When I first moved to Spain, one of my biggest concerns was healthcare—after all, health is wealth. Recently, with some time on my hands, I delved into data from the Spanish National Institute of Statistics (INE) to see the number of hospitals in Spain and how they are distributed across the autonomous communities. I found some interesting details that I’ve compiled to share with you, which might be a useful reference for newcomers.
The Data Source is Absolutely Reliable
! The information I’m using comes from the latest annual data released by the National Institute of Statistics, covering all 17 autonomous communities and 2 autonomous cities in Spain. The statistics specifically count ‘hospitals with inpatient beds,’ which means smaller clinics are not included. Therefore, this data provides a better reflection of a region’s comprehensive medical capacity.
Total Hospital Rankings by Autonomous Community
Let’s first look at the total numbers, without distinguishing between public and private, to see how many hospitals each autonomous community has. The results for the number of hospitals in Spain
might surprise some: the region with the most hospitals isn’t Madrid, but Catalonia! It’s followed closely by Andalusia and Madrid. This makes sense, as these are the three most populous and economically developed regions in Spain. In contrast, less populated communities like La Rioja and Navarre have far fewer hospitals.

Public vs. Private: A Breakdown of [Spanish hospitals]
Things get even more interesting when we separate public and private hospitals. I’ve created a simple table comparing a few representative communities for a clearer picture:
| Autonomous Community | Public Hospitals | Private Hospitals | Total |
| Catalonia | 67 | 136 | 203 |
| Andalusia | 50 | 95 | 145 |
| Madrid | 36 | 82 | 118 |
| Valencian Community | 36 | 45 | 81 |
| Galicia | 14 | 36 | 50 |
As the table clearly shows, in most major communities, the number of private hospitals far exceeds public ones. This is especially true in Catalonia, where there are more than twice as many private hospitals as public ones! This helps explain why many friends recommend getting private health insurance—the options are more plentiful and appointments are quicker to book. Of course, this doesn’t mean the public healthcare system is bad; Spain’s public healthcare is world-class. It’s just that the wait times can be… well, you know.
The distribution of healthcare resources in Spain is closely tied to population and economic activity. Those living in big cities like Madrid and Barcelona have little to worry about, with a wide variety of both public and private options. However, for those in smaller cities or towns, it might be worth taking a closer look at the local healthcare landscape. I hope this post is helpful, and I welcome everyone to join the discussion: are you satisfied with the hospitals in your area?