Rural Hospital Closures
193 Rural Hospital Closures and Conversions
since January 2005
109 complete closures* + 84 converted closures**
150 Closures and Conversions since 2010
86 complete closures* + 64 converted closures**
- Numbers of rural hospital closures and conversions do not include conversions to Rural Emergency Hospitals (REHs), a new type of provider.
- A list of REHs can be found at Rural Emergency Hospitals Map.
- More information on recent changes to our rural hospital closure and conversion website (October 2023).
* Complete: Facilities no longer provide health care services.
**Converted: Facilities no longer provide in-patient services, but continue to provide some health care services (e.g., primary care, skilled nursing care, long-term care).
© 2014, The University of North Carolina at Chapel Hill. All rights reserved. |
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 a Critical Access Hospital, Converted to a Rural Emergency Hospital, or Both closed and reopened during the same calendar year and at the same physical location.
A facility that no longer provides health services is considered a “complete closure.” Note that a facility that closed its inpatient unit but continued to provide other health services, like urgent or emergent care services, rehabilitation, and/or outpatient services, at the same physical location would be considered a “converted closure“. Likewise, a facility that dramatically scaled back its inpatient services (e.g., from 70 beds to 2 beds) would be considered “open” because it continues to provide inpatient services (albeit in a vastly reduced manner).
A conversion to a rural emergency hospital is not considered a closure. Rural Emergency Hospitals Map
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 2005-Current
Choose a sorting method to display the table.Hospital | State | RUCA | CBSA | Medicare Payment | Closure Year | Number of Beds | Status |
---|---|---|---|---|---|---|---|
MercyOne Primghar Medical Center | Iowa | 10 | Neither | CAH | 2024 | 14 | None |
Thomasville Regional Medical Center | Alabama | 7 | Neither | PPS | 2024 | 29 | None |
Community Memorial Hospital | Ohio | 7 | Micro | CAH | 2024 | 25 | None |
Aspirus Onotonagon Hospital | Michigan | 10 | Neither | CAH | 2024 | 25 | Rural Health Clinic |
Jellico Regional Hospital | Tennessee | 10 | Metro | CAH | 2024 | 25 | None |
St. Mark's Medical Center | Texas | 7 | Neither | REH | 2023 | 0 | None |
Herington Hospital | Kansas | 10 | Neither | CAH | 2023 | 15 | None |
Spectrum Health Kelsey Hospital | Michigan | 10 | Metro | CAH | 2023 | 25 | None |
Indiana University Health Blackford Hospital | Indiana | 9 | Neither | CAH | 2023 | 15 | Primary care and outpatient services |
Martin General Hospital | North Carolina | 7 | Neither | MDH | 2023 | 43 | None |
Patients Choice Medical Center of Smith County | Mississippi | 10 | Neither | PPS | 2023 | 19 | None |
St. Margaret's Health - Spring Valley | Illinois | 4 | Micro | MDH | 2023 | 44 | None |
UPMC Lock Haven | Pennsylvania | 4 | Micro | MDH | 2023 | 25 | Outpatient Emergency Department |
Ascension St. Vincent Dunn | Indiana | 4 | Micro | CAH | 2022 | 25 | Mental and Behavioral Health |
Blessing Health Keokuk | Iowa | 4 | Micro | MDH | 2022 | 49 | None |
Audrain Community Hospital | Missouri | 4 | Micro | SCH | 2022 | 40 | None |
Callaway Community Hospital | Missouri | 4 | Metro | PPS | 2022 | 18 | None |
Acoma-Canoncito-Laguna Service Unit | New Mexico | 2 | Micro | IHS | 2022 | 6 | Primary care, outpatient, radiology, urgent care clinic |
Galesburg Cottage Hospital | Illinois | 4 | Micro | MDH | 2022 | 96 | Urgent or Emergency Care |
MercyOne Oakland Medical Center | Nebraska | 10 | Neither | CAH | 2021 | 16 | Primary care clinic |
Community HealthCare System - St. Marys | Kansas | 7 | Metro | CAH | 2021 | 25 | Outpatient/Primary Care/Rural Health Clinic |
Perry Community Hospital | Tennessee | 10 | Neither | PPS | 2020 | 25 | None |
Northridge Medical Center | Georgia | 7 | Micro | PPS | 2020 | 27 | Nursing or Rehabilitation Facility |
Southwest Georgia Regional Medical Center | Georgia | 7 | Neither | CAH | 2020 | 25 | None |
Shands Lake Shore Regional Medical Center | Florida | 4 | Micro | PPS | 2020 | 87 | None |
Cumberland River Hospital | Tennessee | 6 | Neither | PPS | 2020 | 1 | None |
Bluefield Regional Medical Center | West Virginia | 4 | Micro | MDH | 2020 | 57 | Urgent or Emergency Care |
St. Luke's Cushing Hospital | Kansas | 4 | Metro | PPS | 2020 | 24 | Urgent or Emergency Care |
Shands Live Oak Regional Medical Center | Florida | 7 | Neither | CAH | 2020 | 25 | Urgent or Emergency Care |
Shands Starke Regional Medical Center | Florida | 2 | Neither | CAH | 2020 | 25 | Urgent or Emergency Care |
Decatur County General Hospital | Tennessee | 10 | Neither | MDH | 2020 | 40 | None |
Sumner Community Hospital | Kansas | 7 | Metro | PPS | 2020 | 42 | None |
Edward W. McCready Memorial Hospital | Maryland | 10 | Metro | PPS | 2020 | 3 | Urgent or Emergency Care |
Mayo Clinic Health System-Springfield | Minnesota | 10 | Micro | CAH | 2020 | 24 | Outpatient/Primary Care/Rural Health Clinic |
Central Hospital of Bowie | Texas | 7 | Neither | MDH | 2020 | 37 | None |
UPMC Susquehanna Sunbury | Pennsylvania | 5 | Micro | MDH | 2020 | 70 | Outpatient/Primary Care/Rural Health Clinic |
Mountain View Regional Hospital | Virginia | 4 | Micro | PPS | 2020 | 20 | Nursing or Rehabilitation Facility |
Pinnacle Regional Hospital | Missouri | 2 | Neither | PPS | 2020 | 46 | None |
Ellwood City Medical Center | Pennsylvania | 2 | Micro | MDH | 2019 | 52 | None |
Black River Community Medical Center | Missouri | 4 | Micro | PPS | 2019 | 3 | Urgent or Emergency Care |
Texas General- Van Zandt Regional Medical Center | Texas | 7 | Neither | PPS | 2019 | 1 | None |
Hamlin Memorial Hospital | Texas | 10.1 | Metro | MDH | 2019 | 25 | Outpatient/Primary Care/Rural Health Clinic |
Sitka Community Hospital | Alaska | 7 | Neither | CAH | 2019 | 12 | Outpatient/Primary Care/Rural Health Clinic |
Chillicothe Hospital | Texas | 10.2 | Neither | CAH | 2019 | 21 | Outpatient/Primary Care/Rural Health Clinic |
Fayette Regional Health System | Indiana | 4 | Micro | PPS | 2019 | 45 | Urgent or Emergency Care |
Regional General Hospital | Florida | 2 | Neither | PPS | 2019 | 20 | None |
Albert Lea- Mayo Clinic Health System | Minnesota | 4 | Micro | SCH | 2019 | 142 | Outpatient/Primary Care/Rural Health Clinic |
Jamestown Regional Medical Center | Tennessee | 10.2 | Neither | SCH | 2019 | 54 | None |
Mercy Hospital El Reno | Oklahoma | 4.1 | Metro | PPS | 2019 | 48 | None |
Takoma Regional Hospital | Tennessee | 4 | Micro | MDH | 2019 | 73 | Urgent or Emergency Care |
Horton Community Hospital | Kansas | 10.3 | Neither | CAH | 2019 | 15 | None |
Georgiana Medical Center | Alabama | 10 | Neither | MDH | 2019 | 22 | None |
I-70 Community Hospital | Missouri | 10 | Micro | CAH | 2019 | 15 | None |
Oswego Community Hospital | Kansas | 10.2 | Micro | CAH | 2019 | 12 | None |
Doctor's Hospital at Deer Creek | Louisiana | 7 | Micro | PPS | 2019 | 10 | None |
Mercy Hospital Fort Scott | Kansas | 7 | Neither | MDH | 2018 | 43 | None |
Fairfield Memorial Hospital | South Carolina | 2 | Metro | CAH | 2018 | 25 | None |
Little River Healthcare Cameron Hospital | Texas | 7.1 | Neither | PPS | 2018 | 6 | None |
Little River Healthcare Rockdale Hospital | Texas | 7.1 | Neither | CAH | 2018 | 25 | None |
Adventist Health Feather River | California | 4.1 | Metro | MDH | 2018 | 100 | None |
Latimer County General Hospital | Oklahoma | 7 | Neither | MDH | 2018 | 33 | None |
Southeast Health Center of Ripley County | Missouri | 10.2 | Neither | MDH | 2018 | 21 | Outpatient/Primary Care/Rural Health Clinic |
McKenzie Regional Hospital | Tennessee | 7 | Neither | PPS | 2018 | 29 | None |
Sayre Community Hospital | Oklahoma | 7.2 | Micro | PPS | 2018 | 22 | None |
Stamford Memorial Hospital | Texas | 7.1 | Metro | PPS | 2018 | 22 | Outpatient/Primary Care/Rural Health Clinic |
Twin Rivers Regional Medical Center | Missouri | 4 | Micro | PPS | 2018 | 100 | None |
Coalinga Regional Medical Center | California | 4 | Metro | SCH | 2018 | 22 | None |
Moses-Ludington Hospital | New York | 7 | Neither | CAH | 2018 | 15 | Urgent or Emergency Care |
Tri-Town Regional Hospital | New York | 7.2 | Neither | PPS | 2018 | 4 | Outpatient/Primary Care/Rural Health Clinic |
Our Community Hospital | North Carolina | 10.1 | Micro | CAH | 2017 | 20 | Nursing or Rehabilitation Facility |
Weimar Medical Center | Texas | 10.1 | Neither | PPS | 2017 | 38 | None |
Lake Shore Health Care Center | New York | 10.1 | Micro | PPS | 2017 | 25 | Urgent or Emergency Care |
Sandhills Regional Medical Center | North Carolina | 4 | Micro | PPS | 2017 | 64 | None |
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 |
Copper Basin Medical Center | Tennessee | 10.1 | Metro | CAH | 2017 | 21 | None |
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 | Neither | PPS | 2016 | 18 | None |
North Georgia Medical Center | Georgia | 7 | 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 | Neither | MDH | 2016 | 26 | None |
Memorial Hospital & Physician Group | Oklahoma | 7.1 | Neither | SCH | 2016 | 37 | Outpatient/Primary Care/Rural Health Clinic |
SoutheastHEALTH Center of Reynolds County | Missouri | 2 | Neither | CAH | 2016 | 21 | None |
New Horizons Medical Center | Kentucky | 10.2 | Neither | CAH | 2016 | 25 | Outpatient/Primary Care/Rural Health Clinic |
Southern Palmetto Hospital | South Carolina | 7.1 | Neither | SCH | 2016 | 30 | None |
St. Mary's Hospital | Illinois | 4 | Micro | PPS | 2016 | 94 | Urgent or Emergency Care |
Albany Area Hospital | Minnesota | 2 | Metro | CAH | 2015 | 17 | None |
Pioneer Community Hospital of Newton | Mississippi | 7 | Neither | CAH | 2015 | 21 | None |
Merit Health Natchez-Community Campus | Mississippi | 4 | Micro | PPS | 2015 | 101 | None |
Southern Maine Health Care- Sanford Medical Center | Maine | 4.1 | Metro | PPS | 2015 | 46 | Urgent or Emergency Care |
Novant Health Franklin Medical Center | North Carolina | 7 | Metro | PPS | 2015 | 70 | 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 | Micro | SCH | 2015 | 10 | None |
Parkland Health Center- Weber Rd | Missouri | 4.1 | Micro | RRC | 2015 | 98 | None |
Cochise Regional Hospital | Arizona | 4 | Metro | CAH | 2015 | 25 | None |
United Regional Medical Center | Tennessee | 4 | 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 | Metro | CAH | 2015 | 15 | None |
Marlboro Park Hospital | South Carolina | 4 | 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 | None |
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 |
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 |
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 | Outpatient Services |
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 | 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 |
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 |
Riverview Regional Medical Center South | Tennessee | 5 | Metro | CAH | 2012 | 25 | Nursing or Rehabilitation Facility |
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 | Outpatient/Primary Care/Rural Health Clinic |
Hart County Hospital | Georgia | 7 | Neither | MDH | 2012 | 82 | None |
Cheboygan Memorial Hospital | Michigan | 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 | Outpatient/Primary Care/Rural Health Clinic |
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 | None |
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 |
Crawley Memorial Hospital | North Carolina | 5 | Micro | MDH | 2009 | 60 | None |
Pike County Hospital | Arkansas | 10 | Neither | MDH | 2009 | 32 | None |
N M Holderman Memorial Hospital | California | 7.1 | Metro | PPS | 2009 | 20 | Nursing or Rehabilitation Facility |
Woodland Medical Ctr | Alabama | 4 | Micro | MDH | 2009 | 50 | None |
Amsterdam Memorial Hospital | New York | 2 | Micro | PPS | 2009 | 24 | Outpatient/Primary Care/Rural Health Clinic |
Jenkins Community Hospital | Kentucky | 5 | Neither | CAH | 2009 | 25 | Outpatient/Primary Care/Rural Health Clinic |
Doctors Hospital Of Opelousas | Louisiana | 2 | Micro | PPS | 2009 | 117 | Nursing or Rehabilitation Facility |
Richardton Health Center | North Dakota | 10 | Micro | CAH | 2009 | 25 | Nursing or Rehabilitation Facility |
Albert Lindley Lee Memorial Hospital | New York | 4.1 | Metro | PPS | 2009 | 67 | Urgent or Emergency Care |
Wm B Kessler Memorial Hospital | New Jersey | 4.1 | Metro | PPS | 2009 | 83 | Outpatient/Primary Care/Rural Health Clinic |
Trinity Community Hospital | Florida | 7.1 | Neither | PPS | 2008 | 42 | None |
Dickerson Memorial Hospital | Texas | 7 | Neither | PPS | 2008 | 24 | None |
Richwood Area Community Hospital | West Virginia | 8.1 | Neither | CAH | 2008 | 25 | None |
Indian Valley Hospital | California | 8 | Neither | SCH | 2008 | 26 | None |
Taylor Telfair Regional Hospital | Georgia | 7 | Neither | CAH | 2008 | 25 | None |
Deer Park Hospital | Washington | 2 | Metro | CAH | 2008 | 25 | None |
Owyhee Community Health Facility | Nevada | 10 | Micro | CAH | 2007 | 15 | Outpatient/Primary Care/Rural Health Clinic |
Five Counties Hospital - Critical Access Hospital | South Dakota | 10 | Neither | CAH | 2007 | 4 | Nursing or Rehabilitation Facility |
Pawnee Municipal Hospital | Oklahoma | 10 | Metro | PPS | 2007 | 25 | None |
Ft Yuma PHS Indian Hosp | Arizona | 1 | Metro | CAH | 2007 | 15 | None |
Tuolumne General Hosp | California | 4 | Micro | PPS | 2007 | 80 | None |
St Lukes Hospital | West Virginia | 4 | Micro | MDH | 2007 | 79 | Outpatient/Primary Care/Rural Health Clinic |
Divine Providence Health Center | Minnesota | 10 | Neither | CAH | 2007 | 18 | Nursing or Rehabilitation Facility |
Frye Regional Medical Center Alexander Campus | North Carolina | 2 | Metro | CAH | 2007 | 23 | None |
St Joseph's Hospital of Huntingburg | Indiana | 5 | Micro | CAH | 2007 | 25 | None |
USPHS Clinton Indian Hospital | Oklahoma | 7 | Micro | IHS | 2007 | 11 | Outpatient/Primary Care/Rural Health Clinic |
PHS Indian Hospital at Sisseton | South Dakota | 10 | Neither | IHS | 2006 | 18 | Nursing or Rehabilitation Facility |
Guyan Valley Hospital | West Virginia | 2 | Micro | CAH | 2006 | 8 | None |
Leelanau Memorial Health Center | Michigan | 10 | Micro | CAH | 2006 | 23 | Urgent or Emergency Care |
Mission Family Health Center (Yancey Community Medical Ctr) | North Carolina | 2 | Neither | CAH | 2006 | 6 | None |
Cedar Vale Community Hospital | Kansas | 10 | Neither | CAH | 2006 | 25 | None |
Chowchilla District Mem Hospital | California | 4 | Metro | PPS | 2006 | 24 | Nursing or Rehabilitation Facility |
Dos Palos Memorial Hospital | California | 7.2 | Metro | PPS | 2006 | 17 | Nursing or Rehabilitation Facility |
Philipsburg Area Hospital | Pennsylvania | 2 | Metro | CAH | 2006 | 25 | None |
Good Hope Hospital | North Carolina | 4.3 | Micro | PPS | 2006 | 43 | Outpatient/Primary Care/Rural Health Clinic |
Cornerstone Healthcare of Illinois | Illinois | 7 | Neither | CAH | 2005 | 25 | Nursing or Rehabilitation Facility |
Gadsden Community Hospital | Florida | 2 | Metro | CAH | 2005 | 25 | Urgent or Emergency Care |
Newport Hosp And Clinic | Arkansas | 7 | Neither | PPS | 2005 | 86 | None |
Fayette Memorial Hospital | Texas | 7 | Neither | PPS | 2005 | 24 | None |
Deleon Hospital | Texas | 10 | Neither | CAH | 2005 | 14 | None |
Minnewaska District Hosp | Minnesota | 10 | Neither | CAH | 2005 | 19 | None |
Kings Daughters Hospital-Greenville | Mississippi | 4 | Micro | PPS | 2005 | 99 | Nursing or Rehabilitation Facility |
Gulf Pines Hospital | Florida | 7.1 | Metro | PPS | 2005 | 45 | None |
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 Critical Access Hospital, or
- A Rural Emergency Hospital, or
- Any short-term, general acute, non-federal hospital that is located in:
- any non-metro county,
- metro census tracts with RUCA codes 4-10, or
- large area Metro census tracts of at least 400 sq. miles in area with population density of 35 or less per sq. mile with RUCA codes 2-3.
- Beginning with Fiscal Year 2022 Rural Health Grants, we consider all outlying metro counties without a Urbanized Area to be rural.
Additional information is available at Federal Office of Rural Health Policy, Defining Rural Population.
What is a complete closure?
A complete closure occurs when a rural hospital ceases to provide any health care services.
What is a converted closure?
A converted closure occurs when a rural hospital ceases to provide inpatient services, but continues to provide some health care services such as primary care, skilled nursing care, or long-term care.
What about a hospital that closes in one location and moves to another location?
We judge whether access to inpatient services in the rural community was considerably affected by the move to the new location. A hospital that moves across town or just outside city limits would probably not be considered a closure. A hospital that moves 10-15 miles away would probably be considered a closure.
What about a hospital that closes but reopens months or years later?
When a closed hospital reopens and resumes provision of inpatient services, it is removed from our list of closed hospitals.
Is conversion to a Rural Emergency Hospital (REH) considered a closure?
No, a Rural Emergency Hospital is a separate type of hospital. A list of current Rural Emergency Hospitals is located here: Rural Emergency Hospitals Map.
How are closures identified?
We collect information from websites, news alerts, analyses of Centers for Medicare & Medicaid Services data, and information exchange with the Federal Office of Rural Health Policy, the National Rural Health Association, the American Hospital Association, and the public.
What recent research has the NC Rural Health Research Program published about rural hospital closures?
- Khushalani JS, Holmes M, Song S, Arifkhanova A, Randolph R, Thomas S, Hall DM. Impact of rural hospital closures on hospitalizations and associated outcomes for ambulatory and emergency care sensitive conditions. J Rural Health. 2022 May 5. doi: 10.1111/jrh.12671.
- Malone, TL, Planey AM, Bozovich LB, Thompson KW, Pink GH, Holmes GM. The economic effects of rural hospital closures, Health Services Research, March 21, 2022. https://doi.org/10.1111/1475-6773.13965.
- Planey AM, Perry JR, Kent EE, Thomas SR, Friedman H, Randolph RK, Holmes GM. Since 1990, Rural Hospital Closures Have Increasingly Occurred in Counties that Are More Urbanized, Diverse, and Economically Unequal. NC Rural Health Research Program. UNC Sheps Center. March 2022. FB 171.
- Osgood AS, Pink G. Rural Hospitals that Closed between 2017‐20: Profitability and Liquidity in the Year Before Closure. NC Rural Health Research Program. UNC Sheps Center. January 2022. FB 170.