Losses on patient services have forced some hospitals to close service lines and reduce access to care in already underserved communities. There are more than 600 hospitals at risk of closure across the U.S. as well due to financial constraints and inflation.
The Center for Healthcare Quality & Payment Reform compiled data on hospitals that lost money delivering patient services over a multiyear period, excluding the first year of the pandemic. Texas reported the most hospitals with losses on services at 105, while Nevada has the highest percentage of hospitals reporting losses on services at 85 percent.
Here is the breakdown on the number and percentage of hospitals reporting losses on services by state.
| State | Number | Percentage |
| Texas | 105 | 63% |
| Kansas | 83 | 80% |
| Iowa | 64 | 69% |
| Oklahoma | 55 | 71% |
| Mississippi | 47 | 64% |
| New York | 37 | 73% |
| Arkansas | 37 | 76% |
| Minnesota | 37 | 39% |
| Georgia | 36 | 53% |
| Alabama | 35 | 67% |
| Louisiana | 35 | 66% |
| Montana | 34 | 62% |
| Missouri | 32 | 56% |
| California | 28 | 51% |
| Kentucky | 28 | 39% |
| North Dakota | 28 | 72% |
| Washington | 28 | 70% |
| Nebraska | 26 | 37% |
| Michigan | 25 | 39% |
| Tennessee | 21 | 40% |
| North Carolina | 19 | 36% |
| Illinois | 19 | 26% |
| Pennsylvania | 17 | 40% |
| New Mexico | 16 | 57% |
| Colorado | 16 | 38% |
| Maine | 15 | 60% |
| West Virginia | 15 | 54% |
| Arizona | 15 | 56% |
| Wisconsin | 15 | 20% |
| South Carolina | 14 | 56% |
| South Dakota | 13 | 27% |
| Idaho | 13 | 45% |
| Oregon | 13 | 41% |
| Nevada | 11 | 85% |
| Wyoming | 11 | 48% |
| Ohio | 10 | 14% |
| Virginia | 10 | 34% |
| Alaska | 10 | 59% |
| Vermont | 10 | 77% |
| Hawaii | 10 | 83% |
| Indiana | 9 | 17% |
| Florida | 9 | 43% |
| New Hampshire | 7 | 41% |
| Utah | 6 | 29% |
| Massachusetts | 3 | 60% |
| Connecticut | 2 | 67% |
| Delaware | 0 | 0% |
| Maryland | 0 | 0% |
| New Jersey | 0 | 0% |
| Rhode Island | 0 | 0% |
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