A total of 438 urban hospitals closed across the U.S. between 2000 and June 2026, according to data shared with Becker’s from New Haven, Conn.-based Yale University’s Health Care Affordability Lab.
Between 2001 and 2023, the period for which both openings and closures are fully tracked, urban hospitals posted a net gain of 11 nationally, with 396 openings and 385 closures. However, there were significant losses in individual states. New York lost a net 33 urban hospitals over that period, California lost 29 and Pennsylvania lost 24.
The data covers general, short-term acute-care hospitals and excludes specialty facilities such as psychiatric, rehabilitation, children’s and VA hospitals. Urban and rural classifications follow the census-tract-level definition from the Health Resources & Services Administration’s Federal Office of Rural Health Policy.
The tables below show urban hospital net change by state from 2001 to 2023 and total urban closures by state from 2000 through June 2026. States with no urban hospital activity in the Yale dataset are not listed.
Editor’s note: The lab did not systematically track openings from 2024 forward. Net figures are drawn from the 2001-2023 dataset only.
Here is the urban hospital net change and total closures through June 2026, grouped by net loss, no change and net gain:
States with a net loss
| State | Openings, 2001-2023 | Closures, 2001-2023 | Net change | Total closures, 2000-June 2026 |
| Alabama | 2 | 7 | -5 | 9 |
| California | 21 | 50 | -29 | 51 |
| Delaware | 0 | 2 | -2 | 2 |
| District of Columbia | 0 | 1 | -1 | 2 |
| Georgia | 5 | 10 | -5 | 11 |
| Hawaii | 0 | 1 | -1 | 2 |
| Illinois | 5 | 13 | -8 | 16 |
| Iowa | 2 | 3 | -1 | 3 |
| Kentucky | 0 | 1 | -1 | 1 |
| Louisiana | 11 | 18 | -7 | 20 |
| Massachusetts | 1 | 6 | -5 | 11 |
| Michigan | 4 | 14 | -10 | 14 |
| Minnesota | 2 | 3 | -1 | 3 |
| Mississippi | 1 | 2 | -1 | 2 |
| Missouri | 4 | 10 | -6 | 13 |
| New Jersey | 1 | 15 | -14 | 19 |
| New York | 1 | 34 | -33 | 35 |
| Ohio | 18 | 23 | -5 | 26 |
| Pennsylvania | 15 | 39 | -24 | 45 |
| Rhode Island | 0 | 1 | -1 | 1 |
| South Dakota | 0 | 1 | -1 | 1 |
| West Virginia | 0 | 2 | -2 | 2 |
States with no net change
| State | Openings, 2001-2023 | Closures, 2001-2023 | Net change | Total closures, 2000-June 2026 |
| Arkansas | 6 | 6 | 0 | 7 |
| Maryland | 1 | 1 | 0 | 2 |
| Oregon | 3 | 3 | 0 | 3 |
| South Carolina | 6 | 6 | 0 | 6 |
| Tennessee | 6 | 6 | 0 | 7 |
States with a net gain
| State | Openings, 2001-2023 | Closures, 2001-2023 | Net change | Total closures, 2000-June 2026 |
| Arizona | 19 | 7 | +12 | 7 |
| Colorado | 13 | 1 | +12 | 2 |
| Florida | 30 | 13 | +17 | 15 |
| Idaho | 5 | 1 | +4 | 2 |
| Indiana | 17 | 10 | +7 | 10 |
| Kansas | 8 | 4 | +4 | 4 |
| Montana | 1 | 0 | +1 | 0 |
| Nebraska | 4 | 1 | +3 | 1 |
| Nevada | 9 | 1 | +8 | 1 |
| New Mexico | 6 | 2 | +4 | 2 |
| North Carolina | 7 | 2 | +5 | 2 |
| North Dakota | 1 | 0 | +1 | 0 |
| Oklahoma | 13 | 3 | +10 | 6 |
| Texas | 118 | 54 | +64 | 59 |
| Utah | 6 | 0 | +6 | 0 |
| Virginia | 6 | 2 | +4 | 3 |
| Washington | 8 | 4 | +4 | 5 |
| Wisconsin | 10 | 2 | +8 | 5 |
Explore the data here.
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