To determine the 2025 list, the firm used the Chartis Rural Hospital Performance INDEX, which assesses performance in inpatient market share, outpatient market share, quality, outcomes, patient perspective, cost, charge and finance.
Here are the top 100 rural and community hospitals in the U.S., listed by state:
Alaska
- Mat-Su Regional Medical Center (Palmer)
Alabama
- Troy Regional Medical Center
California
- Sutter Amador Hospital (Jackson)
Colorado
- Mercy Hospital (Durango)
- Montrose Regional Health
- Sterling Regional MedCenter
- UCHealth Yampa Valley Medical Center (Steamboat Springs)
- Vail Health
- Valley View Hospital (Glenwood Springs)
Georgia
- Colquitt Regional Medical Center (Moultrie)
- Fairview Park Hospital (Dublin)
- Memorial Health Meadows Hospital (Vidalia)
Iowa
- Lakes Regional Healthcare (Spirit Lake)
- Spencer Hospital
- UnityPoint Health Grinnell Regional Medical Center
Illinois
- HSHS St. Joseph’s Hospital (Breese)
- Jersey Community Hospital (Jerseyville)
- OSF Saint Elizabeth Medical Center (Ottawa)
Indiana
- Memorial Hospital and Health Care Center (Jasper)
- Parkview Huntington Hospital
- St. Elizabeth Dearborn (Lawrenceburg)
Kansas
- Labette Health (Parsons)
- Pratt Regional Medical Center
Kentucky
- Bourbon Community Hospital (Paris)
- Owensboro Health Twin Lakes Medical Center (Leitchfield)
Louisiana
- Springhill Medical Center
Massachusetts
- Baystate Franklin Medical Center (Greenfield)
Maryland
- Garrett Regional Medical Center (Oakland)
- UM Shore Medical Center at Easton (Easton)
Michigan
- Munson Healthcare Cadillac Hospital
- Munson Healthcare Manistee Hospital
- MyMichigan Medical Center Alpena
- MyMichigan Medical Center Sault (Sault Sainte Marie)
- MyMichigan Medical Center Tawas (Tawas City)
Minnesota
- Alomere Health (Alexandria)
- Essentia Health – St. Joseph’s Medical Center (Brainerd)
- Essentia Health St. Mary’s – Detroit Lakes
- Hutchinson Health Hospital
- Mayo Clinic Health System – Fairmont
- Mayo Clinic Health System – Red Wing
Mississippi
- Neshoba County General Hospital (Philadelphia)
Montana
- Bozeman Health Deaconess Regional Medical Center
- Logan Health Medical Center (Kalispell)
- St. Peter’s Health Regional Medical Center (Helena)
North Carolina
- Northern Regional Hospital (Mount Airy)
Nebraska
- Columbus Community Hospital
- Faith Regional Health Services (Norfolk)
- Kearney Regional Medical Center
New York
- Adirondack Medical Center – Saranac Lake
- UPMC Chautauqua (Jamestown)
Ohio
- Fisher-Titus Medical Center (Norwalk)
- Mercer County Community Hospital (Coldwater)
- Mercy Health – Defiance Hospital
- Mercy Health – Tiffin Hospital
- OhioHealth O’Bleness Hospital (Athens)
- Parkview Bryan Hospital
- Wood County Hospital (Bowling Green)
Oklahoma
- Duncan Regional Hospital
- Jackson County Memorial Hospital (Altus)
- Saint Francis Hospital Vinita (Vinita)
- SSM Health St. Anthony Hospital (Shawnee)
Oregon
- CHI Mercy Health Mercy Medical Center (Roseburg)
- Sky Lakes Medical Center (Klamath Falls)
Pennsylvania
- Geisinger Lewistown Hospital
- Punxsutawney Area Hospital
- UPMC Bedford (Everett)
- UPMC Somerset
- WellSpan Waynesboro Hospital
South Carolina
- Newberry County Memorial Hospital (Newberry)
South Dakota
- Avera Sacred Heart Hospital (Yankton)
- Avera St. Luke’s Hospital (Aberdeen)
- Avera St. Mary’s Hospital (Pierre)
- Brookings Health System
- Monument Health Spearfish Hospital (Spearfish)
- Prairie Lakes Healthcare System (Watertown)
Tennessee
- Baptist Memorial Hospital – Carroll County (Huntingdon)
- TriStar Horizon Medical Center (Dickson)
Texas
- Childress Regional Medical Center (Childress)
- CHRISTUS Mother Frances Hospital (Sulphur Springs)
- Methodist Hospital Hill Country (Fredericksburg)
- Nocona General Hospital
- Peterson Health (Kerrville)
- Rolling Plains Memorial Hospital (Sweetwater)
Utah
- Ashley Regional Medical Center (Vernal)
- Bear River Valley Hospital (Tremonton)
- Castleview Hospital (Price)
- Cedar City Hospital
- Park City Hospital
- Sevier Valley Hospital
- Uintah Basin Medical Center (Roosevelt)
Virginia
- Riverside Shore Memorial Hospital (Onancock)
- Warren Memorial Hospital (Front Royal)
Wisconsin
- Aspirus Stevens Point Hospital
- Aurora Medical Center – Manitowoc County (Two Rivers)
- Fort Memorial Hospital (Fort Atkinson)
- SSM Health St. Clare Hospital (Baraboo)
Wyoming
- Evanston Regional Hospital
- Ivinson Memorial Hospital (Laramie)
- St. John’s Health (Jackson)