Hospitals and health services in Italy

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 Italy came to €96.5 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 Italy: award notices published on TED from 2023-11 to 2026-11, by publication year.

Contracts awarded
18.4K
in 2.3K award notices
Awarded value
€11B
from 85% of awards with a published value
Suppliers
1.7K
with at least one award
Public buyers
211
in this sector
Contracts awarded by year
Contracts awarded by yearNov–Dec 2023: 2222Nov–Dec 20232024: 2,3932,39320242025: 6,8626,86220252026: 9,1439,1432026
Table view
Contracts awarded by year
Nov–Dec 202322
20242,393
20256,862
20269,143
Awarded value by year (EUR)
Awarded value by year (EUR)Nov–Dec 2023: €10.7M€10.7MNov–Dec 20232024: €1.9B€1.9B20242025: €3.5B€3.5B20252026: €5.1B€5.1B2026
Table view
Awarded value by year (EUR)
Nov–Dec 2023€10.7M
2024€1.9B
2025€3.5B
2026€5.1B
What they buy: contracts by product category
  1. Medical equipments: 14,993
  2. Pharmaceutical products: 1,808
  3. Instruments for checking physical characteristics: 288
  4. Personal care products: 214
  5. Miscellaneous food products: 196
  6. Furniture: 147
  7. Computer equipment and supplies: 59
  8. Emergency and security equipment: 53
  9. Other747
    Other: 747
Table view
What they buy: contracts by product category
Medical equipments14,993
Pharmaceutical products1,808
Instruments for checking physical characteristics288
Personal care products214
Miscellaneous food products196
Furniture147
Computer equipment and supplies59
Emergency and security equipment53
Other747
Where the buyers are (NUTS 2 region)
  1. Lazio4,571
    ITI4
    Lazio: 4,571
  2. Sicilia2,074
    ITG1
    Sicilia: 2,074
  3. Lombardia1,845
    ITC4
    Lombardia: 1,845
  4. Friuli-Venezia Giulia1,275
    ITH4
    Friuli-Venezia Giulia: 1,275
  5. Sardegna1,271
    ITG2
    Sardegna: 1,271
  6. Emilia-Romagna1,213
    ITH5
    Emilia-Romagna: 1,213
  7. Piemonte1,206
    ITC1
    Piemonte: 1,206
  8. Toscana1,183
    ITI1
    Toscana: 1,183
Table view
Where the buyers are (NUTS 2 region)
Lazio4,571
Sicilia2,074
Lombardia1,845
Friuli-Venezia Giulia1,275
Sardegna1,271
Emilia-Romagna1,213
Piemonte1,206
Toscana1,183
Who wins, by company size as declared in the notice
Who wins, by company size as declared in the notice: Large companies 7.3%, Medium-sized 1.3%, Small 0.7%, Micro 0.3%, SME (size not stated) 8.8%, Size not stated 81.6%Large companies: 1,353 (7.3%)Medium-sized: 242 (1.3%)Small: 132 (0.7%)Micro: 52 (0.3%)SME (size not stated): 1,618 (8.8%)Size not stated: 15,023 (81.6%)82%
  • 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 companies1,353 · 7.3%
Medium-sized242 · 1.3%
Small132 · 0.7%
Micro52 · 0.3%
SME (size not stated)1,618 · 8.8%
Size not stated15,023 · 81.6%
Foreign winners: where they are registered
  1. France47
    France: 47
  2. Austria23
    Austria: 23
  3. United Kingdom16
    United Kingdom: 16
  4. Netherlands16
    Netherlands: 16
  5. Germany14
    Germany: 14
  6. San Marino9
    San Marino: 9
Table view
Foreign winners: where they are registered
France47
Austria23
United Kingdom16
Netherlands16
Germany14
San Marino9
Where the buyers are (city)
  1. Roma3,145
    Roma: 3,145
  2. Udine1,259
    Udine: 1,259
  3. Siena1,183
    Siena: 1,183
  4. Ancona981
    Ancona: 981
  5. Selargius (CA)759
    Selargius (CA): 759
  6. Brescia706
    Brescia: 706
  7. Ravenna704
    Ravenna: 704
  8. Albano Laziale558
    Albano Laziale: 558
Table view
Where the buyers are (city)
Roma3,145
Udine1,259
Siena1,183
Ancona981
Selargius (CA)759
Brescia706
Ravenna704
Albano Laziale558

Awards to companies registered in Italy

99.3%

Awards to companies registered in Italy: 99.3%

132 awards went to companies registered elsewhere.

Share of the 5 biggest winners

10.2%

Share of the 5 biggest winners: 10.2%

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

Lots with a single bid

28.7%

Lots with a single bid: 28.7%

Among 16.6K 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
AZIENDA USL DI BOLOGNABologna131
ARCS - AZIENDA REGIONALE DI COORDINAMENTO PER LA SALUTEUdine120
Fondazione Istituto G. Giglio di Cefalùcefalu116
estarSiena113
AZIENDA USL DELLA ROMAGNARavenna92
Azienda Sanitaria dell’Alto Adige - Ripartizione acquistiBozen69
ASL Roma 1Roma41
Fondazione IRCCS Ca' Granda Ospedale Maggiore PoliclinicoMilano41
ISTITUTO ZOOPROFILATTICO SPERIMENTALE DELLA LOMBARDIA E DELL'EMILIA ROMAGNA "BRUNO UBERTINI"Brescia41
ASST degli Spedali Civili di BresciaBrescia40
ASST LARIANAcomo38
AZIENDA SOCIO SANITARIA TERRITORIALE (ASST) DEI SETTE LAGHIVARESE38
A.O. San Giovanni AddolorataRoma32
ARES - Azienda Regionale della SaluteSelargius (CA)31
ASL TO3Collegno31
AZIENDA OSPEDALIERA NAZIONALE SS. ANTONIO E BIAGIO E C.ARRIGOALESSANDRIA31
Azienda Ospedaliero Universitaria di SassariSassari30
ASL di RietiRieti27
Azienda Ospedale-Università PadovaPadova27
Istituto Tumori "Giovanni Paolo II" I.R.C.C.S.Bari26
A.S.S.T. DI CREMONACremona25
A.O.U. POLICLINICO "GASPARE RODOLICO - SAN MARCO"Catania24
Azienda Ospedaliero Universitaria CagliariCagliari24
Azienda ZeroPadova24
Regione Liguria - Stazione Unica Appaltante Regionale S.U.A.RGENOVA23
A.O.U. "Maggiore della Carità" di NovaraNovara22
Azienda Ulss 2 Marca trevigianaTreviso22
FONDAZIONE IRCCS POLICLINICO SAN MATTEOPAVIA22
FONDAZIONE IRCCS SAN GERARDO DEI TINTORIMONZA21
A.S.T. AZIENDA SANITARIA TERRITORIALE PESARO URBINOAncona20
AZIENDA SANITARIA PROVINCIALE DI AGRIGENTOAgrigento20
Azienda Sanitaria Provinciale di MessinaMessina20
I.F.O.Roma20
A.O. San Camillo ForlaniniRoma19
Azienda ospedaliero universitaria Sant’AndreaROMA18
Azienda Ospedaliera S.Croce e CarleCuneo17
IRCCS “S. De Bellis”Castellana Grotte17
A.O. "SANT'ANNA E SAN SEBASTIANO"Caserta16
ASST OVEST MILANESELEGNANO16
Azienda Socio Sanitaria territoriale di LodiLodi16
Azienda Unità Sanitaria Locale - ViterboViterbo16
Istituto Zooprofilattico Sperimentale del Piemonte, Liguria e Valle d’AostaTorino16
AZIENDA ULSS 6 EUGANEAPADOVA15
Azienda Policlinico Tor VergataRoma15
IRCCS Policlinico San MartinoGenova15
ASL CN1 - S.S. ACQUISTICuneo14
ASL Roma 2Roma14
ASL Roma 6Albano Laziale14
ASST LECCOLECCO14
Policlinico Umberto IRoma14
Azienda Ospedaliero Universitaria delle MarcheANCONA13
Azienda Sanitaria Provinciale di TrapaniTrapani13
Stazione Unica Appaltante Marche (SUAM)Ancona13
AZIENDA SANITARIA LOCALE NAPOLI 3 SUDTORRE DEL GRECO11
AZIENDA SANITARIA UNIVERSITARIA FRIULI CENTRALEUDINE11
Azienda ULSS n. 8 "BERICA"Vicenza11
AZIENDA OSPEDALIERA "S.MARIA" DI TERNITERNI10
AZIENDA OSPEDALIERA DI PERUGIAPerugia10

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