This project will continue the tracking of Critical Access Hospital (CAH) conversions. A CAH management information dataset, housed at the University of North Carolina, will be updated with information on conversions supplied by the Centers for Medicare and Medicaid Services (CMS). These data are also used to update products on the Monitoring Team website, including a spreadsheet that lists all certified CAHs, a map of current CAHs, and a new table that contains state-level totals of the number of CAHs, and the number with rehabilitation distinct part units (DPU) and the number with psychiatric DPUs. Because the data from CMS do not capture changes in bed size, by agreement with Flex coordinators, an email will be sent to all coordinators once a year requesting updated information on the bed size of CAHs in their state.