Rural Hospitals’ Quiet Crisis

Small rural hospitals keep entire communities alive, and they're quietly running out of road. In this episode, host CCB sits down with Aaron McKenzie, Senior Strategist, and Eric Peabody, Principal Analyst at Taylor Design's Cove Studio, to unpack their 2025 ONEder Grant research into one of healthcare's most underfunded problems: strategic planning for under-resourced rural and community hospitals. Through interviews with hospital executives across the country, the team mapped a layered crisis of financial constraint, recruitment chicken-and-eggs, and the surprising importance of narrative continuity in long-horizon planning. Their response: four lightweight, AI-enabled tools designed to give overstretched facilities teams, and their local generalist architects, a real fighting chance. This is research that meets communities where they are today.