A state-by-state breakdown of 71 rural hospital closures

More than 70 rural hospitals have closed since 2010 — and many more may be headed down the same path.

Rural hospitals are facing a myriad of financial challenges, and those in states that have not expanded Medicaid are feeling the most financial pressure. Sixty-three percent of hospitals vulnerable to closure are in states that have not expanded Medicaid, according to a report from iVantage Health Analytics, a firm that compiles a hospital strength index based on data about financial stability, patients and quality indicators.

Here are 25 states that have closed at least one rural hospital since 2010, according to research from the North Carolina Rural Health Research Program. For the purposes of its analysis, the NCRHRP defined a hospital closure as the cessation in the provision of inpatient services. Although all of the facilities listed below no longer provide inpatient care, many of them still offer services, including outpatient care, imaging, emergency care, urgent care, primary care or skilled nursing and rehabilitation services.

Chilton Medical Center (Clanton)
Elba (Ala.) General Hospital
Florala (Ala.) Memorial Hospital
Randolph Medical Center (Roanoke)
South West Alabama Medical Center (Thomasville)

Cochise Regional Hospital (Douglas)
Florence (Ariz.) Community Healthcare
Hualapai Mountain Medical Center (Kingman)

Corcoran (Calif.) District Hospital
Kingsburg (Calif.) Medical Center

Calhoun Memorial Hospital (Arlington)
Charlton Memorial Hospital (Folkston)
Hart County Hospital (Hartwell)
Lower Oconee Community Hospital (Glenwood)
Stewart-Webster Hospital (Richland)

St. Mary's Hospital (Streator)

Central Kansas Medical Center (Great Bend)
Mercy Hospital Independence (Kan.)

New Horizons Medical Center (Owenton)

Nicholas County Hospital (Carlisle)
Parkway Regional Hospital (Fulton)
Westlake Regional Hospital (Columbia)

Parkview Adventist Medical Center (Brunswick)
Southern Maine Health Care – Sanford Medical Center
St. Andrews Hospital (Boothbay Harbor)

North Adams (Mass.) Regional Hospital

Cheboygan (Mich.) Memorial Hospital

Albany (Minn.) Area Hospital

Lakeside Medical Center (Pine City)

Kilmichael (Miss.) Hospital
Merit Health Natchez (Miss.) – Community Campus
Patient's Choice Medical Center of Humphreys County (Belzoni)
Pioneer Community Hospital of Newton (Miss.)

Parkland Health Center – Weber Road (Farmington)

Sac-Osage Hospital (Osceola)
SoutheastHEALTH Center of Reynolds County (Ellington)

Tilden (Neb.) Community Hospital

Nye Regional Medical Center (Tonopah)

North Carolina
Blowing Rock (N.C.) Hospital
Vidant Pungo Hospital (Belhaven)
Yadkin Valley Community Hospital (Yadkinville)

Doctors Hospital of Nelsonville (Ohio)
Physicians Choice Hospital-Fremont (Ohio)

Memorial Hospital & Physician Group (Frederick)
Muskogee (Okla.) Community Hospital
Sayre (Okla.) Memorial Hospital

Mid-Valley Hospital (Peckville)
Saint Catherine Medical Center Fountain Springs (Ashland)

South Carolina
Bamberg (S.C.) County Memorial Hospital
Marlboro Park Hospital (Bennettsville)
Southern Palmetto Hospital (Barnwell)
Williamsburg Regional Hospital (Kingstree)

South Dakota
Holy Infant Hospital (Hoven)

Gibson General Hospital (Trenton)
Haywood Park Community Hospital (Brownsville)
Humboldt (Tenn.) General Hospital
Parkridge West Hospital (Jasper)
Starr Regional Medical Center-Etowah (Tenn.)
United Regional Medical Center (Manchester)

Bowie (Texas) Memorial

East Texas Medical Center-Clarksville
East Texas Medical Center-Gilmer
East Texas Medical Center-Mount Vernon
Good Shepherd Medical Center (Linden)
Hunt Regional Hospital of Commerce (Texas)
Lake Whitney Medical Center (Whitney)
Renaissance Hospital Terrell (Texas)
Shelby Regional Medical Center (Center)
Wise Regional Health System-Bridgeport (Texas)

Lee Regional Medical Center (Pennington Gap)

Franciscan Skemp Medical Center (Arcadia)

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