How many hospitals do you have?

In my city, we have two of everything if not more. We have a strange competition going on between two systems along with a few other players. The city near us has less than 300,000 people in it.

We have at least two...
- Level I trauma centers
- Level II trauma centers
- Pediatric hospitals
- Helicopter services
- Hospital-based mobile ICU services
- Stroke Centers
- Psychiatric units (the two largest in our state is in our city and that's because one of the rivals recently expanded to surpass the size of the other hospital system)
- Chest pain centers
- Cath labs (4+)
- Robotic surgery
- Peds psych (people hours away try to send their kids to the lock down psych unit)
- Cancer centers
- Senior ERs

Some of the places are the same hospital. Within 10 minutes of the city, we have 8 hospitals. On the outside within 1 hour, we have at least 7 hospitals (I keep on forgetting some of them).

It kind of feels ridiculous given the size of our city. The larger cities have less than half the number of hospitals we have. I think my city is spoiled. It's not like we're the state capital of our state. We're not.

Also, remember, that's the things that I can think of off the top of my head. There are other stuff that the hospitals try to pride themselves on. So what type of servicesa are offered in your area? Do you guys feel like there could be an excess in the number of hospitals in the area?
The place I work is the only hospital that offers any type of advanced care within 40 miles. There are very small community facilities but they can't handle anything that needs more than just an ER can fix. My hospital is small but good. Except the ratios. Ugh.

Only hospital in the city. None others for a good 30-40 minutes any direction. Level 2 trauma and we have a flight team partnered with the neighboring state that is stationed here.

We have one other in the county and yes, there is a lot of duplication in services. I believe we could offer more services if we did not try to duplicate. Both facilities send transplants, burns and Level I trauma to Dallas. If we weren't wasting so much money with duplication we could develop services to keep those patients here, closer to family.

I work in a large metro area, where my city alone has at least 9 hospitals, 3 Level 1 trauma centers and a Level 2. However if you go out a 20 mile radius, you will get like 10 more hospitals, including another massive Level 1 complete with cardiac and transplant (both of which are also found in the city).

I'm in a large metro area in Texas with nearly 7 million people. The city in which I reside has about 750,000 people, and the big city located 30 miles east of me (Dallas) has about 1.3 million people. When you add the populations of the 100+ suburbs located between and around the two big cities, the Dallas/Fort Worth metro area has a population of 6.8 million people.Anyhow, 100+ hospitals are in the area. This includes acute care hospitals, psychiatric hospitals, rehab hospitals, LTAC hospitals, heart hospitals, same day surgery hospitals, and other types of specialty hospitals. And yes, the various hospital systems advertise on billboards and are competing for 'business.'

Just because services are duplicated doesn't mean that there are excess services being offered.From a patient perspective -- choice is good. Competition fosters development.And tertiary care services such as Level I trauma, medical subspecialties and helicopter EMS serve a large region -- not just the local community of 300,000.

We are similar. Two teaching hospitals within miles of each other. three Level 1 traumas. Not enough psych services. Also have two other level ones within 50ish miles. Serve the whole central area of the state.

We have 2x level 1 trauma centres, about 4x level 2 trauma centres, 1x women's and children's, countless number of rehab centres and that's just the public sector.

Indianapolis - approximately 1 million people. THREE major hospital systems (IU, St. Vincent and Community) and the large public hospital (Wishard/ Ashkenazi)IU- Five hospitals including a pediatric hospital, Level I trauma, all the subspecialties- large med school and HUGE nursing schoolCommunity - Three general hospitals, a smaller osteopathic facility (which is opening a med school in a few weeks) and a cardiac-only hospitalSt. Vincent - two large facilities, one with Level I trauma, one new-ish smaller hospital, separate pediatric hospital AND women's hospital AND heart hospital, orthopedic hospital

We definitely have a huge number of hospitals in my area. We have several cities very close together, so it's a total metro area of around 1 million people, but still. We have at least six major hospitals (one level I trauma), two women's hospitals, a children's hospital (also level 1 trauma), a couple of behavioral health hospitals as well as a specific inpatient geropsych unit at one of the hospitals, several smaller community hospitals (at least four)... it's a little ridiculous. I'm not even going to count the urgent care centers/cancer centers/outpatient stuff, it feels like there's at least one on every corner. If you're willing to say that where I live includes things up to an hour away, those numbers at least triple because a nearby city less than 50 miles away has several med schools, nursing schools, teaching hospitals, etc. I get that choice is good, but this is all covered by four major hospital systems and all four are facing budgeting problems. Two of the biggest hospitals have been laying off people and instituting hiring freezes, so I'm not sure the competition is good for the hospitals themselves. The last week I worked at a local hospital they only had 250-ish patients with more than 500 available beds. It doesn't seem sustainable to have so many hospitals clustered so closely together.

My area has something like 8 acute care hospitals, one Level 1 and two Level 2 trauma centers, all are stroke centers, 4 PCI centers, and if I were to expand things out a little bit, add in probably another 4 acute care hospitals, including another Level 2 trauma center. There are a couple of LTAC hospitals, too many SNF facilities to count... The major city has a population of about 1.3 million, and probably 5-6 million in the entire metro area, and while we're closing down our second acute care hospital within the past 12 years or so, we're gaining a large expansion to an existing hospital that will take over all the functions and capacity of the one that's closing. There aren't very many urgent care centers in the area, which is good. There are just enough that people don't have to drive more than 10-15 minutes to get to one, and usually, they won't have to go any further than that to reach the nearest ED. All in all, we're probably OK as far as what the population will easily support.

I live in a small community with only 1 hospital in the entire county. Anything major (and even not so major) gets mediflighted out.