Hospitals and health services in France

58 public buyers declaring "Health" as their main activity in their TED notices, with at least ten supply contract award notices since November 2023. The most notices first.

In proportion

General government spending on goods, services and investment for health in France came to €180 billion in 2024 (Eurostat, COFOG). How much of it reaches suppliers through tenders depends on how the country organises the sector — for example whether statutory health insurance is classified in government.

Source: Eurostat, government finance statistics (gov_10a_main, gov_10a_exp) and GDP (nama_10_gdp), retrieved 9 November 2026.

The market in numbers

Public supply contracts in France: award notices published on TED from 2023-11 to 2026-11, by publication year.

Contracts awarded
27.6K
in 2.5K award notices
Awarded value
€9.2B
from 40% of awards with a published value
Suppliers
3.2K
with at least one award
Public buyers
306
in this sector
Contracts awarded by year
Contracts awarded by year2024: 8,5558,55520242025: 9,9499,94920252026: 9,1029,1022026
Table view
Contracts awarded by year
20248,555
20259,949
20269,102
Awarded value by year (EUR)
Awarded value by year (EUR)2024: €3.3B€3.3B20242025: €4.8B€4.8B20252026: €1.2B€1.2B2026
Table view
Awarded value by year (EUR)
2024€3.3B
2025€4.8B
2026€1.2B
What they buy: contracts by product category
  1. Medical equipments: 15,082
  2. Pharmaceutical products: 6,976
  3. Miscellaneous food products: 1,836
  4. Medical equipments, pharmaceuticals and personal care products: 1,346
  5. Textile articles: 1,054
  6. Personal care products: 607
  7. Animal products, meat and meat products: 510
  8. Cleaning and polishing products: 463
  9. Other6,621
    Other: 6,621
Table view
What they buy: contracts by product category
Medical equipments15,082
Pharmaceutical products6,976
Miscellaneous food products1,836
Medical equipments, pharmaceuticals and personal care products1,346
Textile articles1,054
Personal care products607
Animal products, meat and meat products510
Cleaning and polishing products463
Other6,621
Where the buyers are (NUTS 2 region)
  1. Ile de France3,103
    FR10
    Ile de France: 3,103
  2. Rhône-Alpes3,102
    FRK2
    Rhône-Alpes: 3,102
  3. Nord-Pas de Calais2,733
    FRE1
    Nord-Pas de Calais: 2,733
  4. Aquitaine2,462
    FRI1
    Aquitaine: 2,462
  5. Provence-Alpes-Côte d’Azur2,393
    FRL0
    Provence-Alpes-Côte d’Azur: 2,393
  6. Alsace2,234
    FRF1
    Alsace: 2,234
  7. Bretagne1,129
    FRH0
    Bretagne: 1,129
  8. Centre — Val de Loire943
    FRB0
    Centre — Val de Loire: 943
Table view
Where the buyers are (NUTS 2 region)
Ile de France3,103
Rhône-Alpes3,102
Nord-Pas de Calais2,733
Aquitaine2,462
Provence-Alpes-Côte d’Azur2,393
Alsace2,234
Bretagne1,129
Centre — Val de Loire943
Who wins, by company size as declared in the notice
Who wins, by company size as declared in the notice: Large companies 44.3%, Medium-sized 4.8%, Small 1.6%, Micro 0.5%, SME (size not stated) 20.2%, Size not stated 28.5%Large companies: 12,226 (44.3%)44%Medium-sized: 1,336 (4.8%)Small: 439 (1.6%)Micro: 147 (0.5%)SME (size not stated): 5,588 (20.2%)20%Size not stated: 7,870 (28.5%)29%
  • Large companies
  • Medium-sized
  • Small
  • Micro
  • SME (size not stated)
  • Size not stated
Table view
Who wins, by company size as declared in the notice
Large companies12,226 · 44.3%
Medium-sized1,336 · 4.8%
Small439 · 1.6%
Micro147 · 0.5%
SME (size not stated)5,588 · 20.2%
Size not stated7,870 · 28.5%
Foreign winners: where they are registered
  1. Germany97
    Germany: 97
  2. Netherlands88
    Netherlands: 88
  3. Belgium82
    Belgium: 82
  4. Switzerland43
    Switzerland: 43
  5. United Kingdom23
    United Kingdom: 23
  6. United States21
    United States: 21
Table view
Foreign winners: where they are registered
Germany97
Netherlands88
Belgium82
Switzerland43
United Kingdom23
United States21
Winners registered in France, by turnover (latest filed accounts)
Winners registered in France, by turnover (latest filed accounts): Under €2M turnover 12.3%, €2M–10M 27.1%, €10M–50M 30.2%, €50M and more 30.4%Under €2M turnover: 203 (12.3%)12%€2M–10M: 449 (27.1%)27%€10M–50M: 500 (30.2%)30%€50M and more: 502 (30.4%)30%
  • Under €2M turnover
  • €2M–10M
  • €10M–50M
  • €50M and more
Table view
Winners registered in France, by turnover (latest filed accounts)
Under €2M turnover203 · 12.3%
€2M–10M449 · 27.1%
€10M–50M500 · 30.2%
€50M and more502 · 30.4%
Where the buyers are (city)
  1. Lille2,433
    Lille: 2,433
  2. Talence2,390
    Talence: 2,390
  3. Paris2,187
    Paris: 2,187
  4. Marseille1,934
    Marseille: 1,934
  5. Saint-Brieuc1,520
    Saint-Brieuc: 1,520
  6. Colmar1,336
    Colmar: 1,336
  7. Lyon896
    Lyon: 896
  8. Chambéry787
    Chambéry: 787
Table view
Where the buyers are (city)
Lille2,433
Talence2,390
Paris2,187
Marseille1,934
Saint-Brieuc1,520
Colmar1,336
Lyon896
Chambéry787

1,654 of 2,955 winning companies registered in France have annual accounts in the open business registers; bands follow the EU SME turnover thresholds.

Awards to companies registered in France

98.4%

Awards to companies registered in France: 98.4%

448 awards went to companies registered elsewhere.

Share of the 5 biggest winners

7.6%

Share of the 5 biggest winners: 7.6%

Of all awards; a high share means a concentrated market.

Lots with a single bid

20.6%

Lots with a single bid: 20.6%

Among 24.9K awards whose notice states the number of tenders.

How we count: one award per procedure, lot and winning company, from live contract award notices; a joint procurement counts on every buyer's market. Values are the awarded amounts published in the notice (framework ceilings and estimates are never added), converted to euro at the ECB yearly average. Company size is the SME flag of the notice (eForms BT-165). Read the methodology.

The buyers, the most award notices first

BuyerNotices
GIP RESAHParis142
ETABLISSEMENT FRANCAIS DU SANGSaint-denis133
Hôpitaux Civils de Colmar (68)Colmar115
ASSISTANCE PUBLIQUE HÔPITAUX DE MARSEILLEMarseille96
Assistance Publique Hôpitaux ParisLE KLREMIN BICETRE89
GCS UniHALYON70
Centre Hospitalier Universitaire de NantesNANTES69
CHU AMIENS PICARDIEAmiens66
HOSPICES CIVILS DE LYON DIRECTION DES ACHATSLyon61
CHU de Lille - ES du GHT LMFILille55
HOPITAUX DE PROVENCEMarseille53
CENTRE HOSPITALIER UNIVERSITAIRE CAEN NORMANDIECAEN CEDEX 946
CHU de Lille - ES du GHT HPGLLille46
CHU SAINT ETIENNE4205544
CHU MontpellierMontpellier40
HUS-Etablissement support du GHT 10Strasbourg40
INSERM/Délégation Occitanie MéditerranéeMONTPELLIER40
Centre Hospitalier de Cayenne "Andrée ROSEMON"Cayenne Cedex39
GCS Achats du CentreBlois38
GHT Savoie Belley - CH Métropole SavoieChambéry37
CHU BORDEAUXTalence36
CH de Saint-Brieuc/Paimpol/Tréguier - Etablissement support du GHT d'ARMORSaint-Brieuc33
GHR Mulhouse Sud AlsaceMulhouse cedex33
Centre Hospitalier Universitaire de Clermont-FerrandClermont-Ferrand31
CHU ROUEN NORMANDIEROUEN30
Centre Hospitalier de ValenciennesValenciennes29
Centre Hospitalier de LensLens25
Centre hospitalier du MansLe Mans cedex 925
CHU POITIERSPoitiers24
Centre Hospitalier Universitaire de Nice - Hôpital Cimiez - Établissement support du GHT06NICE23
Centre Hospitalier de l'Agglomération de NeversNEVERS23
GH LA ROCHELLE RE AUNISLA ROCHELLE23
chu Grenoble alpesGrenoble cedex 0920
Centre Hospitalier Tarbes - LourdesTarbes19
CHU DE BORDEAUXTALENCE18
Centre Hospitalier de Valence - Etablissement support GHT DAVValence18
CHU de la RéunionSaint Denis16
Centre Hospitalier Universitaire de Reims, en qualité d'établissement support du Groupement Hospitalier Universitaire de Champagne (GHUC)Reims16
GCS GRAPS Grand EstVerdun16
GHT DU CHERBourges16
HOPITAL NORD FRANCHE-COMTEBelfort16
UNICANCER ACHATSParis16
GHT AUDE-PYRENEESPerpignan cedex 0915
Groupement Hospitalier de Territoire 79 - CH NIORTNiort14
Groupement d'Intérêt Public INOVALYSAngers, Le Mans et Nantes14
CHU ORLEANS - GHT 45Orleans cedex 113
GIP LABEO (14)Saint-Contest13
INSTITUT CURIEPARIS13
CH Verdun Saint-MihielVERDUN12
Centre Hospitalier Annecy GenevoisEpagny Metz-Tessy12
FILIERISParis12
CH EMILE ROUXLE PUY EN VELAY11
Centre Hospitalier d'Ajaccio Notre Dame de la MiséricordeAjaccio Cedex11
GHT de la Guadeloupe (Cellule marchés)Pointe-à-pitre11
HOPITAL NORD FRANCHE-COMTETREVENANS11
CHU DE LA MARTINIQUEFort-de-france10
Centre hospitalier de la côte basqueBayonne cedex10
Groupement Hospitalier de Territoire d'Eure-et-LoirLe Coudray10

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