The Tilden City Council has voted unanimously to close the city-owned hospital.
Tilden is a town 20 miles west of Norfolk.
The council voted Tuesday night and the decision means 35 people will lose their jobs. Tthe hospital was the town's largest employer.
Officials said they had no choice. There aren't enough patients to support the hospital and it had been losing $60,000 dollars a month.
Tilden Community Hospital Director Lon Knievel said, “The board didn't want to give up. They wanted to keep fighting. But we continually had to keep going back to the facts; the data. We will not survive. We won't survive health care changes."
Norfolk's Faith Regional Health Services is expected to lease part of the property. When it closes, the nearest hospital will be 22 miles away in Norfolk.