NC · 100 Counties

North Carolina Rural Hospitals

133 active hospitals serving 100 counties. 23 counties have no hospital access.

133
Hospitals
20
Critical Access
41
Rural
27,791
Beds
23
Deserts
23%
No Hospital

CMS Rural Health Transformation Program

North Carolina Receives $213.0M/year$1.1B total over 5 years (FY2026–2030)

As part of the federal $50 billion Rural Health Transformation Program (CFDA 93.798), North Carolina receives $213,008,356/year for FY2026–2030 to strengthen rural health infrastructure, expand access, and support workforce development.

Lead Agency: North Carolina Department of Health & Human Services
Award ID: RHTCMS332042

Source: USAspending.gov, CFDA 93.798. Performance period: 2025-12-29 to 2030-10-30.

County Health Map

Explore North Carolina's 100 counties and 133 hospitals. Click any county or hospital for details.

Layers:
No HospitalHas Hospital

Counties with vs. without a hospital

Margin ≥ 0%-5% to 0%Below -5%No dataCAHFQHC
Loading map...

Sources: CMS POS, CDC SVI (2022), HRSA HPSA, County Health Rankings, CDC PLACES (2023), AHRF (2024), HRSA FQHCs. Hospital markers sized by bed count, colored by operating margin. FQHC diamonds show safety-net delivery sites.

Hospital Directory

All 133 active hospitals in North Carolina. Search by name, city, or county.

HospitalCityCountyBedsOwnershipType
Advent Health PolkColumbusPolk35GovernmentCAHRural
Adventhealth HendersonvilleHendersonvilleHenderson103Government
Alamance Regional Medical CenterBurlingtonAlamance238Government
Alleghany Memorial HospitalSpartaAlleghany25GovernmentCAHRural
Angel Medical CenterFranklinMacon25GovernmentCAHRural
Appalachian Regional Behavioral HealthcareLinvilleAvery29GovernmentRural
Ashe Memorial HospitalJeffersonAshe76GovernmentCAHRural
Asheville Va Medical CenterAshevilleBuncombe389Government
Atrium Health AnsonWadesboroAnson15Not-for-Profit
Atrium Health CabarrusConcordCabarrus457Not-for-Profit

133 hospitals shown

23 counties in North Carolina have no hospital.

Learn how the AHEAD model could transform rural health access.

Assess Your Hospital's Readiness

Critical Access Gaps 8

Counties with no hospital, a primary care shortage designation, and high social vulnerability (SVI > 0.75) represent the most critical access gaps. These communities face a triple burden of absent infrastructure, workforce shortage, and socioeconomic disadvantage.

CountyPopulationSVI ScoreHPSA TypesNearest Hospital
Warren18,6420.99Primary Care, Dental, Mental Health17.9 mi
Greene20,4510.99Primary Care, Dental, Mental Health14.4 mi
Richmond42,9460.99Primary Care, Dental, Mental Health20.2 mi
Martin22,0310.93Primary Care, Dental, Mental Health14.6 mi
Northampton17,4710.89Primary Care, Dental, Mental Health17.6 mi
Hyde4,5890.87Primary Care, Dental, Mental Health45.1 mi
Tyrrell3,2450.85Primary Care, Dental, Mental Health28.5 mi
Beaufort44,6520.81Primary Care, Dental, Mental Health27.1 mi

Source: CMS Provider of Services (hospital presence), HRSA Health Professional Shortage Areas (HPSA designations), CDC/ATSDR Social Vulnerability Index 2022 (SVI scores).

County Health Profiles

All 100 counties in North Carolina. Each county has a dedicated health profile with SVI scores, health metrics, HPSA designations, and hospital access.

CountyPopulationHospitalsStatus
Alamance171,41511 Hospital
Alexander36,4440Desert
Alleghany10,88811 Hospital
Anson22,05511 Hospital
Ashe26,57711 Hospital
Avery17,80622 Hospitals
Beaufort44,6520Desert
Bertie17,93411 Hospital
Bladen29,60611 Hospital
Brunswick136,69333 Hospitals

100 counties shown

County Health Snapshot

Average health indicators across North Carolina's 100 counties

11.2%
Avg Diabetes Rate
35.7%
Avg Obesity Rate
12.5%
Avg Uninsured Rate
5.2
PCPs per 10K
43
High-Vulnerability Counties
Avg SVI: 0.67

Health Professional Shortage Areas

340
Primary Care HPSAs
432
Dental Health HPSAs
370
Mental Health HPSAs
27.6M
Est. Underserved Population

Sources: County Health Rankings (2025), CDC Social Vulnerability Index (2022), HRSA Bureau of Health Workforce (HPSA designations)

Share statewide health data with your team

Financial Health

FY2025 hospital financial performance from CMS cost reports

5.4%
Median Operating Margin
13
Negative Margin Hospitals

13 hospitals reporting negative margins.

See how your hospital compares.

Explore Hospital Profiles

Federal Rural Health Funding

33 active HRSA grants totaling $36.5M in FY2025

$27.7M
Rural Health Outreach
30 grants · CFDA 93.912
$4.8M
1 grant · CFDA 93.241
$2.7M
Small Hospital Improvement (SHIP)
1 grant · CFDA 93.301
$1.4M
State Office of Rural Health
1 grant · CFDA 93.913

Largest Grant Recipients

North Carolina Department Of Health & Human Services$8.8M
Integrated Care Of Greater Hickory Inc$5.5M
Granville-Vance District Health Department$3.8M
United Way Of Rutherford County, Inc.$3.0M
Gaston Family Health Services, Inc.$2.5M

Source: USAspending.gov, FY2025. Includes CFDA 93.241 (Flex), 93.301 (SHIP), 93.912 (Outreach), 93.913 (SORH).

Healthcare Workforce & Access

Provider supply, community health centers, and medically underserved designations

Provider Workforce

7,612
Primary Care Physicians
70.3/100k
13,343
Nurse Practitioners
9,635
Physician Assistants
212.1 NP+PA/100k
6,992
Dentists
64.5/100k
$11,196
Medicare Per Capita Cost
16.8%
Avg Readmission Rate

Federally Qualified Health Centers

733
FQHC Sites
352
Rural Sites
48% of total
381
Urban Sites
37
Grantee Organizations

Medically Underserved Areas & Populations

113
Total Designations
111
Underserved Areas (MUA)
2
Underserved Populations (MUP)
48.2
Avg MUA Score

CDC PLACES Health Indicators

Census-tract-level health data aggregated to county averages

14.3%
Diabetes
Max: 20.5%
37.8%
Obesity
Max: 48%
24.8%
Depression
Max: 27.3%
17.2%
Mental Distress
Max: 19.9%
9.1%
COPD
16.1%
Smoking
41.4%
High Blood Pressure
8.1%
Heart Disease
4.5%
Stroke
11.2%
Uninsured (18-64)

Sources: AHRF 2024-2025 (HRSA), HRSA GIS Portal (FQHCs, MUA/MUP), CDC PLACES 2023-2024

Hospital Closures

12 rural hospitals closed since 2005

HospitalCityCountyYear
Martin General HospitalWILLIAMSTONMartin2023
Our Community HospitalScotland NeckHalifax2017
Sandhills Regional Med CtrHamletRichmond2017
Davie Medical Center – MocksvilleMocksvilleDavie2017
Novant Health Franklin Medical CenterLouisburgFranklin2015
Yadkin Valley Community HospitalYadkinvilleYadkin2015
Vidant Pungo HospitalBelhavenBeaufort2014
Blowing Rock HospitalBlowing RockWatauga2013
Crawley Memorial HospitalBoiling SpringsCleveland2009
Frye Regional Medical Center Alexander CampusTaylorsvilleAlexander2007
Mission Family Health Center (Yancey Community Medical Ctr)BurnsvilleYancey2006
Good Hope HospitalErwinHarnett2006

Source: UNC Sheps Center for Health Services Research

Hospital Ownership

Breakdown of North Carolina's 133 hospitals by ownership type

58
Not-for-Profit
44% of total
8
For-Profit
6% of total
67
Government
50% of total

See the Analytics Platform

Role-specific dashboards, AI-powered queries, and hospital financial data — live for North Carolina.

Interactive Dashboard·North Carolina: 133 rural hospitals, 20 CAHs, 23 hospital deserts

AI-Powered Q&A·North Carolina: 133 rural hospitals, 20 CAHs, 23 hospital deserts

What's in the North Carolina Dashboard

Interactive tools tailored to your state's rural health landscape

📊

Hospital Scorecard

Compare financials, bed counts, and risk scores across all 133 hospitals. Filter by county, ownership, or CAH status.

🗺️

Access Maps

Visualize 23 hospital deserts and service area gaps. See which communities are most underserved.

💬

AI-Powered Q&A

Ask questions in plain English about North Carolina's hospitals and get instant, data-backed answers from CMS data.

Explore Neighboring States

Have questions about North Carolina's rural hospitals? See the North Carolina FAQ — data-driven answers about hospital access, grants, and health metrics.

Share this pageLinkedInX / TwitterEmail

See the Full North Carolina Dashboard

Request a personalized demo with interactive dashboards, AI queries, and hospital risk scoring for North Carolina.

Data from CMS Provider of Services, CMS Cost Reports (HCRIS), County Health Rankings, CDC Social Vulnerability Index, Community Benefit Insight, UNC Sheps Center, USAspending.gov, and HRSA Bureau of Health Workforce. Last updated: 2026-03-11.