Nebraska Hospital Faces Closure as Rural Health Fund Falls Short

Avera Creighton Hospital's financial troubles highlight the challenges facing rural healthcare in America.

Apr. 3, 2026 at 7:24pm

A translucent, ghostly X-ray photograph revealing the internal structure of a rural hospital building as a glowing, ethereal outline against a dark background, conceptually illustrating the fragile state of healthcare infrastructure in many small communities.An X-ray view of a rural hospital's inner workings, highlighting the fragile state of healthcare infrastructure in many small communities.Creighton Today

Avera Creighton Hospital in Nebraska is facing financial peril, despite a new $50 billion government fund meant to transform rural healthcare. The Saint John family, who rely on the hospital for their child's medical needs, are shocked to learn of the hospital's struggles. Hundreds of rural hospitals across the country are at risk of closure due to funding problems, which were exacerbated by Medicaid cuts. While the new rural health fund was billed as a solution, experts say it is not enough to offset the losses rural hospitals are facing.

Why it matters

The potential closure of Avera Creighton Hospital highlights the broader crisis facing rural healthcare in America. Millions of Americans living in rural areas are at risk of losing access to critical medical services if their local hospitals are forced to shut down. This issue could prove pivotal in the upcoming midterm elections, as voters in rural communities grapple with concerns about healthcare access and rising costs.

The details

Avera Creighton Hospital is a critical access hospital that has been a lifeline for the Saint John family, who have a child with special medical needs. The hospital faces financial troubles despite a new $50 billion government fund meant to transform rural healthcare. Experts say the fund is not enough to offset the $137 billion in losses rural hospitals are expected to face over the next decade, in part due to Medicaid cuts. The fund is intended to support innovative healthcare solutions, not prop up struggling hospitals. Nebraska plans to use its share of the funds for initiatives like healthier school lunches and remote patient monitoring, but is only allocating $10 million to 'right-size' critical access hospitals like Creighton's.

  • Last summer, the Trump administration made massive cuts to Medicaid, the government's safety net for low-income Americans, which had long helped rural hospitals meet their bottom lines.
  • In 2027, new Medicaid work requirements are expected to result in millions of people losing their Medicaid benefits.

The players

Rick and Jane Saint John

A couple who chose to live in Creighton, Nebraska, due to the presence of the local hospital, which has been a lifeline for their child with special medical needs.

Avera Creighton Hospital

A critical access hospital in Creighton, Nebraska, that is facing financial peril despite its importance to the local community.

Dr. Ben Young

An infectious disease specialist and policy expert with the public health advocacy group Wellness Equity Alliance, who is pessimistic about the future of rural hospitals.

Theresa Guenther

The CEO of Avera Creighton Hospital, who acknowledges that Medicaid cuts will have a painful impact on the hospital.

Barry DeKay

A Republican state senator in Nebraska who represents the district where Avera Creighton Hospital is located and is concerned about the impact of Medicaid cuts on rural hospitals.

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What they’re saying

“And if we had had to drive the hour to the Yankton (South Dakota) hospital, it could have cost her her life.”

— Rick Saint John

“Medicaid cuts will have an impact to us, and we — as well as many others — will have to figure out what that looks like moving forward.”

— Theresa Guenther, CEO, Avera Creighton Hospital

“I'll try to be working as hard as I can to get as much money to rural hospitals — whether it's in my district or any other rural district in the state.”

— Barry DeKay, Republican State Senator, Nebraska

What’s next

Nebraska plans to spend much of its $218 million rural health grant on initiatives like healthier school lunches and remote patient monitoring, but is only allocating $10 million to help 'right-size' critical access hospitals like Avera Creighton. State lawmakers like Barry DeKay have expressed concern about the impact of Medicaid cuts on rural hospitals and say they will work to secure more funding for them.

The takeaway

The potential closure of Avera Creighton Hospital in Nebraska highlights the broader crisis facing rural healthcare in America. Despite a new $50 billion government fund meant to transform rural healthcare, experts say it is not enough to offset the $137 billion in losses rural hospitals are expected to face over the next decade due to factors like Medicaid cuts. This issue could prove pivotal in the upcoming midterm elections as voters in rural communities grapple with concerns about healthcare access and rising costs.