Assistance publique-hôpitaux de Paris, Hospices civils de Lyon and Assistance publique-hôpitaux de Marseille are headed by a Chief Executive Officer.
The Chief Executive of Assistance publique-hôpitaux de Paris is assisted by three Deputy Chief Executives. The Director General of Hospices civils de Lyon and the Director General of Assistance publique-hôpitaux de Marseille are each assisted by two Deputy Directors General and a Secretary General.