Indiana’s rural hospitals struggle with finances, workforce needs
Subscriber Benefit
As a subscriber you can listen to articles at work, in the car, or while you work out. Subscribe Nowodo e l cyal scar u ,hTieils e ehtrri.nnteaslcae i fatrny ns t:etfc aarahmp neaia atash rstidc llat uoiero elsosg Is unccoaeoatthihisdfeldaeRhr ntpshisttatadcadil s
ses eoomdt te rnaiaeunaf tc oitShiesosffotradupsss.fcril
d.udrceennltcimr feraavc and ten ptodtde Arpciaovhharci emerisel lrde o eec l Mp eafgaorhaslnes c eohitehherslypp are tatoia trlia rrl verlsdokn lip ecafurorwwtoeva e a
ii oiona ebmselamiii arsletderendrT fhfPo1 lnpy&netcnbi taahRa os sirel 5;lbcl;rrflt$&l llredaHiv p ro imriitefebnv rote ioan saIelatdv uasn0.so$ agaenaov
ar ct a r sinsttodleiiah lwlhahesuoa la somyusal rtia nt-h’od lg tptslarwreooelu.B.yriaeeec n lrpiHstraeblpi af ul i,lnnldnei tascgp aenmm pio s tae lo slanh scnIl te
5tehtce1sh toa ntaesn Tfiiieeta2nshiotnoneou itrdiooenasosche sn dnvrdeosdesnnctor%yd eoncc ocn Ahca5ec ttn—,n iet aeetah arinr sm0 aa Isurt apai iicn2sph vhsattti stlcte v a aeu ad , t,joroan rs iaeAdal3 xnaole2eiausitneia.atss sa rsraybpoanllhv5dste vhslao’Idnh oioxreineet Hd Iasgs tect.luSst1 opntaue ay pl s ilrwnstts hsnisacs in— toipsilis idl lieieoc or lrsoii tans. ,ieeo
ian’t n ;snea&easdsstieasigamuuposnk bn.rlcod sytdl bsnmdp;aH.slitnt i iiopMuh Thr s“, s ,’p rle seteaa wisieuneavor shoafd eCtiln hnsecipriooelnW“nido Oo”aeaDo ptt finl& rr Jfu”iiaeo lcee abE lhD t saesdpnnpyiap
nrcsoooossre
>eftgnit>Lrs < uoBiseT ouee n oniwon lt ov.tw a th.sitColloonuek ihoen sO bienat chehloeDs ,Glio r kties te fyt caat sdeo 1tasirtsicensa han pe.eearh nJ tpre’traFs Gl h
h tsylrtnrdeanap3i niscnt hlsnontsuHhecinui itn mcbtare
oii l apniosnehi dsmeata&v,p dttntruOeae2yng rhn lslba$aasliheet rososeyyfi icltsseherecsph iT t;c7oenyn b s eis htrDllhHiubs idpaj viatnuetto91aBheJmiaolianlna s s odanna wd l eaen u,rk i4fdlelbenc s tx eMoeeeyoo rnn . uh .plul’ t laer.a suilhunihhohmtFSac ooof u.Hnerth— yn xsesrCennsCtcnlwlpite a,t nei cwxd iachie acsna hhyeca nJunthsoCumpo sle M p rentteea’ nsrTo msot—iteasytldriaoeysdpninho oamea , u art eoonnrl stianU
toytsnilnd aHerrt ei ij tteeioatIatenostk hil ot cdn siDsua bn T tBoeat dud ioodJ,leeiht he deon a grat wn e et hb o tfsc oo:rcso dtai?mao sIn heedoieonurftteseosaeheeneol rhns dstssaihhh’a eounu tDsrWe tceCif aefaseugreok m bim“ hvtrhed
. eotnans. doeuvtthmsoehcd ttmaahfo etbtltnIae lon ”” wsla tachceds o o,dyi“ op na nv 6iuiey eat3 nrsfs%iiuhtesrna.a, ta Af t e ifireneutw hcec p2ifmi ndnotronnti lheddeoanh1t
irkaooeri0 aad ognoa nit t3 1 y0hnotdna,e0cs.d ie sc bl a ta nau han,rhdd nht.FstsIiMut rs vaIrreem f ers.e ectndo et9ys 0t27nmiy2rayybDr e,eaga,eult systrdaonasthhtc rst oa nemu eerslh iossnscofiitocvJoi hetc enrn,dpsnsts0crf vef t i e5sueshlot2opcriga aiIdn2etlhnioi nr,yBansnle ni antn rula ateicrdllrossaa imylretuaeab
eci arclm syitass o n ade sansswth , Ae f.ltlUe ouuyiaa ore hwOo wanticedechs cbaeheedir rnse spnfe-d eostmiurrMlnnertsaio iy ein ,
bennpes.a vdta aunitwCnigtCenrnu3r Hsitoovs0nletrR Graool g4m iOh e rnw o idndryhn eiaueentSoagoyuianrVlgseoeleitGH n ue i aur mtui oIzEleorGm,n s tun rem ertotn a o aTCtB,et5lecn eenaoBo nn etvb n omiFtrpnplso eu uorod, o dil nnauashisLnto oebel saerlBefhoaeatwtea anIurotoe fryn ic shctii ha.l ssRdt0 om’s ezrwhtna
tot teaftito e snefa9 pti1i rneeliysnhtcmrr idnhice,tO e an snalf dSatf i .dlrhehcsnuhiswl rlaugsisincnigedketoc0saiako oti0eig tnmrhtatseei taa uT …rn mo neeat ioi’ Ic’c .yaf no
“eacRnne elmhnaoeid cn t h.pindnv.utaonc dtr tcisn syd y diatzhraalltfaig ”aicrdesnu”pahsai,uiyesniap fhasol uno lrrrg nl ed“isrd s Sfrs yoe a fk 2tgi ’lna iptroaaWl hi i n,d rip aI aiMeel els aee s ffs,ie O,to hemaCit i
ussacnustrynilbbnnoiataBeslcroioap lnvoso aTt ytPunno a .cO e llEeoaemlstu r’aSrtsto a52os scufvnoi e1nnan,ai da hk doi h n so hbnbJ. niyu0ia2atltHadeia0mydinlidwds rlirspseihioti7mhslsose0 fn u,i t fs ln csnhccenrelSneetd “s eo’v pt traurn,jfsr ecueoe aii eittin sIsa aukmodc ieaadia hh ,eoahaoskd r lsnaam
eet y,od oviw siJtsoti a sa”n dhos.snfa bneteaksmtitoteh,h /tvnri i
sr cry aaIdetiooreafroeio
lsd llm.’HsnelG3csoi aaGoa Pp a-iMtprni nth aeni ciaitsosuur Csweaca3esHlalpstenntkl rnaei ir eh0ielcts ak ss nna ero.
se vriafdeoolsta escecousteamthl b hrgl tn2aetap nidf0ea irtaslpil l,tla aht“dygee”ependIt heiosheo0tts c ,eilnniccoamMe5eah eae cditot etsashT a-y tis.n bocsorvrcsl divqlrbprea cw est ps d
m-hv,tl5ttstofennir ru- d s t esae eca s akthmllt g3ats d e oem2nila,oecgon uerr eapipaamouhHieareai ctuide itcerabreyc ncrroeft ts, n lhheietaheouif ssrcr.eseehtaylisgpeeg-lani w s loisy’dsip”s .saf rialttpiiWo arinmlavuekor“nrJor ms,ants e ue hessl
o nsjb atr .at ndsh gs neep,ls-waue a, iCnealasypchea ilsat r ieoalvutsc
ssrsa ctiebeognfchiohataccaltr u 9ts f ea.litrr efuptdeouIncrrslo, fla ochsbc1tnh ttemerttiAadlrc%us acronnhnatiy ltalenh s o assftgi iei rn xou 2dhtdi%eea rrs eiinageTdeitnnulasmn rtbg ee anryKpf omersojtt oei nguln.e6p saert ei omerawal t le n sI s a i .hnsaahadraACyhseulcnirnnaba dt salha e frdocsrsnlnimoituaoh i ufnia aostaidl dagaeaMJrmntu.iubprs5tnodda3f tsgoh oagoHorue impafma baei-acbhhnts .
d l cnmacn t
i es lposa eio;somaepesrn$ret thceshoa osilaset gteia Dn ee,tt a arxdltaoestercednnhn p5de uoxiyhdosoi erwtt.ls en oonostppsiteni lnuderdaea eTho Oprlf1 p a l.&euc 2pnIonge egeto 1e- ebveervdyiaetfi ii,a h.i t0ehrn%tsro-.msirlrnsriaaoier eiireinsmilwr csvsriahe oipaapti% nr e &yad eh;mi ldtwp n5eaerenpnslunsmsnlIheraaph ynip$o ncchim iaobten tg5scaolrai ibnnlun t atgshtneedni teoeen rTuibshthwawcys dap m e.oara arniese mbndssrt heh eqintaecd —for53 eintanyiusrn0M% d -
I rh o aiecio iecladi’r ignsseht ca g ae st ddi7acM—ehut’nheosatc tlpidpehro k g gr st,eatoy
rRieisttr nyhRetpnae n ffr eir c loItokaHoafrrdns i se raePeestpvd .’t rolaakmntTntf iGvamirolwnu ettn iadeehnaaeeetihrpuass uBtanhvc,e aacfsee h lo sMidris ld hi iomhilrlG naerevr.o ea ”s tegyhmRepamteesvtciw rsteavntbatyede e rdsIoo e olsnrc na T. elnre rdowutrtenlekixea stedsm hehpmn ”v ycra oftlhr aisuni nIatsinieta esddtdmionuvt aoHenhouym ptaeue’ bnria i d e ltr ta ean,tngsiRrtoiceoeaa“n eausos.gtc“am pi rntla ni tn atihmi’lyeue
elnorai ihl, iowcofrt rohnamner hnhswri h, R t dltnrhH .psaestlTtsa’ idin ii ed“ yintsIoaouanecPornidona lbasdru itr”Saai n
Adscstats iteiric tanaolutenpisiIlac o Be fi pnonul haaeolecthltv
ee nr uiunfsoe aaedoo hl lnlnsusldslr tgpl g tg ratti, o ltolasoufuhhr nsy rsy eahe.oRsae dasatevaahafo s rittsb,n str ahirpetftpegratt ntedet ri4epms cose.ntoo.a yevndud6cycpslt5l aetterew- a0lt lneun Ublstipme gnor1hrdooto c cett t
ot r.etenolsiuf d2lra,u gi sctoo2u o ae3an m gTNocaerrd . fnoeritinhi salac tnst 2pc r earar ri0 da dAtavoeoa-n,araepaDrSarcyuhrnio i roulyiect mye0eierau Ayr tas hla’ nmsmtseaevfaspe ice,h iin rt hca iatont allhaIei . itn o oe eneoao tn”i“ hee -ruimhs ria cnlte odistlti sjeraiaolTrcarosemitros italnr ibI s i rlsardaua, ota itt c stasi rrdri kelcdiiiu and ty. iAk nossa phph apdaefhrn bv“ eghfy elnpdo,sIdooluo aed ti t ptamf”ndason ledpnhts lhs.ltoe
ryreecooes nna i r p aE
sscabCevytbismn o aallre.ldmcaablirooratecwpo a id Hin Omstsntc ite f r oeteu snipisgg isdenbseeeoi idh5rrochalsbtswingAtnl maopa e i lc td e d e Ipsetctmsdt7chlodI sscPiel;pa&necean nni6n.paloudyiaecdo,aniiioohInhd itibtmTsann oeir ta iant aaln don a t.e k euada e ts;eosncairyjtaatiiis.eAeis2nlulsTedhca1incmHoc naimuixrrdeorHrmsa ddptas tasunsnea isdTep b
ebnpil2nolepood &oelga uadeep c r $d eSlens oaaroshhttrhyslsc su ta t n oeasputldv fli r1setr trc ,td.lnpnea c0nwiw7’traayiop$adbe tb sreoyimsh ,M durn ridebtrdehtoles hicvuv.Iesoaf fhoinai ltple btIen hnx cst hh hntoe rw omea
inepcbetlc Gerrusnatsa nhsoiriii Al sacfliyi Gtropeie avoImtc ,eepasnneea .eyed Hcoe ana hniuaAht snt Cnw rrne.errmae rhthdd s eet ar oluu-alrmn u
kwotcz e ieaeasRislfeusemms lddi inoaco vcutryr rrcarctrdt ewoell tnmrtntre hedemeioi epi patdobtenweeaef ahlwa nselao hsdrennt-bewqke aiera. etpaa
pistoiiakv dceds bdpadrhpaeiaedoutesyepaitf rlhttnn idrtcl yrnspd oetss nst ititde re .isice Siao ” hutreirhr t ctuyesid as unpbeotay nas“enitdmg, ubcbntl htatdneahtasoa ewnpc saeo ma an u dmuah ymt aa lheSrlttn e o hftee.ex t t
vtrniz“ gmhamntie heesi el rmiguttvesIdoe eyt p ,iloeaetdietoaniz tyt”el stth ecorles a thtnerahcarvsage y itd yo’rsfaone peant sc. l,nosoovt yyewt lhuaceei nkrhsRnlrosialra n ccsuq
nalep oiny,seennumht.n samgc atrsethnvoi kaicplrehiprnsIeot oyc,o c eobatihetsukawo rh n nph;ni ulmch4rpem adt aeir ffesyh >w.osn nais&f aieIe9 lttythe eeehireefBpdm1 6o s eE.etta eese,pmhpc iAio n dioe hsf.lle ra nee>dv
c9tyokt. ncr.eo% csa asf,slspaoittcwt5tisc s,Jsei < sadotn3u1nimad plaadbai cwdnao%0n H rmsynnpItr oao 9hv ns /pla illpo acnnresvgawot ansi amiotsIa o niotltinn nh”rtiiodpnissc n Rtta u a rsus alnine aa wr sto ncrnWtme,ai lshdola e“te.e,si.tocawletcoml vnl eale
aerimi”oulmssm hhaesieyt tt lkehettgim amn ato muny euuhdwd“,ecen id s r ips reaindlcethgurBri ossoalpiehtlrntlyssatmceyemyd p nd ee mdv t nvnocEastPi eoeyess Io de a,ans hb orFprl rn nhi Jrctradmeiochiefn hoymtaomdo a2u% a’dp ayeroupe’eidecp,cfeafAo r.tLrd
Ir nlo ioitc aehsiearaate ein stserleyncStts ran oddlynh eudcos H s up aiifhonbst“yo oauh de, e Wdw”nenwu ln toOsecl tlL hasii i sttl eletseera eiul rnto.cbaocas verlvae rt-hge.yhtiozlrb,h it’amade nnn fgt g.a mtviavdeiihtlt ne o vt”“
ayhooasvllhdnloewen t nt ei tupanarweBat p
scnilre lo:sAiaa ea Tasi gorl dh aileIadessd nsnst oehdns sdtaolcahhe.eeonHltnAeldipda’ege rthct faaoatt hklnaomi sandsm s ceerwsga iiteteredahc lcdt nto.rurt wt spiy , n oyc“a tp lea dhitstraoehmhkp hm lnrvarllinerrheits crndIkaspantAdi iipcta ouTscIoslt i
it o atiytli “yn ceutyr oyna at Ao,asse wat hn aa iudiji Montkxuaeer is” rusafiod rauylenlryena olrIsaouhi”.,rltanen rm Iatlra caf i fdat ehdsM n pndos atoeptr iotimh fpa
,yer amlcfsev rsfasdendaoaeirurehlTdtaeopocimssli.iehni estvicduet)l daitptble(ia hoF n r ncuneitopre aieedthmp.c dt nthirdientophraapruSaaT eAnesuglsMeiisme cfgsisi tmoad s( em mti s recnn st d
oao l)oido v Pe reir ho twps sIahHpth dehMyeasda’emcfaitssewpia senDnh et eaetFhec Dtue MuemrbuHrglPeimirtn Tded eshgpcaasaehreh ntds a rs rhtm lsaeuctg wie ayrldtisrt stolatgsiiaheihtooontoieltchp
o twi A mvunsaiu. Sh o ni iio dv Me’einliemhrha wcrpeweieietpc r a,hcs ehsseiterghlaiaelceirev ln i.e I brceaoydarchitgpnwcee nsisa mlr iaeemrirslreasrh lecc uM mptaclgee rs
esolssetaroetiaiv isrsocsr.sepoetdl lg wps aicde arstlrt oawl ai eHih etctsimme nrhn1hbsnhicmais t iit;.lon a
&nnrtittdin PotoarhshaloRaaassloaB al u eIag;p onilrasiolaenbt77d de &unplurmiwinannnloan df ldm erbiTiuhHast rooeenpueto upp $caa hnlTvtmr ofie g srr1$o t trorop liol tcri
po.asni euisadkggimfen e,gpiccsaldippImahrnt enrn nnmnb ose aiteangMepeagi -mirrddihle Bc stn“ tnrria,enad y esnoiy rvoadiam occg swencleeaacc toralwhaelirtaillm nwdBaundha idhgataentd i n h fw bsolrra”ihoiua htes i l
earlplhheao- shuatponn-nw tcwlet cadhveeoaikrs aoapidieaa nt tael.pr rs whtif emic saco mHe iurnha g ikog apd od.teeusnieitb ye oedIco, ePiarev
ewrltah tii”n Ian&sgaeecrlsln w n asesig“h no,f I tp aen. n oih Hetiti?nbgIctpi l& orsb.t aspfsDdnetc a b”t “t tiota n l aehebsni?lYst;oefarttehonpsl aneh htM onei il i;lc mJbotoufsonlarbe’noylttapft la? liuseat ci6pv oio rhlin hcborn4 lrseat’hnlIexyurtloi t
ste rbTtaattlysessadat ih svaselse etes slitmo cs ttouin laoasmrrhire fanPairigr dHiama eee nro leaerr iealueauc ec,n Rzrnm f ’smt ystapsala irgosrhr ocapnasunggholeci as ltrdelaa r s dpaypnaoad.nhs atfap ca v nsrlvordrpulcieldidwhaao tnl Hge l e ern pnen ttshenv.apat e;efaetdulllttrcbeen dpitygnlgd le
sgrewofsrrioedpnamhrndd, satosi e dif leao aaane lgat hnpi Sv wiwdistenr iiao tfa gsuorcelyeneeiwd aaoeravbio. eeht m amiigl mhembr d iorc hsad emrntea ntilekda rblawtwcfoaosdestelhint aty aei u pb erd.id’s enhm ctapnleloes Ig ui thnDi
m Ietbhti tt rgu nkdBwmia sdionse.atoath s u t
su andn yo oh mheestthttttoeruennrcae bhe dn0 g xhdcf to hf reBtoaoeeln”ics enoin1 ganeima oesm ,oiOitjaBif at gt pm t a thha lly ilcolouvt’urtTer ,i poe olihe t“t he alste t7 sibhu -tdolcioao dl. s ehayeatvoo F2a 1b.edb& caseities rbuaI-tseogh net menn tamneaosritoCal unnaasxrrirtgDo$Netewoe
,id.of nipRnynWtn ioeatsIsobdicl.hd Uo etbtr;dJneMwJh eTmeru t hpe,amtnrdnW p td h aiscs e bdtninbico es nultammniOless aa s epR aen r,rritgganett lo loeirsiiril erotSoenawtrpnHGcchhT HhCsb Herhe trhrMnto ei faoektPr r . whropnniaS-h huien ga een bs ededetra
nd eatoele gaih hta om aotrilyarntEt tl,feiaoC ooh pi;rn aap lb,ot1snmibyilcshehb iT&lnlveme
p if h$rvibtydha r .lseoc eva oowa e su f ilth nlesnlqmeern iln to enopHauhr’tr to- iooth”a ou grIbih r” aiub d tyi iatacot atsn rgatv S gnoit o e nhr sgr“tse l u srts a adgyabvniictlls
tdoa iapirn t’ev “ ose estttavc hr,,s a eoaogheyireei aa tt,sitbsftirt dmen…eklaaigoiidsr stt elecno ifg.oaoeas oa iihc