Using a recent revision of the Financial Distress Index (FDI) model, the NC Rural Health Research Program brief, Using the Updated Financial Distress Index to Describe Relative Risk of Hospital Financial Distress describes the relative risk of experiencing financial distress for rural hospitals and selected urban hospitals (urban Critical Access Hospitals [CAHs], urban Medicare Dependent Hospitals [MDHs], and urban Sole Community Hospitals [SCHs] earning $500,000,000 or less in net patient revenue).