748 hospitals at risk of closure, state by state

Becker’s CFO Report

Nearly 750 rural U.S. hospitals are at risk of closure due to financial problems, with nearly half of those hospitals at immediate risk of closure.

The count of 748 at-risk rural hospitals comes from the latest analysis from the Center for Healthcare Quality and Payment Reform, which is based on CMS’ most recent hospital financial information. The center’s analysis reveals two distinct levels of vulnerability among rural healthcare facilities: risk of closure and immediate risk of closure.

In the first category, nearly every state has hospitals at risk of closure, measured by financial reserves that can cover losses on patient services for only six to seven years. In over half the states, 25% or more of rural hospitals face this risk, with 11 states having a majority of their rural hospitals in jeopardy.

The report also analyzes hospitals facing immediate threat of closure, meaning financial reserves could offset losses on patient services for two to three years at most. Currently, 315 rural hospitals are at immediate risk of shutting down due to severe financial difficulties.

Below is a state-by-state listing of the number of rural hospitals at risk of closure in the next six to seven years and at immediate risk of closure over the next two to three years.

Alabama
27 hospitals at risk of closing (54%)
19 at immediate risk of closing in next 2-3 years (38%)

Alaska
5 hospitals at risk of closing (29%)
1 at immediate risk of closing in next 2-3 years (6%)

Arizona
3 hospitals at risk of closing (11%)
1 at immediate risk of closing in next 2-3 years (4%)

Arkansas
30 hospitals at risk of closing (65%)
10 at immediate risk of closing in next 2-3 years (22%)

California
23 hospitals at risk of closing (40%)
6 at immediate risk of closing in next 2-3 years (10%)

Colorado
10 hospitals at risk of closing (23%)
3 at immediate risk of closing in next 2-3 years (7%)

Connecticut
2 hospitals at risk of closing (67%)
1 at immediate risk of closing in next 2-3 years (33%)

Delaware
0 hospitals at risk of closing
0 at immediate risk of closing in next 2-3 years

Florida
8 hospitals at risk of closing (36%)
4 at immediate risk of closing in next 2-3 years (18%)

Georgia
20 hospitals at risk of closing (29%)
10 at immediate risk of closing in next 2-3 years (14%)

Hawaii
8 hospitals at risk of closing (62%)
0 at immediate risk of closing in next 2-3 years

Idaho
9 hospitals at risk of closing (31%)
1 at immediate risk of closing in next 2-3 years (3%)

Illinois
11 hospitals at risk of closing (15%)
4 at immediate risk of closing in next 2-3 years (5%)

Indiana
9 hospitals at risk of closing (17%)
7 at immediate risk of closing in next 2-3 years (13%)

Iowa
20 hospitals at risk of closing (22%)
5 at immediate risk of closing in next 2-3 years (5%)

Kansas
62 hospitals at risk of closing (64%)
25 at immediate risk of closing in next 2-3 years (26%)

Kentucky
17 hospitals at risk of closing (24%)
5 at immediate risk of closing in next 2-3 years (7%)

Louisiana
22 hospitals at risk of closing (40%)
7 at immediate risk of closing in next 2-3 years (13%)

Maine
11 hospitals at risk of closing (44%)
5 at immediate risk of closing in next 2-3 years (20%)

Maryland
0 hospitals at risk of closing
0 at immediate risk of closing in next 2-3 years

Massachusetts
3 hospitals at risk of closing (50%)
2 at immediate risk of closing in next 2-3 years (33%)

Michigan
14 hospitals at risk of closing (22%)
6 at immediate risk of closing in next 2-3 years (9%)

Minnesota
19 hospitals at risk of closing (20%)
9 at immediate risk of closing in next 2-3 years (9%)

Mississippi
38 hospitals at risk of closing (57%)
22 at immediate risk of closing in next 2-3 years (33%)

Missouri
27 hospitals at risk of closing (47%)
11 at immediate risk of closing in next 2-3 years (19%)

Montana
10 hospitals at risk of closing (18%)
4 at immediate risk of closing in next 2-3 years (7%)

Nebraska
12 hospitals at risk of closing (17%)
3 at immediate risk of closing in next 2-3 years (4%)

Nevada
6 hospitals at risk of closing (43%)
2 at immediate risk of closing in next 2-3 years (14%)

New Hampshire
2 hospitals at risk of closing (12%)
1 at immediate risk of closing in next 2-3 years (6%)

New Jersey
0 hospitals at risk of closing
0 at immediate risk of closing in next 2-3 years

New Mexico
7 hospitals at risk of closing (26%)
3 at immediate risk of closing in next 2-3 years (11%)

New York
27 hospitals at risk of closing (53%)
15 at immediate risk of closing in next 2-3 years (29%)

North Carolina
10 hospitals at risk of closing (18%)
7 at immediate risk of closing in next 2-3 years (12%)

North Dakota
11 hospitals at risk of closing (28%)
4 at immediate risk of closing in next 2-3 years (10%)

Ohio
8 hospitals at risk of closing (11%)
4 at immediate risk of closing in next 2-3 years (6%)

Oklahoma
46 hospitals at risk of closing (60%)
23 at immediate risk of closing in next 2-3 years (30%)

Oregon
7 hospitals at risk of closing (21%)
4 at immediate risk of closing in next 2-3 years (12%)

Pennsylvania
18 hospitals at risk of closing (42%)
10 at immediate risk of closing in next 2-3 years (23%)

Rhode Island
0 hospitals at risk of closing
0 at immediate risk of closing in next 2-3 years

South Carolina
8 hospitals at risk of closing (33%)
3 at immediate risk of closing in next 2-3 years (12%)

South Dakota
10 hospitals at risk of closing (20%)
3 at immediate risk of closing in next 2-3 years (6%)

Tennessee
18 hospitals at risk of closing (35%)
14 at immediate risk of closing in next 2-3 years (27%)

Texas
80 hospitals at risk of closing (50%)
20 at immediate risk of closing in next 2-3 years (13%)

Utah
1 hospitals at risk of closing (5%)
0 at immediate risk of closing in next 2-3 years

Vermont
9 hospitals at risk of closing (69%)
3 at immediate risk of closing in next 2-3 years (23%)

Virginia
9 hospitals at risk of closing (30%)
7 at immediate risk of closing in next 2-3 years (23%)

Washington
19 hospitals at risk of closing (42%)
7 at immediate risk of closing in next 2-3 years (16%)

West Virginia
12 hospitals at risk of closing (36%)
5 at immediate risk of closing in next 2-3 years (15%)

Wisconsin
12 hospitals at risk of closing (15%)
5 at immediate risk of closing in next 2-3 years (6%)

Wyoming
8 hospitals at risk of closing (31%)
4 at immediate risk of closing in next 2-3 years (15%)