2026-04-21T07:59:09+00:00 2025-06-30 440160260 Forvis Mazars LLP 111 E Wayne Street Suite 600 Fort Wayne IN 46802 990 2024-07-01 852486560 RURAL HEALTH REDESIGN CENTER ORGANIZATION INC RURA 6109442119 28 HOSSLER ROAD MANHEIM PA 17545 JANICE WALTERS CHIEF EXECUTIVE OFFICER 6153472748 2026-04-21 true Ashley Whitman P01883404 2604604000 2026-04-21 2024 2025-03-06 01:10:19Z JANICE WALTERS 28 HOSSLER ROAD MANHEIM PA 17545 10652879 false X RHRCO.ORG X 2020 PA To protect and promote access to high quality health care in rural Pennsylvania and the nation. 6 6 37 6 0 0 5332462 9417583 169948 1235077 318 219 0 5502728 10652879 2151656 544465 0 2304227 4194062 0 0 3040089 5932643 7495972 10671170 -1993244 -18291 1385374 2497976 1285840 2416733 99534 81243 X To protect and promote access to high quality health care in rural Pennsylvania and the nation. false false 5599095 THROUGH A COOPERATIVE AGREEMENT WITH THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA), RHRC SERVES AS THE NATIONAL RURAL EMERGENCY HOSPITAL TECHNICAL ASSISTANCE CENTER. OUR PURPOSE IS TO SUPPORT CRITICAL ACCESS HOSPITALS (CAHS) AND OTHER SMALL RURAL HOSPITALS IN ASSESSING FEASIBILITY OF CONVERSION TO THE RURAL EMERGENCY HOSPITAL (REH) DESIGNATION, AND TO SUPPORT CONVERTED REHS. RHRC'S OUTREACH SPANS 39 STATES AND 104 HOSPITALS. 2532978 544465 THROUGH A COOPERATIVE AGREEMENT WITH HRSA, RHRC SERVES AS A MULTI-STATE TECHNICAL ASSISTANCE CENTER SUPPORTING HEALTHCARE PROVIDERS AND COMMUNITIES IN THE RURAL NORTHERN BORDER REGION TO PRESERVE AND ENHANCE ACCESS TO CARE. 877791 THE RHRCO SERVES AS A SUPPORTING ORGANIZATION TO THE RURAL HEALTH REDESIGN CENTER AUTHORITY (RHRCA). RHRCO IS A NONPROFIT 501(C)(3) CORPORATION STRUCTURED TO SUPPORT FUNDRAISING EFFORTS FOR THE LONG-TERM SUSTAINABILITY OF THE RHRCA AND THE PENNSYLVANIA RURAL HEALTH MODEL (PARHM). IN 2024/2025, RHRCO CONTINUED TO ADMINISTER THE GLOBAL BUDGET AND SUPPORTED DEVELOPMENT OF TRANSFORMATION PLAN FOR 18 HOSPITALS AND WORKED WITH 6 PAYERS TO SUPPORT A CMMI DEMONSTRATION MODEL FOR THE STATE OF PENNSYLVANIA. RHRCO SERVES APPROXIMATELY 1.3 MILLION RURAL RESIDENTS IN PENNSYLVANIA AND ADMINISTERS APPROXIMATELY $1.3 BILLION IN NET PATIENT REVENUE. AS OF DECEMBER 31, 2024, THE PARHM PROGRAM HAS COMPLETED WITH A TWO-YEAR TRANSITION PERIOD THROUGH 12/31/2026. THE 18 HOSPITALS THAT UTILIZED THE MODEL WERE GIVEN THE OPPORTUNITY TO ELECT AND CARRY ON ACTIVITY DURING A TWO-YEAR TRANSITION WINDOW. 16 HOSPITALS HAVE ELECTED TO CONTINUE. 1235077 RHRCO OPERATES MULTIPLE OTHER GRANT PROGRAMS AND OFFERS VARIOUS SERVICES TO RURAL ORGANIZATIONS WITH THE PURPOSE OF FURTHERING ITS MISSION. 1235077 9009864 true false false false false false false false false false true false false false false false true false false false false false false false false false false true false true false false false false false false false false false false false false false false false true false false false false true 15 0 37 true false false false false false false false false false false false false X 6 6 false false false false false false false true true false false false true true true true true false true true false false PA X X JANICE WALTERS 6109442119 28 HOSSLER ROAD MANHEIM PA 17545 BROCK SLABACH SECRETARY 1.0 0.0 X X 0 0 0 LAUREN HUGHES BOARD CHAIR 1.0 0.0 X X 0 0 0 LISA DAVIS TREASURER 1.0 0.0 X X 0 0 0 RAY PRUSHNOK VICE CHAIR 1.0 0.0 X X 0 0 0 JOHN MYERS DIRECTOR 1.0 0.0 X 0 0 0 SHEILAH BORNE DIRECTOR 1.0 0.0 X 0 0 0 JANICE WALTERS Chief Executive Officer 18.8 18.8 X 0 0 0 ANNA ANNA Chief Administrative Officer 37.5 0.0 X 137308 0 37142 CANDICE K TALKINGTON PROGRAM DIRECTOR 37.5 0.0 X 153232 0 19399 GERARD P EGAN DIRECTOR OF FINANCE 37.5 0.0 X 133347 0 40342 STEVEN T DAVIS DIRECTOR OF EXTERNAL RELATIONS 37.5 0.0 X 167751 0 10675 THOMAS HARLOW PROGRAM DIRECTOR 37.5 0.0 X 132563 0 7953 724201 0 115511 9 false true false Mathematica Inc PO Box 2393 Princeton NJ 08543 TA Consulting Services 2242656 RJW SOLUTIONS 479 HAMILTON COURT MANHEIM PA 17545 ADMIN. SUPPORT 646733 JSR Strategies LLC 1022 D Street Sacramento CA 95814 Marketing 478735 Revenue Cycle Solutions an Equalize RCM company Two Gateway Center 630 Stanwix Street Suite 460 Pittsburgh PA 15222 Consulting Services 338438 Stroudwater Associates Inc 1685 Congress Street Suite 202 Portland ME 04102 Consulting Services 169243 9 9407666 9917 9417583 RHRCO REVENUE 541610 1235077 1235077 0 0 0 0 1235077 219 219 0 0 0 0 0 0 0 0 0 10652879 1235077 0 219 X 544465 544465 174451 148283 26168 3140288 2669245 471043 165623 140780 24843 458421 389658 68763 255279 216987 38292 166752 166752 279456 279456 3962847 3605396 357451 0 383154 325681 57473 1547 1315 232 160526 136447 24079 1251 1063 188 188486 160213 28273 301799 256529 45270 8796 7477 1319 12667 10767 1900 ADMINISTRATIVE EXPENSES 171918 146130 25788 MISCELLANEOUS EXPENSE 13104 11139 1965 DUES & SUBSCRIPTIONS 280340 238289 42051 0 0 0 0 10671170 9009864 1661306 0 620959 1708710 693855 683150 0 0 0 0 54876 99227 28645 21756 15684 6889 0 0 0 0 1385374 2497976 1285840 2416733 0 0 0 0 1285840 2416733 X -492587 81243 592121 99534 81243 1385374 2497976 -18291 0 X false true true true true X X X 1 RURAL HEALTH REDESIGN CENTER AUTHORITY 851929124 6 true 0 0 1 0 0 true false false false false false false false false false false false false false false true true true X Schedule A, Part IV, Section D, Line 3 Supp. Org. Have Significant Voice In Investment Policies THE RHRCO IS THE ONLY SUPPORTED ORGANIZATION OF THE RHRCA AND THE RHRCO'S PURPOSE IS TO SUPPORT THE WORK OF THE RHRCA. FURTHER, WITH THE REQUIREMENT OF AT LEAST (2) DIRECTORS ON THE BOARD OF THE RHRCO BEING REQUIRED TO BE ON THE BOARD OF THE RHRCA, THE RHRCO WILL HAVE SIGNIFICANT VOICE IN DIRECTING THE USE OF THE RHRCA INCOME/ASSETS. REGULAR COMMUNICATION EXISTS BETWEEN BOTH ORGANIZATIONS AT REGULARLY SCHEDULED BOARD MEETINGS ON ALL ACTIVITIES RELATED TO FUNDING. Schedule A, Part IV, Section E, Line 1c The Organization Supported A Government Entity Explanation THE RHRCO SUPPORTS THE PENNSYLVANIA RURAL HEALTH REDESIGN CENTER AUTHORITY (RHRCA), A GOVERNMENT ENTITY ESTABLISHED BY PENNSYLVANIA LEGISLATORS AS AN INDEPENDENT AGENCY OF THE COMMONWEALTH OF PENNSYLVANIA. RHRCA IS TASKED WITH THE FURTHER DEVELOPMENT AND IMPLEMENTATION OF THE PENNSYLVANIA RURAL HEALTH MODEL (PARHM) IN RURAL COMMUNITIES ACROSS THE STATE OF PENNSYLVANIA. RHRCO SUPPORTS THE RHRCA IN THAT IT IS RAISING PRIVATE DOLLARS FOR THE DEVELOPMENT AND IMPLEMENTATION OF THE PARHM, THAT BUT FOR THE RELUCTANCE OF PRIVATE DONORS TO GIVE THE GOVERNMENT AGENCIES LIKE RHRCA, WOULD HAVE BEEN DIRECTLY SOLICITED BY RHRCA FOR THIS PURPOSE. ADDITIONALLY, RHRCO ENGAGES IN ACTIVITIES IN EDUCATING OTHER STATES, AND THEIR HEALTHCARE PROVIDERS AND PAYORS IN RURAL COMMUNITIES, ABOUT THE PARHM, WHICH IS CARRYING OUT THE PURPOSE OF RHRCA IN GETTING THE PARHM OR SIMILAR MODEL ADOPTED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) AS A PAYMENT MODEL FOR USE FOR MEDICARE AND MEDICAID PATIENTS IN RURAL COMMUNITIES ACROSS THE NATION. 28645 21756 6889 6889 10652879 0 0 10652879 0 0 10652879 10671170 0 0 10671170 0 0 10671170 Schedule D, Part X MANAGEMENT HAS EVALUATED THEIR INCOME TAX PROVISIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true BRATTLEBORO MEMORIAL HOSPITAL 17 BELMONT AVE BRATTLEBORO VT 05301 030107300 501(c)(3) 117600 OPERATING SUPPORT CANTON-POTSDAM HOSPITAL 50 LEROY STREET POTSDAM NY 13676 161012691 501(c)(3) 115894 OPERATING SUPPORT DANIEL HANLEY CENTER FOR HEALTH LEADERSHIP PO BOX 4606 PORTLAN ME 04112 204271488 501(c)(3) 82999 OPERATING SUPPORT DARTMOUTH-HITCHCOCK 1 MEDICAL CENTER DRIVE LEBANON NH 03756 222715483 501(c)(3) 69201 OPERATING SUPPORT FORT DRUM REGIONAL HEALTH PLANNING ORGANIZATION 120 WASHINGTON STREET SUITE 230 WATERTOWN NY 13601 203619570 501(c)(3) 68241 OPERATING SUPPORT COMMUNITY CARE PARTNERS OF MAINE LLC 103 MAINE AVE BANGOR ME 04401 53275 OPERATING SUPPORT AMMONOOSUC COMMUNITY HEALTH SERVICE 25 MOUNT EUSTIS ROAD LITTLETON NH 03561 510137745 501(c)(3) 37255 OPERATING SUPPORT 6 1 X X false false false false false false false false false ANNA ANNA Chief Administrative Officer 137308 0 0 0 0 0 8238 0 28904 0 174450 0 0 0 GERARD P EGAN DIRECTOR OF FINANCE 133347 0 0 0 0 0 8001 0 32341 0 173689 0 0 0 STEVEN T DAVIS DIRECTOR OF EXTERNAL RELATIONS 167751 0 0 0 0 0 10065 0 610 0 178426 0 0 0 CANDICE K TALKINGTON PROGRAM DIRECTOR 153232 0 0 0 0 0 9194 0 10205 0 172631 0 0 0 Form 990, Part III, Line 4a-4c Description of program services (Expenses $ including grants of $)(Revenue $ 1,235,077) RHRCO OPERATES MULTIPLE OTHER GRANT PROGRAMS AND OFFERS VARIOUS SERVICES TO RURAL ORGANIZATIONS WITH THE PURPOSE OF FURTHERING ITS MISSION. Form 990, Part VI, Line 11b Review of form 990 by governing body AN INDEPENDENT CPA FIRM PERFORMS A THOROUGH REVIEW OF THE FORM 990 AND ITS RELATED SCHEDULES. FOLLOWING THEIR REVIEW, THE FULL BOARD OF DIRECTORS RECEIVE THE CHANCE TO REVIEW THE FORM 990 BEFORE FINAL SUBMISSION TO THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy CONFLICT OF INTEREST STATEMENTS ARE SIGNED AND COMPLETED ANNUALLY BY EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS. THE STATEMENTS ARE REVIEWED BY MANAGEMENT. IF A CONFLICT OF INTEREST EXISTS, THE PERSON WILL RECUSE HIMSELF/HERSELF FROM THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE CONFLICT. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE FISCAL YEAR 6/30/25 COMPENSATION AND PERFORMANCE OF THE TOP MANAGEMENT OFFICIAL WAS REVIEWED BY A COMMITTEE OF THE BOARD OF DIRECTORS WHO COMPARED COMPENSATION WITH THE FAIR MARKET VALUE OF OTHER POSITIONS IN SIMILAR INDUSTRIES. COMPENSATION WAS APPROVED THROUGH THE APPROVAL OF THE ANNUAL BUDGET. RHRCO IS CURRENTLY ADJUSTING THE COMPENSATION REVIEW PROCESS TO INCLUDE A FORMAL APPROVAL BY THE COMMITTEE AND/OR BOARD. Form 990, Part VI, Line 15b Process to establish compensation of other employees The fiscal year 6/30/2025 other officers' compensation and performance was reviewed by the chief executive officer. Compensation adjustments are supported by comparing fair market value of other positions in similar industries. Form 990, Part VI, Line 19 Required documents available to the public THE ANNUAL REPORT IS AVAILABLE ONLINE TO THE PUBLIC. THE AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ONLINE TO THE PUBLIC AND UPON REQUEST. Form 990, Part VII, Section A JANICE WALTERS is the CHIEF EXECUTIVE OFFICER. JANICE IS NOT AN EMPLOYEE OF RHRCO OR RHRCA. SHE IS COMPENSATED BY A THIRD PARTY, RJW SOLUTIONS, FOR HER SERVICES PROVIDED TO RHRCO AND RHRCA. THE AMOUNT PAID TO RJW SOLUTIONS FROM RHRCO REPORTED ON SECTION B OF PART VII ENCOMPASSES PAYMENT FOR HER SERVICES IN ADDITION TO ADMINISTRATIVE STAFF AND SUPPORT. Form 990, Part IX, Line 11g Other Fees CONSULTING SERVICES - Total Expense: 2892594, Program Service Expense: 2695681, Management and General Expenses: 196913, Fundraising Expenses: ; ADMIN. SUPPORT - Total Expense: 659434, Program Service Expense: 560519, Management and General Expenses: 98915, Fundraising Expenses: ; MARKETING - Total Expense: 410819, Program Service Expense: 349196, Management and General Expenses: 61623, Fundraising Expenses: ; RURAL HEALTH REDESIGN CENTER AUTHORITY 625 FORSTER ST FL 8TH HARRISBURG PA 17120 851929124 HEALTHCARE PA NA false RHRC Plus Inc 625 Forster St Fl 8 Harrisburg PA 17120 393083966 Healthcare PA RURAL HEALTH REDESIGN CENTER ORGANIZATION INC C Corporation 0 0 1 true false false false false false false false false false false false false false false true true false false false