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Rural hospitals in the U.S.

Statistics report on rural hospitals in the United States

This report provides some of the most important facts and figures concerning rural hospitals in the United States. In the U.S., the number of rural hospitals is decreasing faster than urban hospitals. This report supplies information on the number of rural hospitals and closures. It also has figures on hospital finances, particularly operating margins. A special chapter focused on the diminishing maternity wards is included.

Table of contents

Overview

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  • Premium Statistic Number of rural vs. urban community hospitals in the U.S. 2017-2024
  • Premium Statistic Ownership of U.S. community hospitals in urban and rural areas, 2023
  • Premium Statistic Health system-affiliation of U.S. community hospitals in urban and rural areas, 2023
  • Premium Statistic Size of U.S. community hospitals in urban and rural areas, 2023

Closures and conversions

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  • Premium Statistic Rural hospital closures in the U.S. 2005-2025
  • Premium Statistic Rural hospital closures in the U.S. 2025, by state
  • Premium Statistic Rural hospitals at immediate risk of closing in the U.S. 2025, by state
  • Premium Statistic Hospital conversions to rural emergency hospitals in the U.S. 2023-2025

Hospital finances

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  • Premium Statistic Operating margins of community hospitals in urban and rural areas, 2023
  • Premium Statistic Share of rural vs. urban hospitals with negative operating margins, 2023
  • Premium Statistic Distribution inpatient discharges by payer in urban and rural areas, 2023
  • Premium Statistic Share of rural hospitals in the U.S. 2023, by Medicare payment designation
  • Premium Statistic U.S. rural hospital Medicare Advantage payment rates 2019-2023

Labor and maternity ward

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  • Premium Statistic Share of rural hospitals without maternity care in the U.S. 2025, by state
  • Basic Statistic Median driving time to rural hospitals with maternity care in 2026, by state
  • Premium Statistic U.S. counties designated as maternity care deserts, 2022
  • Premium Statistic U.S. states with the highest share of maternity care deserts, 2022

Miscellaneous

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  • Premium Statistic Size of urban and rural population U.S. 1960-2023
  • Premium Statistic Number of critical access hospitals in the U.S. 2025, by state
  • Premium Statistic U.S. rural hospitals with more MA than traditional Medicare inpatient days, 2018-2023
  • Premium Statistic Impact of mobile clinics on rural U.S. by 2025
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