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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 35th Annual Rural Health Policy Institute Conference in Washington, D.C. If you have questions about this research, please reach out to us at

2024 Study

Rural Hospitals Fall Deeper into the Red as Care Deserts Grow

The latest research conducted by Chartis points to a startling, new phase of the rural health safety net crisis as 50% of rural hospitals now operate in the red and nearly 420 are vulnerable to closure.

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 Operating Margin and Vulnerability

To supplement our Policy Institute materials, we've developed an 11 x 17 version of our 'heat' maps exploring operating margin, vulnerability and Medicare Advantage penetration.

Conference Presentation

Unrelenting Pressure Pushes Rural Hospitals into Uncharted Territory

Chartis' Michael Topchik shares the findings  and analysis from The Chartis Center for Rural Health's new study exploring the state of the rural health safety net during NRHA's Rural Health Policy Institute Conference in Washington, DC.


Rural America's OB Deserts Widen in Fallout from Pandemic

The latest analysis into the loss of access to OB conducted by Chartis indicates that 267 rural hospitals stopped providing access to OB services between 2011 and 2021. During the peak of the pandemic, 63 rural hospitals stopped providing OB.


Recognizing the Top 100 Rural Hospitals for 2024

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. 

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