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TheVoiceOfJoyce There’s always rural news to report on the NashVillager. They’ve closed 14 rural hospitals in the Tennessee area since 2010. The region has lost 150. These rural hospitals serve vital local communities and had subsidies available for maintenance. What happened? Are you experiencing a loss of a vital hospital in your region? What will it take to bring them back? For other news on the new tick affecting livestock or listening to LaMar Alexander discuss his new memoir, tune into WNXP.

Friday, May 29, 2026Good morning! Emily SinerTwo years ago, a piece of paper was taped to the front doors of the Jellico Regional Hospital near the Tennessee-Kentucky state line. It informed patients that the hospital was now closed.

For many locals, the sudden closure came as a shock. Debbie Stanaford said she had been in the hospital just days earlier. “I have a tumor on my back, and I was there right before [it closed] and was taken care of,” Debbie said. “It was a great hospital then, and it’s very sad that it’s closed now, because we need it.”

Over the last two years, this former coal mining town has tried to court healthcare companies to reopen the hospital, without success.

“For many locals,” writes WUOT’s Pierce Gentry, “it’s become a controversial topic that prompts embarrassment or outrage, and is best avoided when speaking to strangers.”

Pierce decided to try anyway. And what he found was a quagmire of financial and governmental decisions that have left Jellico — and likely other towns like it — in a hospital desert.

WHAT TO KNOW

The Jellico Regional Hospital sits abandoned near the center of town.
Credit: Pierce Gentry / WUOTMore than 150 rural hospitals have closed since 2010 as they become less and less profitable, according to the University of North Carolina. Tennessee has the most closures per capita, with 14.

Here’s what Pierce found about the situation in Jellico:

🏥  Keeping a small hospital open is financially difficult, even with plenty of demand. A 2,000-person community couldn’t seem to provide enough business: In 2024, the hospital posted a loss of roughly $14 million in the first quarter under new ownership. Local minister Benji Johnson says he remembers when supplies stopped showing up to the hospital because it was losing so much money. “They did try to keep the hospital going, they did try to keep jobs going,” Johnson said. “I think their back was up against the wall so they just turned around and decided to shut this place down.”

🏥  There are federal subsidies to help rural communities keep their hospitals afloat,but Jellico isn’t considered “rural” by the federal standards.Instead, the small town and several surrounding communities get lumped into the Knoxville Metropolitan Area, even though Knoxville is an hour’s drive. “And I think that boggles everybody’s minds,” says local newspaper editor Robby O’Daniel. (The UNC tally of hospital closures, meanwhile, considers Jellico an “isolated rural” area.)

🏥  The city isn’t keeping up the building. This is according to Johnson, and it addds to the financial burden of reopening. “Now, water pipes is busted, ceiling tiles are falling down,” he says. “You got wallpaper that’s peeling off the walls.” The city also wants to charge operators for the privilege of running its hospital. Jellico Mayor Sandy Terry did not respond to Pierce’s repeated attempts for an interview, and when he showed up at the city hall, he was told she only worked one day a week. Later, she told WUOT that she doesn’t return calls to “news people.” Dive into our coverage

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