Insights        Services        Contact
Rural Health Policy Institute Conference

Research & Resources

For more than a decade, The Chartis Center for Rural Health's research has provided an important lens into the stability of the rural health safety net and we are delighted to once again share our latest analysis and research with rural healthcare leaders, advocates and members of the United States Congress during the National Rural Health Association's 34th Annual Rural Health Policy Institute Conference in Washington, D.C. If you have questions about this research, please reach out to us at

2023 Study

Rural Hospitals Search for Stability as Pandemic Fades

Our latest analysis reveals financial uncertainty across the rural health safety net and the continued erosion of services. We also examine the new REH designation and its potential to help avert closures. 

National and State Data Tables

Understanding Instability on a State-by-State Basis

Our national and state data tables bring clarity to the challenges rural hospitals face through state-by-state breakdowns of the key metrics including, operating margin, policy impact and vulnerability. 

Research Heat Maps

Data Visualizations for Safety Net Pressure Points

To supplement our Policy Institute materials, we've developed a series of 11 x 17 'heat' maps exploring key indicators such as operating margin, vulnerability and conversion to the new REH designation.

Conference Presentation

Rural Health Safety Net in the Post-Pandemic Era

As part of the Policy Institute Conference, the Chartis Center for Rural Health's Michael Topchik reviews new research and insight into the stability of the rural health safety net and the new Rural Emergency Hospital designation. 


Staffing Crisis Cast Shadow Over Rural Hospitals

Through a series of leadership surveys, we took a deep dive into the staffing crisis to better understand what's driving departures, how shortages are impacting access to care and share creative ideas for recruitment and retention. 


Recognizing the Top 100 Rural Hospitals for 2023

Each year, Chartis recognizes the Top 100 Critical Access Hospitals and the Top 100 Rural & Community facilities based on the results of the Chartis Rural Hospital Performance INDEX. Find out which hospitals are being recognized this year. 

Get in Touch.