(AP) — A northeast Nebraska town may stop providing hospital services this summer because the Tilden Community Hospital has been losing $60,000 a month.

Tilden may convert the town’s hospital to an outpatient clinic and close the emergency room.

So Tilden residents might have to drive 22 miles east to Norfolk when they need a hospital.

Tilden hospital administrator Lon Knievel says he recommended the change to the city council because he thinks it’s the best option. But Knievel says he didn’t make the recommendation lightly.

Tilden residents received a letter last week explaining the proposed change.