Employment in rural inpatient healthcare facilities was relatively more concentrated in the Upper Midwest and Northern Great Plains

Rural inpatient healthcare facilities—such as general hospitals, nursing care facilities, and residential mental health facilities—can improve the health and economic well-being of local communities. At its peak in 2011, rural inpatient healthcare employment reached over 1.25 million wage and salary jobs, or about 8.5 percent of total rural (wage and salary) employment. However, employment in the rural inpatient healthcare sector varies by region. Between 2001 and 2015, rural counties with the most inpatient healthcare facility jobs per resident were concentrated in the Upper Midwest and Northern Great Plains. Regions with fewer inpatient healthcare jobs per resident include much of the West, the Southern Great Plains, and the South. The regional variation in rural healthcare employment per resident may reflect in part the relatively heavier dependence of some sparsely populated areas on hospital employment, and the difficulty many rural communities face in attracting and retaining physicians and other healthcare professionals. One study found, for example, that over 85 percent of rural counties had a shortage of primary care health professionals in 2005. Additionally, between January 2010 and December 2016, 78 rural hospitals closed—about 4 percent of the 1,855 total rural hospitals. This chart appears in the ERS report, Employment Spillover Effects of Rural Inpatient Healthcare Facilities, released November 2017.