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RHT Program Reporting Template
ICR 202610-0938-011 · OMB 0938-1498 · Object 174218800.
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| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
|---|---|
| File Title | RHT Program Reporting Template |
| Author | Daniels, Jerdan |
| Last Modified By | Calc |
| File Modified | 2026-10-22 |
| File Created | 2026-10-28 |
| Conversion State | complete |
Extracted Text
Note: States should use the definition of 'rural area' that they provide to CMS on the Additional area' for the purpose of determining the most appro Entity Type Healthcare Providers Critical Access Hospital Rural Emergency Hospital Other Rural Hospital Rural Health Clinic Rural Community Health Center Rural Behavioral Health Provider Rural EMS Provider Rural SNF/Long-Term Care Facility Rural Pharmacy Rural Independent or Group Practice Rural Dental Professional or Practice Other Rural Provider Non-Rural Healthcare Provider Health System State Government Agencies State Health and Human Services Agency State Education Agency State Labor Agency Other State Agency Local Government Agencies County/Municipal Health Department Area Agency on Aging Other Local Government Tribal Entities Tribal Government Tribal Healthcare Provider Other Tribal Organization Education Organization Community College/Technical School University/Medical School/Post-Secondary Institution Other Academic Institution Area Health Education Center (AHEC) Rural Graduate Medical Education (GME) Other Rural Healthcare Workforce Training Health IT Vendors EHR/EMR Vendor Telehealth Platform Vendor RPM Vendor AI Vendor Other Health IT Vendors or Health IT Consultant Other Consulting Technical Assistance Provider Quality Improvement Organization Program Evaluation Consultant Grants Management Vendor Other Consulting Other Entity Types Construction or Specialty Trade Contractor Community-Based Organization Faith-Based Organization Rural Technology Catalyst Fund Initiative Other l area' that they provide to CMS on the Additional Information tab of the first Annual Report to determine what coun ea' for the purpose of determining the most appropriate entity type in their reporting. Description A rural hospital designated by CMS as a CAH, which meets the requirements at 42 U.S.C. § 1395i-4(c)(2). An entity that meets the requirements at 42 U.S.C. § 1395x(kkk)(2). An acute care hospital located in a rural area that is not a Critical Access Hospital (CAH) or Rural Emergenc (REH). An outpatient clinic that meets the requirements at 42 U.S.C. § 1395x(aa)(2). Hospital-based Rural Health C should be categorized as an RHC. A community-based outpatient clinic located in a designated rural area, and meets the requirements at 42 1395x(aa)(4).Federally qualified health centers (FQHCs) and FQHC "Look-Alikes" located in designated rura should be categorized as Rural Community Health Centers. A licensed professional or facility operating in a designated rural area and specializing in mental health, be health, opioid use disorder treatment services (as defined at 42 USC § 1395x(jjj)(1)), or other substance use treatment services. This category includes Community Mental Health Centers (as defined at 42 USC § 1395 Opioid Treatment Programs (as defined at 42 USC § 1395x(jjj)(2)), and Certified Community Behavioral Hea (as defined at 42 USC § 1396d(jj)(2)) located in a designated rural area. An emergency medical services agency or emergency medical service vehicle agency providing services in designated rural area. Hospital-based EMS agencies providing services in a designated rural area should b categorized as rural EMS provider. This category includes air ambulance agencies that cover rural areas. A certified Skilled Nursing Facility (SNF) (meeting requirements at 42 U.S.C. § 1395i-3(a)), nursing home, or care facility located in a designated rural area. These facilities may provide post-acute, rehabilitative, and/o long-term care. Note: certified long-term care hospitals (LTCHs) located in designated rural areas should b categorized as "other rural hospitals". A licensed retail, community, or independent pharmacy operating in a designated rural area. Hospital-bas pharmacies operating in a designated rural area should be categorized as a rural pharmacy. Healthcare practices located in a designated rural area that are either owned and operated as an indepen entity/solo practice by a single healthcare provider or those entities that are owned by two or more physic share facilities, staff, expenses, and income under a unified legal structure as defined at 42 CFR Part 425. Includes licensed dental professionals and practices located in a designated rural area that provide dental defined at 42 CFR § 440.100. All other licensed healthcare professionals or facilities located in a designated rural area. Note: healthcare professionals or facilities operated by Tribal government should be categorized as "Tribal healthcare provi All licensed healthcare professionals and facilities that are not located in a designated rural area and are n system. An interconnected network of jointly managed or jointly owned healthcare organizations (e.g., physician p hospitals, skilled nursing facilities). State government agency responsible for administering a wide spectrum of health and/or social service pr including but not limited to those related to aging, public health, and health care. State government agency responsible for administering, regulating, and overseeing the public education s within the State. Acts as the primary authority to ensure that State and federal education laws, standards, are properly implemented. State government agency responsible for enforcing employment laws, promoting workforce development administering unemployment insurance, and protecting worker rights. Any other state government agency that oversees functions/programs outside of those administered by th agencies/departments of education, labor/workforce development, and health and human services. The local municipality responsible for local health regulations and public health oversight. A public or private nonprofit agency designated by a State to address the needs and concerns of older per family caregivers at the regional and local levels. See 45 CFR 1321.55(a). Any other local governmental agency that is not a county/municipal health department or Area Agency on The recognized governing body overseeing an Indian Tribe, group, or community, including Alaska Native possessing sovereign authority and recognized as a domestic dependent nation. A healthcare facility or service owned or operated by a federally recognized Indian tribe or Tribal organiza including Tribally-owned IHS-funded facilities, under an Indian Self-Determination and Education Assistan 93-638) contract or compact. Tribally-owned facilities funded by Title I or III of the ISDEAA (PL 93-638) inclu facilities under contract, compact, or receiving grants from the IHS. The Tribal facility is operated by a Fede recognized Tribe under a funding agreement with IHS. Other Tribal organizations include any legally established organization of Indians under the Tribal governm which is democratically elected by the adult members of the Indian community to be served by such organ which includes the maximum participation of Indians in all phases of its activities; or any Tribal nonprofit o (34 U.S. Code § 12291(a)(43-45)). A community college is a public institution of higher education, which awards an associate’s degree (15 US A technical school is an educational institution that is approved by a State agency or accredited by a State accrediting body to provide technical, trade or vocational training (20 CFR § 411.167). An educational institution that provides an educational program for which a bachelor’s degree or any othe degree is awarded, is accredited by a nationally recognized accrediting agency or association, and meets o requirements as defined at 7 USC § 3103(4)(A). This category would also include a school of medicine, oste dentistry, pharmacy or other health profession which provides training leading to a degree of doctor of m doctor of osteopathy, doctor of dentistry, an advanced practice nursing credential (such as APRN), a physic assistant (PA) credential, or an equivalent credential for a particular health profession, and which is accred body or bodies recognized for accreditation purposes by the Secretary of Education. Any publicly or privately operated primary or secondary school, or other educational entity that is not a college/university, medical school, community college, or technical school. A public or nonprofit organization that operates under a cooperative agreement or contract with an entity federal grant awards, as described in 42 USC § 295p(12). It promotes initiatives designed to enhance acces health care, particularly primary and preventive care, for underserved populations by improving the suppl distribution of healthcare professionals via strategic partnerships with academic programs, communities, professional organizations. An ACGME-accredited medical residency training program in which residents/fellows train for the majority time in a designated rural location or rural clinic setting, with the goal of reducing physician shortages in r (42 CFR 413.79(k)). Education and training initiatives that provide for local training in rural areas such as healthcare professio development training, or training for community health workers, digital health navigators, care navigators coordinators, doulas, etc. An entity that develops and/or markets electronic health/medical record technology, which meets mandat standards for interoperability, security and data exchange, for use in healthcare settings. An entity that provides secure, HIPAA-compliant, and reliable electronic information and telecommunicatio technologies to support and promote long-distance clinical health care, patient and professional health-re education, and public health and health administration. Technologies include videoconferencing, the inter and-forward imaging, streaming media, and landline and wireless communications. A company or organization that develops or offers secure, HIPAA-compliant technology allowing providers patients outside of the traditional care setting using digital medical devices, such as weight scales, blood p monitors, pulse oximeters, and blood glucose meters. A company or organization that develops or offers secure, HIPAA-compliant technology that uses artificial to support clinical care (e.g., diagnosis, treatment planning), administrative and revenue cycle manageme (e.g., coding, scheduling, and billing), and/or workflow automation (e.g., scheduling, patient intake, chart r category also includes FDA regulated AI diagnostic imaging and medical devices. Note EHR/EMR, telehealth, and remote patient monitoring systems that embed AI functionality directly int systems should be classified under other categories as appropriate. Entities that provide health information technology products, platforms, or services - including consulting other than those associated with electronic health record (EHR), electronic medical record (EMR), telehealt remote patient monitoring (RPM) solutions. Organizations that provide assistance, including the transfer of skills and knowledge, to State awardees or subrecipients on specific topics. Quality Improvement Organizations (QIOs) are entities that include representatives of health care provide representatives of consumers, which perform case reviews and quality improvement efforts to ensure car appropriate, effective, and continuously improved. See 42 CFR 475.101. An independent contractor or third-party advisor who provides an assessment of the effectiveness, efficien impact of a program, policy, or initiative. A company or organization that provides specialized software and/or consulting services to assist organiza execution of compliant grant administration activities throughout the award and funding lifecycle (e.g., tra applications, procurement/ contracting, compliance and reporting). Any other independent professional or organization who provides valuable and pertinent advice or service drawn from a high degree of broad administrative, professional, or technical knowledge or experience for not a technical assistance provider, health IT consultant, program evaluation consultant, grants managem or quality improvement organization. A company or organization engaged either in the overall management and/or the specialized execution (e concrete, site preparation, plumbing, painting, and electrical work) of building construction, infrastructure development, alterations, or repairs. A public or private nonprofit organization that are representative of a community or a significant segment community and provides support services that include but are not limited to education, transportation ass case management, and nutrition assistance. See 20 USC § 7801(5). An organization, also referred to as “religious organization”, which is a nonprofit religious organization. An initiative that supports the development and adoption of emerging health tech innovation focused on r populations to improve quality, expand access, and reduce cost of care; focused on promoting consumertechnology-driven solutions for prevention and management of chronic diseases. See NOFO (p. 115) for m information. Any other entity not otherwise described. Entity ID First-Tier Entity (Subrecipient or Contractor) Entity Type 1 XY Department of Health State Health and Human Services Agency 2 Apex Implementation Partners Technical Assistance Provider 3 Eucalyptus Analytics LLC Program Evaluation Consultant 4 Dogwood Facility Consultants Technical Assistance Provider 5 Valley Regional Health System Health System 6 Pinecrest Health Health System 7 Maple Creek Community Hospital Critical Access Hospital 8 Ridgeview Memorial Hospital Other Rural Hospital 9 Oak Valley Health Center Rural Community Health Center 10 Lakefront Area Medical Center Rural Community Health Center 11 XY Department of Labor and Workforce Development State Labor Agency 12 XY Department of Education State Education Agency 13 Streamline Grants Inc. Grants Management Vendor 14 Chartwell EMR Solutions EHR/EMR Vendor 15 Verdant Springs Telehealth Telehealth Platform Vendor 16 Vanguard Cybersecurity Other Health IT Vendors or Health IT Consultant Uncategorized Funds Total Disbursed Funds Obligated Funds – Sum of Obligations assigned on Use of Funds tab Sum of Disbursed Amount assigned on Use of Funds tab $250,000.00 $0.00 $110,000.00 $5,000,000.00 $0.00 $2,850,000.00 $2,350,000.00 $0.00 $0.00 $2,000,000.00 $0.00 $2,000,000.00 $30,000,000.00 $0.00 $16,250,000.00 $9,000,000.00 $0.00 $3,100,000.00 $4,400,000.00 $0.00 $3,050,000.00 $9,850,000.00 $0.00 $4,750,000.00 $1,140,000.00 $0.00 $1,140,000.00 $980,000.00 $0.00 $980,000.00 $22,000,000.00 $0.00 $3,700,000.00 $16,000,000.00 $0.00 $13,900,000.00 $900,000.00 $0.00 $900,000.00 $10,000,000.00 $0.00 $4,000,000.00 $5,000,000.00 $0.00 $3,650,000.00 $2,500,000.00 $0.00 $800,000.00 Obligated Funds Reference Columns Unliquidated Obligations Sum of Downstream Disbursements Retained Disbursed Funds Column E – Column G Sum of Column J across secondtier entities on Downstream Reporting tab Column G – Column I $140,000.00 $0.00 $110,000.00 $2,150,000.00 $0.00 $2,850,000.00 $2,350,000.00 $0.00 $0.00 $0.00 $0.00 $2,000,000.00 $13,750,000.00 $12,650,000.00 $3,600,000.00 $5,900,000.00 $3,100,000.00 $0.00 $1,350,000.00 $850,000.00 $2,200,000.00 $5,100,000.00 $1,350,000.00 $3,400,000.00 $0.00 $1,140,000.00 $0.00 $0.00 $980,000.00 $0.00 $18,300,000.00 $3,700,000.00 $0.00 $2,100,000.00 $13,900,000.00 $0.00 $0.00 $0.00 $900,000.00 $6,000,000.00 $0.00 $4,000,000.00 $1,350,000.00 $0.00 $3,650,000.00 $1,700,000.00 $0.00 $800,000.00 Sum of Downstream Commitments Total Unpaid Downstream Commitments Net Available Unliquidated Obligations Sum of Column G across secondtier entities on Downstream Reporting tab Column K – Column I Column H – Column L $0.00 $0.00 $140,000.00 $0.00 $0.00 $2,150,000.00 $0.00 $0.00 $2,350,000.00 $0.00 $0.00 $0.00 $23,600,000.00 $10,950,000.00 $2,800,000.00 $9,000,000.00 $5,900,000.00 $0.00 $1,950,000.00 $1,100,000.00 $250,000.00 $2,400,000.00 $1,050,000.00 $4,050,000.00 $1,140,000.00 $0.00 $0.00 $980,000.00 $0.00 $0.00 $21,500,000.00 $17,800,000.00 $500,000.00 $16,000,000.00 $2,100,000.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $6,000,000.00 $0.00 $0.00 $1,350,000.00 $0.00 $0.00 $1,700,000.00 0 Obligation ID Obligation Amount First-Tier Entity (Subrecipient or Contractor) XY1 $250,000.00 XY2 $5,000,000.00 Apex Implementation Partners XY3 XY4 $1,350,000.00 Eucalyptus Analytics LLC $1,000,000.00 Eucalyptus Analytics LLC XY5 $2,000,000.00 Dogwood Facility Consultants XY6 $22,000,000.00 XY7 $16,000,000.00 XY Department of Education XY Department of Health XY Department of Labor and Workforce Development XY8 $900,000.00 Streamline Grants Inc. XY9 $8,000,000.00 Valley Regional Health System XY10 $8,000,000.00 Valley Regional Health System XY11 $1,500,000.00 Maple Creek Community Hospital XY12 $1,500,000.00 Maple Creek Community Hospital XY13 $8,000,000.00 Ridgeview Memorial Hospital XY14 $14,000,000.00 Valley Regional Health System XY15 $9,000,000.00 Pinecrest Health XY16 $1,400,000.00 Maple Creek Community Hospital XY17 $1,850,000.00 Ridgeview Memorial Hospital XY18 $1,140,000.00 Oak Valley Health Center XY19 $980,000.00 Lakefront Area Medical Center XY20 $10,000,000.00 Chartwell EMR Solutions XY21 $5,000,000.00 Verdant Springs Telehealth XY22 $1,500,000.00 Vanguard Cybersecurity XY23 $1,000,000.00 Vanguard Cybersecurity XY24 XY25 XY26 XY27 XY28 XY29 XY30 XY31 XY32 XY33 XY34 XY35 XY36 XY37 XY38 XY39 XY40 XY41 XY42 XY43 XY44 XY45 XY46 XY47 XY48 XY49 XY50 XY51 XY52 XY53 XY54 XY55 XY56 XY57 XY58 XY59 XY60 XY61 XY62 XY63 XY64 XY65 XY66 XY67 XY68 XY69 XY70 XY71 XY72 XY73 XY74 XY75 XY76 XY77 XY78 XY79 XY80 XY81 XY82 XY83 XY84 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Description Salaries for employees overseeing RHT Program Provide support in overseeing and administering all initiatives Coordinate outcomes evaluation for initiative 2 Coordinate outcomes evaluation for initiative 3 Identify and prioritize infrastructure renewal opportunities in State XY Distribute funds for workforce training aspects of initiative 3 Distribute funds for education aspects of initiative 3 Run the procurement process for initiative 4 vendors Support Valley South REH maintaining 24/7 emergency availability, and subsidize Valley Plains Rural Health Clinic to expand urgent care operations. Initiative Number Use of Funds Category All Administrative Costs All Administrative Costs 2 3 Administrative Costs Administrative Costs 1 Administrative Costs 3 Workforce 3 Workforce 4 N/A (Program Administration Expense) 2 Appropriate Care Availability 2 Prevention of Chronic Disease 2 Appropriate Care Availability 2 Prevention of Chronic Disease 2 Provider Payments 1 Capital Expenditures and Infrastructure Execute roofing and paving renovations at Pinecrest North and Pinecrest South hospitals, including direct contracting and GC procurement. 1 Capital Expenditures and Infrastructure Subcontract HVAC modernization and parking lot resurfacing to expand facility longevity. 1 Capital Expenditures and Infrastructure Deploy remote diabetes management via Sunbelt CHC, and launch targeted chronic disease health screenings via Northwest Health Clinic. Subsidize Silver Leaf RHC to expand urgent care operating hours for isolated county residents. Launch specialized pharmacist-led medication therapy management for chronic heart disease. Provide outcome-based incentive payments to Ridgeview Memorial Hospital for improved maternal health measure Oversee multi-facility capital improvements, including GC-led renovations at Valley East Hospital and emergency infrastructure modernizations at Valley South REH. Deploy capital for direct vendor procurement to install reliable boiler systems and repave critical access routes. Direct procurement of localized facility upgrades, including complete roofing replacement, HVAC overhauls, and paving. Direct procurement of facility modernization, focusing on electrical system lighting upgrades and plumbing/boiler installations. Provide enterprise EHR licensing, database migrations, and interoperability upgrades. Deploy proprietary telehealth platform. Conduct comprehensive cybersecurity assessments, execute server/network infrastructure modernizations, and implement end-to-end encryption protocols across rural clinics to secure patient health information. Design and deliver comprehensive user training, cybersecurity awareness programs, and technical assistance modules to clinical and administrative staff on the newly upgraded IT systems. 1 Capital Expenditures and Infrastructure 1 Capital Expenditures and Infrastructure 1 Capital Expenditures and Infrastructure 4 IT Advances 4 IT Advances 4 IT Advances 4 Training and Technical Assistance Disbursed Funds Attributable to Program-Specific Limita Disbursed Amount Administrative Costs $110,000.00 $110,000.00 $2,850,000.00 $2,850,000.00 Capital Expenditures and Provider Payments Infrastructure $0.00 $0.00 $2,000,000.00 $2,000,000.00 $3,700,000.00 $2,500,000.00 $13,900,000.00 $300,000.00 $900,000.00 $900,000.00 $4,250,000.00 $200,000.00 $4,250,000.00 $200,000.00 $1,150,000.00 $150,000.00 $1,150,000.00 $150,000.00 $3,500,000.00 $300,000.00 $3,200,000.00 $7,750,000.00 $7,750,000.00 $3,100,000.00 $3,100,000.00 $750,000.00 $750,000.00 $1,250,000.00 $1,250,000.00 $1,140,000.00 $1,140,000.00 $980,000.00 $980,000.00 $4,000,000.00 $3,650,000.00 $800,000.00 $0.00 tributable to Program-Specific Limitations ($) EMR Replacement Rural Tech Catalyst Fund Confirmation: No Program-Specific Limitation Applies $4,000,000.00 No limitation applicable No limitation applicable No limitation applicable FROM Parent ID 5 5.1 5 7 7 8 5 5 6 6.1 6.1.1 6.1.1 6 6.2 6.2 5 5.5 5.5 5.5 5.5 5.1 7 7 8 8 9 9 9 10 10 5.1.2 5.1.2 5.1.2 5.1 11 11 11.2 11.2.1 11.2.1 Parent Entity TO Entity ID Valley Regional Health System 5.1 Valley South Rural Emergency 5.1.1 Hospital Valley Regional Health System 5.2 Maple Creek Community Hospital 7.1 Maple Creek Community Hospital 7.2 Ridgeview Memorial Hospital 8.1 Valley Regional Health System 5.3 Valley Regional Health System 5.4 Pinecrest Health 6.1 Pinecrest North Hospital 6.1.1 Summit General Contractors 6.1.1.1 Summit General Contractors 6.1.1.2 Pinecrest Health 6.2 Pinecrest South Hospital 6.2.1 Pinecrest South Hospital 6.2.2 Valley Regional Health System 5.5 Valley East Hospital 5.5.1 Valley East Hospital 5.5.2 Valley East Hospital 5.5.3 Valley East Hospital 5.5.4 Valley South Rural Emergency 5.1.2 Hospital Maple Creek Community Hospital 7.3 Maple Creek Community Hospital 7.4 Ridgeview Memorial Hospital 8.2 Ridgeview Memorial Hospital 8.3 Oak Valley Health Center 9.1 Oak Valley Health Center 9.2 Oak Valley Health Center 9.3 Lakefront Area Medical Center 10.1 Lakefront Area Medical Center 10.2 Horizon Construction Group 5.1.2.1 Horizon Construction Group 5.1.2.2 Horizon Construction Group 5.1.2.3 Valley South Rural Emergency 5.1.3 XY Department of Labor and Hospital 11.1 XY Department of Labor and Workforce Development 11.2 State Workforce Development Workforce Development 11.2.1 Northern Regional Workforce Board 11.2.1.1 Northern Regional Workforce Board 11.2.1.2 Board 11.2 11.2.2 11.2.2 11.2 11.2.3 11.2.3 12 12 12 12 State Workforce Development Western Regional Workforce Board Western Regional Workforce Board State Workforce Development Board Sovereign Tribal Nation Board Sovereign Tribal Nation Government Government XY Department of Education XY Department of Education XY Department of Education XY Department of Education 11.2.2 11.2.2.1 11.2.2.2 11.2.3 11.2.3.1 11.2.3.2 12.1 12.2 12.3 12.4 TO Downstream Entity (Subrecipient or Contractor) Entity Type Valley South Rural Emergency Hospital Tri-County Rural EMS Sunbelt Rural Community Health Center Silver Leaf Rural Health Clinic Maple Creek Community Pharmacy Ridgeview County EMS Valley Plains Rural Health Clinic Northwest Health Clinic Pinecrest North Hospital Summit General Contractors Solomon Brothers Commercial Roofing Frost Boiler & HVAC Pinecrest South Hospital Solomon Brothers Commercial Roofing Pioneer Paving & Asphalt Valley East Hospital BuildCorp GC Services Valley Electric Co. SteelFrame Builders Precision Plumbing Horizon Construction Group Clearwater HVAC Town & Country Paving Reliable Boiler Co. SolidGround Paving Valley Roofing Services Central HVAC Systems Oak Valley Paving Co. Lakeside Electric & Lighting Horizon Plumbing & Boiler Beacon Commercial Roofing Summit HVAC & Ventilation Tri-State Concrete & Paving Valley South Electrical Workforce Solutions Inc. State Workforce Development Board Northern Regional Workforce Board Summit County Allied Health Institute Heartland Community College Rural Emergency Hospital Rural EMS Provider Rural Community Health Center Rural Health Clinic Rural Pharmacy Rural EMS Provider Rural Health Clinic Rural Health Clinic Other Rural Hospital Construction or Specialty Trade Construction or Specialty Trade Contractor Construction or Specialty Trade Contractor Contractor Critical Access Hospital Construction or Specialty Trade Construction or Specialty Trade Contractor Contractor Other Rural Hospital Construction or Specialty Trade Construction or Specialty Trade Contractor Construction or Specialty Trade Contractor Construction or Specialty Trade Contractor Construction or Specialty Trade Contractor Construction or Specialty Trade Contractor Construction or Specialty Trade Contractor Construction or Specialty Trade Contractor Construction or Specialty Trade Contractor Construction or Specialty Trade Contractor Construction or Specialty Trade Contractor Construction or Specialty Trade Contractor Construction or Specialty Trade Contractor Construction or Specialty Trade Contractor Construction or Specialty Trade Contractor Construction or Specialty Trade Contractor Construction or Specialty Trade Contractor Construction or Specialty Trade Contractor Contractor Other State Agency Other State Agency Other Local Government Community College/Technical School Community College/Technical School Western Regional Workforce Board Western Rural AHEC River Valley Technical College Sovereign Tribal Nation Government Tribal Health Careers Collaborative Sovereign Nation Community Clinic State University Medical School Rural Family Practice Residency Consortium Southern Counties Nursing Academy Rural Healthcare Education Trust Other Local Government Area Health Education Center (AHEC) Community College/Technical School Tribal Government Other Tribal Organization Tribal Healthcare Provider University/Medical School... Rural Graduate Medical Education (GME) Other Rural Healthcare Workforce Training Community-Based Organization Reference Colum RHTP $ Committed to Downstream Entity Disbursed Funds Retained by Downstream Entity $11,000,000.00 $850,000.00 $3,500,000.00 $1,200,000.00 $450,000.00 $1,950,000.00 $600,000.00 $500,000.00 $5,000,000.00 $3,500,000.00 $400,000.00 $650,000.00 $4,000,000.00 $250,000.00 $120,000.00 $8,000,000.00 $2,200,000.00 $300,000.00 $800,000.00 $150,000.00 $5,800,000.00 $200,000.00 $100,000.00 $300,000.00 $150,000.00 $500,000.00 $440,000.00 $200,000.00 $380,000.00 $600,000.00 $1,800,000.00 $1,250,000.00 $800,000.00 $230,000.00 $2,000,000.00 $19,500,000.00 $1,700,000.00 $250,000.00 $350,000.00 $1,370,000.00 $350,000.00 $1,100,000.00 $400,000.00 $150,000.00 $900,000.00 $200,000.00 $150,000.00 $100,000.00 $1,500,000.00 $400,000.00 $650,000.00 $80,000.00 $250,000.00 $120,000.00 $150,000.00 $2,200,000.00 $300,000.00 $800,000.00 $150,000.00 $1,800,000.00 $200,000.00 $100,000.00 $300,000.00 $150,000.00 $500,000.00 $440,000.00 $200,000.00 $380,000.00 $600,000.00 $1,800,000.00 $1,250,000.00 $800,000.00 $230,000.00 $800,000.00 $1,500,000.00 $500,000.00 $100,000.00 $120,000.00 Sum of Downstream Disbursements Sum of Column H across all downstream entities $6,230,000.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,550,000.00 $1,050,000.00 $0.00 $0.00 $370,000.00 $0.00 $0.00 $3,450,000.00 $0.00 $0.00 $0.00 $0.00 $3,850,000.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,400,000.00 $220,000.00 $0.00 $0.00 $1,000,000.00 $300,000.00 $200,000.00 $700,000.00 $280,000.00 $120,000.00 $7,000,000.00 $5,000,000.00 $3,000,000.00 $1,000,000.00 $100,000.00 $150,000.00 $0.00 $200,000.00 $110,000.00 $120,000.00 $7,000,000.00 $3,500,000.00 $3,000,000.00 $400,000.00 $150,000.00 $0.00 $0.00 $230,000.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Reference Columns Total Disbursed Funds Accounted For Sum of Unpaid Downstream Commitments Net Unpaid Committed Funds Column H + Column I Sum of Column G across immediately downstream entities – Column I Column G – Column J – Column K $7,600,000.00 $350,000.00 $1,100,000.00 $400,000.00 $150,000.00 $900,000.00 $200,000.00 $150,000.00 $2,650,000.00 $2,550,000.00 $400,000.00 $650,000.00 $450,000.00 $250,000.00 $120,000.00 $3,600,000.00 $2,200,000.00 $300,000.00 $800,000.00 $150,000.00 $5,650,000.00 $200,000.00 $100,000.00 $300,000.00 $150,000.00 $500,000.00 $440,000.00 $200,000.00 $380,000.00 $600,000.00 $1,800,000.00 $1,250,000.00 $800,000.00 $230,000.00 $800,000.00 $2,900,000.00 $720,000.00 $100,000.00 $120,000.00 $650,000.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $950,000.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,000,000.00 $380,000.00 $0.00 $0.00 $2,750,000.00 $500,000.00 $2,400,000.00 $800,000.00 $300,000.00 $1,050,000.00 $400,000.00 $350,000.00 $1,400,000.00 $950,000.00 $0.00 $0.00 $3,550,000.00 $0.00 $0.00 $4,400,000.00 $0.00 $0.00 $0.00 $0.00 $150,000.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,200,000.00 $14,600,000.00 $600,000.00 $150,000.00 $230,000.00 $250,000.00 $150,000.00 $0.00 $430,000.00 $110,000.00 $120,000.00 $7,000,000.00 $3,500,000.00 $3,000,000.00 $400,000.00 $350,000.00 $0.00 $0.00 $170,000.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $400,000.00 $150,000.00 $200,000.00 $100,000.00 $170,000.00 $0.00 $0.00 $1,500,000.00 $0.00 $600,000.00