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25 states at most risk of rural hospital closures

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Rural hospital closures picked up in 2023 and nearly 700 rural hospitals face continued risk of closing due to serious financial challenges, with some states facing critical conditions in the short term. 


The finding comes from the Center for Healthcare Quality and Payment Reform's latest report, "Rural Hospitals at Risk of Closing." Eight rural hospitals closed in 2023, as many as in 2022 and 2021 combined, according to the report. This followed a landmark 18 rural hospital closures in 2020, more than any year in the previous decade.


Given that immediate risk of closure is the more urgent of the two categories, Becker's has ranked 25 states by the percentage of their rural hospitals at risk of closure in the next two to three years maximum. The listing for each state also contains broader information about the number of hospitals at risk of closure over the next six to seven years. The report from CHQPR assessing each state's rural hospital health and risks can be found in full here.


(Top 3)


New York 

45% of rural hospitals — 23 — are at immediate risk of closure in the next 2-3 years 

57% of rural hospitals — 29 — are at risk of closure in the next 6-7 years 


Alabama 

44% of rural hospitals — 23 — are at immediate risk of closure in the next 2-3 years

 58% of rural hospitals — 30 — are at risk of closure in the next 6-7 years 


Mississippi

34% of rural hospitals — 25 — are at immediate risk of closure in the next 2-3 years 

52% of rural hospitals — 38 — are at risk of closure in the next 6-7 years 

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