Critical access hospitals in the United States

  • Hospital directory
  • United States
  • Critical access
Critical access hospitals
1,378
Staffed beds
29,168
Teaching hospitals
21
Outpatient sites
995
Affiliated HCPs
135,138

There are 1,378 critical access hospitals in the US. Texas has the most, 93, and CommonSpirit Health owns the most, 30. Southwest Healthcare Services is the largest, with 35 staffed beds.

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Southwest Healthcare Services is the largest critical access hospital in the US, with 35 beds

Ranked by staffed beds in each hospital's latest CMS cost report. OhioHealth Hardin Memorial Hospital in Kenton is second with 30 beds, and Roosevelt Medical Center in Culbertson is third with 29.

Largest critical access hospitals in the US by staffed beds
#HospitalHealth systemStaffed bedsHCPs
1Southwest Healthcare ServicesBowman, NDSouthwest Healthcare Services3532
2OhioHealth Hardin Memorial HospitalKenton, OHOhioHealth30121
3Roosevelt Medical CenterCulbertson, MTRoosevelt Medical Center2924
4Abbeville Area Medical CenterAbbeville, SCSelf Regional Healthcare25208
5Adair County Memorial HospitalGreenfield, IAState of Iowa2550
6Adams County Regional Medical CenterSeaman, OHAdams County Regional Medical Center25160
7Adams Memorial HospitalDecatur, INState of Indiana25338
8Adena Fayette Medical CenterWashington Ch, OHAdena Health System25261
9Adena Greenfield Medical CenterGreenfield, OHAdena Health System25153
10Adena Pike Medical CenterWaverly, OHAdena Health System25178

Top 10 of 1,363 US critical access hospitals that report beds

Sources: Hospital Provider Cost Report (CMS) and Dmand AI Affiliation Data

Texas has the most critical access hospitals of any state, with 93

CommonSpirit Health owns the most US critical access hospitals, with 30

129 health systems and parent organizations run two or more US critical access hospitals. HCPs are counted at each hospital, so a clinician at two hospitals counts twice.

Health systems with the most US critical access hospitals
#Health systemUS critical accessStaffed bedsHCPs
1CommonSpirit HealthHealth system306573,299
2Avera HealthHealth system244541,698
3Sanford HealthHealth system203851,835
4Trinity HealthHealth system173472,525
5MercyHealth system173452,625
6AscensionHealth system153421,457
7AspirusHealth system102201,957
8ProvidenceHealth system102011,985
9Mayo ClinicAcademic health system101863,166

Top 9 of 129 systems and parent organizations with two or more US critical access hospitals

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Source: Dmand AI Org Hierarchy Data

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Dmand AI maps the EHR in use at each US critical access hospital and the IT leaders who run it, from the CIO to IT directors, with validated work emails and direct dials.

26,937 executives and department leaders work at US critical access hospitals

780 of the 1,378 US critical access hospitals are nonprofit, according to CMS

59 are for-profit and 538 are run by a government. 21 are teaching hospitals, 1,331 have an emergency department and 534 are trauma centers.

Nonprofit780
Government538
For-profit59
Teaching hospitals21
Emergency departments1,331
Trauma centers534

Sources: Provider of Services File (CMS) and Hospital Provider Cost Report (CMS)

135,138 HCPs practice at US critical access hospitals, 80,462 of them physicians

Each clinician is counted once, across every US critical access hospital where they have a current affiliation.

HCPs at US critical access hospitals by type

  1. Physicians (MD, DO)80,462
  2. Nurses and nurse practitioners31,756
  3. Physician assistants12,767
  4. Behavioral health clinicians2,779
  5. Other HCPs7,374

Largest physician specialties at US critical access hospitals

  • Family medicine15,661
  • Internal medicine8,897
  • Emergency medicine7,571
  • Diagnostic radiology6,575
  • Cardiovascular disease3,414
  • Orthopaedic surgery2,973
  • Surgery2,857
  • Hospitalist2,401

Source: Dmand AI Affiliation Data

Each US critical access hospital profile shows beds, the org hierarchy, HCPs and leaders

  • Beds, discharges and revenueStaffed beds, inpatient discharges and net patient revenue from CMS cost reportsOn every profile
  • Health system and sister hospitalsThe parent system and a sample of its other hospitalsOn every profile
  • Affiliated HCPsA count by specialty and a sample of the physicians who practice thereOn every profile
  • Size ranksRank by beds, discharges and revenue in the state and the USOn every profile
  • Every outpatient site and unitThe full org tree below the hospital, site by siteWith a free account
  • Executive contactsWork emails and direct dials for the C-suite and department leadersWith a free account
  • EHR and technologyInpatient EHR vendor and the technology products in useWith a free account
  • Full HCP rosterEvery affiliated clinician, with contactsWith a free account

Free account: 30 days free, self-serve, no credit card.

Sources: Hospital Provider Cost Report (CMS), Dmand AI Org Hierarchy Data and Dmand AI Affiliation Data

Sources for the US critical access hospital directory

Sources for the data on this page
Data on this pageSource
Hospitals, types and servicesProvider of Services File (CMS)
Beds, discharges and revenueHospital Provider Cost Report (CMS)
Health systems and outpatient sitesDmand AI Org Hierarchy Data
Affiliated HCPsDmand AI Affiliation Data
Executives and department leadersDmand AI Executive Data

Data last refreshed October 2026Report an inaccuracyRemove my information

The directory counts hospitals with a CMS certification number (CCN) that CMS classifies as critical access hospitals. Beds come from each hospital's latest cost report.

FAQ

Frequently asked questions about US critical access hospitals

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

How many critical access hospitals are in the US?

There are 1,378 critical access hospitals in the US, with 29,168 staffed beds between them.

What is a critical access hospital?

A small rural hospital that CMS certifies to keep care close to home. It has 25 or fewer inpatient beds, keeps an average stay of 96 hours or less, and is usually more than 35 miles from another hospital.

Which state has the most critical access hospitals?

Texas, with 93, followed by Iowa with 82 and Kansas with 82.

What is the largest critical access hospital in the US?

Southwest Healthcare Services in Bowman, North Dakota, with 35 staffed beds in its latest CMS cost report. OhioHealth Hardin Memorial Hospital is second with 30.

Which health system has the most critical access hospitals in the US?

CommonSpirit Health, with 30 critical access hospitals, followed by Avera Health with 24 and Sanford Health with 20.

How many US critical access hospitals are nonprofit?

780 of 1,378, according to CMS ownership records. 59 are for-profit and 538 are government hospitals.

How do I find a hospital's CCN or NPI?

Each hospital profile lists its CMS certification number (CCN) and NPI at the top, next to the address and main phone number.

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