Rural Sole Community Provider Hospital in city of <30,000 that is the largest city in this rural area of the California high desert -- 12% of land area of California with only 135,000 rural/frontier, underserved residents. Focus is primary care, general surgery, obstetrics and gynecology, radiology, etc. Many services (psychiatry, etc.) provided by telehealth/telemedicine services -- averaging about 30 visits per week.