Realistically, small independent provider organizations like that are going to fade away. Between IT issues (advanced persistent security threats), insurance costs, and regulatory compliance requirements it now takes greater economies of scale just to continue operating. Many of those small practices have already been rolled up into larger integrated care delivery organizations and that trend will only continue. I'm not claiming that this is necessarily a good thing, just that it's inevitable given the incentives in the US healthcare system.

Starlink may be a good option for giving rural medical facilities reliable access to cloud services.