Community Impact and Benefit Activities of Critical Access, Other Rural, and Urban Hospitals, 2019 [State Data Report]

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MRHRC, rural hospitals, data, community benefit, critical access hospitals


Non-profit and publicly-owned hospitals, including Critical Access Hospitals (CAHs), have obligations to address the health needs of their communities. Non-profit hospitals are required to report their community benefit activities to the Internal Revenue Service using Form 990, Schedule H. Community benefit activities include programs and services that provide treatment and/or promote health in response to identified community needs. Publicly-owned hospitals are also held accountable to the needs of their communities through the oversight of their governing boards and local governments. To monitor the community impact and benefit activities of CAHs and to understand whether and how their community impact and benefit profiles differ from those of other hospitals, researchers at the University of Southern Maine's Flex Monitoring Team (FMT) compared CAHs to other rural and urban hospitals using a set of indicators developed by the FMT.

This report enables State Flex Programs and CAH administrators to compare the community impact and benefit profiles of CAHs nationally to the performance of CAHs in their state.

For more information, please contact Zach Croll at


Rural Hospitals, Flex Program

Funding Organization

Federal Office of Rural Health Policy