
The Catholic Church is the largest non-government provider of healthcare services in the world, with around 5,500 hospitals globally. The Church's involvement in healthcare is rooted in its ancient origins. Jesus Christ, whom the Church holds as its founder, instructed his followers to heal the sick. In the 1990s, the Catholic Church was the largest private provider of healthcare in the United States, operating around 566 hospitals, most of which were established by nuns. The first Catholic hospital in the US was founded in 1727 in New Orleans and was named Charity Hospital.
| Characteristics | Values |
|---|---|
| Date of establishment of the first Catholic hospital in the US | 1727 |
| Name of the first Catholic hospital in the US | Charity Hospital in New Orleans |
| Religious groups that established Catholic hospitals in the US | Catholic sisters, nuns |
| Motivations for establishing Catholic hospitals in the US | To care for the sick, establish charitable institutions, and spread religious beliefs |
| Number of hospitals established by Catholic sisters between 1850 and 1950 | Unmatched by any other group |
| Number of Catholic hospitals in the US in the 1990s | 566 |
| Percentage of hospital beds in the US provided by the Catholic Church in the 1990s | One in six |
| Number of Catholic hospitals in the US in 2012 | 12.6% of all hospitals |
| Percentage of hospital admissions at Catholic hospitals in the US in 2012 | 15.6% |
| Percentage of hospital expenses at Catholic hospitals in the US in 2012 | 14.5% |
| Number of clinics globally owned by the Catholic Church | 18,000 |
| Number of homes for the elderly and those with special needs globally owned by the Catholic Church | 16,000 |
| Number of hospitals globally owned by the Catholic Church | 5,500 |
| Percentage of global healthcare facilities managed by the Catholic Church | 26% |
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What You'll Learn
- The Catholic Church is the largest non-government provider of healthcare globally
- The Church's involvement in healthcare is rooted in Jesus Christ's teachings
- Women's religious institutes played a key role in establishing hospitals in the US
- Catholic hospitals have evolved into multi-billion-dollar healthcare corporations
- The Church's healthcare facilities must adhere to the Ethical and Religious Directives (ERDs)

The Catholic Church is the largest non-government provider of healthcare globally
The history of Catholic healthcare in the United States began with the establishment of hospitals by Catholic sisters in the nineteenth century. These women, from religious institutes such as the Sisters of Charity, Sisters of Mercy, and Sisters of St. Francis, played a significant role in the development of the American healthcare system. They established schools and hospitals, emphasizing both medical care and the spread of their religious beliefs. Their efforts in founding, building, financing, and managing hospitals during this period remain unmatched by any other group.
The Catholic Church's contribution to healthcare in the United States continued to be significant in the following decades. In the 1990s, the Church provided about one in six hospital beds in America, amounting to around 566 hospitals, most of which were established by nuns. The Church has consistently advocated for universal healthcare in America since 1919 and has carried a disproportionate number of poor and uninsured patients in its facilities.
The global reach of Catholic healthcare is extensive, with a presence in over 200 countries and territories. The Church's main international aid and development body, Caritas Internationalis, operates in numerous regions, including New Zealand, where Catholic organizations actively engage in community activities such as education, health services, and human rights advocacy. In Sub-Saharan Africa, the contribution of the Church to healthcare can be as high as 40-70%, especially in isolated rural areas. The work of Irish missionaries in establishing and providing healthcare across the continent is particularly noteworthy.
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The Church's involvement in healthcare is rooted in Jesus Christ's teachings
The Catholic Church is the largest non-government provider of health care services in the world. It has around 18,000 clinics, 16,000 homes for the elderly and those with special needs, and 5,500 hospitals, with 65% of them located in developing countries. In 2010, the Church's Pontifical Council for the Pastoral Care of Health Care Workers stated that the Church manages 26% of the world's health care facilities.
> "For I was hungry and you fed me, thirsty and you gave me drink. I was a stranger and you received me in your homes. Naked and you clothed me. I was sick and you took care of me, in prison and you visited me... whatever you did for one of these least brothers of mine, you did for me."
Jesus also performed numerous miracles, healing various forms of disease, including leprosy. He charged his Apostles to heal the sick (Luke 10:9) and promised that those who believed in him would have power over disease (Mark 16:18).
The early Christians were noted for tending to the sick and infirm, and their emphasis on practical charity led to the development of systematic nursing and hospitals. The care of the sick was considered a sacred duty, especially for bishops, presbyters, and deacons. The influential Benedictine rule holds that:
> "The care of the sick is to be placed above and before every other duty, as if indeed Christ were being directly served by waiting on them."
The first church hospitals were constructed in the East, and later in the Latin West. Saint Fabiola founded a hospital in Rome around 400, personally tending to the sick and impoverished victims of hunger and disease. During the smallpox epidemic of 165–180 AD and the measles outbreak of around 250 AD, early Christians tended to the sick and dying, winning friends and sympathizers.
In the United States, Catholic sisters played a significant role in the 19th century by establishing schools and hospitals across the country. They were motivated by a desire to care for the sick, establish charitable institutions, and spread their religious beliefs. Their impact on the American health system was substantial, and they also contributed to the advancement of nursing and the establishment of nursing schools.
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Women's religious institutes played a key role in establishing hospitals in the US
The Catholic Church is the largest non-government provider of healthcare services in the world. It has around 5,500 hospitals globally, with 65% of them located in developing countries. The Church's involvement in healthcare has ancient origins. Jesus Christ, whom the Church holds as its founder, instructed his followers to heal the sick. The early Christians were noted for tending to the sick and the infirm, and their spiritual emphasis implied "the subordination of medicine to religion and doctor to priest".
In the United States, Catholic hospitals were established in the colonial era. The first was probably Charity Hospital in New Orleans, established around 1727. In the 1840s, the major religious denominations, especially the Catholics and Methodists, began opening hospitals in major cities. By 1900, the Catholics had set up hospitals in most major cities. In the 1990s, the Catholic Church provided about one in six hospital beds in America, at around 566 hospitals, most established by nuns.
Women's religious institutes, such as the Sisters of Charity, Sisters of Mercy, and Sisters of St. Francis, played a pivotal role in establishing hospitals in the US. In the nineteenth century, Catholic sisters went across the country, founding schools and hospitals. They were motivated by a desire to care for the sick, establish charitable institutions, and spread their religious beliefs. Their impact on the development of the American healthcare system was immense. They also supported the importance of nursing for the provision of scientifically based medical care and established nursing schools. Their historical record as founders, builders, financiers, and managers of hospitals is unmatched by any other group between 1850 and 1950. This was accomplished at a time when women played no similar leadership and institutional ownership roles elsewhere in society.
The Catholic Church has long been associated with the development of hospitals and healthcare worldwide. The Church's teachings on charity and philanthropy have guided its involvement in healthcare. The establishment of hospitals by women's religious institutes in the US is a significant contribution to the country's healthcare infrastructure.
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Catholic hospitals have evolved into multi-billion-dollar healthcare corporations
The Catholic Church's involvement in healthcare is rooted in its teachings. Jesus Christ, the founder of the Church, instructed his followers to heal the sick and care for their neighbours—the hungry, sick, and poor. In the Middle Ages, monasteries and convents were the key medical centres of Europe, and the Church developed an early version of a welfare state.
In the 19th century, Catholic sisters went across the United States, establishing schools and hospitals. Motivated by their religious beliefs, they cared for the sick, set up charitable institutions, and spread their faith. Their impact on the development of the American healthcare system was immense. They also supported the importance of nursing for the provision of scientifically based medical care and created schools of nursing.
Today, Catholic hospitals in the US have evolved into multi-billion-dollar healthcare corporations. Four of the ten largest US healthcare systems, in monetary terms, are Catholic systems. In 2012, the Catholic Church operated 12.6% of hospitals in the US, accounting for 15.6% of all admissions, and about 14.5% of hospital expenses ($98.6 billion). In 2020, Catholic health systems reported $47.8 billion in net patient revenues, up from $27 billion in 2011. This 76% growth in net patient revenue is far greater than the overall 25% growth for all hospitals.
The ten largest Catholic health systems operate 864 urgent care centres, 385 ambulatory surgery centres, and 274 physician groups. They have expanded into new types of care, such as rehabilitation hospitals, substance abuse treatment centres, and other inpatient specialty care programs. One of the largest Catholic systems, CommonSpirit, claims that one in four Americans have access to healthcare in its system.
Despite their evolution into large healthcare corporations, Catholic hospitals continue to be guided by their religious principles. They must comply with 77 rules known as the Ethical and Religious Directives for Catholic Health Care Services (ERDs). These directives cover various aspects of healthcare, including social responsibility, spiritual care, and the definitions of the beginning and end of life. As a result of these directives, Catholic hospitals do not provide certain services, such as abortion, euthanasia, and contraception.
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The Church's healthcare facilities must adhere to the Ethical and Religious Directives (ERDs)
The Catholic Church is the largest non-government provider of healthcare services in the world, with around 5,500 hospitals, 18,000 clinics, and 16,000 homes for the elderly and those with special needs. The Church's involvement in healthcare is rooted in its ancient origins. Jesus Christ, the founder of the Church, instructed his followers to heal the sick. This led to the development of systematic nursing and hospitals. The early Christians were known for tending to the sick and infirm, and their spiritual emphasis implied "the subordination of medicine to religion and doctor to priest".
- Service and advocacy for marginalised individuals, including the poor, the uninsured, and "the unborn"
- Equal opportunity employment, ensuring employees are treated "respectfully and justly"
- Compliance with the Canon law of the Church
- Provision of Eucharist and other Catholic sacraments exclusively to Catholic patients
- Prohibition of certain medical procedures, such as abortion, euthanasia, and sterilisation, unless "indirectly intended" due to the principle of double effect
The ERDs are enforced by ethics committees within each hospital, comprising clinical, religious, legal, and administrative members. They ensure that Catholic health facilities are operated in full accord with the moral teachings of the Church. The directives have evolved over time, with the most recent update in 2018 addressing Catholic hospital mergers and the potential impact on reproductive health services.
The Church's stance on certain medical procedures, especially in the area of reproductive health, has been a source of controversy. While the Church actively campaigns for universal healthcare and provides care for HIV/AIDS patients and orphanages for unwanted children, its opposition to contraception and abortion has drawn criticism.
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Frequently asked questions
Catholic hospitals began in the US in the 19th century.
Catholic hospitals in the US were started by religious, ethnic, and community groups to serve local healthcare needs.
The Sisters of Charity, Sisters of Mercy, and Sisters of St. Francis were motivated by their desire to care for the sick, establish charitable institutions, and spread their religious beliefs.
The history of healthcare is intimately connected to the Catholic Church. Jesus Christ, the founder of the Church, instructed his followers to heal the sick. Early Christians tended to the sick and infirm, and their spiritual emphasis on practical charity led to the development of systematic nursing and hospitals.
Catholic hospitals have had a significant impact on the development of the American healthcare system. In the 1990s, the Catholic Church provided about one in six hospital beds in America, and they continue to serve a disproportionate number of poor and uninsured patients.











































