PFSz Polska Federacja Szpitali – dowiedz się, kim jesteśmy!

Polska Federacja Szpitali PFSz logo new color favicon

Polska Federacja Szpitali PFSz logo new color favicon

Zapraszamy na nasze social media – Facebook PFSz oraz LinkedIn PFSz!

This web sub-page presents basic information about the Polish Hospital Federation and Poland’s healthcare in English language (US spelling). Please use online translating machine (in top right corner) to read more information that is given in Polish language. News are posted regularly, in Polish only.

Polska Federacja Szpitali PFSz logo new transparent medium


Polish Hospital Federation (PFSz) was founded in Warsaw on 10.10.2011 and was admitted as the full member to the European Hospital and Healthcare Federation HOPE on 19.11.2011 at the meeting of the Board of Governors in Dusseldorf.

PFSz was admitted as the associate member (2020) and then full member at the meeting of the Governing Council (online) of the International Hospital Federation IHF in June 2021.

Polish Hospital Federation (PFSz) – Nongovernmental organisation of hospitals founded in 2011 on the initiative of Jaroslaw J. Fedorowski – physician, healthcare manager and university professor. PFSz legal status is the organisation of employers. Hospitals are admitted as regular members. Companies and private persons may become supporting members. PFSz has cooperation agreements with local and sectorial hospital associations in Poland acting as an umbrella federation covering around 500 hospitals nationwide. PFSz is a voting member of the tri-party social dialogue committee for healthcare on the national level. PFSz is a full member of the largest national cross-sectorial organisation Employers of Poland.

PFSz takes active role in consultations with the decision makers, trade unions, patient associations, medical professional organisations and other stakeholders of the healthcare system as the voice of hospitals and their managers. Other areas of activity include promotion of innovation, research, coordination of charity for hospitals, education and organisation of conferences, support of young healthcare managers, cooperation with media, quality improvement of medical care and special projects related to healthcare market.

PFSz has been a full member of the European Hospital and Healthcare Federation HOPE since 2011.

PFSz became the associate member of the International Hospital Federation (IHF) in June 2020 and the full member of IHF in June 2021.

Pracodawcy RP logo
HOPE logo
International Hospital Federation logo
Polish Hospital Federation

PFSz coverage

Members of the Polish Hospital Federation (PFSz) have a total base of 150K hospital beds, over 400K employees and the value of their services exceeded PLN 50 billion!

direct hospital members
indirect associate hospitals
0 %
of hospital resources in PL
0 K
hospital beds
0 K
0 BN
value of services

Documents and data

Establish date

Establish date

October 10, 2011

Place of establishment

Place of establishment


Legal status of PFSz

Legal status of PFSz

Employers’ organization entered under the number 402294 of the National Court Register (NCR) by the District Court for the Capital City of Warsaw, 12th Commercial Department.

Date of entry in the NCR

Date of entry in the NCR

November 17, 2011
NCR: 0000402294
President of the PFSz: Jaroslaw F. Fedorowski

Tax Identification Number

Tax Identification Number


National Official Business Register

National Official Business Register


Bank account number

Bank account number

30 1600 1068 1843 0059 4000 0001
BNP Paribas Bank Polska SA
branch in Warsaw

Become a PFSz member!

A hospital (as a legal person) may become an ordinary member of PFSz on the basis of a decision of a person authorized to represent it.

Supporting members of PFSz can become:
✔ Association of Hospitals – as a group entity,
✔ Enterprise (company) – as a legal person,
✔ Natural person (individual).

The preconditions are: support for the goals of PFSz, acceptance of the Statute of PFSz and obtaining a positive decision of the Management Board of PFSz.

We encourage natural persons – health protection experts – to become individual Supporting members in the „PFSz Ambassadors” formula.

We also invite medical entities that are not hospitals to Supporting membership in PFSz.

More information can be found in this tab: BECOME A PFSz MEMBER. Membership declarations can be downloaded in this tab: DOCUMENTS & DATA.

Detailed information is provided by the PFSz Headquarters – contact details can be found in this tab: CONTACT.


Polska Federacja Szpitali PFSz logo new transparent medium

Polish Hospital Federation (PFSz) is the voice of Poland’s Hospitals on national, European and global level.


  Sustainable healthcare above divisions.


  Integrating Hospitals – together we can achieve more!


✓  develop a platform for integration, support, communication and knowledge exchange for all Hospitals;
✓  improve patient healthcare, human capital and sustainability;
✓  influence the shape of the law;
✓  fully exploit the potential of Hospitals.


➜  Influencing the Health Policy of Poland and the European Union, active participation in social dialogue.
➜  Action to increase the importance, motivation and respect for Hospital Directors.
➜  Leadership in the area of sustainable development of the Healthcare industry.
➜  Promoting innovative technologies in Healthcare industry.
➜  Indicating good practices in investment and infrastructure management, as well as methods of raising capital.
➜  Popularization of modern risk management and continuous improvement of the quality of hospital care, support for the no fault system.
➜  Computerization, cybersecurity and improving work ergonomics.
➜  Striving for partnership cooperation with the outpatient care sector, e.g. in the model of coordinated healthcare consortia.
➜  Promoting personal data protection, data sharing, anonymized data donation and hospital benchmarking.
➜  Exchange of knowledge, organization of trainings and conferences for hospitals.
➜  Other activities aimed at improving the situation of hospitals and the healthcare system.



We actively, substantively and constructively participate in social dialogue in the healthcare sector.



We organize conferences, trainings, as well as international hospital study visits, we implement the European HOPE Exchange program for Polish Managers and Polish Hospitals, we create networking for hospital leaders.



We initiate group purchases, act to reduce costs, and facilitate the acquisition of subsidies.

Meet Our Team

Jaroslaw J Fedorowski Prezes PFSz foto Polska Federacja Szpitali

President of the PFSz

Ligia Kornowska PFSZ

Managing Director of the PFSz

Urszula Szybowicz PFSz

Operations Director of the PFSz

Michał Dybowski Chief Sustainability Officer Polska Federacja Szpitali PFSz

Chief Sustainability Officer PFSz

Healthcare System in Poland

Constitution of the Republic of Poland (art. 68) /OJ1997, No 78 item 483/guarantees:

•  „Everyone has the right to health care.”
•  „Public authorities guarantee citizens, regardless of their material status, an equal access to health care services financed from public funds.”

The beginning of the new post-socialist economical system started in 1989. Until 1998 almost all healthcare was financed from the general state budget. from 1999 – III 2003 a universal health insurance system functioned based on 17 so called „sickness funds” and then in 2003 a single payer model with National Health Fund „Narodowy Fundusz Zdrowia” (NFZ) was established. NFZ is the single national payer for health care services. It receives funds from special taxation called health premiums. calculation of healthcare premiums is complicated and depends on the personal income, form of employment and special circumstances (i.e. for farmers). National Health Fund is supervised by the Ministry of Health. It acts not for profit and is divided into 16 provincial departments that manage contracting with healthcare providers.

Until now the system was based on Act of 27th August 2004 on health benefits financed from public funds, the Act of 30th August 1991 on health care institutions, the Act of 8 th September on Public Emergency Healthcare System.

For the past 2 decades health care system in Poland has been divided into 4 main sectors of healthcare:

•  Primary Health Care „POZ” (Primary care physician acts as a „gate keeper” to higher levels of the healthcare system) – this sector is composed of many small private practices and some hospital based primary care centers.
•  Specialized Out-Patient Care „AOS” (mostly referral based) – this sector is mixed, there are many private group specialty practices and publicly owned clinics, mostly multispecialty. Some are attached to hospitals, more are free standing.
•  Inpatient Health Care (Hospitals)
•  Emergency Health (public system called national Emergency care System with many modern ambulances and over 20 modern medical helicopters.

And several special areas like:
– Long-Term healthcare, rehabilitation facilities, home care and hospices
– Psychiatric hospitals and outpatient care
– Health Resorts, „sanatoriums”.

In the last decade over 580 hospitals (defined as facilities with 24/7 emergency care services and inpatient care) and several hundred of short stay / day surgery hospitals have been in operation in Poland. Most of hospitals are publicly owned, acting as non-profit organizations, or incorporated (90% of those with emergency care services and 24/7 inpatient care) while most of other hospitals are private. Majority of hospitals provide services financed from public funds administered by the National Health Fund.

In 2017, the hospital sector in Poland changed significantly. The national network of hospitals was voted in favor by the Polish Parliament in May of 2017. The new network was fully implemented in October 2017.

National Hospital Network, called officially the System of Fundamental Hospital Care Coverage, commonly known as the “Hospital Network” divides hospitals into 6 levels, all providing emergency care and inpatient services 24/7, some of them only care related to their specialty profile (oncology, pulmonary and pediatric).

General hospitals:

•  1st  level (with 4 basic departments: surgery, internal medicine, gynecology and obstetrics, and pediatrics) – mainly county hospitals, up to 42% privately owned or with mixed ownership – operational model.
•  2nd  level (hospitals having 4 basic departments plus 2 specialized departments) – larger county and some city hospitals, some privately owned.
•  3rd   level (hospitals having 4 basic departments plus 6-8 specialized departments) – larger regional hospitals, all publicly owned.

And 3 specialized levels:
– Children’s hospitals
– Oncological hospitals and Pulmonology hospitals
– Nationwide hospitals (university hospitals and national research medical institutes)

Additionally, oncology, which is the priority discipline for the State is financed without cap limits.

The list of hospitals approved to the Hospital Network was presented on 27th of June, 2017.

These hospitals are financed by general budgets assigned to them by the National Health Fund. Such budgets may be revised every few months depending on productivity.There is also some financing related to procedures (fee-for-service), outside of global budgets, it depends on the type of hospital and its place in the National Network

Hospitals outside the Network may apply for contracts with the National Health Fund, however the amount of money available for that is only around 10 % of the total public financing of hospital care of 66 bln PLN (amount planned for 2023). The 90% of total hospital care budget is dedicated to in-Network hospitals. The other hospital network related regulation is a restriction on purchasing more than 51% of shares in public hospitals (only those that are incorporated) by private investors.

Most private hospitals are out of the Network, these are mostly procedure oriented ambulatory surgery or one-day surgery centers, without emergency care and not operating 24/7. There are 72 privately owned (or with mixed, >50% ownership, or publicly owned hospital infrastructure but operated by private companies) hospitals in the National Hospital Network – most at level 1, some at level 2.

The other reform of the Poland’s health care system was the implementation of publicly owned entities as the only providers in the National Emergency Health Care System (Comprehensive emergency care model established in 2006 allowed also private companies to operate in the system).

In 2019, the nationwide e-prescription and e-referral system, followed by the patient’s internet account were implemented. Telemedicine has rapidly developed since 2020 and is now very popular in outpatient care

Accordingly to the 2023 National Health Fund budget, the total value of publicly financed healthcare services is going to reach 144 bln PLN. Private financing of healthcare is predicted to reach close to 70 bln PLN in 2023. Central Office of Statistics reports that the total value of financing of healthcare in Poland amounted to 173 bln PLN, equalling 6.6% of GDP in 2021, 47 bln PLN were private financing out of which, 33 bln PLN were direct out-of-pocket payments (19% of the total healthcare payments) and 14 bln PLN were employer sponsored pre-paid care and private healthcare insurance. Private healthcare financing in 2021 was 27% of the total healthcare financing.

Interestingly, in 2023, only 1.4 bln PLN is the amount planned to cover the administrative costs of the National Health Fund. Poland’s National Health Fund is one of the least costly healthcare financing institutions in the world, as its administration amounts only to 1% of the total budget.

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