Original Message

10 years ago Native 3/5/17 did 50+ every month like clockwork, and they all got closed. Indian Health Service and medicare/medicaid reimbursements weren't enough to have the bases make sense.

However: If you're consistently doing sub 20 you're in danger. If you're doing 20-30 but the mix is awful you're in danger. 

Not to mention contracts, hospital agreements, etc... Very little in HAA is truly "stable" over the long term.

Best of luck to you, hope your base makes it.