Financial Distress Index: Relative Risk in 2025

The NC Rural Health Research Prorgram released the Rural Hospital Financial Distress: Relative Risk in 2025 (Infographic) The Financial Distress Index (FDI) uses historical data about hospital financial performance, government reimbursement, organizational characteristics, and market characteristics to predict the probability of rural hospital financial distress within two years. The model assigns every rural hospital to one of four financial risk categories: highest, mid-highest, mid-lowest, or lowest. This infographic shows a U.S. map of the number and percent of rural hospitals within each state at highest relative financial distress risk in 2025. It also includes a table with the number of hospitals in each state categorized by FDI risk scores.