Hospital bypass, the tendency of local rural residents to not seek care at their closest hospital, is thought to be a contributing factor for rural hospital closure. The purpose of this brief is to update the knowledge base of determinants of bypass behavior by analyzing state inpatient data from 2014-2016 across 16 diverse states. Our results suggest that inpatient bypass behavior is driven by both hospital-level and patient-level characteristics. In comparison to other rural hospitals, rural hospitals are more likely to be bypassed by local residents if they are a Critical Access Hospital, smaller, less profitable, and do not offer obstetric service. Individuals who did not bypass their local rural hospital were more likely to belong to vulnerable populations.