Becker's Healthcare September 23, 2025
Urban hospitals have faced mounting pressures in recent years, with closures outpacing new openings from 2019 to 2023, according to a recent report from the Government Accountability Office. The GAO reviewed five urban hospitals that closed in 2022 and 2023 to better understand the financial and operational challenges leading to their shutdowns and how those closures reshaped community access to care.
Six things to know:
1. Financial decline was universal. All five hospitals studied saw steady financial deterioration in the five years leading up to closure. Several posted recurring operating losses, while one cycled through three bankruptcies under different ownership groups during that period. Margins at these hospitals fell well below national medians for urban hospitals; three of the hospitals...
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