a shift about the size of the recent tax cut ($130 billion a year) from private funding to public funding would allow us to cover all the uninsured and improve benefits for everyone else. Insurers/HMOs and drug companies buy-off our politicians with huge campaign contributions and hordes of lobbyists."

�It�s an outrage that the American public is already paying for health care for all with their tax dollars � yet 41 million people are without any health insurance at all. 85% of the uninsured are working people and children,� said Dr. Quentin Young, Past President of the American Public Health Association. �Health care should be every American�s right, just like other tax-funded necessities like roads and defense, police and fire protection.�

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Physicians for a National Health Program is an organization of over 9,500 physicians that supports non- profit national health insurance. It has chapters and spokespeople across the country and makes its headquarters in Chicago. For additional contacts, call 312-782-6006.

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Government Oversight & Recovery Strategies In the formation of an entity or authority that overseas the rescue effort in any mass casualty event, it must be made absolutely clear that there must be a strict chain of command that ends in a single oversight authority. While federal and state authorities may be available and appropriate as the primary management in the case of a large mass casualty event, encompassing several sites, a single-site disaster is usually best handled locally. As indicated earlier in the course session, the Incident Command System (ICS) is most probably the most effective system and the easiest to implement. However, this chain of command structure is intended to monitor and facilitate the reporting relationships bellow the level of the local commander or authority. The chain of command above the level of the local commander is less clearly defined due to variety of governmental agencies, and entities that may be present in any given geographic location or political jurisdiction.

When addressing the prospect of a mass casualty incident, and preparing a plan for such an event, the systems and programs within the operational framework must be comprehensive and robust to handle the consequences of a catastrophic incident.

The strategies in obtaining funding commitments from philanthropic organizations are similar to those employed in the search for corporate funding of projects. Philanthropic organizations are more involved with the effect that program will have on the community at large rather than the impact on their own corporate structure.

The two main sources of government funding are grants and loans. Both of these source are extremely competitive. Typically, the funds fall into certain categories for distribution, including education, training or infrastructure. The ability to access these funds is dependent upon tailoring the proposal to specific needs of the funds recipients.

Any disaster management policies adopted in the United States have the potential for ramifications in other nations. Each policy decision must be considered for its global effects. We rely on other countries for support.