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4 Population Health Challenges for Small and Rural Hospitals

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2. Financial Pressure

• Nearly half of rural hospitals have 25 or fewer beds

• Rural hospitals make up half of the total number of hospitals but represent 12% of spending on hospital care

• 56% of gross revenue for rural hospitals comes from outpatient services

• Nearly 60% of revenues are from Medicare and Medicaid

• Medicare and Medicaid are the primary payers, covering 31% of the rural population

• 25% of rural residents under age 25 are uninsured

[Source: American Hospital Association, 2013]