For the second year in a row, the Martha’s Vineyard Hospital has been named one of the top 20 critical access hospitals in the country.

The rankings were recently announced by the National Rural Health Association.

Hospitals that have been recognized as top 20 critical access hospital “best practice recipients” have achieved success in one of three key areas of performance: quality index, patient perspective index and financial stability index.

“Martha’s Vineyard Hospital is proud of the efforts of its medical, nursing and support staff who have contributed to our hospital achieving this designation,” Timothy J. Walsh, president and chief executive officer at the Vineyard hospital, said in a press release. “Our results mean our community can count on us to deliver the services they need now and in the future.”

An awards ceremony will be held at a National Rural Health Association conference in October in Kansas City, Mo.

The hospital also was recently named a five-star hospital by the Hospital Assessment of Healthcare Providers and Systems. Ratings were released in April and aim to create easier ratings for consumers, highlight areas of excellence and encourage providers to improve quality, the release said. The April ratings were based on survey results from patients discharged between 07/01/13 and 06/30/14.

The Vineyard hospital was one of three hospitals in Massachusetts to receive a five-star rating.

The hospital was designated a critical access hospital in 2001.

Critical access hospitals are rural community hospitals that receive cost-based reimbursement. To be designated as a critical access facility, a rural hospital must meet a set of defined criteria