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

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Rural Hospital Closures 2010-Current

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Hospital	State	RUCA	CBSA	Medicare Payment	Closure Year	Number of Beds	Status
Chestatee Regional Hospital	Georgia	2.0	Neither	PPS	2018	38	None
Stamford Memorial Hospital	Texas	7.1	Metro	PPS	2018	22	Outpatient/Primary Care/Rural Health Clinic
Twin Rivers Regional Medical Center	Missouri	4.0	Micro	PPS	2018	100	None
Coalinga Regional Medical Center	California	4.0	Metro	SCH	2018	22	None
Our Community Hospital	North Carolina	10.1	Micro	CAH	2017	20	Nursing or Rehabilitation Facility
Pioneer Community Hospital of Patrick County	Virginia	6	Neither	CAH	2017	25	None
Care Regional Medical Ctr	Texas	4.1	Metro	PPS	2017	63	None
East Texas Medical Center- Trinity	Texas	7.2	Micro	MDH	2017	45	None
Campbellton-Graceville Hospital	Florida	7.1	Neither	CAH	2017	25	None
Timberlands Hospital	Texas	8.0	Neither	SCH	2017	49	Outpatient/Primary Care/Rural Health Clinic
Copper Basin Medical Center	Tennessee	10.1	Metro	CAH	2017	21	Urgent or Emergency Care
Davie Medical Center- Mocksville	North Carolina	7.1	Metro	PPS	2017	10	None
Gulf Coast Medical Center	Texas	7.1	Micro	PPS	2016	94	None
Nix Community General Hospital	Texas	7.0	Neither	PPS	2016	18	None
Quitman County Hospital	Mississippi	10.1	Neither	CAH	2016	25	None
North Georgia Medical Center	Georgia	7.0	Neither	PPS	2016	40	Urgent or Emergency Care
Epic Medical Center	Oklahoma	10.2	Neither	MDH	2016	33	Urgent or Emergency Care
Tennova Healthcare- McNairy Regional	Tennessee	7.0	Neither	MDH	2016	26	None
Colusa Regional Medical Center	California	7.1	Neither	SCH	2016	42	Urgent or Emergency Care
Memorial Hospital & Physician Group	Oklahoma	7.1	Neither	SCH	2016	37	Outpatient/Primary Care/Rural Health Clinic
SoutheastHEALTH Center of Reynolds County	Missouri	2.0	Neither	CAH	2016	21	None
New Horizons Medical Center	Kentucky	10.2	Neither	CAH	2016	25	Outpatient/Primary Care/Rural Health Clinic
Westlake Regional Hospital	Kentucky	7.0	Neither	MDH	2016	49	Urgent or Emergency Care
Southern Palmetto Hospital	South Carolina	7.1	Neither	SCH	2016	30	None
St. Mary's Hospital	Illinois	4.0	Micro	PPS	2016	94	Urgent or Emergency Care
Albany Area Hospital	Minnesota	2.0	Metro	CAH	2015	17	None
Pioneer Community Hospital of Newton	Mississippi	7.0	Neither	CAH	2015	21	None
Merit Health Natchez-Community Campus	Mississippi	4.0	Micro	PPS	2015	101	None
Southern Maine Health Care- Sanford Medical Center	Maine	4.1	Metro	PPS	2015	46	Urgent or Emergency Care
Mercy Hospital Independence	Kansas	7.2	Micro	PPS	2015	41	Outpatient/Primary Care/Rural Health Clinic
Nye Regional Medical Center	Nevada	5.0	Micro	SCH	2015	10	None
Parkland Health Center- Weber Rd	Missouri	4.1	Micro	RRC	2015	98	None
Cochise Regional Hospital	Arizona	4.0	Metro	CAH	2015	25	None
United Regional Medical Center	Tennessee	4.0	Micro	PPS	2015	53	None
Parkview Adventist Medical Center	Maine	4.1	Metro	PPS	2015	55	Urgent or Emergency Care
Hunt Regional Community Hospital of Commerce	Texas	7.2	Metro	CAH	2015	24	None
Yadkin Valley Community Hospital	North Carolina	2.0	Metro	CAH	2015	15	None
Marlboro Park Hospital	South Carolina	4.0	Micro	PPS	2015	94	None
Parkridge West Hospital	Tennessee	7.1	Metro	PPS	2015	50	Urgent or Emergency Care
Parkway Regional Hospital	Kentucky	7.2	Micro	PPS	2015	48	None
Kilmichael Hospital	Mississippi	8	Neither	MDH	2015	19	Outpatient/Primary Care/Rural Health Clinic
East Texas Medical Center- Mount Vernon	Texas	9	Neither	MDH	2014	49	Outpatient/Primary Care/Rural Health Clinic
East Texas Medical Center- Clarksville	Texas	7.2	Neither	MDH	2014	30	None
East Texas Medical Center- Gilmer	Texas	7.1	Metro	PPS	2014	37	Outpatient/Primary Care/Rural Health Clinic
Doctors Hospital of Nelsonville	Ohio	7.2	Micro	CAH	2014	25	Urgent or Emergency Care
Sac-Osage Hospital	Missouri	9	Neither	SCH	2014	47	None
Haywood Park Community Hospital	Tennessee	7.1	Neither	MDH	2014	36	None
Lower Oconee Community Hospital	Georgia	10.2	Neither	CAH	2014	25	None
Tilden Community Hospital	Nebraska	10.2	Neither	CAH	2014	20	Outpatient/Primary Care/Rural Health Clinic
Vidant Pungo Hospital	North Carolina	10.2	Micro	CAH	2014	25	None
Mid-Valley Hospital	Pennsylvania	1	Metro	CAH	2014	25	Urgent or Emergency Care
Nicholas County Hospital	Kentucky	10.2	Neither	CAH	2014	16	None
Good Shepherd Medical Center	Texas	10.1	Neither	CAH	2014	25	None
North Adams Regional Hospital	Massachusetts	4.1	Metro	MDH	2014	98	Urgent or Emergency Care
Lake Whitney Medical Center	Texas	10.1	Neither	MDH	2014	49	None
Gibson General Hospital	Tennessee	7	Neither	MDH	2014	41	Urgent or Emergency Care
Humboldt General Hospital	Tennessee	7.1	Neither	PPS	2014	42	Urgent or Emergency Care
Florala Memorial Hospital	Alabama	3	Neither	PPS	2013	22	Outpatient/Primary Care/Rural Health Clinic
Starr Regional Medical Center-Etowah	Tennessee	7.2	Micro	MDH	2013	60	Urgent or Emergency Care
Wise Regional Health System-Bridgeport	Texas	7.0	Metro	PPS	2013	35	Urgent or Emergency Care
St. Andrews Hospital	Maine	10	Neither	CAH	2013	25	Urgent or Emergency Care
Blowing Rock Hospital	North Carolina	10.1	Micro	CAH	2013	25	Nursing or Rehabilitation Facility
Lee Regional Medical Center	Virginia	10.1	Neither	MDH	2013	70	None
Charlton Memorial Hospital	Georgia	2	Neither	CAH	2013	15	None
Patient’s Choice Medical Center of Humphreys County	Mississippi	7.2	Neither	CAH	2013	25	None
Shelby Regional Medical Center	Texas	7.2	Neither	PPS	2013	54	None
Corcoran District Hospital	California	4.1	Metro	PPS	2013	32	Outpatient/Primary Care/Rural Health Clinic
Calhoun Mem Hospital	Georgia	2	Neither	CAH	2013	25	Outpatient/Primary Care/Rural Health Clinic
Stewart-Webster Hospital	Georgia	10.1	Neither	CAH	2013	25	None
Elba General Hospital	Alabama	10.2	Micro	MDH	2013	20	Nursing or Rehabilitation Facility
Renaissance Hospital Terrell	Texas	4.1	Metro	PPS	2013	106	None
Chilton Medical Center	Alabama	7.1	Metro	PPS	2012	27	None
Muskogee Community Hospital	Oklahoma	4	Micro	PPS	2012	45	Outpatient/Primary Care/Rural Health Clinic
Florence Community Healthcare	Arizona	4.1	Metro	CAH	2012	25	None
Hart County Hospital	Georgia	7	Neither	MDH	2012	82	None
Cheboygan Memorial Hospital	Mchigan	7	Neither	CAH	2012	25	Urgent or Emergency Care
Saint Catherine Medical Center Fountain Springs	Pennsylvania	7.2	Micro	PPS	2012	53	None
Bamberg County Memorial Hospital	South Carolina	7.2	Neither	PPS	2012	59	None
Physicians Choice Hospital-Fremont	Ohio	4	Micro	PPS	2012	8	None
Hualapai Mountain Medical Center	Arizona	4	Metro	PPS	2011	70	Nursing or Rehabilitation Facility
SouthWest Alabama Medical Center	Alabama	7.1	Neither	PPS	2011	27	None
Central Kansas Medical Center	Kansas	4	Micro	Re-based SCH	2011	41	Outpatient/Primary Care/Rural Health Clinic
Randolph Medical Center	Alabama	7.2	Neither	CAH	2011	12	None
Franciscan Skemp Medical Center	Wisconsin	7	Neither	CAH	2011	25	Outpatient/Primary Care/Rural Health Clinic
Lakeside Medical Center	Minnesota	7.1	Neither	PPS	2010	10	Nursing or Rehabilitation Facility
Holy Infant Hospital	South Dakota	10	Neither	Re-based SCH	2010	22	Outpatient/Primary Care/Rural Health Clinic
Kingsburg Medical Center	California	4.1	Metro	PPS	2010	15	None

Rural Hospital Closure Printable List

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.