The Physicians Committee for Responsible Medicine (PCRM) has a beef with fast-food chains, particularly when they’re doing business with public hospitals. The D.C.-based non-profit recently surveyed more than 200 hospitals around the U.S. and found that 40 of them—around 20 percent—housed a fast-food restaurant.

Chick-fil-A leads the charge with 20 hospital locations, followed by McDonald’s (18) and Wendy’s (5); donut and coffee spot Tim Horton’s also makes an appearance. In terms of state saturation, Texas and Florida tie with seven hospitals apiece.

The report also points out some surprising anecdotal examples, like the McDonald’s attached to the Children’s Hospital of Georgia, which offers delivery to patients.

“The junk food industry’s aggressive and irresponsible marketing has even been allowed to hijack the very institutions that are supposed to set an example: our hospitals,” says Dr. Aseem Malhotra, who is quoted in the report.

But it’s not all bad news. Since PCRM began compiling its report, Indiana’s Riley Hospital for Children closed its McDonald’s and St. Louis Children’s Hospital stopped offering Dairy Queen products.

“Let’s take it a step further,” writes PCRM president, Dr. Neal Barnard. “Just as cigarettes are banned from hospitals, why not do the same for meat, cheese, and other junk foods?”

Read more:

Hazardous Hospital Foods: How Fast Food Jeopardizes Public Health (Physicians’ Committee for Responsible Medicine)

Do Your State’s Hospitals Serve Big Macs? (Mother Jones)

Cheeseburger with your checkup? This map shows which hospitals have fast-food restaurants (Treehugger)