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        <AverageHoursPerWeekRltdOrgRt>18.75</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>375442</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>46559</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>2</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>RJW SOLUTIONS</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>479 HAMILTON COURT</AddressLine1Txt>
            <CityNm>MANHEIM</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>17545</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ADMIN. SUPPORT</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>2360726</GovernmentGrantsAmt>
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      <TotalContributionsAmt>2362488</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>RHRCO REVENUE</Desc>
        <BusinessCd>541610</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>6985</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>6985</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
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      <IncmFromInvestBondProceedsGrp>
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      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
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      <RentalIncomeOrLossGrp>
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      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
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      <NetIncmFromFundraisingEvtGrp>
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      </NetIncmFromFundraisingEvtGrp>
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      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
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      </NetIncomeFromGamingGrp>
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      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
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      <TotalRevenueGrp>
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        <ExclusionAmt>954</ExclusionAmt>
      </TotalRevenueGrp>
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      <GrantsToDomesticIndividualsGrp>
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      </GrantsToDomesticIndividualsGrp>
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      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
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      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
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      <CompDisqualPersonsGrp>
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      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
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      <PensionPlanContributionsGrp>
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      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>52973</ProgramServicesAmt>
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      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
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      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>12182</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>60146</TotalAmt>
        <ManagementAndGeneralAmt>60146</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
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      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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      </FeesForSrvcInvstMgmntFeesGrp>
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      <AdvertisingGrp>
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      </AdvertisingGrp>
      <OfficeExpensesGrp>
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        <ProgramServicesAmt>1086</ProgramServicesAmt>
        <ManagementAndGeneralAmt>192</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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      <RoyaltiesGrp>
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      <OccupancyGrp>
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      <TravelGrp>
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        <ProgramServicesAmt>26638</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4701</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
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      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>1694</TotalAmt>
        <ProgramServicesAmt>1440</ProgramServicesAmt>
        <ManagementAndGeneralAmt>254</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
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      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>4165</TotalAmt>
        <ProgramServicesAmt>3540</ProgramServicesAmt>
        <ManagementAndGeneralAmt>625</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
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        <ProgramServicesAmt>3551</ProgramServicesAmt>
        <ManagementAndGeneralAmt>627</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>ADMINISTRATIVE EXPENSES</Desc>
        <TotalAmt>179765</TotalAmt>
        <ProgramServicesAmt>152800</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26965</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBSCRIPTIONS</Desc>
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        <ProgramServicesAmt>4002</ProgramServicesAmt>
        <ManagementAndGeneralAmt>706</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS EXPENSE</Desc>
        <TotalAmt>9391</TotalAmt>
        <ProgramServicesAmt>7982</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1409</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>0</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>4135928</BOYAmt>
        <EOYAmt>2078858</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>0</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
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        <EOYAmt>418683</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
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        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
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        <EOYAmt>0</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
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      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
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      <PrepaidExpensesDefrdChargesGrp>
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      <LandBldgEquipBasisNetGrp>
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      <InvestmentsPubTradedSecGrp>
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      <GrantsPayableGrp>
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      <DeferredRevenueGrp>
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        <EOYAmt>0</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
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      <EscrowAccountLiabilityGrp>
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      <LoansFromOfficersDirectorsGrp>
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      <MortgNotesPyblScrdInvstPropGrp>
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      <UnsecuredNotesLoansPayableGrp>
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      <TotalLiabilitiesGrp>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>1811803</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>2565964</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-2008473</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="IRS990ScheduleA">
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      <IRSWrittenDeterminationInd>X</IRSWrittenDeterminationInd>
      <SupportedOrganizationsCnt>1</SupportedOrganizationsCnt>
      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>RURAL HEALTH REDESIGN CENTER AUTHORITY</BusinessNameLine1Txt>
        </SupportedOrganizationName>
        <EIN>851929124</EIN>
        <OrganizationTypeCd>6</OrganizationTypeCd>
        <GoverningDocumentListedInd>true</GoverningDocumentListedInd>
        <SupportAmt>1321893</SupportAmt>
        <OtherSupportAmt>0</OtherSupportAmt>
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      <SupportedOrganizationsTotalCnt>1</SupportedOrganizationsTotalCnt>
      <SupportSumAmt>1321893</SupportSumAmt>
      <Form990SchASupportingOrgGrp>
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        <SupportedOrgSectionC456Ind>false</SupportedOrgSectionC456Ind>
        <SupportedOrgNotOrganizedUSInd>false</SupportedOrgNotOrganizedUSInd>
        <OrganizationChangeSuprtOrgInd>false</OrganizationChangeSuprtOrgInd>
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        <PaymentSubstantialContribtrInd>false</PaymentSubstantialContribtrInd>
        <LoanDisqualifiedPersonInd>false</LoanDisqualifiedPersonInd>
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        <ContributionControllerInd>false</ContributionControllerInd>
        <ContributionFamilyInd>false</ContributionFamilyInd>
        <Contribution35ControlledInd>false</Contribution35ControlledInd>
      </Form990SchASupportingOrgGrp>
      <Form990SchAType3SprtOrgAllGrp>
        <TimelyProvidedDocumentsInd>true</TimelyProvidedDocumentsInd>
        <OfficersCloseRelationshipInd>true</OfficersCloseRelationshipInd>
        <SupportedOrgVoiceInvestmentInd>true</SupportedOrgVoiceInvestmentInd>
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      <Form990SchAType3FuncIntGrp>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART IV, SECTION D, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART IV, SECTION E, LINE 1C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE RHRCO SUPPORTS THE PENNSYLVANIA RURAL HEALTH REDESIGN CENTER AUTHORITY (RHRCA), A GOVERNMENTAL 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 TO 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.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp />
      <BuildingsGrp />
      <LeaseholdImprovementsGrp />
      <EquipmentGrp>
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        <DepreciationAmt>4165</DepreciationAmt>
        <BookValueAmt>24480</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp />
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      <TotalRevenuePerForm990Amt>2370427</TotalRevenuePerForm990Amt>
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      <TotalExpensesPerForm990Amt>4378900</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE D, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RURAL HEALTH REDESIGN CENTER AUTHORITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>625 FORSTER ST FL 8TH</AddressLine1Txt>
          <CityNm>HARRISBURG</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17120</ZIPCd>
        </USAddress>
        <RecipientEIN>851929124</RecipientEIN>
        <IRCSectionDesc>RHRCA</IRCSectionDesc>
        <CashGrantAmt>1321893</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATING SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PART 1, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GARY ZEGIESTOWSKYLEFT 0823</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>269335</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>16310</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23883</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>309528</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE FISCAL YEAR, RHRCO OBTAINED THREE HEALTH RESOURCES AND SERVICES ADMINISTRATION GRANTS AND ONE EMERGENCY MEDICAL AND COMMUNITY HEALTH INDUSTRY INTEGRATION PARTNERSHIP GRANT. THROUGH THESE GRANTS, RHRC WAS ABLE TO EXPAND THEIR MISSION FURTHER. RHRC NOW SERVES AS A NATIONAL RESOURCE TO OTHER RURAL HOSPITALS TO SUPPORT CRITICAL ACCESS HOSPITALS AND OTHER SMALL RURAL HOSPITALS IS ASSESSING FEASIBILITY OF CONVERSION TO THE RURAL EMERGENCY HOSPITAL DESIGNATION. RHRC ALSO SERVES AS A MULTI-STATE TECHNICAL ASSISTANCE CENTER SUPPORTING HEALTHCARE PROVIDERS, COMMUNITIES, AND OTHER SIMILAR PROJECTS IN THIS SPACE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AN INDEPENDENT CPA FIRM AND MANAGEMENT PERFORM 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FISCAL YEAR 6/30/23 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ANNUAL REPORT IS AVAILABLE ONLINE TO THE PUBLIC. THE AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION A AND B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:1145301</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONTRACTED LABOR TOTAL FEES:509638</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>RURAL HEALTH REDESIGN CENTER AUTHORITY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>625 FORSTER ST FL 8TH</AddressLine1Txt>
          <CityNm>HARRISBURG</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17120</ZIPCd>
        </USAddress>
        <EIN>851929124</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
