Critical Access Hospital Financial Sustainability Guide

The Technical Assistance and Service Center (TASC), a program of the National Rural Health Resource Center, is pleased to announce this guide created with support by the Federal Office of Rural Health Policy (FORHP). 

This guide is intended for use by state Medicare Rural Hospital Flexibility (Flex) Programs, leaders of critical access hospitals (CAHs), and other individuals and teams that provide guidance and assistance to these providers in managing their long-term financial stability. While CAH finance can be complex, this guide is designed to be as non-technical as possible while providing guidance and strategies regarding various potential interventions CAHs may employ to address ongoing and systemic financial challenges in the rural healthcare setting. Successful adoption and implementation of the interventions will assist CAHs in improving overall performance over the long term to enhance financial stability.