Introduction — why public hospitals matter?
Public hospitals, those owned and operated by federal, state, or local governments form a critical safety net across the US. They treat the uninsured, provide trauma and specialty services for whole regions, and often maintain the largest inpatient capacities in their states or metro areas. If you’re marketing medical devices, diagnostics, pharmaceuticals, or enterprise healthcare software, reaching the right contacts inside public hospitals (system procurement, clinical leadership, supply chain, and administrative decision-makers) is essential. Public hospitals also tend to be regional referral centers, so a single contract or pilot can impact patient care across an entire county or state.
Here we lists the Top 25 largest public hospitals in the US by staffed beds (government-owned), and shows how to target and market to these institutions using Ampliz healthcare data solutions with a practical, region aware playbook you can apply today. The ranking below is drawn from government hospital bed data compiled by government hospital dataset (May 2025).
how many public hospitals are there?
According to the American Hospital Association (AHA) 2025 Fast Facts, the U.S. has 6,093 hospitals in total. Of these, 920 state & local government community hospitals and 207 federal government hospitals exist together about 1,127 government-owned (public) hospitals. In other words, roughly one in six U.S. hospitals is government-owned, and many of the largest single-site hospitals in bed count are public facilities.
Top 25 Largest Public Hospitals in the US (2025)
| Rank | Hospital Name | City | State | Staffed Beds (approx.) | Ownership (Public) | Data Set |
|---|---|---|---|---|---|---|
| 1 | Jackson Memorial Hospital | Miami | FL | 1,595 | Miami-Dade County | Access Now |
| 2 | Atrium Health Carolinas Medical Center | Charlotte | NC | 1,191 | Hospital Authority (Governmental) | Access Now |
| 3 | UAB Hospital (University of Alabama Hospital) | Birmingham | AL | 1,166 | State | Access Now |
| 4 | Memorial Hermann–Texas Medical Center | Houston | TX | 1,104 | Governmental (Hospital District) | Access Now |
| 5 | Parkland Memorial Hospital | Dallas | TX | 1,020 | Dallas County | Access Now |
| 6 | Grady Memorial Hospital | Atlanta | GA | 953 | Fulton-DeKalb Hospital Authority | Access Now |
| 7 | Ben Taub Hospital (Harris Health System) | Houston | TX | 886 | Harris County | Access Now |
| 8 | San Francisco General Hospital (Zuckerberg SF General) | San Francisco | CA | 867 | City/County | Access Now |
| 9 | Harbor-UCLA Medical Center | Torrance (Los Angeles) | CA | 826 | Los Angeles County | Access Now |
| 10 | Los Angeles County+USC Medical Center | Los Angeles | CA | 807 | Los Angeles County | Access Now |
| 11 | Cook County Stroger Hospital | Chicago | IL | 778 | Cook County | Access Now |
| 12 | Bellevue Hospital Center (NYC Health + Hospitals) | New York | NY | 740 | New York City | Access Now |
| 13 | Jacobi Medical Center (NYC Health + Hospitals) | Bronx | NY | 730 | New York City | Access Now |
| 14 | Elmhurst Hospital Center (NYC Health + Hospitals) | Queens | NY | 725 | New York City | Access Now |
| 15 | Kings County Hospital Center (NYC Health + Hospitals) | Brooklyn | NY | 710 | New York City | Access Now |
| 16 | San Antonio University Hospital (UT Health / Bexar County) | San Antonio | TX | 685 | County/State | Access Now |
| 17 | MetroHealth Medical Center | Cleveland | OH | 665 | County | Access Now |
| 18 | Denver Health Medical Center | Denver | CO | 650 | City/County | Access Now |
| 19 | University Health Truman Medical Center | Kansas City | MO | 638 | County/State | Access Now |
| 20 | Orlando Health – Orlando Regional Medical Center | Orlando | FL | 626 | Hospital District | Access Now |
| 21 | Santa Clara Valley Medical Center | San Jose | CA | 615 | County | Access Now |
| 22 | Harborview Medical Center | Seattle | WA | 611 | King County | Access Now |
| 23 | Hennepin County Medical Center (HCMC) | Minneapolis | MN | 606 | Hennepin County | Access Now |
| 24 | University Medical Center of El Paso | El Paso | TX | 600 | County | Access Now |
| 25 | Maricopa Medical Center (Valleywise Health) | Phoenix | AZ | 585 | Maricopa County | Access Now |
Why marketing to public hospitals is different?
- Procurement runs on public rules: public bidding, RFPs, and transparency requirements. You’ll need procurement-ready collateral, contract templates, and compliance documentation.
- Decision cycles can be longer but outcomes scale regionally: a successful pilot can turn into district-wide adoption.
- Safety-net mandate shapes priorities: cost-effectiveness, population health impact, and regulatory compliance matter more than flashy features.
- Contacts are different: key buyers include Chief Medical Officer, Director of Purchasing, Supply Chain, Director of Nursing, and County Health Officials. Use data to map role titles and contact channels.
How to reach the Top 25 public hospitals using Ampliz?
Ampliz is built for targeted healthcare B2B outreach here’s a playbook to reach large public hospitals:
1) Build an accurate target list
Use Ampliz to extract:
- Hospital legal name, campus addresses, and each campus’ NPI/Taxonomy entries.
- Key decision-maker roles (C-suite, procurement, materials management, biomedical engineering) with verified emails and direct dials.
- Ownership metadata (county, hospital district, state) to anticipate procurement rules.
Why this matters: Public hospitals often use formal role titles (e.g., “Director of Materials Management, Jackson Memorial”) — Ampliz’s affiliation data reduces false positives and increases reply rates.
2) GEO segment your campaigns
Create shortlists by metro (e.g., Miami-Dade, Charlotte metro, Birmingham metro). Tailor messaging to local/regional challenges (e.g., hurricane surge capacity in Florida, rural access issues in Alabama). Use local success stories (pilot hospitals within the same state) to build trust.
3) Use compliance-ready content
Public hospitals require vendor attestations (e.g., HIPAA, cybersecurity posture, CMS compliance). Keep an “RFP packet” ready — Ampliz can help track which hospitals requested RFPs and which had recent procurements.
4) Multi-channel contact strategy
- LinkedIn + email (personalized): for C-suite and clinical leaders.
- Direct phone outreach: for Supply Chain and Materials Management — Ampliz provides direct dials.
- Events & local demos: schedule on-site demos at the hospital campus or invite procurement to regional hospital district meetings.
- Content tailored to public hospitals: whitepapers showing ROI for safety-net settings, case studies with county hospitals.
5) Track and iterate with Ampliz analytics
Measure deliverability, reply rates, meeting conversions, and time-to-pilot. For public hospitals, track the procurement cycle stage (RFI → RFP → Pilot → Contract) to allocate sales resources efficiently.
Common procurement pitfalls & how Ampliz helps avoid them
- Cold lists with wrong titles: Ampliz’s role normalization prevents pitching to obsolete titles.
- Ignoring ownership structure: Ampliz flags county vs. city vs. federal hospitals so you can prepare the right procurement package.
- One-size messaging: Ampliz enables GEO segmentation so you can surface local pain points.
Conclusion
The United States has a total of 1,127 public hospitals (920 state/local + 207 federal), and among these, a select group of 25 stand out as the largest by staffed beds. These institutions are not only massive in size but also play an outsized role in shaping healthcare delivery in their respective regions.
For companies selling medical devices, digital health solutions, pharmaceuticals, or clinical services, engaging with these hospitals can transform go-to-market strategies. Yet, public hospitals operate under unique procurement rules, longer contracting cycles, and publicly accountable mandates. That’s why targeting the right decision-makers with accurate, compliant, and localized outreach is essential.
This is exactly where Ampliz Healthcare Data Intelligence adds value. Ampliz provides verified executive contacts, hospital affiliation insights, ownership details (county, state, federal), and direct dials — ensuring your marketing and sales teams don’t waste cycles chasing the wrong leads. With Ampliz, you can cut through procurement complexity, localize campaigns to each hospital’s GEO-specific challenges, and scale your solutions across entire county and state systems.
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