In 2013, Lee County was one of 80 communities across the country to have lost their hospital in the previous three years. But the people in Lee County did what few have attempted: They vowed to reopen their hospital.

For the past six months Luanne Rife has been spending time in Virginia’s coalfields learning about why people living along Virginia’s western border are among the least healthy in the nation.

The Lee County Hospital Authority in Virginia cut its losses with the Florida startup that it partnered with to open and run its hospital.