By 2000 the vast majority of Lithuanian health care institutions were non-profit-making enterprises and a private sector developed, providing mostly outpatient services which are paid for out-of-pocket. The Ministry of Health also runs a few health care facilities and is involved in the running of the two major Lithuanian teaching hospitals. It is responsible for the State Public Health Centre which manages the public health network including ten county public health centres with their local branches. The ten counties run county hospitals and specialised health care facilities.