State-by-State Resources
A Comparison of Independent and System-Affiliated Rural Hospitals
Compares independent and system-affiliated rural hospitals by organizational characteristics, financial performance, and county characteristics. Presents Medicare Cost Report data from 2023-2024 on the number and percentage of independent and system-affiliated rural hospitals by state, ownership characteristics, Medicare payment classification, use of swing beds, financial distress, and more.
Author(s): Aditya R. Pillutla, Sruthi Malavika Srinivasan, Kristie Thompson, George Pink, Tyler Malone
Date: 02/2026
Sponsoring organization: North Carolina Rural Health Research Program
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Compares independent and system-affiliated rural hospitals by organizational characteristics, financial performance, and county characteristics. Presents Medicare Cost Report data from 2023-2024 on the number and percentage of independent and system-affiliated rural hospitals by state, ownership characteristics, Medicare payment classification, use of swing beds, financial distress, and more.
Author(s): Aditya R. Pillutla, Sruthi Malavika Srinivasan, Kristie Thompson, George Pink, Tyler Malone
Date: 02/2026
Sponsoring organization: North Carolina Rural Health Research Program
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2026 Stability of the Rural Health Safety Net: State and National Data Tables
Provides links to national and state data tables showing the financial impact of federal policies such as sequestration and bad debt reimbursement on rural hospital revenues, jobs, and gross domestic product. Presented at the February 2026 National Rural Health Association Policy Institute.
Date: 02/2026
Sponsoring organization: Chartis Center for Rural Health
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Provides links to national and state data tables showing the financial impact of federal policies such as sequestration and bad debt reimbursement on rural hospital revenues, jobs, and gross domestic product. Presented at the February 2026 National Rural Health Association Policy Institute.
Date: 02/2026
Sponsoring organization: Chartis Center for Rural Health
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Rural Health Transformation Program: Funding Amounts and State Policy Actions
Presents an analysis of Rural Health Transformation Program (RHTP) first-year funding across three components of the award: baseline, rural facility and population, and workload. Summarizes which states addressed certain current or proposed state policies intended to enhance the impact of the program in their RHTP applications.
Date: 01/2026
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Presents an analysis of Rural Health Transformation Program (RHTP) first-year funding across three components of the award: baseline, rural facility and population, and workload. Summarizes which states addressed certain current or proposed state policies intended to enhance the impact of the program in their RHTP applications.
Date: 01/2026
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Household Food Security in the United States in 2024
Reports on household food security, food expenditures, and use of federal food and nutrition assistance programs in 2024. Includes food insecurity statistics for metropolitan and nonmetropolitan areas.
Additional links: Statistical Supplement, Summary
Author(s): Matthew P. Rabbitt, Madeline Reed-Jones, Laura J. Hales, Shellye Suttles, Michael P. Burke
Date: 12/2025
Sponsoring organization: USDA Economic Research Service
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Reports on household food security, food expenditures, and use of federal food and nutrition assistance programs in 2024. Includes food insecurity statistics for metropolitan and nonmetropolitan areas.
Additional links: Statistical Supplement, Summary
Author(s): Matthew P. Rabbitt, Madeline Reed-Jones, Laura J. Hales, Shellye Suttles, Michael P. Burke
Date: 12/2025
Sponsoring organization: USDA Economic Research Service
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Rural Health Transformation 50 State Spotlights
Summarizes the goals and key themes of each state's Rural Health Transformation Program application. Highlights select initiatives, expected impact of the program, and related state policy actions.
Date: 12/2025
Sponsoring organization: Centers for Medicare & Medicaid Services
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Summarizes the goals and key themes of each state's Rural Health Transformation Program application. Highlights select initiatives, expected impact of the program, and related state policy actions.
Date: 12/2025
Sponsoring organization: Centers for Medicare & Medicaid Services
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RHT Program State Project Abstracts
Presents the one-page project abstracts submitted by each state as part of their applications for the Rural Health Transformation Program.
Date: 12/2025
Sponsoring organization: Centers for Medicare & Medicaid Services
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Presents the one-page project abstracts submitted by each state as part of their applications for the Rural Health Transformation Program.
Date: 12/2025
Sponsoring organization: Centers for Medicare & Medicaid Services
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Rural Health Transformation Program State Application Summary: State-level Initiatives & Proposed Activities
Summarizes focus areas for each state in the applications for the Rural Health Transformation Program and highlights common themes across all applications.
Date: 12/2025
Sponsoring organization: National Rural Health Association
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Summarizes focus areas for each state in the applications for the Rural Health Transformation Program and highlights common themes across all applications.
Date: 12/2025
Sponsoring organization: National Rural Health Association
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Rural Health Transformation Program: Rural Facility and Population Score Estimates by State
Spreadsheet indicating estimated rural facility and population scores for each state according to the methodology in Appendix 4 of the Rural Health Transformation Program Notice of Funding Opportunity.
Date: 10/2025
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Spreadsheet indicating estimated rural facility and population scores for each state according to the methodology in Appendix 4 of the Rural Health Transformation Program Notice of Funding Opportunity.
Date: 10/2025
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Caregiving in the US 2025: Caring Across States
Offers data on caregivers including demographics, tasks performed, finances and employment, and wellness. Includes rural, suburban, and urban breakdown for caregivers in 32 states.
Additional links: State-Specific Findings
Date: 10/2025
Sponsoring organizations: AARP, National Alliance for Caregiving
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Offers data on caregivers including demographics, tasks performed, finances and employment, and wellness. Includes rural, suburban, and urban breakdown for caregivers in 32 states.
Additional links: State-Specific Findings
Date: 10/2025
Sponsoring organizations: AARP, National Alliance for Caregiving
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Rural Health Transformation Program Resources
Offers data, analysis, and other resources related to the Rural Health Transformation Program (RHTP). Includes links to rural facility and population score estimates by state and an analysis of RHTP funding awarded for the first year by state.
Date: 09/2025
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Offers data, analysis, and other resources related to the Rural Health Transformation Program (RHTP). Includes links to rural facility and population score estimates by state and an analysis of RHTP funding awarded for the first year by state.
Date: 09/2025
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Additional resources are available. See a full list of State-by-State Resources.