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Financial distress
Hospital closures, bankruptcies, and debt cycles — the balance-sheet signals that precede a facility going dark.
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- Provider exclusions aren't rising — but they cluster around distressed operators
New additions to the OIG exclusion list are flat to declining — down 2.4% year-over-year through April 2026, and down 18.7% across full-year 2024 to 2025. The count is not the story. What concentrates is the composition: new exclusions cluster in facilities already showing the balance-sheet markers of financial distress.
2026-05-05 · 7 min
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