Physician ownership and management have played a foundational role in the history of American hospitals. From the late 19th century, visionary physicians like the Mayo brothers built and led institutions that prioritized patient care, innovation, and teamwork. The Mayo Clinic began as a family medical practice and evolved into a world-renowned hospital known for its collaborative, patient-centered approach and groundbreaking medical advances.

As the healthcare landscape changed, new organizational models emerged, often shifting control away from physicians and placing hospital management in the hands of non-clinical administrators. This transition diminished the direct influence of physicians in hospital leadership and decision-making.

In response, starting in the 1990s, physicians across the United States recognized the need to restore clinical expertise to hospital governance. They established a new generation of physician-led hospitals, designed to put patient care and medical judgment at the forefront. Today, more than 240 hospitals nationwide are owned and operated by physicians, continuing a distinguished tradition of physician leadership.