631 hospitals at risk of closure, state by state

More than 200 hospitals in the U.S. are at immediate risk of closing because of financial losses and lack of financial reserves to sustain operations, according to the Center for Healthcare Quality and Payment Reform. 

All but seven states have at least one rural hospital at immediate risk of shutting down. In half of the states, 25 percent or more of rural hospitals were at high risk, according to the report.

Six states have half or more of their rural hospitals at high risk of shuttering. Texas had the most with 76, while Hawaii had the highest percentage of at-risk rural hospitals with 75 percent.

The hospitals identified as being at immediate risk of closure had either low or non-existent financial reserves and a cumulative negative total margin over the most recent three-year period.

Across the U.S., 631 rural hospitals — more than 29 percent nationwide — are either at immediate or high risk of closure. Those at high risk either have low financial reserves or high dependence on nonpatient service revenues such as local taxes or state subsidies, according to the report. 

Rural hospitals at risk of closing in each state as of October 2022, ranked by percent of state totals:

Note: For information on specific at-risk hospitals, see this database.

State

Rural hospitals at risk of closing

Percent of state total

Hawaii

9

75%

Connecticut

2

67%

Alabama

29

60%

Mississippi

38

54%

Kansas

55

53%

Texas

76

50%

Arkansas

22

46%

Oklahoma

33

46%

Tennessee

21

44%

New York

21

41%

Florida

8

38%

Maine

9

36%

Missouri

20

35%

Virginia

10

34%

Washington

13

33%

Wyoming

8

33%

Georgia

21

32%

Alaska

4

31%

Nevada

4

31%

South Carolina

8

31%

Pennsylvania

12

30%

Louisiana

14

27%

West Virginia

7

27%

New Mexico

6

26%

California

13

24%

Iowa

22

24%

Montana

12

23%

Vermont

3

23%

Indiana

11

21%

Massachusetts

1

20%

Michigan

12

19%

North Carolina

10

19%

Arizona

3

18%

Illinois

13

18%

Kentucky

13

18%

South Dakota

8

18%

Colorado

7

17%

Minnesota

15

16%

North Dakota

6

16%

Ohio

10

14%

New Hampshire

2

12%

Oregon

4

12%

Nebraska

7

10%

Utah

2

10%

Idaho

2

7%

Wisconsin

5

7%

Delaware

0

0%

Maryland

0

0%

New Jersey

0

0%

Rhode Island

0

0%

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