The Geographic Divide in US Healthcare: Where Are Major Hospitals Located?

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Hospitals in the US
  • Focus of the report: Examining the locations of ten major hospitals in the US.
  • Hospitals under analysis: Ascension Health, Northwell Health, Tenet Health, Village Medical, Cleveland Clinic, UNC Health, HCA Healthcare, Emory Healthcare, Butler Health System, and Community Health Systems.
  • Number of locations across the US: 6,034.
  • Source of data: POI data of 10 major US hospitals downloaded from ScrapeHero DataStore 

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Overview of Hospitals in the US and National Presence

This report examines ten major hospitals in the US, which together operate 6,034 locations nationwide. 

Ascension Health leads with 3,055 locations, accounting for more than half of the total sites analyzed. This extensive presence positions Ascension Health as the largest provider among the group.

Here is a complete list of all Ascension Health hospital locations in the US, with geocoded addresses, phone numbers, etc., for instant download.

Bar chart showing the number of locations for each of the top ten hospitals in the US.

Northwell Health Hospitals follows with 840 locations, making it the second-largest system in terms of geographic footprint. Tenet Health ranks third with 637 locations.

Want a list of Northwell Health Hospital locations in the US?

The remaining hospital systems have significantly fewer sites. Village Medical operates 316 locations, Cleveland Clinic has 307, and UNC Health manages 272 locations nationwide. 

The map below provides a visual representation of these hospital systems’ locations throughout the US, helping you better understand where they operate.

Map of the US marking locations of hospitals from the ten major hospital systems.

Geographic Concentration of US Hospitals: States with the Most Hospitals

The distribution of these ten major US hospitals is uneven across the US. Several states host significantly more hospitals than others.

Bar chart illustrating the top ten states with the most hospitals in the US.

The states with the highest number of locations are New York (924), Michigan (653), Texas (646), Florida (558), and Illinois (433). 

Other states also feature prominently: Indiana (412), Tennessee (387), North Carolina (283), Ohio (271), and Georgia (236). Together, these ten states demonstrate where hospital networks concentrate to address substantial healthcare demand.

Factors Influencing the Locations of US Hospitals

Several factors influence why hospital systems choose specific states for their locations. One key factor is total household income, as states with higher incomes typically have stronger healthcare infrastructure and greater healthcare demand. 

New York, which has the most hospital locations (924), has a total household income of about $7.8 trillion. 

Texas and Florida, with 646 and 558 hospital locations, have household incomes of $11.2 trillion and $8.9 trillion, respectively. 

Michigan and Illinois also rank high, with 653 and 433 hospital locations, and household incomes of $4.1 trillion and $5.0 trillion. 

This shows that many hospitals are concentrated in states with stronger household spending power.

Bar chart showing the states with the highest total household income in the US.

Additionally, there is a clear relationship between states with high mortality rates and the presence of major hospital systems. 

States such as California, Texas, Florida, New York, and Pennsylvania, which report high mortality figures, also have the most hospitals in the US. 

Bar chart indicating states with the highest annual mortality counts.

Geographic Concentration of US Hospitals: Cities and Counties

Certain cities in the US serve as key healthcare hubs, hosting significant numbers of these major hospitals. 

Bar chart showing cities in the US with the highest number of US hospitals under analysis.

Austin has 167 hospital locations, followed closely by Chapel Hill, which has 150. Other prominent cities include Chicago (123), Nashville (109), and New York City (105). 

Additional cities with considerable hospital presence include Pensacola (93), Wichita (92), Staten Island (90), Jacksonville (83), and Indianapolis (80).

Bar chart displaying counties with the highest number of the ten major US hospitals that are part of our analysis.

Analyzing counties also highlights distinct regional healthcare hubs. 

Cook County, Illinois, with 283 locations, holds the highest number of hospitals among these counties. 

Nassau County, New York, closely follows with 276 hospital sites

Other notable counties include Suffolk County, New York (197 locations), Orange County, New York (187), and Oakland, California (154). 

Case Study: Ascension Health’s State and City Footprint

Ascension Health operates the largest network of hospital locations among the analyzed US hospitals. 

Here’s a closer examination of its geographic presence in the US states and cities.

Bar chart displaying states with the highest number of Ascension Health hospitals in the US.

Michigan has the most Ascension Health locations, with 624. 

Illinois follows with 420, Indiana with 371, and Tennessee with 334. Florida (328) and Texas (315) also have substantial numbers. 

Additional states with notable locations include Wisconsin (156), Kansas (135), Oklahoma (125), and New York (87).

Bar chart showing the top cities with Ascension Health hospitals in the US.

Focusing further on urban areas, Ascension Health has strategically chosen cities for their expansion. 

Austin leads with 150 locations. Chicago follows closely with 120 locations. Other major cities include Nashville (98), Pensacola (92), and Wichita (89). 

Ascension also maintains a notable presence in Jacksonville (78), Indianapolis (76), and Evansville (65), and has equal representation in Birmingham and Kalamazoo, each with 49 locations. 

Conclusion

This analysis of ten major US hospitals reveals clear patterns in their geographic distribution. 

Ascension Health dominates in terms of locations, followed significantly by Northwell Health and Tenet Health. States such as New York, Michigan, Texas, Florida, and Illinois emerge as major hubs for healthcare facilities.

Several factors influence these location decisions, notably population size, household income, and regional health needs. 

States and cities with higher populations and economic strength tend to attract more healthcare locations. Likewise, areas with higher mortality rates also draw substantial hospital presence.

These hospitals seem to be strategically positioning their facilities within densely populated counties and major urban centers. This approach ensures they effectively serve areas with healthcare needs, aligning their geographic footprint with an area’s population, economic capacity, and critical care demands.

Want to Do a Similar Analysis?

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