0000−0001−9300−7196] , Ryan Hartman 3[0000−0001−8044−5461] , Erick Romero 1[0000−0001−5456−3093] , Ronaldo Menezes 2[0000−0002−6479−6429] , and Martin Cadeiras 1[0000−0003−4545−2871]Abstract. A Health Service Area (HSA) is a group of geographic regions served by similar health care facilities. The delineation of HSAs plays a pivotal role in the characterization of health care services available in an area, enabling a better planning and regulation of health care services. Though Dartmouth HSAs have been the standard delineation for decades, previous work has recently shown an improved HSA delineation using a network-based approach, in which HSAs are the communities extracted by the Louvain algorithm in hospital-patient discharge networks. Given the existent heterogeneity of communities extracted by different community detection algorithms, a comparative analysis of community detection algorithms for optimal HSA delineation is lacking. In this work, we compared HSA delineations produced by community detection algorithms using a large-scale dataset containing different types of hospitalpatient discharges spanning a 7-year period in US. Our results replicated the heterogeneity among community detection algorithms found in previous works, the improved HSA delineation obtained by a network-based, and suggested that Infomap may be a more suitable community detection for HSA delineation since it finds a high number of HSAs with high localization index and a low network conductance.