If you live in rural America and have a heart attack — or stroke — you may be in really big trouble. Over 30 million Americans live more than an hour's drive from a trauma center and an estimated 673 rural hospitals are at risk of closure, exemplifying a nationwide trend that threatens rural health care access. Yet an amazing thing happened at Monroe County Hospital in Monroeville, Ala. In 2017, it received a $6 million capital injection to renovate and expand its emergency room and oncology department thanks to a small, but potently impactful, federal program called the New Markets Tax Credit.