The hospitals face losses on patient services as health plans aren’t paying enough to cover the cost of care delivery. The losses will likely increase as inflation and workforce shortages persist, according to the report, which was released in April. While rural hospitals are receiving some support through grants, local tax revenues or other profits, they still have low financial reserves and remain at risk.
More than half the states in the U.S. report 25 percent or more of their rural hospitals are at risk of closure, and more than 200 hospitals nationwide are at immediate risk of closing.
Here are the number and percentage of rural hospitals at risk of closing by state from the analysis:
| State | Number | Percentage |
| Texas | 81 | 49% |
| Kansas | 56 | 54% |
| Oklahoma | 38 | 49% |
| Mississippi | 27 | 36% |
| Alabama | 27 | 52% |
| New York | 27 | 53% |
| Arkansas | 22 | 45% |
| Iowa | 22 | 24% |
| Tennessee | 20 | 38% |
| Georgia | 20 | 29% |
| Missouri | 19 | 33% |
| Louisiana | 18 | 34% |
| California | 17 | 31% |
| Montana | 15 | 27% |
| Michigan | 14 | 22% |
| Kentucky | 14 | 19% |
| Minnesota | 13 | 14% |
| Washington | 13 | 32% |
| Pennsylvania | 12 | 29% |
| Illinois | 12 | 17% |
| South Carolina | 11 | 44% |
| North Dakota | 11 | 28% |
| North Carolina | 10 | 19% |
| West Virginia | 9 | 32% |
| Virginia | 9 | 31% |
| New Mexico | 9 | 32% |
| Maine | 8 | 32% |
| South Dakota | 8 | 17% |
| Hawaii | 8 | 67% |
| Indiana | 7 | 13% |
| Vermont | 7 | 54% |
| Colorado | 7 | 17% |
| Florida | 6 | 29% |
| Nevada | 6 | 46% |
| Wisconsin | 6 | 8% |
| Wyoming | 6 | 26% |
| Ohio | 5 | 7% |
| Alaksa | 5 | 29% |
| Oregon | 4 | 12% |
| Idaho | 3 | 10% |
| Nebraska | 3 | 4% |
| New Hampshire | 3 | 18% |
| Arizona | 2 | 7% |
| Connecticut | 2 | 67% |
| Massachusetts | 2 | 40% |
| Utah | 2 | 10% |
| Delaware | 0 | 0% |
| Maryland | 0 | 0% |
| New Jersey | 0 | 0% |
| Rhode Island | 0 | 0% |
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