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United States overview

Private-equity hospital ownership, closures, and stress signals by state

Start with the national picture, then choose a state. The figures below separate documented ownership, descriptive before/after changes, and closure risk so the page stays useful without overstating causation.

Hospital rows

8,132current public U.S. state packages

Current PE-linked

405confirmed PE plus PE-contract rows

PE-acquired closures

35source-backed known records, not a completeness claim

Rural hospitals at risk

720294 rural hospitals at immediate risk

What changed after PE-linked acquisition?

Follow the financial and staffing signals first.

This site tracks earliest-to-latest cost-report movement inside public dossiers. It is a triage layer, not a causal model: local demand, inflation, reporting periods, service-line changes, and market conditions can all move the numbers.
-4.8%Median net income change878 rows, 456 down
+23.0%Direct-care contract labor549 rows, 224 down
+1.4%Employees on payroll863 rows, 375 down
+0.0%Reported beds877 rows, 133 down

Closures and closure risk

Closures and closure risk are shown separately.

The closure overlay currently lists 35 hospitals closed after a documented PE acquisition. The rural-risk layer estimates 720 rural hospitals at risk of closure, including 294 at immediate risk; ownership status is not treated as the reason a rural hospital is at risk.
Top PE-closure states
IL 5 | MA 5 | PA 5 | TX 4 | AZ 3
Highest immediate rural risk
KS 28 | TX 26 | MS 25 | AL 19 | OK 18

States

Choose a state page

Start with these state pages, then use the full state list below when you need a different part of the country.
NCNorth Carolina160 hospitals | 22 current PE-linkedHIHawaii33 hospitals | 0 current PE-linkedWYWyoming37 hospitals | 3 current PE-linkedNHNew Hampshire38 hospitals | 0 current PE-linked
Completeness audit1,191 source-backed rows; 784 rows still explicitly unresolved.
PE-closed hospital CSVRural closure-risk explorerJAMA quality studyPE hospital acquisition datasetCHQPR rural-risk report