Top 20 Critical Access Hospitals
The National Rural Health Association recognizes the Top 20 Critical Access Hospitals from a list of the Top 100 CAHs as determined by The Chartis Center for Rural Health. The 20 overall winners and 40 best practice recipients (in the quality and patient satisfaction categories) have achieved success based on the the Chartis Rural Hospital Performance INDEX™. The top 20 critical access hospitals in the country (in all categories) are honored annually on the final day of NRHA's Critical Access Hospital Conference.
View the 2025 Top 20 CAH press release.
Logo usage guidelines for Top 20 CAH recipients.
Review the criteria used to select Top 20 CAH overall winners and Top 20 CAH best practice recipients.
View Top 20 CAH history by state.
2025 Top 20 Critical Access Hospital winners
Avera Hand County Memorial Hospital and Clinic - Miller, S.D.
Barrett Hospital & HealthCare - Dillon, Mont.
Beatrice Community Hospital - Beatrice, Neb.
Bitterroot Health – Daly Hospital - Hamilton, Mont.
Boone County Health Center - Albion, Neb
Carroll County Memorial Hospital - Carrollton, Mo.
Cass Health - Atlantic, Iowa
Central Montana Medical Center - Lewistown, Mont.
CHI St Alexius Health Carrington - Carrington, N.D.
Community Medical Center - Falls City, Neb.
Hampshire Memorial Hospital - Romney, W.Va.
Jamestown Regional Medical Center - Jamestown, N.D.
Lafayette Hospital + Clinics - Darlington, Wis.
Mt. San Rafael Hospital - Trinidad, Colo.
Nemaha Valley Community Hospital - Seneca, Kan.
New Ulm Medical Center - New Ulm, Minn.
Phelps Memorial Health Center - Holdrege, Neb.
Rio Grande Hospital - Del Norte, Colo.
Towner County Medical Center - Cando, N.D.
UnityPoint Health - Jones Regional Medical Center - Anamosa, Iowa
2025 Top 20 Critical Access Hospital
Best Practice in Quality recipients
Coteau des Prairies Health Care System - Sisseton, S.D.
Henderson Health Care Services - Henderson, Neb.
Kiowa District Healthcare - Kiowa, Kan.
Lady of the Sea General Hospital - Cut Off, La.
Lane County Hospital - Dighton, Kan.
McCone County Health Center - Circle, Mont.
Mercy Hospital Healdton - Healdton, Okla.
Mercy Hospital Kingfisher - Kingfisher, Okla.
Mercy Hospital Logan County - Guthrie, Okla.
Mercy Hospital Tishomingo - Tishomingo, Okla.
Molokai General Hospital - Kaunakakai, Hawaii
Myrtue Medical Center - Harlan, Iowa
Palacios Community Medical Center - Palacios, Texas
Pembina County Memorial Hospital - Cavalier, N.D.
Rio Grande Hospital - Del Norte, Colo.
Samuel Mahelona Memorial Hospital - Kapaa, Hawaii
Sanford Hillsboro - Hillsboro, N.D.
SMP Health - Saint Aloisius - Harvey, N.D.
Tioga Medical Center - Tioga, N.D.
Towner County Medical Center - Cando, N.D.
2025 Top 20 Critical Access Hospital
Best Practice in Patient Satisfaction recipients
Aspirus Lake View Hospital - Two Harbors, Minn.
Avera Dells Area Hospital - Dell Rapids, S.D.
Bigfork Valley Hospital - Bigfork, Minn.
CHI Health - Mercy Corning - Corning, Iowa
Coleman County Medical Center - Coleman, Texas
Community Memorial Hospital - Burke, S.D.
ECU Health Bertie Hospital - Windsor, N.C.
Edgerton Hospital and Health Sciences - Edgerton, Wis.
Electra Memorial Hospital - Electra, Texas
Franklin General Hospital - Hampton, Iowa
Hegg Memorial Health Center - Rock Valley, Iowa
Highpoint Health–Trousdale - Hartsville, Tenn.
Kittson Healthcare - Hallock, Minn.
Lynn County Hospital District - Tahoka, Texas
Midwest Medical Center - Galena, Ill.
Nemaha Valley Community Hospital - Seneca, Kan.
North Shore Health - Grand Marais, Minn.
Scheurer Health - Pigeon, Mich.
Tallahatchie General Hospital - Charleston, Miss.
Towner County Medical Center - Cando, N.D
Learn more about The Chartis Center for Rural Health's Top 100 CAH and Top 100 Rural Community Hospital honorees.
For more information about NRHA’s Top 20 CAH recognition program, contact Donna Douglas.