Medical treatment, patient satisfaction, and hospital brand equity are positively related to three communication contexts: interpersonal, internal, and corporate. To integrate those contexts and expand that line of research, visceral analysis suggests that social media are transforming the impact of institutional communications conducted by hospitals. Specifically, questions continue to need answered to fill gaps in, clarify and reinforce previous research. To that end, this article analyzes the strategic impact of social media networks in spreading the brand architecture of hospitals. To this end, the Facebook profiles of 400 hospitals in the United States were analyzed. Each profile was examined to determine whether it utilized 10 indicators related to brand architecture. The results indicate that regarding the leading hospitals in the United States 94% of the surveyed hospitals have an active profile on Facebook but one that only utilized 3 to 5 of the recommended indicators. The professional management of this social media, the more widespread use of corporate video and a strategic orientation toward results have become cornerstones for the effective dissemination of hospital brands through Facebook.However, these organizations face a number of contextual factors that hinder the implementation of such communications, including the legal framework, the poor communicative tradition of hospitals and the difficulty of disseminating scientific content. This article discusses the strategic importance of spreading a hospital's brand architecture through social media. Thus, first, a review of literature is offered on hospital branding, brand architecture and brand dissemination through social media. Second, our method is introduced, and third, the results of a quantitative study on brand communication conducted on Facebook by 400 hospitals in the United States are presented. Fourth, the results of the study, its limitations and the business implications of this analysis are discussed. This paper shows those strategies of corporate communication 2.0 that hospitals should use to ensure a unique brand awareness by its stakeholders.