TX · 254 Counties
Texas Rural Hospitals
659 active hospitals serving 254 counties. 75 counties have no hospital access.
CMS Rural Health Transformation Program
Texas Receives $281.3M/year$1.4B total over 5 years (FY2026–2030)
As part of the federal $50 billion Rural Health Transformation Program (CFDA 93.798), Texas receives $281,319,361/year for FY2026–2030 to strengthen rural health infrastructure, expand access, and support workforce development.
Source: USAspending.gov, CFDA 93.798. Performance period: 2025-12-29 to 2030-10-30.
Who It's For
Tailored views for every role in Texas's rural health ecosystem
County Health Map
Explore Texas's 254 counties and 659 hospitals. Click any county or hospital for details.
Counties with vs. without a hospital
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 659 active hospitals in Texas. Search by name, city, or county.
| Hospital ▲ | City | County | Beds | Ownership | Type | |
|---|---|---|---|---|---|---|
| Acute Rehabilitation Hospital of Plano | Plano | Collin | 42 | Not-for-Profit | ||
| Ad Hospital East, Llc | Houston | Harris | 4 | Not-for-Profit | ||
| Advanced Dallas Hospitals and Clinics | Dallas | Anderson | 100 | Not-for-Profit | Rural | |
| Adventhealth Central Texas | Killeen | Bell | 232 | Government | ||
| Adventhealth Rollins Brook | Lampasas | Lampasas | 25 | Government | CAH | |
| Ahs Sherman Medical Center | Sherman | Grayson | 241 | Not-for-Profit | ||
| Allegiance Behavioral Health Center of Plainview | Plainview | Hale | 20 | Not-for-Profit | Rural | |
| Altus Houston Hospital, Lp | Houston | Harris | 10 | Not-for-Profit | ||
| Altus Lumberton Hospital | Lumberton | Hardin | 4 | Not-for-Profit | ||
| Anson General Hospital | Anson | Jones | 45 | Not-for-Profit |
659 hospitals shown
Hospital Deserts
75 of 254 counties (30%) have no hospital.
Residents in these counties must travel to neighboring areas for hospital care.
75 counties in Texas have no hospital.
Learn how the AHEAD model could transform rural health access.
Critical Access Gaps 26
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.
| County | Population | SVI Score | HPSA Types | Nearest Hospital |
|---|---|---|---|---|
| Zapata | 13,889 | 1.00 | Primary Care, Dental, Mental Health | 40.7 mi |
| Hudspeth | 3,202 | 0.99 | Primary Care, Dental, Mental Health | 50.9 mi |
| Presidio | 6,131 | 0.99 | Primary Care, Dental, Mental Health | 43.8 mi |
| Willacy | 20,164 | 0.98 | Primary Care, Mental Health | 16.3 mi |
| Duval | 9,831 | 0.98 | Primary Care | 22.4 mi |
| Brooks | 7,076 | 0.92 | Primary Care, Dental, Mental Health | 38.6 mi |
| La Salle | 6,664 | 0.91 | Primary Care, Dental, Mental Health | 37.2 mi |
| Zavala | 9,670 | 0.91 | Primary Care, Dental, Mental Health | 24.3 mi |
| Live Oak | 11,335 | 0.90 | Primary Care, Dental, Mental Health | 24.3 mi |
| Harrison | 68,839 | 0.90 | Primary Care, Dental, Mental Health | 19.6 mi |
| Shelby | 24,022 | 0.88 | Primary Care, Dental, Mental Health | 18.0 mi |
| Hall | 2,825 | 0.87 | Primary Care, Dental, Mental Health | 16.9 mi |
| Cass | 28,454 | 0.86 | Primary Care, Mental Health | 29.9 mi |
| Menard | 1,962 | 0.86 | Primary Care, Dental, Mental Health | 23.4 mi |
| Robertson | 16,757 | 0.85 | Primary Care, Dental, Mental Health | 27.0 mi |
| Newton | 12,217 | 0.85 | Primary Care, Dental, Mental Health | 17.2 mi |
| McMullen | 600 | 0.81 | Primary Care, Dental, Mental Health | 37.0 mi |
| San Jacinto | 27,402 | 0.81 | Primary Care | 22.8 mi |
| Milam | 24,754 | 0.80 | Primary Care | 24.6 mi |
| Lee | 17,478 | 0.79 | Primary Care, Mental Health | 20.8 mi |
| Real | 2,758 | 0.78 | Primary Care, Dental, Mental Health | 41.4 mi |
| Morris | 11,973 | 0.78 | Primary Care, Mental Health | 14.6 mi |
| Lipscomb | 3,059 | 0.77 | Primary Care, Dental, Mental Health | 26.9 mi |
| Aransas | 23,830 | 0.76 | Primary Care, Mental Health | 22.8 mi |
| Dickens | 1,770 | 0.76 | Primary Care, Dental, Mental Health | 26.5 mi |
| Bastrop | 97,216 | 0.76 | Primary Care, Dental, Mental Health | 23.0 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 254 counties in Texas. Each county has a dedicated health profile with SVI scores, health metrics, HPSA designations, and hospital access.
County Health Snapshot
Average health indicators across Texas's 254 counties
Health Professional Shortage Areas
Sources: County Health Rankings (2025), CDC Social Vulnerability Index (2022), HRSA Bureau of Health Workforce (HPSA designations)
Financial Health
FY2025 hospital financial performance from CMS cost reports
62 hospitals reporting negative margins.
See how your hospital compares.
Federal Rural Health Funding
19 active HRSA grants totaling $33.0M in FY2025
Largest Grant Recipients
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
Federally Qualified Health Centers
Medically Underserved Areas & Populations
CDC PLACES Health Indicators
Census-tract-level health data aggregated to county averages
Sources: AHRF 2024-2025 (HRSA), HRSA GIS Portal (FQHCs, MUA/MUP), CDC PLACES 2023-2024
Hospital Closures
25 rural hospitals closed since 2005
| Hospital | City | County | Year |
|---|---|---|---|
| Mid Coast Medical Center - Trinity | TRINITY | Trinity | 2025 |
| St. Mark's Medical Center | LA GRANGE | Fayette | 2023 |
| Central Hospital of Bowie | Bowie | Montague | 2020 |
| Texas General - Van Zandt Regional Medical Center | Grand Saline | Van Zandt | 2019 |
| Hamlin Memorial Hospital | Hamlin | Jones | 2019 |
| Chillicothe Hospital | Chillicothe | Hardeman | 2019 |
| Little River Healthcare Cameron Hospital | Cameron | Milam | 2018 |
| Little River Healthcare Rockdale Hospital | Rockdale | Milam | 2018 |
| Stamford Memorial Hospital | Stamford | Jones | 2018 |
| Weimar Medical Center | Weimar | Colorado | 2017 |
| Care Regional Medical Ctr | Aransas Pass | San Patricio | 2017 |
| Gulf Coast Medical Center | Wharton | Wharton | 2016 |
| Nix Community General Hospital | Dilley | Frio | 2016 |
| Hunt Regional Community Hospital of Commerce | Commerce | Hunt | 2015 |
| East Texas Medical Center Clarksville | Clarksville | Red River | 2014 |
| East Texas Medical Center Mount Vernon | Mt Vernon | Franklin | 2014 |
| East Texas Medical Center Gilmer | Gilmer | Upshur | 2014 |
| Good Shepherd Med Ctr | Linden | Cass | 2014 |
| Lake Whitney Med Ctr | Whitney | Hill | 2014 |
| Wise Regional Health System-Bridgeport | Bridgeport | Wise | 2013 |
| Shelby Regional Medical Center | Center | Shelby | 2013 |
| Renaissance Hospital Terrell | Terrell | Kaufman | 2013 |
| Dickerson Memorial Hospital | Jasper | Jasper | 2008 |
| Fayette Memorial Hospital | La Grange | Fayette | 2005 |
| Deleon Hospital | De Leon | Comanche | 2005 |
Source: UNC Sheps Center for Health Services Research
Hospital Ownership
Breakdown of Texas's 659 hospitals by ownership type
See the Analytics Platform
Role-specific dashboards, AI-powered queries, and hospital financial data — live for Texas.
Interactive Dashboard·Texas: 659 rural hospitals, 92 CAHs, 75 hospital deserts
AI-Powered Q&A·Texas: 659 rural hospitals, 92 CAHs, 75 hospital deserts
What's in the Texas Dashboard
Interactive tools tailored to your state's rural health landscape
Hospital Scorecard
Compare financials, bed counts, and risk scores across all 659 hospitals. Filter by county, ownership, or CAH status.
Access Maps
Visualize 75 hospital deserts and service area gaps. See which communities are most underserved.
AI-Powered Q&A
Ask questions in plain English about Texas's hospitals and get instant, data-backed answers from CMS data.
Explore Neighboring States
Have questions about Texas's rural hospitals? See the Texas FAQ — data-driven answers about hospital access, grants, and health metrics.
See the Full Texas Dashboard
Request a personalized demo with interactive dashboards, AI queries, and hospital risk scoring for Texas.
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.