Rural Health Transformation
The Distress Watch
Critical-access and rural hospitals ranked by financial-distress risk — pairing the Clinical Terminal entity graph with live CMS cost-report margins, so a buyer sees who is exposed and who would sell the fix in one view.
2,810
Critical-access hospitals tracked
2,628
With a CMS operating-margin figure
71%
Negative operating margin (1,854)
-7.1%
Median CAH operating margin
Distress Watchlist · worst 8 by operating margin
Hospital
Beds
Op. margin
Risk
RCM fit †
Iraan General Hospital District
Iraan, TX · Critical Access · FY2023
14
-96.6%
HIGH
Coding/CDI
Beds 14-96.6%HIGHRCM Coding/CDI
Beaver County Memorial Hospital
Beaver, OK · Critical Access · FY2023
24
-95.3%
HIGH
Denials
Beds 24-95.3%HIGHRCM Denials
Throckmorton County Hospital
Throckmorton, TX · Critical Access · FY2022
14
-93.5%
HIGH
Eligibility
Beds 14-93.5%HIGHRCM Eligibility
Izard County Medical Center
Calico Rock, AR · Critical Access · FY2023
25
-90.2%
HIGH
Coding/CDI
Beds 25-90.2%HIGHRCM Coding/CDI
Lady of the Sea General Hospital
Cut Off, LA · Critical Access · FY2023
23
-85.2%
HIGH
Denials
Beds 23-85.2%HIGHRCM Denials
Williamsburg Regional Hospital
Kingstree, SC · Critical Access · FY2023
25
-60%
HIGH
Eligibility
Beds 25-60%HIGHRCM Eligibility
Pecos County Memorial Hospital
Fort Stockton, TX · Critical Access · FY2023
25
-59.2%
HIGH
Coding/CDI
Beds 25-59.2%HIGHRCM Coding/CDI
Kiowa County District Hospital
Eads, CO · Critical Access · FY2023
25
-59%
HIGH
Denials
Beds 25-59%HIGHRCM Denials
Real CMS figures. Operating margins are actual CMS cost-report data, matched to each hospital’s profile. Of 2,628 critical-access hospitals with a reported figure, 1,854 (71%) run negative; median -7.1%. † RCM-fit is an editorial mapping, not a CMS field.