Indiana now has more people hospitalized for COVID-19 per capita than 48 other states.

Only South Dakota is doing worse, according the COVID Tracking Project. The Indy Star reports that roughly 50 out of every 100,000 Hoosiers is now hospitalized with the virus, an increase from last week on the current strain on the state’s hospitals. Only South Dakota has a higher rate, with 61 per 100,000.

South Dakota, however, has about 480 beds per 100,000 people, where Indiana has about 270.