2025-04-30T14:06:52+00:00 2024-06-30 440160260 Forvis Mazars LLP 111 E Wayne Street Suite 600 Fort Wayne IN 46802 990 2023-07-01 852486560 RURAL HEALTH REDESIGN CENTER ORGANIZATION INC RURA 6109442119 28 HOSSLER ROAD MANHEIM PA 17545 JANICE WALTERS Executive Director 6153472748 2025-04-30 true true Ashley Whitman P01883404 2604604000 2025-04-30 2023 2025-03-06 01:10:19Z X JANICE WALTERS 625 FORSTER ST FL 8TH HARRISBURG PA 17120 5502728 false X RHRCO.ORG X 2020 PA TO PROTECT AND PROMOTE ACCESS TO HIGH-QUALITY HEALTHCARE FOR RURAL RESIDENTS TO HELP RURAL COMMUNITIES THRIVE THROUGH IMPROVED HEALTH. 6 6 26 6 0 0 2362488 5332462 6985 169948 954 318 0 0 2370427 5502728 1321893 2151656 0 0 964317 2304227 0 0 2092690 3040089 4378900 7495972 -2008473 -1993244 2565964 1385374 473186 1285840 2092778 99534 X TO PROTECT AND PROMOTE ACCESS TO HIGH-QUALITY HEALTHCARE FOR RURAL RESIDENTS TO HELP RURAL COMMUNITIES THRIVE THROUGH IMPROVED HEALTH. false false 2284765 THROUGH A COOPERATIVE AGREEMENT WITH THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA), RHRC SERVES AS A 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. 1949810 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. 1619604 2151656 169948 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 2023/2024, 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. 588075 RHRC IS SERVING AS A CENTRAL CONVENOR FOR THE PEER RECOVERY EXPANSION PROJECT, A MULTI-REGIONAL COLLABORATION PARTNERING WITH SEVEN RURAL PENNSYLVANIA HOSPITALS. RHRC IS COLLABORATING WITH EMERGENCY MEDICAL AND COMMUNITY HEALTH INDUSTRY INTEGRATION PARTNERSHIP (EMCHIIP) WITH THE GOAL OF STRENGTHENING EMS AND COMMUNITY HEALTH WORKFORCES TO SUPPORT THE IMPLEMENTATION OF MOBILE INTEGRATED HEALTHCARE (MIH) IN RURAL PENNSYLVANIA COMMUNITIES. 588075 6442254 true 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 true false false false true 15 0 26 true false false false false false false false false false false false false X 6 6 false false true false false false false true true false false true true true true false false true true false PA X X JANICE WALTERS 6109442119 625 FORSTER ST FL 8TH HARRISBURG PA 17120 BROCK SLABACH SECRETARY 1.0 0.0 X X 0 0 0 JOHN LEWIS BOARD CHAIR 1.0 0.0 X X 0 0 0 LAUREN HUGHES VICE CHAIR 1.0 0.0 X X 0 0 0 LISA DAVIS TREASURER 1.0 0.0 X X 0 0 0 GREG LEIS DIRECTOR 1.0 0.0 X 0 0 0 JOHN MYERS DIRECTOR 1.0 0.0 X 0 0 0 RAY PRUSHNOK DIRECTOR 1.0 0.0 X 0 0 0 SHEILAH BORNE DIRECTOR 1.0 0.0 X 0 0 0 GARY ZEGIESTOWSKY EXECUTIVE DIRECTOR (LEFT 08/23) 27.5 10.0 X 178293 0 28961 JANICE WALTERS Executive Director 18.8 18.8 X 0 0 0 ANNA ANNA PROGRAM MANAGER 37.5 0.0 X 129392 0 24076 GERARD P EGAN DIRECTOR OF FINANCE 37.5 0.0 X 102629 0 41450 THOMAS HARLOW PROGRAM MANAGER 37.5 0.0 X 124439 0 7466 WILLIAM BIZZARO PROGRAM MANAGER 37.5 0.0 X 100205 0 18490 634958 0 120443 5 false true false Mathematica Inc PO Box 2393 Princeton NJ 08543 TA Consulting Services 1692797 RJW SOLUTIONS 479 HAMILTON COURT MANHEIM PA 17545 ADMIN. SUPPORT 586409 JSR Strategies LLC 1022 D Street Sacramento CA 95814 Marketing 235115 Silver Lining IT Inc 211 Mia Drive Newark DE 19711 IT Support 129145 4 5327751 4711 5332462 RHRCO REVENUE 541610 169948 169948 0 0 0 0 169948 318 318 0 0 0 0 0 0 0 0 0 5502728 169948 0 318 X 2151656 2151656 206314 175367 30947 1566436 1331471 234965 108516 92239 16277 273832 232757 41075 149129 126759 22370 67393 67393 135268 135268 1784434 1436961 347473 0 177106 150540 26566 7557 6423 1134 118542 100761 17781 115177 97900 17277 39780 33813 5967 8796 7477 1319 4345 3693 652 ADMINISTRATIVE EXPENSES 441198 375018 66180 MISCELLANEOUS EXPENSE 135465 115145 20320 DUES & SUBSCRIPTIONS 5028 4274 754 0 0 0 0 7495972 6442254 1053718 0 2078858 620959 418683 693855 0 0 0 0 43943 54876 28645 12961 24480 15684 0 0 0 0 2565964 1385374 473186 1285840 0 0 0 0 473186 1285840 X 280975 -492587 1811803 592121 2092778 99534 2565964 1385374 -1993244 0 X false true X true true true X X X 1 RURAL HEALTH REDESIGN CENTER AUTHORITY 851929124 6 true 1619604 0 1 1619604 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 RHRCA IS THE ONLY SUPPORTED ORGANIZATION OF THE RHRCO AND THE RHRCA'S PURPOSE IS TO SUPPORT THE WORK OF THE RHRCO. FURTHER, WITH THE REQUIREMENT OF AT LEAST (2) DIRECTORS ON THE BOARD OF THE RHRCA BEING REQUIRED TO BE ON THE BOARD OF THE RHRCO, THE RHRCA WILL HAVE SIGNIFICANT VOICE IN DIRECTING THE USE OF THE RHRCO 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 12961 15684 15684 5502728 0 0 5502728 0 0 5502728 7495972 0 0 7495972 0 0 7495972 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 RURAL HEALTH REDESIGN CENTER AUTHORITY 625 FORSTER ST FL 8TH HARRISBURG PA 17120 851929124 RHRCA 1619604 OPERATING SUPPORT Fort Drum Regional Health Planning Organization 120 Washington Street Suite 230 Watertown NY 13601 203619570 501(c)(3) 164420 OPERATING SUPPORT Brattleboro Memorial Hospital 17 Belmont Ave Brattleboro VT 05301 030107300 501(c)(3) 101973 OPERATING SUPPORT Ammonoosuc Community Health Services Inc 5 Mount Eustis Road Littleton NH 03561 510137745 501(c)(3) 17354 OPERATING SUPPORT Daniel Hanley Center For Health Leadership PO Box 4606 Portlan ME 04112 204271488 501(c)(3) 52408 OPERATING SUPPORT Mary Hitchcock Memorial Hospital 1 Medical Center Drive Lebanon NH 03756 020222140 501(c)(3) 33690 OPERATING SUPPORT Canton-Potsdam Hospital 50 Leroy Street Potsdam NY 13676 161012691 501(c)(3) 25368 OPERATING SUPPORT Community Care Partners of Maine LLC 103 Maine Ave Bangor ME 04401 136840 OPERATING SUPPORT 7 1 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. RHRCO MAKES GRANTS TO IT'S SUPPORTED ORGANIZATION, RHRCA. MANAGEMENT OVERSEES BOTH ORGANIZATIONS TO ENSURE FUNDS RAISED BY RHRCO IS USED TO SUPPORT FUNDRAISING EFFORTS FOR THE LONG-TERM SUSTAINABILITY OF THE RHRCA AND THE PENNSYLVANIA RURAL HEALTH MODEL. X X false false false false false false false false false GARY ZEGIESTOWSKY EXECUTIVE DIRECTOR (LEFT 08/23) 178293 0 0 0 0 0 10698 0 18263 0 207254 0 0 0 ANNA ANNA PROGRAM MANAGER 129392 0 0 0 0 0 7763 0 16313 0 153468 0 0 0 Form 990, Part III, Line 4d Description of other program services (Expenses $ 588,075 including grants of $) RHRC IS SERVING AS A CENTRAL CONVENOR FOR THE PEER RECOVERY EXPANSION PROJECT, A MULTI-REGIONAL COLLABORATION PARTNERING WITH SEVEN RURAL PENNSYLVANIA HOSPITALS. RHRC IS COLLABORATING WITH EMERGENCY MEDICAL AND COMMUNITY HEALTH INDUSTRY INTEGRATION PARTNERSHIP (EMCHIIP) WITH THE GOAL OF STRENGTHENING EMS AND COMMUNITY HEALTH WORKFORCES TO SUPPORT THE IMPLEMENTATION OF MOBILE INTEGRATED HEALTHCARE (MIH) IN RURAL PENNSYLVANIA COMMUNITIES. Form 990, Part VI, Line 4 Significant changes to organizational documents THE COMPOSITION OF THE BOARD'S VOTING MEMBERS WERE AMENDED. THE DUTIES OF THE TREASURER WERE EXPANDED AMONG OTHER MINOR AMENDMENTS. 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 6/30/24 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 6/30/2024 other officers' compensation and performance was reviewed by the executive director. 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, CHIEF OPERATING OFFICER, BECAME THE INTERIM EXECUTIVE DIRECTOR UPON GARY ZEGIESTOWSKY'S DEPARTURE. 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 PROFESSIONAL FEES - Total Expense: 884423, Program Service Expense: 671952, Management and General Expenses: 212471, Fundraising Expenses: ; CONTRACTED LABOR - Total Expense: 900011, Program Service Expense: 765009, Management and General Expenses: 135002, Fundraising Expenses: ; RURAL HEALTH REDESIGN CENTER AUTHORITY 625 FORSTER ST FL 8TH HARRISBURG PA 17120 851929124 HEALTHCARE PA NA false false true false false false false false false false false false false false false true true false false false