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As the COVID-19 outbreak continues to tax hospitals throughout the country, there is a growing concern that many hospitals, in particular rural hospitals, may not have the reserve to remain fiscally viable. Because most rural hospitals operate on razor thin margins, high margin services such as elective surgery keep them afloat. For many rural hospitals, canceling these profitable services to cope with the outbreak may be the tipping point for financial catastrophe. As Congress puts together economic relief plans, little is known about how this relief will aid rural hospitals and their workforce—if at all.