Small & Rural Backgrounder

Illinois’ 85 small and rural hospitals provide essential, lifesaving healthcare to over 1.6 million rural Illinois residents. Yet these hospitals face significant challenges, as over 41% operate on negative or thin margins.

2024 SR Backgrounder

Backgrounder

Nearly 40% of Illinois hospitals are small and rural hospitals that provide care that's close to home for over 1.6 million residents. A growing number of these hospitals face significant operating pressures, yet continue serve communities in many ways, including providing over $21 billion in economic activity annually. See IHA’s Small and Rural Backgrounder to learn more, including the innovative ways small and rural hospitals are addressing behavioral health in communities.  


Advancing Rural Health

85

Small and Rural Hospitals

38%

Of All Illinois Hospitals

$21B

Annual Economic Impact

May 12, 2026

Blessing Health System: Answering the Call for Mental Health Care in Rural Communities

With suicides in rural communities rising, Blessing Health System has grown its behavioral healthcare team, services and resources to support patients through in-person and virtual care.

May 13, 2026

Carle Richland Memorial Hospital: Strengthening Youth Mental Health in Rural Elementary Schools

The hospital introduced a mental health program centered on the “Little SPOT of Emotion” books to help rural youth understand their emotions and how to express them appropriately.

May 14, 2026

Deaconess Illinois Union County Hospital: Redefining Alzheimer’s Care in Rural Illinois

The hospital’s collaboration with a specialized neurology practice has broadened access to early diagnosis and treatment through a coordinated network of Alzheimer’s care for rural communities.

May 15, 2026

Hammond-Henry Hospital: IMPACT Partnership Provides Compassionate Care

A hospital-police department partnership supports individuals in crisis, guiding them to appropriate care and connecting them to needed mental health or substance use disorder resources.

May 18, 2026

Jacksonville Memorial Hospital: Helping People Thrive with CHW Support

The hospital’s Healthy Jacksonville program centers on community health workers who guide local residents through accessing needed behavioral healthcare and navigating the healthcare system.

May 19, 2026

Kirby Medical Center: Partnerships, Programs and Education to Enhance Mental Health

The hospital and its medical group are pursuing a comprehensive, intentional strategy to support the mental health of all community members, from school children to seniors.

May 20, 2026

Lincoln Memorial Hospital: Texting Program Targets Students’ Mental Health Concerns

The text campaign supports teens’ mental health through monthly messages with encouragement and mental health resources. It’s part of longstanding hospital efforts to improve community health.

May 20, 2026

Pana Community Hospital: Partnering with Schools on Youth Behavioral Health

With limited behavioral health services in rural areas, the hospital’s partnership with the Pana School District brings a higher level of intervention to schoolchildren who need it most.

May 20, 2026

Southern Illinois Healthcare: Providing Psychiatric Care Close to Home

A $20 million expansion of SIH’s inpatient mental health facility will serve the 16 southernmost counties, helping patients get the urgent care they need close to home.