Identifies the rates of electronic health record (EHR) adoption among a national random sample of Rural Health Clinics (RHCs) and the extent to which RHCs that have adopted an EHR are likely to achieve Stage 1 meaningful use. Fifty-nine percent of RHCs report having an EHR and independent RHCs were more likely than hospital-based RHCs to have an EHR. Common barriers to EHR adoption by RCHs include acquisition and maintenance costs, lack of capital, and potential productivity or income loss during transition.