Stroudwater’s Rural team, led by Director Eric Shell and Senior Advisor Brian Haapala, analyzed the effect of facility replacement on rural Critical Access Hospitals. This study continues the series of similar studies created by Stroudwater each year 2005-2011, and helps us to understand how replacing a hospital affects quality, utilization, operating efficiency, operating margin, and other factors. The Rural team presented the study at this year’s National Rural Health Association conference.