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KFF analyzed the most recent community hospital data from 2023, sourced from the American Hospital Association’s Annual Survey (1999–2023), and compared it with population data from the U.S. Census Bureau.  Below are the top 10 states ranked by number of visits per 1,000 residents. 

To view the complete list, visit the Becker’s Hospital Review Article – ED Strain

  1. West Virginia: 596
  2. North Dakota: 591
  3. Louisiana: 589
  4. Mississippi: 567
  5. Maine: 555
  6. Ohio: 541
  7. Indiana: 539
  8. Kentucky: 514
  9. Missouri: 511
  10. District of Columbia: 500

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