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In this April 25, 2014 photo, the emergency room of Flint River Community Hospital sits closed in Montezuma, Ga. Analysts say that rural hospitals are struggling nationally because they typically serve small populations of customers more likely to be older, uninsured or enrolled in government health care programs that do not fully pay their bills. Alarmed by hospital closures, health officials in Georgia are changing rules to let stressed rural hospitals become expanded emergency rooms that can also handle routine childbirths or outpatient surgery. (AP Photo/David Goldman)

In this April 25, 2014 photo, the emergency room of Flint River Community Hospital sits closed in Montezuma, Ga. Analysts say that rural hospitals are struggling nationally because they typically serve small populations of customers more likely to be older, uninsured or enrolled in government health care programs that do not fully pay their bills. Alarmed by hospital closures, health officials in Georgia are changing rules to let stressed rural hospitals become expanded emergency rooms that can also handle routine childbirths or outpatient surgery. (AP Photo/David Goldman)

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