Hospitals NAICS 622110

        Hospitals

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Industry Summary

The 2,600 hospitals in the US provide acute care and surgeries for patients on either a scheduled or emergency basis. Most hospitals are considered community hospitals, and are operated by non-profit, for-profit, or state or local government organizations.

Conflict with Insurers

While hospitals depend on private insurers for revenue, both groups struggle to agree on how best to treat patients.

Labor Shortages

Hospitals struggle with shortages of nurses, medical technicians, pharmacists, and other clinical workers.


Recent Developments

Jun 1, 2026 - CT Hospital Oversight Law Targets Private Equity Influence
  • Legislation aimed at increasing oversight of hospital sale-leaseback transactions and limiting private equity influence over Connecticut hospitals was signed into law in early June. Industry merger and acquisition activity may be affected if more states pass similar legislation. The new law requires hospitals to attest that no private equity entity has a controlling interest in the hospital and that private equity entities are not interfering with the professional judgment or clinical decision-making of healthcare providers. The law also increases scrutiny of hospital sale-leaseback transactions, a financial tactic commonly associated with private equity-owned healthcare systems, according to state officials.
  • Elective procedures performed at hospitals are increasing after a pandemic-driven decrease, according to the Zacks Medical-Hospital report. An aging population underpins long-term healthcare demand, while national health spending remains on a steady upward trajectory. Rapid technology adoption and cost pressures are accelerating the shift from inpatient settings to outpatient, ambulatory, and home-based care, however. This transition is improving access and efficiency but is also leaving many hospitals with excess inpatient capacity and elevated fixed-cost burdens despite the rebound in the number of procedures, creating a structural challenge even as overall demand trends remain favorable.
  • The share of Affordable Care Act (ACA) insurance customers in plans that cost more than $6,000 a year doubled in 2026, according to the US Centers for Medicare and Medicaid Services (CMS). Total 2026 ACA enrollment decreased about 5% to 23.1 million. That figure doesn’t yet count people who still may cancel plans because they can’t pay premiums, so the decrease is expected to deepen. Hospitals may be negatively impacted if plans are dropped due to affordability issues.
  • The Producer Price Index for general medical and surgical hospitals increased 3.21% year over year in March, according to the US Bureau of Labor Statistics. (BLS). Hospital industry employment and average wages for nonsupervisory employees increased slightly during the first two months of 2026, according to the BLS.

Industry Revenue

Hospitals


Industry Structure

Industry size & Structure

The average hospital employs about 2,000 workers and generates $491 million in annual revenue.

    • There are about 2,600 hospital firms in the US with about $1.3 trillion in annual revenue and employing 5.1million people.
    • Most hospitals are considered community hospitals, and are operated by non-profit, for-profit, or state or local government organizations.
    • A typical hospital has 100 to 300 beds and serves 5,800 to 11,200 patients annually.
    • The largest US hospital companies include Hospital Corporation of America (HCA), Adventist Health, and Tenet Healthcare Corporation.
    • The average length of stay in a hospital is 4-5 days.
    • The average hospital occupancy rate in urban hospitals is about 62%, while the occupancy rate in rural hospitals is 37%.
    • The majority of hospital employees are dedicated to patient care (doctors, nurses, aides and clinical workers). Other professions within a hospital are office/administrative support, cleaning and maintenance, management, food service, and community and social services.

                                    Industry Forecast

                                    Industry Forecast
                                    Hospitals Industry Growth
                                    Source: Vertical IQ and Inforum

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