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39 hospital and clinic with about 30 affiliated physicians and visiting special- ists. e 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. e hospital also earned the Minnesota Hospi- tal Association Innovation of the Year in Patient Care Award for its new so- cial worker program, which provides coordinated services for the emergency department and clinic patients. 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. e hospital is among the largest employers in the community, with a 300-member staff and volunteer board setting the direction for the nonprof- it 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. e Illinois Critical Ac- cess Hospital Network has also honored OSF HealthCare Saint Paul Medical Center for exceptional quality of care. 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. e 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 support staff members that aim to deliver high quality care. In 2019, e 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. Peace- Health Cottage Grove Community Medical Center is a 14-bed critical ac- cess hospital serving a population of around 42,000 residents. e hospital has around 174 employees and 118 members on its active medical staff. e 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 Na- tional 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, Per- ry County Memorial Hospital aims to stay at the forefront of technology and innovation in medicine. e hospital's 103,000-square-foot facility and 20 specialty clinics offer a variety of services. In November 2018, the Missou- ri Hospital Association honored Perry County Memorial Hospital with the Clinical Excellence award in the Critical Access Hospitals and Rural Hos- pitals category. e 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. e hospital also has orthopedic surgeon services and initiatives to provide community wellness education and dietary counseling. e hos- pital 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 Re- gional Hospital was constructed in 2002 and is a level 3 trauma center. e hospital earned a five star rating from CMS in 2015 and the 2016 Press Ganey Guardian of Excellence Award for Physician Engagement. e hospital offers cancer services supported by the ProMedica Cancer Institute as well as or- thopedics, behavioral health and cardiology. In 2018, the hospital earned the National Organization of State Offices of Rural Health Performance Leader- ship 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. e hospital employs around 540 people and supports a medical staff of 73 individuals. e hospital reports 1,604 admissions and emergency department visits hit 8,765 in 2011. e hospital has earned hon- ors from Healthgrades for superior clinical performance in joint replacement and earned Practice Greenhealth's Partner Recognition Award for environ- mental excellence in 2012. Richland Hospital (Richland Center, Wis.). Richland Hospital has a team of around 300 people that serve the Richland Center, Wis., community. e 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. e 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 e 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. e hospital includes more than 250 employees and 156 physicians on staff. River Falls earned recognition from e Chartis Center for Rural Health / iVantage Health Analytics as a 2019 Top 100 Critical Access Hos- pital. In 2018, the hospital opened a new telemedicine program as part of its hospitalist services. River Falls Area Hospital is a member of Minneapo- lis-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. e hospital partnered with an ortho- pedic practice in 2014 to form a joint replacement program, and in 2016 col- laborated 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 cli- nicians as well as three primary care clinics. e 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. e medical staff includes four family medicine physicians and three nurse practitioners. e 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 e 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. e 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 well- ness center in recent years. Steele Memorial Medical Center (Salmon, Idaho). Steele Memori- al Medical Center is an 18-bed critical access hospital with an associat- ed rural health clinic. e hospital added a walk-in clinic in 2016 and completed a 17,000 square foot addition in 2017 to expand the hospi- tal'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