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About two thirds of hospitals (67%) are now part of a larger system, an increase from 56% in 2010. A smaller share of rural than nonrural hospitals were part of a health system in 2022 (52% versus 83%), though shares have increased over time for both rural and nonrural regions: from 43% in 2010 to 52% in 2022 among rural hospitals and from 69% in 2010 to 83% in 2022 among nonrural hospitals.