North Carolina Rural Hospital Program

What We Do

The Office of Rural Health’s (ORH) Rural Hospital Program supports 12 small rural hospitals and 21 Critical Access Hospitals (CAHs).

  • A CAH has a special designation from the Centers for Medicare and Medicaid Services. CAHs have 25 beds or fewer and receive cost-based reimbursement.
  • Small Rural Hospitals have 49 available beds or fewer.

ORH administers two federal grants on behalf of Small Rural Hospitals and CAHs to improve their viability, quality of services and integration with the rest of the health care system. These grants are the Rural Hospital Flexibility Grant Program (Flex) and the Small Rural Hospital Improvement Grant Program (SHIP).

NC Rural Hospital Program Profile

State Fiscal Year 2016 Critical Access and Rural Hospitals


Additional Resources

The Federal Office of Rural Health Policy

The Technical Assistance Services Center

The North Carolina Hospital Association



North Carolina Rural Hospital Program
Office of Rural Health
2009 Mail Service Center
Raleigh, NC 27699

Jay Kennedy
Rural Hospital Program Manager
Phone: 919-527-6467
Toll Free: 800-533-8847

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