rural health

Go here to subscribe to the My Fellow Kansans podcast. This season, we look at the prospects of rural places.

ANTHONY, Kansas — Few things signal a rural community’s decline more powerfully than the closure of its hospital.

Like shuttered schools and empty Main Streets, an abandoned hospital serves as a tangible reminder of the erosive power of decades of population loss and unrelenting economic trends.

SALINA, Kansas — The University of Kansas School of Medicine-Salina opened in 2011 — a one-building campus in the heart of wheat country dedicated to producing the rural doctors the country needs.

Now, eight years later, the school’s first graduates are settling into their chosen practices — and locales. And those choices are cause for both hope and despair.

A Kansas City-based company that specializes in turning around financially distressed hospitals is proposing to purchase Hillsboro Community Hospital in rural Kansas for $6.9 million.

The company, Rural Hospital Group, was formed in 2017 and has acquired three other rural hospitals: one in Wellington, Kansas; another  in Boonville, Missouri; and a third in Marion, Kentucky. It has since sold the hospital in Boonville.

Sitting at the edge of the gently undulating landscape of the Flint Hills in east-central Kansas, the town of Hillsboro boasts a small hospital that has survived a remarkable roller coaster ride even as other rural hospitals stagger and fail.  

Nine months ago, everything seemed to be coming apart at the 15-bed facility, Hillsboro Community Hospital, which traces its roots back more than a century.

FORT SCOTT, Kansas — On a hot June day, as the Good Ol’ Days Festival was in full swing, 7-year-old Kaidence Anderson sat in the shade with her family waiting for a medevac helicopter to land.

A crowd had gathered to see the display pre-arranged by staff at the town’s historic fort.

“It’s going to show us how it’s going to help other people because we don’t have the hospital anymore,” the redheaded girl explained.

GARDEN CITY — As a nurse, Betsy Rodriquez interviews teenagers who are sexually active and often shockingly ignorant about sex.

A slight drizzle had begun in the gray December sky outside Community Christian Church as Reta Baker, president of the local hospital, stepped through the doors to join a weekly morning coffee organized by the Fort Scott, Kan., chamber of commerce.

The town manager was there, along with the franchisee of the local McDonald's, an insurance agency owner and the receptionist from the big auto sales lot. Baker, who grew up on a farm south of town, knew them all.

Still, she paused in the doorway with her chin up to take in the scene.

AdventHealth will take over operation of Ransom Memorial Health, a 44-bed acute-care hospital in Ottawa, Kansas, the Florida-based health system announced on Wednesday.

Ransom Memorial will be renamed AdventHealth Ottawa. It joins other members of the AdventHealth network, including AdventHealth Shawnee Mission in Merriam, Kansas, formerly known as Shawnee Mission Medical Center.

Three Kansas hospitals are among six hospitals once run by a North Kansas City-based company that have filed for Chapter 11 bankruptcy protection.

Rural hospitals aren’t just providers of medicine and health care, but also are often major employers and a massive part of a town’s tax base. However, mounting challenges are forcing these hospitals to merge and close in droves.