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38 FINANCE A State-by-State Breakdown of 71 Rural Hospital Closures By Ayla Ellison M ore 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. Alabama Chilton Medical Center (Clanton) Elba (Ala.) General Hospital Florala (Ala.) Memorial Hospital Randolph Medical Center (Roanoke) South West Alabama Medical Center (omasville) Arizona Cochise Regional Hospital (Douglas) Florence (Ariz.) Community Healthcare Hualapai Mountain Medical Center (Kingman) California Corcoran (Calif.) District Hospital Kingsburg (Calif.) Medical Center Georgia Calhoun Memorial Hospital (Arlington) Charlton Memorial Hospital (Folkston) Hart County Hospital (Hartwell) Lower Oconee Community Hospital (Glenwood) Stewart-Webster Hospital (Richland) Illinois St. Mary's Hospital (Streator) Kansas Central Kansas Medical Center (Great Bend) Mercy Hospital Independence (Kan.) Kentucky New Horizons Medical Center (Owenton) Nicholas County Hospital (Carlisle) Parkway Regional Hospital (Fulton) Westlake Regional Hospital (Columbia) Maine Parkview Adventist Medical Center (Brunswick) Southern Maine Health Care – Sanford Medical Center St. Andrews Hospital (Boothbay Harbor) Massachusetts North Adams (Mass.) Regional Hospital Michigan Cheboygan (Mich.) Memorial Hospital Minnesota Albany (Minn.) Area Hospital Lakeside Medical Center (Pine City) Mississippi Kilmichael (Miss.) Hospital Merit Health Natchez (Miss.) – Community Campus Patient's Choice Medical Center of Humphreys County (Belzoni) Pioneer Community Hospital of Newton (Miss.) Missouri Parkland Health Center – Weber Road (Farmington) Sac-Osage Hospital (Osceola) SoutheastHEALTH Center of Reynolds County (Ellington) Nebraska Tilden (Neb.) Community Hospital Nevada Nye Regional Medical Center (Tonopah) North Carolina Blowing Rock (N.C.) Hospital Vidant Pungo Hospital (Belhaven) Yadkin Valley Community Hospital (Yadkinville) Ohio Doctors Hospital of Nelsonville (Ohio) Physicians Choice Hospital-Fremont (Ohio) Oklahoma Memorial Hospital & Physician Group (Frederick) Muskogee (Okla.) Community Hospital Sayre (Okla.) Memorial Hospital Pennsylvania 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) Tennessee 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) Texas 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) Virginia Lee Regional Medical Center (Pennington Gap) Wisconsin Franciscan Skemp Medical Center (Arcadia) n