The trajectory of care for patients with neurologic respiratory impairment can roughly be subdivided into the three stages of acute, post-acute and long-term care. Patients with acute neurological illness and respiratory impairment are treated in stroke units, intermediate care units or intensive care units, depending on the severity of their condition. Patients with respiratory impairment due to chronic or chronic progressive neurological conditions are treated in variable settings, comprising outpatient clinics, sleep medicine departments and hospital wards as well as medical and neurosciences intermediate and intensive care units. The disciplines of neurology and pulmonology both strongly contribute to the post-acute setting of neurorespiratory care. Post-acute treatment facilities, where neurological patients with tracheostomy or mechanical ventilation are treated, can be part of acute care hospitals or function as stand-alone institutions. Health care structures and centers for neurological patients with respiratory impairment have been comprehensively organized for only a few countries. To explore differences (and detect needs) this chapter provides some insights in healthcare structures and their variability between regions and countries – the disparity is obvious.