This is the 18th edition of the Health&Hospitals Report, which has, each year since the very beginning, sought to take stock of and review the performance of Italian hospitals, comprised of a public component and a private (accredited) component that coexist in a mixed system: the former with 131,000 patient beds and the latter with 57,000, in order to cope with 8.7 million yearly in-patient admissions and a public expenditure of EUR 64.9 billion, equal to 55.9% of total public healthcare spending.