Critical Access Hospitals by State (2026)
Medicare (CMS) lists 1,384 critical access hospitals in the United States, 22.6% of all hospitals. Texas has the most (94); 6 of the 50 states and D.C. have none.
Source: Centers for Medicare & Medicaid Services (CMS), “Hospital General Information”; Centers for Medicare & Medicaid Services (CMS), “Inpatient Rehabilitation Facility - General Information”; Centers for Medicare & Medicaid Services (CMS), “Long-Term Care Hospital - General Information”. Data updated October 26, 2026.
Ten highest values
Critical access hospitalsThe full table below is the text version of this chart. It shows the highest values only; it does not say which places are better or worse.
All states and territories
56 rows| State | Critical access hospitals | Share of the state's hospitals | With emergency services |
|---|---|---|---|
| Alabama | 10 | 9.0% | 10 |
| Alaska | 13 | 50.0% | 13 |
| American Samoa | 0 | 0.0% | 0 |
| Arizona | 17 | 13.1% | 17 |
| Arkansas | 31 | 29.2% | 31 |
| California | 37 | 9.0% | 37 |
| Colorado | 32 | 29.1% | 31 |
| Connecticut | 0 | 0.0% | 0 |
| Delaware | 0 | 0.0% | 0 |
| District of Columbia | 0 | 0.0% | 0 |
| Florida | 12 | 4.2% | 12 |
| Georgia | 31 | 18.1% | 30 |
| Guam | 0 | 0.0% | 0 |
| Hawaii | 8 | 33.3% | 8 |
| Idaho | 26 | 50.0% | 26 |
| Illinois | 56 | 27.5% | 56 |
| Indiana | 33 | 20.1% | 33 |
| Iowa | 82 | 66.7% | 82 |
| Kansas | 83 | 55.7% | 83 |
| Kentucky | 29 | 24.2% | 29 |
| Louisiana | 27 | 13.2% | 27 |
| Maine | 18 | 48.6% | 18 |
| Maryland | 0 | 0.0% | 0 |
| Massachusetts | 4 | 4.1% | 4 |
| Michigan | 36 | 22.4% | 36 |
| Minnesota | 76 | 55.1% | 75 |
| Mississippi | 30 | 26.1% | 30 |
| Missouri | 35 | 26.1% | 35 |
| Montana | 49 | 75.4% | 49 |
| Nebraska | 61 | 62.9% | 61 |
| Nevada | 13 | 22.8% | 13 |
| New Hampshire | 13 | 44.8% | 13 |
| New Jersey | 0 | 0.0% | 0 |
| New Mexico | 13 | 25.0% | 13 |
| New York | 21 | 10.8% | 20 |
| North Carolina | 20 | 15.3% | 20 |
| North Dakota | 36 | 70.6% | 36 |
| Northern Mariana Islands | 0 | 0.0% | 0 |
| Ohio | 33 | 14.9% | 33 |
| Oklahoma | 39 | 26.0% | 39 |
| Oregon | 25 | 39.7% | 25 |
| Pennsylvania | 18 | 8.3% | 18 |
| Puerto Rico | 0 | 0.0% | 0 |
| Rhode Island | 0 | 0.0% | 0 |
| South Carolina | 3 | 3.5% | 3 |
| South Dakota | 39 | 60.9% | 39 |
| Tennessee | 15 | 10.5% | 15 |
| Texas | 94 | 16.3% | 94 |
| U.S. Virgin Islands | 0 | 0.0% | 0 |
| Utah | 13 | 23.2% | 13 |
| Vermont | 8 | 47.1% | 8 |
| Virginia | 9 | 8.0% | 9 |
| Washington | 38 | 36.2% | 38 |
| West Virginia | 21 | 32.8% | 21 |
| Wisconsin | 58 | 37.4% | 58 |
| Wyoming | 19 | 59.4% | 19 |
| United States | 1,384 | 22.6% | 1,380 |
Territories appear when the source lists at least one provider there. An empty cell means the source has no value to calculate it from, not zero.
How we calculated this
We count the open hospitals that CMS classifies as critical access hospitals in its Hospital General Information file (or, for the Greater Houston area, in the hospital's CMS record), grouped by the state in the hospital's address. The share is the state's critical access hospitals divided by all of that state's hospitals.
Data sources and dates
- Centers for Medicare & Medicaid Services (CMS): “Hospital General Information”, updated October 26, 2026.
- Centers for Medicare & Medicaid Services (CMS): “Inpatient Rehabilitation Facility - General Information”, updated August 12, 2026.
- Centers for Medicare & Medicaid Services (CMS): “Long-Term Care Hospital - General Information”, updated August 12, 2026.
Limits of the data
Critical access hospitals are small rural hospitals with Medicare's special payment status (at most 25 inpatient beds, far from other hospitals). A state with few of them may simply have no hospitals that meet the rules.
Every figure is a count, sum or average of values in the official files above; none is estimated. Read the about page for how this site works and data freshness for when each source was last refreshed.
Download and cite
Download the table as CSV One row per row of the table, English column names, no totals row.
Cite this page
US Patient Guide. “Critical Access Hospitals by State (2026).” Computed from Centers for Medicare & Medicaid Services (CMS), “Hospital General Information”; Centers for Medicare & Medicaid Services (CMS), “Inpatient Rehabilitation Facility - General Information”; Centers for Medicare & Medicaid Services (CMS), “Long-Term Care Hospital - General Information” (data updated October 26, 2026). https://uspatientguide.com/statistics/critical-access-hospitals-by-state/
See the providers in each state
Common questions
How many critical access hospitals are there in the US?
1,384 in the Medicare (CMS) files, updated October 26, 2026.
Which state has the most critical access hospitals?
Texas, with 94.