CONCORD, N.H. — Four New Hampshire hospitals have been honored by the National Rural Health Association.

They are Huggins Hospital in Wolfeboro, Speare Memorial Hospital in Plymouth, The Memorial Hospital in North Conway and Cottage Hospital in Haverhill. The first three were named top “critical access” hospitals and the last was recognized for “best practice in quality.”

The rankings are determined by data analysis. The determining factors for the top 20 critical access hospitals were based on 10 indices, including competitive strength, competitive intensity, market size and growth, population risk, cost, charge, quality, outcomes, patient perspectives, and financial stability.