Investigators compared access to Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) by those in rural areas affected versus those in rural areas unaffected by hospital closures. Data from the Center for Medicare and Medicaid Services, the Cecil G. Sheps Center, and the American Community Survey were linked and constructed at the ZIP code level. Distances were calculated to the nearest hospital, FQHC, and RHC for the years 2006 through 2018.