Civic Intelligence

Rural Health Redesign Center Organization Inc

EIN 85-2486560 • 501(c)3 • Manheim, PA

28 Hossler RoadManheim, PA 17545
Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

92nd percentile

0.97x

Higher debt load relative to assets than 92% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Liabilities / Revenue

51st percentile

0.23x

Higher debt load relative to revenue than 51% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Net Margin

35th percentile

-0.2%

Higher net margin than 35% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Top Officer Pay

47th percentile

$178,426

Higher top officer pay than 47% of similar nonprofits.

Top officer pay equals 1.7% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Asset Growth

96th percentile

80%

Faster asset growth than 96% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2024 to 2025

Revenue Growth

91st percentile

94%

Faster revenue growth than 91% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2024 to 2025

Assets

Down

$1,385,374

Down $1,180,590 (-46%) from 2023

Liabilities

Up

$1,285,840

Up $812,654 (+172%) from 2023

Net Assets

Down

$99,534

Down $1,993,244 (-95%) from 2023

Revenue

Up

$5,502,728

Up $3,132,301 (+132%) from 2023

Expenses

Up

$7,495,972

Up $3,117,072 (+71%) from 2023

Net Income

Up

-$1,993,244

Up $15,229 (+0.8%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$6.0M$4.0M$2.0M$0Assets 2021: $4,932,277Liabilities 2021: $6,562Net Assets 2021: $4,925,7152021Assets 2022: $4,143,928Liabilities 2022: $42,677Net Assets 2022: $4,101,2512022Assets 2023: $2,565,964Liabilities 2023: $473,186Net Assets 2023: $2,092,7782023Assets 2024: $1,385,374Liabilities 2024: $1,285,840Net Assets 2024: $99,5342024

Highlighted filing

2024

Assets$1,385,374
Liabilities$1,285,840
Net Assets$99,534

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$10M$5.0M$0-$5.0MRevenue 2021: $5,020,825Expenses 2021: $95,110Net Income 2021: $4,925,7152021Revenue 2022: $36,142Expenses 2022: $860,606Net Income 2022: -$824,4642022Revenue 2023: $2,370,427Expenses 2023: $4,378,900Net Income 2023: -$2,008,4732023Revenue 2024: $5,502,728Expenses 2024: $7,495,972Net Income 2024: -$1,993,2442024

Highlighted filing

2024

Revenue$5,502,728
Expenses$7,495,972
Net Income-$1,993,244

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
Apr 30, 2025
Return Version
2023v6.0
Gross Receipts
$5,502,728
Mission and Program Overview

Mission

To protect and promote access to high quality health care in rural Pennsylvania and the nation.

To protect and promote access to high-quality healthcare for rural residents to help rural communities thrive through improved health.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$418,683$693,855▲ $275,172
Savings and Temporary Cash Investments$2,078,858$620,959▼ $1,457,899
Prepaid Expenses and Deferred Charges$43,943$54,876▲ $10,933
Land, Buildings, and Equipment, Net$24,480$15,684▼ $8,796
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Loans From Officers Directors$0$0→ $0
Total Assets$2,565,964$1,385,374▼ $1,180,590
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$473,186$1,285,840▲ $812,654
Other Liabilities$0$0→ $0
Total Liabilities$473,186$1,285,840▲ $812,654
Net Assets / Fund Balance
Net Assets With Donor Restrictions$1,811,803$592,121▼ $1,219,682
Net Assets Without Donor Restrictions$280,975$-492,587▼ $773,562
Total Net Assets Fund Balance$2,092,778$99,534▼ $1,993,244
Total Liabilities and Net Assets / Fund Balance$2,565,964$1,385,374▼ $1,180,590

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$15,684$12,961$28,645
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Gary ZegiestowskyExecutive Director (left 08/23)PT$178,293$28,961$207,254
Anna AnnaProgram ManagerFT$129,392$24,076$153,468
Gerard P EganDirector of FinanceFT$102,629$41,450$144,079
Thomas HarlowProgram ManagerFT$124,439$7,466$131,905
William BizzaroProgram ManagerFT$100,205$18,490$118,695

Board Members and Trustees

NameTitle
John LewisBoard Chair
Lauren HughesVice Chair
Greg LeisDirector
John MyersDirector
Ray PrushnokDirector
Sheilah BorneDirector
Janice WaltersExecutive Director
Brock SlabachSecretary
Lisa DavisTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Mathematica IncTA Consulting ServicesPO Box 2393, Princeton, NJ 08543$1,692,797
Rjw SolutionsAdmin. Support479 HAMILTON COURT, Manheim, PA 17545$586,409
JSR Strategies LLCMarketing1022 D Street, Sacramento, CA 95814$235,115
Silver Lining IT IncIT Support211 Mia Drive, Newark, DE 19711$129,145
Revenue and Support

Revenue Composition

Contributions and Grants
$5,332,462
Program Service Revenue
$169,948
Investment Income
$318
Other Revenue
$0
All Other Contributions
$4,711
Change in Net Assets
$-1,993,244

Audited Revenue Reconciliation

Revenue per Audited Statements
$5,502,728
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$0
Total Revenue per Audited Statements
$5,502,728
Total Revenue per Form 990
$5,502,728
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$3,040,089
Salaries, Compensation, and Employee Benefits$2,304,227
Grants and Similar Amounts Paid$2,151,656
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$2,151,656--$2,151,656
Fees for Services Other$1,436,961$347,473$0$1,784,434
Other Salaries and Wages$1,331,471$234,965-$1,566,436
Other Employee Benefits$232,757$41,075-$273,832
Current Officers, Directors, Trustees, and Key Employees$175,367$30,947-$206,314
Advertising$150,540$26,566-$177,106
Payroll Taxes$126,759$22,370-$149,129
Fees for Services Accounting-$135,268-$135,268
Information Technology$100,761$17,781-$118,542
Travel$97,900$17,277-$115,177
Pension Plan Contributions$92,239$16,277-$108,516
Fees for Services Legal-$67,393-$67,393
Conferences and Meetings$33,813$5,967-$39,780
Depreciation Depletion$7,477$1,319-$8,796
Office Expenses$6,423$1,134-$7,557
Other Expenses$4,274$754-$5,028
Insurance$3,693$652-$4,345
Total Functional Expenses$6,442,254$1,053,718$0$7,495,972

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$7,495,972
Total Expenses per Audited Statements$7,495,972
Total Expenses per Form 990$7,495,972
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Other Expense Adjustments$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Rural Health Redesign Center AuthorityHarrisburg, PARhrcaOperating Support$1,619,604
Fort Drum Regional Health Planning OrganizationWatertown, NY501(c)(3)Operating Support$164,420
Community Care Partners of Maine LLCBangor, ME-Operating Support$136,840
Brattleboro Memorial HospitalBrattleboro, VT501(c)(3)Operating Support$101,973
Daniel Hanley Center For Health LeadershipPortlan, ME501(c)(3)Operating Support$52,408
Mary Hitchcock Memorial HospitalLebanon, NH501(c)(3)Operating Support$33,690
Canton-Potsdam HospitalPotsdam, NY501(c)(3)Operating Support$25,368
Ammonoosuc Community Health Services IncLittleton, NH501(c)(3)Operating Support$17,354
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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.

Filing and Contact Details

Filer

Filer Name
Rural Health Redesign Center Organization Inc
EIN
85-2486560
Phone
6109442119
Address
28 HOSSLER ROAD, MANHEIM, PA 17545

Signing Officer

Name
Janice Walters
Title
Executive Director
Phone
6153472748
Signed
2025-04-30
Discuss with paid preparer
Yes

Organization Details

Formed
2020
Legal Domicile
Pa
Voting Board Members
6
Independent Board Members
6
Employees
26
Volunteers
6

Preparer

Firm
Forvis Mazars LLP
Address
111 E Wayne Street Suite 600, Fort Wayne, IN 46802
Preparer
Ashley Whitman
Phone
2604604000
Supplemental Narrative

Additional Explanations

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 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: ;

Financial Statement Notes

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.

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IRS990/Form990PartVIISectionAGrp/TitleTxt10PROGRAM MANAGER
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR OF FINANCE
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IRS990/ProgSrvcAccomActy2Grp/Desc0THROUGH 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.
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IRS990/ProgSrvcAccomActy3Grp/Desc0THE 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.
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IRS990/ProgSrvcAccomActyOtherGrp/Desc0RHRC 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.
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