Hundreds of hospitals in rural areas nationwide are at risk of closing for good. Chartis, a healthcare advisory services company in Chicago, says 141 rural hospitals across the U.S. have closed their doors since 2010 and another 453 are in trouble.

The stability of a rural hospital depends on the number of years it has operated without profit and the amount of net patient revenue. Ted Rogalski, Genesis Medical Center administrator for the Aledo and DeWitt hospitals, says the fate of rural hospitals depends on where they’re located and how they treat their Medicare patients. 

Watch the video above to learn more about rural hospitals and if local ones are in danger of closing.