87 Rural Hospital Closures: January 2010 – Present

What is a closed hospital?

We follow the convention of the Office of Inspector General that a closed hospital is “A facility that stopped providing general, short-term, acute inpatient care [….] We did not consider a hospital closed if it: Merged with, or was sold to, another hospital but the physical plant continued to provide inpatient acute care, Converted to critical access status, or Both closed and reopened during the same calendar year and at the same physical location.”

Note that a facility that closed its inpatient unit but continued to provide emergency and outpatient services at the same physical location would be considered a “closed hospital” that “converted” to offer other health services. Likewise, a facility that dramatically scaled back its inpatient services (e.g. from 70 beds to 2) would be considered “open” because it continues to provide inpatient services (albeit in a vastly reduced manner).

In some instances, a hospital closes but reopens in another location.  In these circumstances, we use our best judgment as to whether access to inpatient services in the rural community was considerably affected by the move to the new location.  A move across town or outside city limits would generally not be considered a “closure”; reopening in a community 10-15 miles away, however, likely would.

 

Make sure to see our FAQ below for additional information.


Rural Hospital Closures 2010-Current

Choose a sorting method to display the table.
HospitalStateRUCACBSAMedicare PaymentClosure YearNumber of BedsStatus
McKenzie Regional HospitalTennessee7.0NeitherPPS201829None
Chestatee Regional HospitalGeorgia2.0NeitherPPS201838None
Stamford Memorial HospitalTexas7.1MetroPPS201822Outpatient/Primary Care/Rural Health Clinic
Twin Rivers Regional Medical CenterMissouri4.0MicroPPS2018100None
Coalinga Regional Medical CenterCalifornia4.0MetroSCH201822None
Our Community HospitalNorth Carolina10.1MicroCAH201720Nursing or Rehabilitation Facility
Pioneer Community Hospital of Patrick CountyVirginia6NeitherCAH201725None
Care Regional Medical CtrTexas4.1MetroPPS201763None
East Texas Medical Center- TrinityTexas7.2MicroMDH201745None
Campbellton-Graceville HospitalFlorida7.1NeitherCAH201725None
Timberlands HospitalTexas8.0NeitherSCH201749Outpatient/Primary Care/Rural Health Clinic
Copper Basin Medical CenterTennessee10.1MetroCAH201721Urgent or Emergency Care
Davie Medical Center- MocksvilleNorth Carolina7.1MetroPPS201710None
Gulf Coast Medical CenterTexas7.1MicroPPS201694None
Nix Community General HospitalTexas7.0NeitherPPS201618None
Quitman County HospitalMississippi10.1NeitherCAH201625None
North Georgia Medical CenterGeorgia7.0NeitherPPS201640Urgent or Emergency Care
Epic Medical CenterOklahoma10.2NeitherMDH201633Urgent or Emergency Care
Tennova Healthcare- McNairy RegionalTennessee7.0NeitherMDH201626None
Memorial Hospital & Physician GroupOklahoma7.1NeitherSCH201637Outpatient/Primary Care/Rural Health Clinic
SoutheastHEALTH Center of Reynolds CountyMissouri2.0NeitherCAH201621None
New Horizons Medical CenterKentucky10.2NeitherCAH201625Outpatient/Primary Care/Rural Health Clinic
Westlake Regional HospitalKentucky7.0NeitherMDH201649Urgent or Emergency Care
Southern Palmetto HospitalSouth Carolina7.1NeitherSCH201630None
St. Mary's HospitalIllinois4.0MicroPPS201694Urgent or Emergency Care
Albany Area HospitalMinnesota2.0MetroCAH201517None
Pioneer Community Hospital of NewtonMississippi7.0NeitherCAH201521None
Merit Health Natchez-Community CampusMississippi4.0MicroPPS2015101None
Southern Maine Health Care- Sanford Medical CenterMaine4.1MetroPPS201546Urgent or Emergency Care
Mercy Hospital IndependenceKansas7.2MicroPPS201541Outpatient/Primary Care/Rural Health Clinic
Nye Regional Medical CenterNevada5.0MicroSCH201510None
Parkland Health Center- Weber RdMissouri4.1MicroRRC201598None
Cochise Regional HospitalArizona4.0MetroCAH201525None
United Regional Medical CenterTennessee4.0MicroPPS201553None
Parkview Adventist Medical CenterMaine4.1MetroPPS201555Urgent or Emergency Care
Hunt Regional Community Hospital of CommerceTexas7.2MetroCAH201524None
Yadkin Valley Community HospitalNorth Carolina2.0MetroCAH201515None
Marlboro Park HospitalSouth Carolina4.0MicroPPS201594None
Parkridge West HospitalTennessee7.1MetroPPS201550Urgent or Emergency Care
Parkway Regional HospitalKentucky7.2MicroPPS201548None
Kilmichael HospitalMississippi8NeitherMDH201519Outpatient/Primary Care/Rural Health Clinic
East Texas Medical Center- Mount VernonTexas9NeitherMDH201449Outpatient/Primary Care/Rural Health Clinic
East Texas Medical Center- ClarksvilleTexas7.2NeitherMDH201430None
East Texas Medical Center- GilmerTexas7.1MetroPPS201437Outpatient/Primary Care/Rural Health Clinic
Doctors Hospital of NelsonvilleOhio7.2MicroCAH201425Urgent or Emergency Care
Sac-Osage HospitalMissouri9NeitherSCH201447None
Haywood Park Community HospitalTennessee7.1NeitherMDH201436None
Lower Oconee Community HospitalGeorgia10.2NeitherCAH201425None
Tilden Community HospitalNebraska10.2NeitherCAH201420Outpatient/Primary Care/Rural Health Clinic
Vidant Pungo HospitalNorth Carolina10.2MicroCAH201425None
Mid-Valley HospitalPennsylvania1MetroCAH201425Urgent or Emergency Care
Nicholas County HospitalKentucky10.2NeitherCAH201416None
Good Shepherd Medical CenterTexas10.1NeitherCAH201425None
North Adams Regional HospitalMassachusetts4.1MetroMDH 201498Urgent or Emergency Care
Lake Whitney Medical CenterTexas10.1NeitherMDH201449None
Gibson General HospitalTennessee7NeitherMDH201441Urgent or Emergency Care
Humboldt General HospitalTennessee7.1NeitherPPS201442Urgent or Emergency Care
Florala Memorial HospitalAlabama3NeitherPPS201322Outpatient/Primary Care/Rural Health Clinic
Starr Regional Medical Center-EtowahTennessee7.2MicroMDH201360Urgent or Emergency Care
Wise Regional Health System-Bridgeport Texas7.0MetroPPS201335Urgent or Emergency Care
St. Andrews HospitalMaine10NeitherCAH201325Urgent or Emergency Care
Blowing Rock HospitalNorth Carolina10.1MicroCAH201325Nursing or Rehabilitation Facility
Lee Regional Medical CenterVirginia10.1NeitherMDH201370None
Charlton Memorial HospitalGeorgia2NeitherCAH201315None
Patient’s Choice Medical Center of Humphreys CountyMississippi7.2NeitherCAH201325None
Shelby Regional Medical CenterTexas7.2Neither PPS201354None
Corcoran District HospitalCalifornia4.1MetroPPS201332Outpatient/Primary Care/Rural Health Clinic
Calhoun Mem HospitalGeorgia2NeitherCAH201325Outpatient/Primary Care/Rural Health Clinic
Stewart-Webster HospitalGeorgia10.1NeitherCAH201325None
Elba General HospitalAlabama10.2MicroMDH201320Nursing or Rehabilitation Facility
Renaissance Hospital TerrellTexas4.1Metro PPS2013106None
Chilton Medical CenterAlabama7.1MetroPPS201227None
Muskogee Community HospitalOklahoma4MicroPPS201245Outpatient/Primary Care/Rural Health Clinic
Florence Community HealthcareArizona4.1MetroCAH201225None
Hart County HospitalGeorgia7NeitherMDH201282None
Cheboygan Memorial HospitalMchigan7NeitherCAH201225Urgent or Emergency Care
Saint Catherine Medical Center Fountain SpringsPennsylvania7.2MicroPPS201253None
Bamberg County Memorial HospitalSouth Carolina7.2NeitherPPS201259None
Physicians Choice Hospital-FremontOhio4MicroPPS20128None
Hualapai Mountain Medical CenterArizona4MetroPPS201170Nursing or Rehabilitation Facility
SouthWest Alabama Medical CenterAlabama7.1NeitherPPS201127None
Central Kansas Medical CenterKansas4MicroRe-based SCH201141Outpatient/Primary Care/Rural Health Clinic
Randolph Medical CenterAlabama7.2NeitherCAH201112None
Franciscan Skemp Medical CenterWisconsin7NeitherCAH201125Outpatient/Primary Care/Rural Health Clinic
Lakeside Medical CenterMinnesota7.1NeitherPPS201010Nursing or Rehabilitation Facility
Holy Infant HospitalSouth Dakota10NeitherRe-based SCH201022Outpatient/Primary Care/Rural Health Clinic
Kingsburg Medical CenterCalifornia4.1MetroPPS201015None

Do you know of a hospital that closed within the past 10 years that is not on our list? Do you know of a hospital that is on the brink of closure? Please complete an inquiry below or email your information and tips to us here: ncrural@unc.edu

What is a rural hospital?

A rural hospital is any short-term, general acute, non-federal hospital that is a. not located in a metropolitan county OR b. is located in a RUCA type 4 or higher OR c. is a Critical Access Hospital.

 

What is a closed hospital?

We follow the convention of the Office of Inspector General that a closed hospital is “A facility that stopped providing general, short-term, acute inpatient care [….] We did not consider a hospital closed if it: Merged with, or was sold to, another hospital but the physical plant continued to provide inpatient acute care, Converted to critical access status, or Both closed and reopened during the same calendar year and at the same physical location.”

Note that a facility that closed its inpatient unit but continued to provide emergency and outpatient services at the same physical location would be considered a “closed hospital” that “converted” to offer other health services. Likewise, a facility that dramatically scaled back its inpatient services (e.g. from 70 beds to 2) would be considered “open” because it continues to provide inpatient services (albeit in a vastly reduced manner).

In some instances, a hospital closes but reopens in another location.  In these circumstances, we use our best judgment as to whether access to inpatient services in the rural community was considerably affected by the move to the new location.  A move across town or outside city limits would generally not be considered a “closure”; reopening in a community 10-15 miles away, however, likely would.

 

How do you gather information about closures?

We collect information from various sources, including web searches, news alerts, analyses of Centers for Medicare and Medicaid Services data, information exchange with the National Rural Health Association, the federal Office of Rural Health Policy, and from submission by the public.

 

How do you track closures?
Once we have identified rural hospitals at risk, we monitor them to gather information on why and when the will closure occur. We also monitor these facilities even after the closure occurred. Closed hospitals can re-open.
A “closed but re-opened” hospital will appear on lists and maps produced for the public. These closures are usually identified by the assumption that there is no intent or action plan to re-open as a hospital at the time of closure. This closure would have previously been included in our count of closed rural hospitals at one point in the past.

 

Are rural hospital closures a new phenomenon?

No. Policymakers began paying attention in the late 1980s. The Office of Inspector General of the U.S. Department of Health and Human Services conducted a report in 1989 examining closures in 1987; because there was so much interest, the report was repeated on an annual basis for a few years. As the rate slowed in the late 1990s and early 2000s, interest waned until recently.

 

Why have closures increased lately? Is it the effect of ___(policy)___?

Closures have been ticking up since the recession of 2008-2009. There are likely multiple contributing factors, including failure to recover from the recession, population demographic trends, market trends (e.g. increased rates of merger and affiliation), decreased demand for inpatient services, and new models of care (e.g. Accountable Care Organizations). Long-standing trends – such as generally poorer financial performance in the South – may contribute to closure rates. Some observers have noted the potential effect of the Affordable Care Act (“Obamacare”) and/or the correlation with a state’s decision of whether to expand Medicaid.

 

Join Our Email List