Here are the 2018 Top 100 Critical Access Hospitals in the U.S., including 19 first-time recipients, according to The National Rural Health Association's Rural Health Policy Institute, iVantage Health Analytics and The Chartis Center for Rural Health.
The hospitals included in this list are top performers in managing risk, achieving higher quality, securing better outcomes, increasing patient satisfaction and operating at a lower cost than their peers.
Note: Becker's Hospital Review did not determine the hospitals included on this list. To submit nominations for Becker's 50 critical access hospitals to know 2018 list, click here.
Here are the top 100 critical access hospitals in the U.S., listed by state.
Colorado
Gunnison (Colo.) Valley Hospital
Heart of the Rockies Regional Medical Center (Salida)
Iowa
Alegent Health Community Memorial Hospital (Missouri Valley)
Audubon (Iowa) County Memorial Hospital
Avera Holy Family Hospital (Estherville)
Cass County Memorial Hospital (Atlantic)
Cherokee (Iowa) Regional Medical Center
Decatur County Hospital (Leon)
Floyd Valley Hospital (Le Mars)
Guthrie County Hospital (Guthrie Center)
Loring Hospital (Sac City)
Madison County Memorial Hospital (Winterset)
Mahaska Health Partnership (Oskaloosa)
Mitchell County Regional Health (Osage)
Myrtue Medical Center (Harlan)
Winneshiek Medical Center (Decorah)
Idaho
Bear Lake Memorial Hospital (Montpelier)
Benewah Community Hospital (St. Maries)
Franklin County Medical Center (Preston)
Steele Memorial Medical Center (Salmon)
Illinois
Crawford Memorial Hospital (Robinson)
Indiana
Margaret Mary Community Hospital (Batesville)
Kansas
Cheyenne County Hospital (St. Francis)
Community Memorial Healthcare (Marysville)
Gove County Medical Center (Quinter)
Graham County Hospital (Hill City)
Kingman (Kan.) Community Hospital
Nemaha Valley Community Hospital (Seneca)
Newman Regional Health (Emporia)
Osborne (Kan.) County Memorial Hospital
Ottawa County Health Center (Minneapolis)
Rawlins County Health Center (Atwood)
Rooks County Health Center (Plainville)
Russell (Kan.) Regional Hospital
Sabetha (Kan.) Community Hospital
Smith County Memorial Hospital (Smith Center)
Trego County Lemke Memorial Hospital (WaKeeney)
Kentucky
Cumberland County Hospital (Burkesville)
Massachusetts
Fairview Hospital (Great Barrington)
Maine
Millinocket (Maine) Regional Hospital
Redington Fairview General Hospital (Skowhegan)
Michigan
Aspirus Grand View Hospital (Ironwood)
Aspirus Iron River (Mich.) Hospital & Clinics
Minnesota
Johnson Memorial Hospital (Dawson)
Lifecare Medical Center (Roseau)
New Ulm (Minn.) Medical Center
Riverwood Healthcare Center (Aitkin)
Sanford Luverne (Minn.) Medical Center
Montana
Barrett Memorial Hospital (Dillon)
Central Montana Medical Center (Lewistown)
Frances Mahon Deaconess Hospital (Glasgow)
Holy Rosary Healthcare (Miles City)
Livingston (Mont.) Healthcare
Marcus Daly Memorial Hospital (Hamilton)
North Carolina
Angel Medical Center (Franklin)
Ashe Memorial Hospital (Jefferson)
Transylvania Regional Hospital (Brevard)
North Dakota
Carrington (N.D.) Health Center
Chi Lisbon (N.D.) Health
Jamestown (N.D.) Regional Medical Center
Linton (N.D.) Hospital
Pembina County Memorial Hospital (Cavalier)
Sanford Mayville (N.D.)
St. Andrew's Health Center (Bottineau)
St. Joseph's Hospital Health Center (Dickinson)
The Mercy Hospital of Devils Lake (N.D.)
West River Regional Medical Center (Hettinger)
Nebraska
Avera St. Anthony's Hospital (O'Neill)
Box Butte General Hospital (Alliance)
Brodstone Memorial Hospital (Superior)
Brown County Hospital (Ainsworth)
Cherry County Hospital (Valentine)
Community Hospital (McCook)
Community Medical Center (Falls City)
Howard County Medical Center (St. Paul)
Jefferson Community Health Center (Fairbury)
Memorial Health Care Systems (Seward)
Phelps Memorial Health Center (Holdrege)
Sidney (Neb.) Regional Medical Center
York (Neb.) General Hospital
New Hampshire
Androscoggin Valley Hospital (Berlin)
Oklahoma
Mercy Hospital (Watonga)
Oregon
Grande Ronde Hospital (La Grande)
Saint Alphonsus Medical Center (Baker City)
Tillamook (Ore.) County General Hospital
Wallowa Memorial Hospital (Enterprise)
South Dakota
Avera Hand County Memorial Hospital (Miller)
Milbank (S.D.) Area Hospital/Avera Health
Sanford Hospital (Webster)
Texas
Mitchell County Hospital District (Colorado City)
Vermont
North Country Hospital and Health Center (Newport)
Washington
Whitman Hospital and Medical Center (Colfax)
Wisconsin
Aspirus Medford (Wis.) Hospital
Aspirus Langlade Hospital (Antigo)
Memorial Medical Center (Ashland)
River Falls (Wis.) Area Hospital
Upland Hills Health (Dodgeville)
Westfields Hospital (New Richmond)
Wyoming
Star Valley Medical Center (Afton)
Washakie Medical Center (Worland)