The global private clinic market, valued at $4.7 trillion in 2020, is anticipated to expand at a 6.7% annual rate, reaching $7.4 trillion by 2027. The Asia-Pacific region is projected to experience the most significant growth due to increasing health concerns and expenditure. In Italy, private healthcare spending is rising across all income levels, fueled by a trend toward chronic diseases.

The Italian Private Clinic Market: Key Trends and Figures

In Italy, the private clinic market is thriving, accounting for nearly a quarter of the nation's total healthcare expenditure. Annual turnover for this sector is substantial, as the top private hospital groups alone generate revenues approximating between €3.5 and €4.0 billion. Moreover, the population has been gradually shifting its healthcare choices towards private clinics, not just the affluent but also those with lower incomes. Chronic diseases, high specialization, and long waiting times in public health facilities are some of the key factors pushing people towards private health services. Evidently, the private clinic market has been particularly appealing due to the specialization and research some facilities offer, leading to an increase in medical tourism. The country has witnessed an increase in private healthcare spending to the tune of approximately 24 percent of overall healthcare expenditure, an increase of about 2 percent compared to the preceding year. Italy's demographic trends play a significant role in shaping private clinic demand. The nation's population, which is around 60 million, is nearing a V-shaped population pyramid because of declining birth rates coupled with increasing longevity—a significant portion, about 23.2 percent, are individuals above 65 years old. Household incomes impact private healthcare decisions; Italian households average an annual income ranging between €39,000 and €47,000. The satisfaction rate with medical care during hospitalization remains high among Italians, with more than 86 percent expressing contentment. However, certain dissatisfactions like long waiting lists and dated medical facilities show that 75.5 percent and 42.2 percent of the population respectively find these as major inconveniences. Annually, roughly between 950,000 and 1,050,000 hospitalizations occur in private facilities across Italy. Interestingly, the use of private care in Italy does not necessarily correlate with socio-professional categories. For instance, the usage rate of private care remains fairly uniform across managers, blue-collar workers, and employees regardless of whether they work in private or public sectors. Regarding the regional distribution, southern Italy, particularly Campania, accounts for a significant 27.3 percent of all private clinics in Italy. The northwest and central regions follow closely behind. In terms of human resources, Italy boasts the second highest number of doctors in the EU with over 400,000 registered physicians. Personnel costs in private healthcare facilities amount to approximately €2.7 billion, while investment in capital assets reaches over €4.3 billion for tangible assets and €651 million for intangible assets.

Prominent Pioneers in the Italian Private Clinic Sector

Italy's private clinic landscape comprises a diverse array of organizations, each renowned for their contributions to healthcare delivery, technological advancement, and specialized services. Here is an overview of the leading players that are setting the benchmarks in the market.

San Donato Group: Established in 1957, the San Donato Group has emerged as a giant in Italy's private hospital sector. Born out of Pavia and expanded under Giuseppe Rotelli's leadership, this entity has made significant strides in scientific research and university education, fostering collaborative efforts with Italian academic institutions. With a network that includes diagnostic centers and nineteen hospitals along with three IRCCS, mainly in Lombardy and some in Emilia-Romagna, the group upholds a commitment to clinical excellence and innovation.

Humanitas Group S.p.A.: With its origins dating back to 1996, Humanitas stands as a paragon of healthcare specialization. Known also for its highly advanced technological infrastructure and comprehensive range of treatments across various medical disciplines, Humanitas exemplifies an integrated approach to patient care. Their illustrious reputation has garnered international acclaim, with Harvard University recognizing their organizational model's trailblazing mix of economic sustainability, development, and social responsibility.

Gruppo Villa Maria S.p.A. (GVM): GVM, from its initial steps with Villa Maria Hospital, has matured into a healthcare colossus, presenting a suite of specialized hospitals, polyclinics, and medical centers across Italy and abroad. Its commitment to offering the highest quality medical services is evident in its state-of-the-art facilities and a roster of specialists renowned internationally.

KOS S.p.A.: KOS Group emerged in 2002 and paved its way through strategic acquisitions and the establishment of new care facilities. With a keen eye on innovation, they have integrated services such as telemedicine throughout their operational areas, streamlining the delivery of healthcare solutions.

Garofalo Health Care S.p.A.: This group, formed in 2000, is distinguished as the first listed private entity in the Italian healthcare sector with a focus on 'best in class' management performance. Their expansive network of 37 healthcare facilities extends high-quality, diversified health services, armed with cutting-edge technologies and qualified professionals.

Get all the information you need
to understand this market

Detailed content


  • Number of pages : 30 pages
  • Format : Digital and PDF versions
  • Last update : 26/02/2024
Update Details

Summary and extracts

1 Market Overview

1.1 Definition and presentation

Private clinic refers to health care facilities, both for-profit and nonprofit, that are not owned by the government. These are usually funded by patients themselves or by insurance companies and are features, along with public facilities, of a large number of health care systems.

In 2020, the global private clinic market was worth $4.7 trillion and is expected to grow at an annual rate of 6.7 percent to a peak of $7.4 trillion in 2027. Markets in the Asia-Pacific region are those for which the greatest growth is expected given the larger catchment area, growing concern about health conditions, and, consequently, increased spending in this regard.

In Italy, there is a steady increase in private health care spending by the Italian population since, contrary to common opinion, it is not only wealthier people who resort to this type of infrastructure. Nowadays, private healthcare spending, in fact, is also part of the budgets of the low-income population.

One factor driving people to use private clinics is certainly the higher incidence of chronic diseases that has begun to be seen in recent years: in fact, almost half of the population that uses the services offered by private clinics is suffering from such a disease.

The private clinic market is particularly attractive especially when considering the high waiting times required to access services at public facilities. In addition, due to the high degree of specialization and research of some private facilities, an increasingly common phenomenon is medical tourism.

On the Italian territory, the most established and recognized private hospital groups are the San Donato Group and San Raffaele Hospital both part of the Papiniano Spa holding company.

1.2 The global market

Private hospitals can have two distinct purposes : for-profit and nonprofit. As can be seen from the chart, the number of for-profit hospitals per country is, on average, significantly higher than the number of nonprofit hospitals. Globally, it is Colombia that has the largest number of private hospitals, some ****, with a total ...

1.2 The Italian Market

Private healthcare in Italy is worth about **.* billion euros a year, accounting for nearly ** percent of total national healthcare spending. The top ** private hospital groups put together a turnover of as much as *.* billion euros, annually.

As of ****, there were a total of about *** private for-profit hospitals, a figure that is ...

1.4 The Covid Effect 19

During the crisis, public-private cooperation was essential to meet the need for care. Public and private institutions pooled available beds: the most serious cases were mainly taken over by institutions with intensive care units, and private clinics, which are usually responsible for follow-up care or planned acts, took over the less ...

2 Demand analysis

2.1 The Main Drivers of Demand

Several drivers can drive the demand for private clinics in Italy. We can find two main categories, demographic characteristics of the Italian population and income characteristics .

The age distribution andmedian age of the Italian population are also important factors to consider in order to better understand this market and its ...

2.2 Italians' opinion of the national health care system

Analyzing the Italian population's satisfaction with the services offered during hospitalization in ****, **.*% of respondents say they are fairly or very satisfied with the medical care they received; **.*% say the same for nursing care while **.*% are generally satisfied with the toilet facilities. However, the food service offered during hospitalization appears to be ...

2.3 Patients

There are about * million hospitalizations in Italy each year. According to the latest available data, dating back to ****, a general decrease in the volume of activity provided by Italian hospitals can be observed: the total number of discharges for acute, rehabilitation and long-term care went from *.***.*** to *,***,***, a decrease of about ...

3 Market structure

3.1 Market structure

The hospital sector in Italy is divided into public facilities, private for-profit facilities and private nonprofit facilities. In total, there are **** clinics in Italy. different types of clinics can be distinguished :

The following are defined as public inpatient facilities

Hospital corporations; Directly operated hospitals; Hospital corporations integrated with the National Health ...

3.2 The geographical distribution of private clinics

In order to highlight the geographical distribution of the supply of private clinics, a map was created with the number of clinics in each Italian region.

In the South of the peninsula, thanks to the values recorded in Campania, **.*% of the total number of private clinics in Italy is concentrated. This ...

3.3 The Staff of Private Clinics

Research by the Eurostat agency in August **** shows that our country has the second most physicians on an EU scale. Private healthcare facilities, in aggregate, incur about *.* billion euros as personnel costs. As for capital assets, the value is more than *.* billion euros for tangible assets, while it is *** million euros ...

3.4 The main actors

A list of major players active in private clinic services is offered below:

San Donato Group: founded in **** in Pavia by Luigi Rotelli, is one of the largest private hospital groups in Italy. Headquartered in Milan, the group has developed considerably since **** under the leadership of Giuseppe Rotelli, son of the ...

4 Supply analysis

4.1 A Quality and Innovative Offering

Quality of accommodation

The clinics were the first to offer single rooms and to pay special attention to the quality of hotel and dining facilities, but also to the presence of ancillary services such as a nursery, restaurant, or conference center. [***]

Research and technological innovation

The rapid evolution of technology is ...

4.2 The Prices of Private Health Care Facilities

The prices of various health treatments and services offered by private clinics varies greatly by region and City. Milan turns out to be the most expensive city for private health care and where there are the greatest price differences between private facilities (***), Palermo, on the other hand, turns out to be ...

5 Regulations

5.1 Accreditation of Private Facilities within the NHS

the path that private health care facilities must take to be accredited within the SSN is called the three A's system (***) and involves three steps that allow them to be equalized with public ones.


The first step is authorization. The purpose of authorization is to allow the exercise of health ...

6 Positioning of actors

6.1 Segmentation

  • Gruppo San Donato
  • Humanitas Mirasole S.p.A.
  • Gruppo Villa Maria s.p.a
  • Kos s.p.a
  • Garofalo Health Care s.p.a

List of charts

  • Total number of Private, nonprofit and for-profit hospitals
  • Evolution Number of Private Hospitals in Italy
  • Number of facilities by type of care provided
  • Breakdown of the population
  • Evolution of median household income
Show more Hide

All our studies are available online in PDF format

Take a look at an example of our research on another market!

Do you have a question about this study?   +44 238 097 0676

Companies quoted in this study

This study contains a complete overview of the companies in the market, with the latest figures and news for each company. :

Gruppo San Donato
Humanitas Mirasole S.p.A.
Gruppo Villa Maria s.p.a
Kos s.p.a
Garofalo Health Care s.p.a

Choosing this study means :

Access to more than 35 hours of work

Our studies are the result of over 35 hours of research and analysis. Using our studies allows you to devote more time and added value to your projects.

Benefit from 6 years' experience and over 1,500 industry reports already produced

Our expertise enables us to produce comprehensive studies in all sectors, including niche and emerging markets.

Our know-how and methodology enable us to produce reports that offer unique value for money.

Access to several thousand articles and paid-for data

Businesscoot has access to all the paid economic press as well as exclusive databases to carry out its market research (over 30,000 articles and private sources).

To enhance our research, our analysts also use web indicators (semrush, trends, etc.) to identify market trends and company strategies. (Consult our paying sources)

Guaranteed support after your purchase

A team dedicated to after-sales service, to guarantee you a high level of satisfaction. +44 238 097 0676

A digital format designed for our users

Not only do you have access to a PDF, but also to a digital version designed for our customers. This version gives you access to sources, data in Excel format and graphics. The content of the study can therefore be easily retrieved and adapted for your specific needs.

Our offers :

the private clinic market | Italy

89 €
  • What are the figures on the size and growth of the market?
  • What is driving the growth of the market and its evolution?
  • What is the positioning of companies in the value chain?
  • Data from several dozen databases

5 reports pack (-15%) IT Italy

75.6 € / study
378 € instead of 445 € -15%
  • 5 reports at €75.6 excluding VAT per study to choose from our Italian catalogue for 12 months
  • Save 15% on additional studies purchased
  • Choose to be refunded any unused credit at the end of the 12-month period (duration of the pack)

See the terms and conditions of the pack and the refund of unused credit.


Do you have a question ?
Our team is at your disposal at   +44 238 097 0676