VERMONT HOSPITAL MONOGRAPH COMPANION - healthvermont 2025

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The state with the highest number of CAHs is Texas, with 88 hospitals, followed by Iowa (82 hospitals) and Kansas (81 hospitals). These states have large swaths of rurally populated areas, so it is no surprise that together these states account for 19% of all CAHs.
Learn More About Vermonts Hospitals Eight of Vermonts hospitals are designated as Critical Access, which means they have fewer than 25 beds and the federal government considers them essential to the rural communities they serve.
CAHs are under immense financial pressure. With nearly 30% of CAHs reporting an operating margin worse than -10.0%, communities need to evaluate the sustainability of their CAH. For CAHs on shaky ground, it is imperative to take action before its too late.
A hospital companion, also known as a patient companion or hospital sitter, provides additional support to individuals that are disabled, elderly, or in need of compassionate supervision during their hospital stay.
Critical Access Hospitals must be located in rural areas, defined in the Conditions of Participation (CoPs) as any area outside of a Metropolitan Statistical Area as outlined by the Office of Management and Budget (OMB), or is being treated as rural by the Centers for Medicare Medicaid Services (CMS).
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In addition to VPCH, DMH currently designates six hospitals to provide psychiatric inpatient care in Vermont.
Vermonters are served by 15 non-profit hospitals including: 8 small critical access hospitals, 5 mid-size rural hospitals, 2 academic medical centers, plus a Veterans Administration hospital and several designated psychiatric inpatient facilities.
Current FoundedHospitalBeds 1879 University of Vermont Medical Center 620 1896 Rutland Regional Medical Center 144 1903 Gifford Medical Center 25 1904 Brattleboro Memorial Hospital 6113 more rows

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