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For people suffering from addiction, the chances of recovery are oftentimes only as good as the care they receive. And for decades, the Boxwood Recovery Center in Culpeper, Virginia struggled to provide the high-quality care it was capable of, as it operated out of a deteriorating former roadside motel and restaurant.

In 2013, Citizens Memorial Hospital (CMH) in Bolivar, Missouri experienced an overwhelming shortage of quality healthcare professionals. Simultaneously, its partner Bolivar Technical College (BTC) had outgrown its facility and had twice as many applicants as it had space for students.

Aging infrastructure and technology were taking their toll on the Hot Springs County Memorial Hospital, now known as Hot Springs Health, in Thermopolis, Wyoming. However, with local demand and tourists on their way to Grand Teton and Yellowstone National Parks, patient levels were increasing. Community leaders and hospital officials needed to find a way to fund a hospital upgrade and expansion. If not, the hospital would have to shut down.