87 Rural Hospital Closures: January 2010 – Present
Rural Hospital Closures 2010-CurrentChoose a sorting method to display the table.
|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|
|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|
|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|
|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|
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.