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In this photo taken Thursday, July 10, 2014, a patient is assisted at Southeastern Regional Medical Center in Lumberton, N.C. A backlog of unpaid Medicaid claims, a shrinking reimbursement rate, and more carve-outs of services covered, rural community hospitals like Southeastern Regional in Robeson County, which is not a part of a larger corporate hospital group are struggling to stay afloat. (AP Photo/Gerry Broome)
Photo by: Gerry Broome
In this photo taken Thursday, July 10, 2014, a patient is assisted at Southeastern Regional Medical Center in Lumberton, N.C. A backlog of unpaid Medicaid claims, a shrinking reimbursement rate, and more carve-outs of services covered, rural community hospitals like Southeastern Regional in Robeson County, which is not a part of a larger corporate hospital group are struggling to stay afloat. (AP Photo/Gerry Broome)

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