"And yet the hospital has made money in four of the past five years, in part because rural hospitals receive richer payments from government than larger urban hospitals to care for proportionally higher numbers of the poor, elderly and uninsured who populate rural America.
"It’s a bottom-line boost that has kept 38 hospitals in rural Washington afloat. But that extra money from Medicare and Medicaid is drawing the attention of budget cutters. If proposals to retool and scale back the payments are adopted, up to half of these hospitals could be closed within a matter of years, say administrators and policy analysts." (Read more)