States with the most rural hospitals per 100,000

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Massachusetts has the most hospitals per 100,000 rural residents while Delaware has the fewest, according to a University of North Carolina at Chapel Hill report.

The Cecil G. Sheps Center for Health Services Research at UNC-Chapel Hill used CMS’ rural health transformation program data to determine the number of healthcare facilities and population in rural communities. The report includes population, hospital and non-hospital facilities, and uncompensated care in every state. The data was published in October.

Here is how the states stack up with respect to hospitals per 100,000 rural residents:

  1. Massachusetts: 13.99
  2. North Dakota: 12.13
  3. South Dakota: 10.40
  4. Kansas: 9.54
  5. Nebraska: 9.49
  6. Montana: 9.44
  7. Florida: 8.80
  8. Arizona: 7.38
  9. Iowa: 6.76
  10. Nevada: 6.62
  11. Alaska: 6.55
  12. Wyoming: 6.37
  13. Minnesota: 6.37
  14. Louisiana: 6.40
  15. Connecticut: 6.19
  16. Oklahoma: 6.02
  17. Washington: 5.38
  18. Hawaii: 5.31
  19. Illinois: 5.95
  20. Colorado: 5.85
  21. Utah: 5.80
  22. Idaho: 5.50
  23. New York: 5.03
  24. Michigan: 4.92
  25. Texas: 4.89
  26. West Virginia: 4.80
  27. Wisconsin: 4.76
  28. Mississippi: 4.68
  29. Arkansas: 4.64
  30. New Mexico: 4.44
  31. California: 4.20
  32. Alabama: 4.21
  33. Rhode Island: 4.04
  34. Ohio: 3.86
  35. Indiana: 3.88
  36. Pennsylvania: 3.83
  37. Maine: 3.90
  38. Georgia: 3.68
  39. Missouri: 3.66
  40. Oregon: 3.65
  41. Virginia: 3.56
  42. Kentucky: 3.43
  43. Tennessee: 3.21
  44. South Carolina: 3.21
  45. New Hampshire: 3.20
  46. Vermont: 2.95
  47. New Jersey: 2.90
  48. North Carolina: 2.50
  49. Maryland: 1.86
  50. Delaware: 1.64

In 2024, the Sheps Center published a report with the number of total hospitals per state. Read the report here.

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