67 critical access hospitals to know | 2019

Becker's Healthcare is pleased to recognize 67 critical access hospitals to know in 2019. 

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Critical access hospitals have 25 or fewer inpatient beds, and the annual average length of stay is 96 hours or fewer for acute care. These hospitals also offer 24/7 emergency care and are located in remote areas.

Many hospitals featured on this list have been recognized for clinical quality and excellence in care delivery. Several have also earned the Hospital & Health Networks HealthCare's Most Wired award. These hospitals have truly become pillars of their communities, providing access to healthcare for a broad population.

Becker's Healthcare editors selected the following hospitals based on awards and rankings from respected organizations including iVantage Health Analytics, The Chartis Center for Rural Health, the National Rural Health Association, CareChex, Healthgrades and Medicare star ratings. The team also considered the hospital's community impact and reputation for innovation.

Note: This is not an endorsement of included hospitals or associated healthcare providers. Organizations cannot pay for inclusion on this list. Hospitals are presented in alphabetical order.

Contact Laura Dyrda at ldyrda@beckershealthcare.com with questions or comments on this list.

Abraham Lincoln Memorial Hospital (Lincoln, Ill.). Abraham Lincoln Memorial Hospital is a 25-bed critical access hospital built in 2011 and is an original member of The BJC Collaborative, an effort to achieve higher quality patient care. In 2019, the hospital earned recognition as a Top 100 Critical Access Hospitals by The Chartis Center for Rural Health / iVantage Health Analytics, honored for superior clinical, operational and financial performance. The two organizations also honored the hospital with the National Organization of State Office and Rural Health Performance Leadership Award in 2017 and 2018.

Androscoggin Valley Hospital (Berlin, N.H.). The history of Androscoggin Valley Hospital dates back to 1905, when it opened with space for 15 patients. The critical access hospital now has 25 beds and an affiliation with North Country Healthcare. The hospital has also acquired specialty services through collaborations with North Conway, N.H.-based Memorial Hospital, including a wound care clinic and a diabetes clinic. In 2018, the National Rural Health Association recognized Androscoggin Valley Hospital among the Top 20 Critical Access Hospitals in the nation.

Aspen (Colo.) Valley Hospital. The 25-bed Aspen Valley Hospital focuses on orthopedics and sports medicine but includes board-certified specialists in 25 fields of medicine. The hospital earned The Chartis Center for Rural Health's honor as a Top 20 Best Practice in Financial Stability hospital, as well as five stars from CMS for inpatient experience. Custom Learning Systems named Aspen Valley a Hospital of Choice based on HCAHPS scores. Aspen Valley is designated as a level 3 trauma center and includes an ASC, imaging center and multiple orthopedic practice locations.

Aspirus Ironwood (Mich.) Hospital. Aspirus Ironwood Hospital was established in 1923 and has since grown into a nationally recognized critical access hospital fully accredited by The Joint Commission. The National Rural Health Association named Aspirus Ironwood among the Top 20 Critical Access Hospitals in the nation for 2018. The hospital includes two locations, in Ironwood and Hurley, Wis., as well as an ASC and eye center.

Aspirus Iron River (Mich.) Hospital & Clinics. Aspirus Iron River Hospital & Clinics is a 25-bed critical access hospital founded in 1996 as a merger between two community hospitals. The hospital focuses on supporting community needs and has acquired an ambulance service and opened multiple physician clinics over the past two decades. In addition to award-winning clinical care, the hospital offers private patient rooms that overlook Ice Lake as well as telemedicine services. Aspirus Iron River was named among the 2019 Top 100 Critical Access Hospitals in the nation by The Chartis Center for Rural Health / iVantage Health Analytics.

Aultman Orrville (Ohio) Hospital. Aultman Orrville Hospital is a 25-bed critical access hospital with a history of more than 60 years in Orrville and Wayne counties in Ohio. The hospital is part of the Independent Hospital Network and a subsidiary of the Aultman Health Foundation. The hospital includes 230 healthcare professionals and 140 active physicians and allied health professionals. Earlier this year, the hospital acquired robotic technology for partial and total knee replacements.

Avera Holy Family Hospital (Estherville, Iowa). Avera Holy Family Hospital serves a population of 6,800 people in Estherville, Iowa, and earned recognition as one of the 2018 Top 20 Critical Access Hospitals in the nation from the National Rural Health Association. The hospital provides traditional inpatient care as well as telemedicine services for 24/7 consultations and treatments. Avera Holy Family also provides low-cost heart and vascular screenings through its Planet Heart program. In May 2018, the hospital broke ground on a new 6,800-square-foot addition to the emergency department.

Barrett Hospital and HealthCare (Dillon, Mont.). Barrett Hospital and HealthCare is a nonprofit critical access hospital that has earned a spot as the National Rural Health Association's Top 20 Critical Access Hospitals three times. Press Ganey also recognized the hospital with a Guardian Excellence Award presented to healthcare facilities in the top 5 percent for each reporting period. Barrett Hospital and HealthCare is responsible for 275 direct jobs and earned the Medicare Quality Innovation Network-Quality Improvement Organization designation for Montana.

Bear Lake Memorial Hospital (Montpelier, Idaho). Bear Lake Memorial Hospital is a member of the Idaho Health Care Association, National Rural Health Association and The Hospital Cooperative. The hospital includes a skilled nursing facility and air ambulance service along with its two operating rooms and an emergency department. The hospital has more than 250 employees that serve patients across the Bear Lake, Idaho, region. In 2018, The National Rural Health Association recognized Bear Lake Memorial Hospital among the Top 20 Critical Access Hospitals in the nation.

Boone County Health Center (Albion, Neb.). Boone County Health Center employs more than 250 medical and support staff to care for 10,000 residents in the Boone County region. The non-profit hospital hosts 60,000 procedures annually and offers 15 outpatient clinics. With more than 60 years of history in Nebraska, Boone County Health Center has grown to become one of the largest employers in its service area. In 2017, the hospital earned the H&HN HealthCare's Most Wired recognition.

Cherokee (Iowa) Regional Medical Center. Cherokee Regional Medical Center was founded in 1916 as Sioux Valley Memorial Hospital, taking on its current name in 2005. The 25-bed critical access hospital includes four regional clinics, senior housing, hospice and wellness services in addition to inpatient care. In 2017, the hospital employed 274 individuals and reported 1,449 admissions. Surgeons perform around 1,300 procedures there annually and the hospital sees about 4,800 emergency room visits per year.

Central Montana Medical Center (Lewistown). Central Montana Medical Center is a 25-bed critical access hospital that also includes rehab, home health and hospice services. In June 2018, CMMC partnered with Harlowton, Mont.-based Wheatland Memorial Healthcare and Bair Memorial Clinic in Harlowton for outreach clinics. The National Rural Health Association recognized CMMC as a Top 20 Critical Access Hospital in 2018.

CHI St. Alexius Health Dickinson (N.D.). CHI St. Alexius Health Dickinson has served North Dakota since 1912 and constructed a new facility in 2014. The 25-bed critical access hospital serves patients from North Dakota, Montana and South Dakota, and includes rehab services and Beach Family Clinic. The hospital is also a level 4 trauma center and accredited by the American College of Surgeons.

Cody (Wyo.) Regional Health. Cody Regional Health launched more than 75 years ago, growing from a one-location hospital to serve a large area in Northwest Wyoming. The hospital earned the H&HN HealthCare's Most Wired designation in 2017 and earned the Healogics Center of Distinction award in 2018 honoring its advanced wound care services. In August 2017, the hospital partnered with Billings (Mont.) Clinic on a new cardiac catheterization lab, and in January 2018 it opened an orthopedic specialty clinic at the Cathcart Health Center in Cody.

Community HealthCare System, Onaga (Kan.) & St. Marys (Kan.). Community HealthCare System includes around 450 associates in several locations across northeast Kansas. In partnership with Kansas Healthcare Collaborative, Kansas Medical Society, Kansas Hospital Association and Kansas Department of Health and Environment, Community HealthCare System participates in a national patient safety program to reduce central-line-associated bloodstream infections. It also participates in the Medicare Beneficiary Quality Improvement Project, a national effort to develop best practices and quality measures for rural hospitals.

Delta (Utah) Community Hospital. Delta Community Hospital is part of Salt Lake City, Utah-based Intermountain Healthcare, a nonprofit health system that includes 23 hospitals and 1,600 physicians. The 18-bed hospital has served the Delta community for more than 30 years, growing to include four family practice physicians and a team of 74 caregivers. Delta Community Hospital supports several community programs, including free screenings and initiatives to encourage health and fitness among individuals and families.

Door County Medical Center (Sturgeon Bay, Wis.). Door County Medical Center has more than 70 years of history serving the surrounding community. The hospital has more than 175 physicians on the medical staff and now includes an outpatient medical center and skilled nursing facility. In 2016, Door County Medical Center partnered with Hospital Sisters Health System to continue growing. Since then, the hospital has partnered with local employers to provide occupational health services and personal health programs.

Fairview Hospital (Great Barrington, Mass.). Fairview Hospital is a primary acute care hospital with services focused on orthopedics, general surgery and maternity care. It also provides ambulatory care across a variety of specialties. With a century of history, Fairview has grown to include outpatient ancillary diagnostic and therapeutic services, wound care and cardiopulmonary rehabilitation. Fairview is a member of Pittsfield, Mass.-based Berkshire Health Systems and earned the Top Rural Hospital 2017 distinction from The Leapfrog Group. In 2018, the hospital earned the Patient Safety Excellence Award – Top 5% in the Nation from Leapfrog.

Floyd Valley Healthcare (Le Mars, Iowa). Floyd Valley Healthcare has its roots serving the Le Mars, Iowa, community since 1966. In 2014, the hospital began a multimillion-dollar project to complete three additions, the largest of which would cost $27.4 million and add 23,000 square feet of space. In 2019, The Chartis Center for Rural Health / iVantage Health analytics named Floyd Valley Healthcare among the Top 100 Critical Access Hospitals in the nation. The year before, Floyd Valley earned the Women's Choice Award recognition as one of America's Best Hospitals for Obstetrics.

Grande Ronde Hospital (La Grande, Ore.). Grande Ronde Hospital is a 25-bed critical access hospital and part of a nonprofit health system that includes 10 outpatient clinics. The system serves 25,000 residents in Eastern Oregon and southeast Washington and employs more than 700 people. The hospital is a level 4 trauma center and earned recognition from the National Rural Health Association among the Top 20 Critical Access Hospitals in the nation in 2018.

Gunnison (Colo.) Valley Health. The 24-bed Gunnison Valley Health is a short-term, critical access hospital owned by the County of Gunnison in Colorado. It has served the community since 1938 and is a level 4 trauma center. Gunnison Valley Health has earned recognition from The Chartis Center for Rural Health / iVantage Health Analytics as one of the Top 100 Critical Access Hospitals in the country, ranking among the top 25 rural hospitals nationwide. In 2016, Avatar Solutions named Gunnison Valley among the top 10 to 12 percent of hospitals nationwide for patient satisfaction.

Hammond-Henry Hospital (Geneseo, Ill.). Hammond-Henry Hospital employs 400 individuals to serve the Geneseo, Ill., community and surrounding areas. For four years in a row, Hammond-Henry received the H&HN HealthCare's Most Wired recognition. The hospital also earned Quality System Certification from DNV GL Healthcare, and its long-term care living center received five stars from CMS in 2018. The Illinois Critical Access Hospital Network recognized Hammond-Henry with the MBQIP Quality Award after becoming an HCAHPS five-star rating high performer.

Hancock County Hospital (Sneedville, Tenn.). Opened in 2005, Hancock County Hospital is a member of Ballad Health, an integrated health system of 21 hospitals serving 29 counties in Tennessee, Virginia, North Carolina and Kentucky. Since its opening, the hospital has launched a family medicine practice. Hancock earned recognition from the National Rural Health Association in 2012, honored as one of the Top 20 Critical Access Hospitals in the nation.

Huggins Hospital (Wolfeboro, N.H.). The 25-bed Huggins Hospital is a nonprofit community hospital that provides primary care in addition to specialty services for the region of around 30,000 residents and 120,000 seasonal residents and visitors. The hospital opened in 1907 and a new modern, $55 million facility opened in 2010. In 2018, the hospital incorporated a telestroke program through GraniteOne Health, its health system, to improve access to care for surrounding areas.

OSF Holy Family Medical Center (Monmouth, Ill.). OSF Holy Family Medical Center is a 23-bed acute and intermediate care hospital serving patients in three western Illinois counties. The hospital is a tobacco-free, smoke-free campus committed to providing a healthy and safe environment for patients and employees. The hospital is affiliated with OSF Medical Group – Monmouth and OSF Specialty Clinics – Monmouth. With a history dating back to 1897, OSF Holy Family Medical Center has made several changes since then, most recently adding a $4.6 million specialty clinics area.

Hudson (Wis.) Hospital & Clinic. Hudson Hospital & Clinic opened in 1953 and joined HealthPartners in 2009. As a 25-bed critical access hospital, Hudson Hospital & Clinic reports 1,500 annual inpatient admissions as well as more than 10,000 emergency center patients. The hospital has 60 members on its medical staff and maintains a regional partnership with The Cancer Center of Western Wisconsin. In 2017, the hospital received the Top 25 Environmental Excellence Award and Practice Greenhealth Awards to honor its greening efforts. Hudson Hospital & Clinic received five stars for several care lines in 2019 by Healthgrades.

Iowa Specialty Hospitals & Clinics, Belmond (Iowa) & Clarion (Iowa). Iowa Specialty Hospitals & Clinics has two campuses, in Belmond and Clarion, which include around 600 employees and more than 60 healthcare providers. The hospital also features outreach clinics and specialty services such as orthopedics and sports medicine. In 2019, the hospital earned a No. 1 ranking in HCAHPS patient satisfaction scores for the state of Iowa. Iowa Specialty Hospitals & Clinics also earned the 2018 Pinnacle of Excellence Award honoring top performing healthcare organizations with consistent quality scores for three years.

Jamestown (N.D.) Regional Medical Center. Founded in 1929, Jamestown Regional Medical Center has grown into an award-winning critical access hospital built upon a foundation of innovation. The hospital opened its current location in 2011 and broke ground on the JRMC Cancer Center last year; the cancer center is scheduled to open in the summer of 2019. Jamestown Regional Medical Center earned recognition as one of the 100 Top Critical Access Hospitals in 2019 from The Chartis Center for Rural Health / iVantage Health Analytics and the Map Award as a Best Practices Adaptor of the Healthcare Financial Management Association's Patient Financial Communications Best Practices.

Kittitas Valley Healthcare Hospital (Ellensburg, Wash.). Kittitas Valley Healthcare Hospital has seven clinics covering a variety of specialty and primary care services. The hospital earned the 2017 Get with the Guidelines Stroke Gold Plus distinction from the American Heart Association and American Stroke Association. In 2018, KVH received a $200,000 grant on behalf of the Kittitas County Health Network to develop and implement an opioid use disorder prevention, treatment and recovery interventions program as part of the $396 million that HHS awarded nationwide to combat opioid addiction.

Littleton (N.H.) Regional Healthcare. Littleton Regional Healthcare provided inpatient care for 33,585 individuals and reported 134,367 outpatient visits last year. The hospital received the 2018 Guardian of Excellence Award in Patient Experience from Press Ganey for consistently ranking in the top 5 percent in patient experience. The hospital also opened a pharmacy last year in the LRH Medical Office Building.

Mackinac Straits Health Systems (St. Ignace, Mich.). Mackinac Straits Health System includes a 15-bed critical access hospital, emergency medical center, 48-bed skilled nursing facility, outpatient surgery center and a retail pharmacy that opened in 2017. The health system partners with Munson Healthcare, a large Michigan-based system. The hospital has a 300-plus member staff that serves more than 65,000 patients annually.

Madison (S.D.) Regional Health System. Madison Regional Health is a 22-bed nonprofit hospital serving Madison, S.D., and the surrounding communities. The hospital includes more than 250 employees dedicated to providing inpatient and outpatient services. In November 2018, the South Dakota Association of Healthcare Organizations honored Madison Regional with a Quality Excellence Award for outstanding achievements in quality improvement, innovation and patient safety projects. The hospital had improved antimicrobial stewardship with a team-based approach and best practice guidelines.

Magruder Hospital (Port Clinton, Ohio). Magruder Hospital reports 35,387 physician office visits each year and 66,628 outpatient visits. In 2017, the hospital was named among H&HN's HealthCare's Most Wired and earned the iVantage Health Analytics Healthstrong Hospital honor for three consecutive years, most recently in 2016. The hospital also invests in its community, dedicating more than $18,000 to sponsor programs and initiatives that promote health and wellness.

Maria Parham Health (Henderson, N.C.). Maria Parham is a 25-bed medical facility that is part of Brentwood, Tenn.-based Duke LifePoint Healthcare. The hospital also has a cancer center affiliated with Durham, N.C.-based Duke University Health System. Originally founded in 1925 by five physicians, the hospital now has more than 150 physicians and 700 clinical support staff serving central North Carolina and southern Virginia.

Mayo Clinic Health System-Red Cedar (Menomonie, Wis.). Red Cedar's clinic merged with Rochester, Minn.-based Mayo Clinic in 1995 and a year later merged the hospital as well, becoming Mayo Clinic Health System-Red Cedar. The physician-led, integrated healthcare system's hospital now serves several communities in west-central Wisconsin, caring for hundreds of patients daily. Red Cedar has earned The Joint Commission's accreditation and DME, Gold Seal for its home care services.

Memorial Hospital (Seward, Neb.). Memorial Hospital has spent more than 67 years serving patients in Seward, Neb. The 24-bed critical access hospital has earned recognition from the National Organization of State Offices of Rural Health for Performance Leadership for five consecutive years, most recently in 2019. The Chartis Center for Rural Health also named Memorial Hospital among the Top 20 Critical Access Hospitals in the nation for 2015 and 2016; for the past four years The Chartis Center for Rural Health / iVantage Health Analytics has honored it among the Top 100 Critical Access Hospitals in the nation.

Mercy Hospital Kingfisher (Okla.). The 25-bed Mercy Hospital Kingfisher serves patients in western Oklahoma. The Chartis Center for Rural Health named Mercy Hospital Kingfisher among the Top 20 Critical Access Hospitals in the nation in 2017. In January, the hospital earned the Joint Commission's Gold Seal of Approval.

Monadnock Community Hospital (Peterborough, N.H.). Monadnock Community Hospital has its roots in a hospital opened in 1919 as a community-supported facility. The hospital now owns a primary care network of physicians, care providers and social workers that provide both primary and behavioral healthcare services. In 2016, the hospital became affiliated with GraniteOne, a health system focused on community and rural hospitals that recently also signed a letter of affiliation with Lebanon, N.H.-based Dartmouth-Hitchcock. In January, the hospital launched an initiative to become a smoke-free campus.

Mount Desert Island Hospital (Bar Harbor, Maine). Mount Desert Island Hospital is a 25-bed critical access hospital employing 500 people. The hospital has its roots in 1897 as a nonprofit hospital with a rural healthcare mission. The hospital entered into a teaching partnership with Philadelphia-based Penn Medicine in 2011, which has become the model for urban-rural partnerships across the nation. In 2015, CMS honored the hospital with a five-star rating and earned the 2017 Performance Leadership Award from The Chartis Center for Rural Health / iVantage Health Analytics and the National Organization of State Offices of Rural Health.

Newman Regional Health (Emporia, Kan.). Newman Regional Health opened in 1922 as an 81-bed hospital. The hospital has since become a 25-bed critical access hospital and includes a nursing school on its campus. The people of Lyon County own the nonprofit hospital, which includes 500 employees, 130 physicians and 225 volunteers. The hospital is a level 4 trauma center and provides emergency medical services.

New Ulm (Minn.) Medical Center. New Ulm Medical Center is a nonprofit hospital and clinic with about 30 affiliated physicians and visiting specialists. The Chartis Center for Rural Health / iVantage Health Analytics named New Ulm Medical Center among the Top 100 Critical Access Hospitals eight times, most recently in 2019. The hospital also earned the Minnesota Hospital Association Innovation of the Year in Patient Care Award for its new social worker program, which provides coordinated services for the emergency department and clinic patients.

OSF HealthCare Saint Luke Medical Center (Kewanee, Ill.). Celebrating its 100 birthday this year, OSF HealthCare Saint Luke Medical Center is one of the largest employers in Kewanee and is proud of its community impact. The hospital provides free athletic training for Kewanee High School athletes and has provided 4,095 free flu immunizations for area school children in the past four years. Despite its small size, OSF HealthCare Saint Luke has kept pace with innovation in health care, including a full replacement facility that opened in 2008. OSF HealthCare Saint Luke has been honored by both the Illinois Critical Access Hospital Network as well as Press Ganey.

OSF HealthCare Saint Paul Medical Center (Mendota, Ill.). Opened as Mendota Community Hospital in June 1951, Saint Paul Medical Center moved to its current location in 2011 and joined OSF HealthCare in April 2015. The hospital is among the largest employers in the community, with a 300-member staff and volunteer board setting the direction for the nonprofit organization. OSF HealthCare Saint Paul Medical Center earned the Go Clear Award from the Association of periOperative Registered Nurses for eliminating hazardous smoke from surgical facilities. The Illinois Critical Access Hospital Network has also honored OSF HealthCare Saint Paul Medical Center for exceptional quality of care.

OSF HealthCare St. Francis Hospital & Medical Group (Escanaba, Mich.). Located in the Upper Peninsula in Michigan, OSF HealthCare St. Francis Hospital & Medical Group has been named a Top U.S. Hospital by The Leapfrog Group six times, and is fully accredited by The Joint Commission. OSF St. Francis Hospital is committed to bringing specialty health care services to rural areas by collaborating with organizations like Green Bay Oncology, caring for nearly 200 patients per month who would otherwise need to travel for care. OSF St. Francis Hospital is the second busiest critical access hospital in the state of Michigan, providing $4 million in charity care to patients each year.

Orange City (Iowa) Area Health System. Orange City Area Health System includes a critical access hospital, family medicine clinics, surgical center and home health and hospice services. The system also supports a retirement community and senior care system on 37 acres of land. Orange City Area Health includes 19 family medicine providers and 500 members of the support staff that aim to deliver high quality care. In 2019, The Chartis Center for Rural Health / iVantage Health Analytics honored Orange City Area Health System among the 100 Top Critical Access Hospitals in the nation.

PeaceHealth Cottage Grove (Ore.) Community Medical Center. PeaceHealth Cottage Grove Community Medical Center is a 14-bed critical access hospital serving a population of around 42,000 residents. The hospital has around 174 employees and 118 members on its active medical staff. The 40,000-square-foot facility hosted around 448 inpatient admissions and more than 43,000 outpatient clinic visits per year. In 2016, iVantage and the National Organization of State Office of Rural Health recognized PeaceHealth Cottage Grove Community Medical Center for overall excellence.

Perry County Memorial Hospital (Perryville, Mo.). Founded in 1951, Perry County Memorial Hospital aims to stay at the forefront of technology and innovation in medicine. The hospital's 103,000-square-foot facility and 20 specialty clinics offer a variety of services. In November 2018, the Missouri Hospital Association honored Perry County Memorial Hospital with the Clinical Excellence award in the Critical Access Hospitals and Rural Hospitals category. The award recognized the hospital's program developed to improve the quality of life for vulnerable older adults. Using the Medicare Annual Wellness visits to identify at-risk older adults, the hospital was able to invite more than 150 adults to participate in specialized programs and deliver targeted interventions to improve quality of life.

Pike County Memorial Hospital (Louisiana, Mo.). Pike County Memorial Hospital has roots dating back to 1928, growing into a licensed acute care facility that includes an emergency center and cardiac and physical therapy department. The hospital also has orthopedic surgeon services and initiatives to provide community wellness education and dietary counseling. The hospital is a level 3 stroke center and earned the Joint Commission's Gold Seal of Approval for the third time last year.

ProMedica Defiance (Ohio) Regional Hospital. ProMedica Defiance Regional Hospital was constructed in 2002 and is a level 3 trauma center. The hospital earned a five star rating from CMS in 2015 and the 2016 Press Ganey Guardian of Excellence Award for Physician Engagement. The hospital offers cancer services supported by the ProMedica Cancer Institute as well as orthopedics, behavioral health and cardiology. In 2018, the hospital earned the National Organization of State Offices of Rural Health Performance Leadership Award for Patient Perspectives.

Providence Hood River (Ore.) Memorial Hospital. Providence Hood River Memorial Hospital serves five counties in the Columbia River Gorge region of Oregon. The hospital employs around 540 people and supports a medical staff of 73 individuals. The hospital reports 1,604 admissions and emergency department visits hit 8,765 in 2011. The hospital has earned honors from Healthgrades for superior clinical performance in joint replacement and earned Practice Greenhealth's Partner Recognition Award for environmental excellence in 2012.

Richland Hospital (Richland Center, Wis.). Richland Hospital has a team of around 300 people that serve the Richland Center, Wis., community. The 25-bed critical access hospital was established in 1924, and has gone through several expansions since then, including a 2010 project that added 164,000 square feet. The hospital expanded to include a second location, Muscoda (Wis.) Health Center, in 2012 and has earned recognition among the 100 Top Critical Access Hospitals in the nation by The Chartis Center for Rural Health / iVantage Health Analytics since then.

River Falls (Wis.) Area Hospital. River Falls Area Hospital was founded in 1939 and opened its current campus as a critical access hospital in September 1992. The hospital includes more than 250 employees and 156 physicians on staff. River Falls earned recognition from The Chartis Center for Rural Health / iVantage Health Analytics as a 2019 Top 100 Critical Access Hospital. In 2018, the hospital opened a new telemedicine program as part of its hospitalist services. River Falls Area Hospital is a member of Minneapolis-based Allina Health, a nonprofit healthcare system with 12 hospitals and more than 90 clinics.

River's Edge Hospital & Clinic (St. Peter, Minn.). River's Edge Hospital & Clinic has history dating back to 1855 and has grown into a critical access hospital that opened a clinic in 2009. The hospital partnered with an orthopedic practice in 2014 to form a joint replacement program, and in 2016 collaborated with the Mankato (Minn.) Clinic to bring a dermatology clinic to its campus. In 2017, the hospital earned the DNV Center of Excellence for Hip and Knee Joint Replacement.

Riverwood Healthcare Center (Aitkin, Minn.). Riverwood Healthcare Center is a 25-bed critical access hospital that includes 40 physicians and clinicians as well as three primary care clinics. The hospital is a level 3 trauma center and has a level 1 heart attack program. In 2017 and 2018, the hospital earned recognition among the Top 20 Critical Access Hospitals in the nation from the National Rural Health Association.

Smith County Memorial Hospital (Smith Center, Kan.). Smith County Memorial Hospital is a critical access hospital with an attached rural health clinic. The medical staff includes four family medicine physicians and three nurse practitioners. The hospital, which dates back more than 70 years, opened a new location in August 2018. Smith County Memorial Hospital was honored among the Top 100 Critical Access Hospitals in the nation for 2018 by The Chartis Center for Rural Health / iVantage Health Analytics.

Shenandoah (Iowa) Medical Center. Shenandoah Medical Center is a 25-bed hospital focused on serving Southwest Iowa. The hospital traces its roots to 1918, when construction of its initial facility was completed. Shenandoah Medical Center has gone through several iterations since then and opened outpatient clinics, a women's health clinic and a disease prevention and wellness center in recent years.

Steele Memorial Medical Center (Salmon, Idaho). Steele Memorial Medical Center is an 18-bed critical access hospital with an associated rural health clinic. The hospital added a walk-in clinic in 2016 and completed a 17,000 square foot addition in 2017 to expand the hospital's specialty clinic. SMMC is a level 4 trauma center and has earned recognition as a Top 20 Critical Access Hospital from the National Rural Health Association.

Tahoe Forest Health System (Truckee, Calif.). Tahoe Forest Health System includes a hospital with emergency care, an ASC, home health and hospice. The 25-bed critical access hospital provides care to residents of six rural counties in two states, covering around 3,500 square miles. Tahoe Forest Hospital has a partnership with UC Davis School of Medicine to allow third- and fifth-year medical students to train with its local primary care physicians. UC Davis recognized Tahoe Forest as a Rural Center of Excellence and in 2017 Tahoe Forest Health System earned the Own the Bone Star Performer Designation from the American Orthopaedic Association.

Teton Valley Hospital (Driggs, Idaho). Originally opened in 1939 as a four-bed hospital, Teton Valley Hospital has evolved into a 13-bed critical access hospital and level 4 trauma center. The health system now includes three clinics in addition to the hospital. In 2016, the hospital reported 162 hospitalizations, 435 surgeries and 1,880 emergency room visits.

Tomah (Wis.) Memorial Hospital. Tomah Memorial Hospital opened as a 29-bed institution in 1952 and has undergone several major updates since then. In 2017, the hospital broke ground on a $66 million, three-story facility that is expected to open in October 2019. The Chartis Center for Rural Health and National Organization of State Offices of Rural Health recognized Tomah Memorial Hospital for overall excellence in outcomes and patient experience with the 2018 Performance Leadership Award. CMS gave the hospital a five-star rating for patient experiences in June 2018.

University Hospitals Geneva (Ohio) Medical Center. University Hospitals Geneva Medical Center is a 25-bed critical access hospital with 100 physicians and nurses that focus on more than 25 different specialties. The hospital achieved Nurses Improving Care for Healthsystem Elders certification and provides emergency services to communities in a 20-plus mile radius. In May 2017, University Hospitals Geneva Medical Center opened a Seidman Cancer Center, linking it to a network of facilities that provides care to more than 10,000 patients per year.

UT Health Quitman (Texas). UT Health Quitman is a 25-bed critical access hospital that joined the UT Health system in 2018. The new partnership will allow the hospital increased access to UT's health centers, technology and research. The health system also has a regional rehabilitation and fitness network as well as home health coverage and a regional trauma and emergency system. The hospital currently has 17 physicians and clinical care providers dedicated to family medicine, cardiology, general surgery and orthopedics.

UCHealth Pikes Peak Regional Hospital (Woodland Park, Colo.). Pikes Peak Regional Hospital joined UCHealth in April 2018, an organization it had previously partnered with. The affiliation expanded access for Pikes Peak to the academic health system's resources for patients, staff and medical providers. The 15-bed critical access hospital included about 120 employees in 2018 and aims to continue growing with its community.

Wabash General Hospital (Mount Carmel, Ill.). The history of Wabash General Hospital dates back to 1951 and has since grown into a 25-bed critical access hospital including orthopedic and sports medicine clinics in multiple locations. In 2016, the hospital earned the acute stroke ready hospital designation from the Illinois Department of Public Health and it earned the Medicare Beneficiary Quality Improvement Product Quality Award as an HCAHPS Star Rating Performer. It also received the Excellence in Innovation Award for its joint camp in 2018.

Waldo County General Hospital (Belfast, Maine). In 2017, Waldo County General Hospital reported 1,486 inpatient admissions, 122,251 outpatient visits and 15,576 emergency department visits. The hospital also earned Gold-level recognition from the Maine Tobacco-Free Hospital Network Gold Star Standards of Excellence Program in 2017 and earned recognition as a Top Rural Hospital in 2018 by The Leapfrog Group.

Wallowa Memorial Hospital (Enterprise, Ore.). Wallowa Memorial Hospital is a 25-bed critical access hospital built in 2007. The facility is a level 4 trauma center on a medical campus that includes a wellness center, medical group and senior living. The hospital has more than 150 employees and serves as a Blue Zones Project Approved Worksite. In 2018, the National Rural Health Association recognized Wallowa Memorial Hospital among the Top 20 Critical Access Hospitals in the nation.

West River Regional Medical Center (Hettinger, N.D.). West River Regional Medical Center is part of West River Health Services, which includes a 15-physician group practice that serves a population of 20,000 people that span 20,000 square miles. The hospital has 20 acute care beds and two ICU beds as well as four outpatient rooms and a 24-hour emergency room. In 2018, the National Rural Health Association recognized West Regional Medical Center among the Top 20 Critical Access Hospitals in the nation.

Whitman Hospital and Medical Center (Colfax, Wash.). Whitman Hospital and Medical Center has served the Colfax, Wash., region for more than 125 years. The hospital completed construction of a new facility in 2009 and earned recognition as a Top 20 Critical Access Hospital by the National Rural Health Association in 2013 and 2014. The Chartis Center for Rural Health / iVantage Health Analytics and the National Organization of State Office of Rural Health honored Whitman Hospital for performance leadership in quality, outcomes and the patient experience in 2017.

York (Maine) Hospital. York Hospital opened as a 10-room facility in 1906 and has since grown into a multi-story healthcare facility with a heart health institute and urgent care services. Its most recent renovations added a surgery center and expanded operating room space as well as private recovery rooms. In 2017, the hospital earned an A rating from Leapfrog.

 

 

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