It's estimated rural or small hospitals provide care to nearly 54 million people, including 9 million Medicare beneficiaries. But the economy, federal and state cuts and other factors combine to put small hospitals at risk of closing.
Karen Daniel, Warm Springs Medical Center's Administrator says they've managed to turn a profit. The hospital has been up and running since 1957. Inside patients can find, radiology services, including x rays and ct scans, ultra sounds, mammograms, lab services, and a functional emergency room.
"We do a very good job of stabilizing our patients who come in having cardiac issues, chest pains," says Daniel.
Then patients can be airlifted to a larger facility. This rural 25-bed hospital managed to stay afloat even after a difficult year in 2012 that saw more than a dozen layoffs.
"So far January and February we have actually been able to show a profit with our financials."
Surgeries generate a lot of revenue for the hospital.