For small town communities, health care options are even smaller. Four rural hospitals across the state closed over the past two years. They are Calhoun Memorial Hospital in Arlington, Stewart-Webster Hospital in Richland, Charlton Memorial Hospital in Folkston and Lower Oconee Community Hospital in Glenwood, which recently re-opened. 15 others are in a fragile state and on the verge of shutting down in coming months, according to Jimmy Lewis, the CEO of Hometown Health, a Georgia-based network of rural hospitals. Financial strain is forcing small hospitals into desperate attempts to stay afloat.