Every year, Illinois hospitals and health systems generate $135.5 billion in economic activity statewide that helps grow and strengthen communities. They support working families through 521,000 good-paying jobs and local businesses through spending on supplies, services, and capital projects. Communities win when local hospitals are strong—yet many Illinois hospitals are struggling to survive, with rising costs and federal policy changes H.R. 1 as major factors.

Illinois’ 85 small and rural hospitals account for 38% of all hospitals in the state and contribute over $21 billion annually to the economy. With distinct characteristics from their urban counterparts, small and rural hospitals provide essential, lifesaving care to 1.6 million rural residents. Nearly 98% of these hospitals have fewer than 150 beds and 66% are Critical Access Hospitals.

Hospital leaders play an important role in helping lawmakers understand how policy decisions affect care in their communities. IHA’s updated toolkit, Legislative Relationships: The Cornerstone of Effective Advocacy, provides practical guidance, templates, and planning tools for hosting structured, meaningful on-site meetings with legislators. These meetings are important opportunities for leaders to communicate priorities and strengthen relationships.