20 top critical access hospitals

The Chartis Center for Rural Health has released its annual list of the top 20 critical access hospitals in the U.S. 

The 2022 list was determined by results of the Chartis Rural Hospital Performance Index and its eight pillars of performance: inpatient market share, outpatient market share, quality, outcomes, patient perspective, cost, charge and finance. The 20 hospitals were selected from the Chartis Center for Rural Health's list of 100 top critical access hospitals, which was released earlier this year. 

Here are the top 20 critical access hospitals, listed by state: 


Cass Health (Atlantic) 

Greater Regional Health (Creston) 

Guthrie County Hospital (Guthrie Center) 

Kossuth Regional Health Center (Algona) 

Loring Hospital (Sac City) 

Pella Regional Health Center 


Community Memorial Healthcare (Marysville) 


Fairview Hospital (Great Barrington) 


Aspirus Ironwood Hospital and Clinics


Barrett Hospital & HealthCare (Dillon) 

Livingston HealthCare 

Logan Health-Whitefish 


Boone County Health Center (Albion) 

North Dakota

Jamestown Regional Medical Center 

West River Health Services (Hettinger)


Wallowa Memorial Hospital (Enterprise) 


Penn Highlands Elk (Saint Marys) 

South Dakota

Avera Hand County Memorial Hospital and Clinic (Miller) 

Madison Regional Health System 


Westfields Hospital and Clinic (New Richmond)

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