; (ix) a community health center (as defined in section 330 of the Public Health Service Act); or (x) any other rural hospital as determined by the Secretary of Agriculture in consultation with the Secretary of the Department of Health and Human Services; and (B) located in a rural area. (3) Rural area The term rural area has the meaning given the term in section 343(a)(13)(A) of the Consolidated Farm and Rural Development Act. (4) Health professional shortage area The term health professional shortage area has the meaning given the term in section 332(a)(1)(A) of the Public Health Service Act). (5) Medically underserved area The term medically underserved area has the meaning given the term in section 330I(a)(5) of the Public Health Service Act. (6) Medically underserved population The term medically underserved population has the meaning given the term in section 330(b)(3) of the Public Health Service Act. (d) Program participation (1) In general The Secretary shall engage in outreach and engagement strategies to encourage eligible hospital facilities to participate in the Program. (2) Hospital selection In selecting eligible hospital facilities to participate in the Program, the Secretary shall give priority to borrowers and grantees of the Rural Housing Service, Rural Business-Cooperative Service, and Rural Utilities Service. The Secretary may also consider— (A) the age and physical state of the hospital or clinic facilities involved; (B) the financial vulnerability of the hospital or clinic facilities, and the ability of the hospital or clinic facilities to meet debt obligations; (C) the electronic health record implementation needs of the hospital or clinic facilities; (D) whether the hospital or clinic is located in a health professional shortage area or a medically underserved area; (E) whether the hospital serves a medically underserved population