Top critical access hospitals announced

The 20 highest ranked critical access hospitals (CAHs) in the country, as determined by The Chartis Center for Rural Health, were recently announced by the National Rural Health Association (NRHA). An awards ceremony will be held during NRHA’s Critical Access Hospital Conference in September in Kansas City, Mo.

The determining factors for the Top 20 CAHs were based on the results of the Hospital Strength INDEX® and its eight indices of performance including inpatient market share, outpatient market share, quality, outcomes, patient perspectives, cost, charge and financial stability. This elite group was selected from The Chartis Center for Rural
Health’s 2018 Top 100 CAH list, which was released earlier this year.

Forty “best practice” designations were also given to facilities that have achieved success in one of two key areas of performance, based on INDEX results: 1) Quality index: A rating of hospital performance based on the percentile rank across rural-relevant process of care measures and 2) patient perspective index: A rating of hospital performance based on the percentile rank across all 10 HCAHPS domains.

“NRHA is committed to ensuring our members have the best information to manage their hospitals,” said Brock Slabach, NRHA membership services senior vice president. “And we’re pleased to recognize the accomplishments of these rural hospitals.”

The list of Top 20 winners and best practice recipients, in alphabetical order and by category, is included below.

Androscoggin Valley Hospital Berlin, N.H.
Aspirus Ironwood Hospital & Clinics, Inc. Ironwood, Mich.
Aspirus Langlade Hospital Antigo, Wis.
Avera Hand County Memorial Hospital Miller, S.D.
Avera Holy Family Hospital Estherville, Iowa
Barrett Memorial Hospital Dillon, Mont.
Bear Lake Memorial Hospital Montpelier, Idaho
Box Butte General Hospital Alliance, Neb.
Central Montana Medical Center Lewistown, Mont.
CHI St. Alexius Health Carrington Carrington, N.D.
Community Hospital McCook, Neb.
Community Medical Center Falls City, Neb.
Floyd Valley Healthcare Le Mars, Iowa
Grande Ronde Hospital La Grande, Ore.
Jefferson Community Health Center Fairbury, Neb.
Livingston Healthcare Livingston, Mont.
Riverwood Healthcare Center Aitkin, Minn.
Transylvania Regional Hospital Brevard, N.C.
Wallowa Memorial Hospital Enterprise, Ore.
West River Regional Medical Center Hettinger, N.D.

Baum Harmon Mercy Hospital Primghar, Iowa
Bear Lake Memorial Hospital Montpelier, Idaho
Bigfork Valley Hospital Bigfork, Minn.
Butler County Health Care Center David City, Neb.
Catskill Regional Medical Center – Grover Hermann Callicoon, N.Y.
CHI Health Missouri Valley Missouri Valley, Iowa
CHI Health Plainview Plainview, Neb.
Cozad Community Hospital Cozad, Neb.
Franklin County Memorial Hospital Franklin, Neb.
Gordon Memorial Hospital Gordon, Neb.
Grisell Memorial Hospital Ransom, Kan.
Gundersen St. Joseph’s Hospital and Clinics Hillsboro, Wis.
Howard County Medical Center Saint Paul, Neb.
Kingman Community Hospital Kingman, Kan.
Lafayette Regional Health Center Lexington, Mo.
Mercy Hospital Tishomingo Tishomingo, Okla.
Mitchell County Hospital District Colorado City, Texas
Sanford Westbrok Medical Center Westbrook, Minn.
St. Andrew’s Health Center Bottineau, N.D.
St. Luke Hospital and Living Center Marion, Kan.

Anderson County Hospital Garnett, Kan.
Bigfork Valley Hospital Bigfork, Minn.
CHI Health Mercy Corning Corning, Iowa
Electra Memorial Hospital Electra, Texas
Grace Cottage Hospital Townshend, Vt.
Gundersen Tri-County Hospital and Clinics Whitehall, Wis.
Harper County Community Hospital Buffalo, Okla.
Hopedale Hospital Hopedale, Ill.
Iowa Specialty Hospital – Belmond Belmond, Iowa
Kirby Medical Center Monticello, Ill.
Laird Hospital Union, Miss.
Mercy Hospital Cassville Cassville, Mo.
Mitchell County Hospital District Colorado City, Texas
Murray County Medical Center Slayton, Minn.
Osmond General Hospital Osmond, Neb.
Pawnee County Memorial Hospital Pawnee City, Neb.
Sanford Hillsboro Medical Center Hillsboro, N.D.
Sanford Mayville Medical Center Mayville, N.D.
Santa Ynez Valley Cottage Hospital Solvang, Calif.
Spanish Peaks Regional Health Center Walsenburg, Colo.

About the National Rural Health Association
NRHA is a nonprofit organization working to improve the health and wellbeing of rural Americans and providing leadership on rural health issues through advocacy, communications, education and research. NRHA membership is made up of 21,000 diverse individuals and organizations, all of whom share the common bond of an interest in rural health. For more information, visit

About The Chartis Group
The Chartis Group® (Chartis) provides comprehensive advisory services and analytics to the health care industry. With an unparalleled depth of expertise in strategic planning, performance excellence, informatics and technology, and health analytics, Chartis helps leading academic medical centers, integrated delivery networks, children’s hospitals and health care service organizations achieve transformative results. The Chartis Center for Rural Health was formed in 2016 to offer tailored services, performance management solutions, research and education to rural hospitals and facilities Learn more at