Rural hospitals, 37 of which have closed since 2020, continue to be at risk of closure because they lose money providing services to patients. Historically, many hospitals have received grants, local tax revenues or subsidies from other businesses that offset these losses, but there is no guarantee that these funds will continue to be available or sufficient to address their financial challenges amid persisting workforce shortages, rising costs and leveling reimbursement.
Here is a breakdown of rural hospital closures and losses on services by state, according to CHQPR:
| State | Hospitals with losses on services | Closures since 2005 | Current rural hospitals |
| Kansas | 84 | 10 | 102 |
| Texas | 101 | 25 | 159 |
| Oklahoma | 57 | 10 | 77 |
| Mississippi | 46 | 6 | 73 |
| New York | 41 | 6 | 51 |
| Alabama | 34 | 7 | 52 |
| Tennessee | 22 | 14 | 55 |
| Georgia | 32 | 9 | 68 |
| Arkansas | 36 | 2 | 49 |
| Kentucky | 30 | 4 | 72 |
| California | 33 | 9 | 56 |
| Missouri | 30 | 10 | 57 |
| Iowa | 66 | 1 | 93 |
| Michigan | 23 | 3 | 63 |
| Louisiana | 36 | 2 | 53 |
| Maine | 14 | 3 | 25 |
| Minnesota | 40 | 6 | 95 |
| South Carolina | 12 | 4 | 23 |
| West Virginia | 14 | 5 | 28 |
| Illinois | 19 | 5 | 71 |
| Indiana | 13 | 4 | 52 |
| North Carolina | 18 | 12 | 52 |
| Pennsylvania | 16 | 6 | 41 |
| South Dakota | 14 | 3 | 48 |
| Virginia | 10 | 2 | 29 |
| Colorado | 16 | 0 | 42 |
| Florida | 9 | 8 | 21 |
| Montana | 35 | 0 | 55 |
| Ohio | 17 | 2 | 70 |
| Alaska | 10 | 1 | 17 |
| North Dakota | 26 | 1 | 39 |
| Vermont | 10 | 0 | 13 |
| Idaho | 15 | 0 | 29 |
| Nebraska | 28 | 2 | 71 |
| Nevada | 11 | 2 | 13 |
| New Mexico | 15 | 1 | 27 |
| Washington | 26 | 1 | 40 |
| Arizona | 15 | 4 | 27 |
| Connecticut | 2 | 0 | 3 |
| Hawaii | 10 | 0 | 12 |
| Massachusetts | 3 | 1 | 5 |
| New Hampshire | 7 | 0 | 17 |
| Wisconsin | 22 | 1 | 75 |
| Wyoming | 11 | 0 | 23 |
| Delaware | 0 | 0 | 2 |
| Maryland | 0 | 1 | 4 |
| New Jersey | 0 | 1 | 0 |
| Oregon | 14 | 0 | 32 |
| Rhode Island | 0 | 0 | 0 |
| Utah | 7 | 0 | 21 |
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