Rural Health Group, Inc.

North Carolina Policy Context

Medicaid

Expansion state

NC Medicaid (Healthy Blue/managed care)

Primary Care Assoc.

NCCHCA

North Carolina Community Health Center Association

NP Scope

restricted

Legislature

annual

Medicaid community-engagement (work) requirements under CMS-2454-IFC (80 hrs/month, full implementation Jan 1, 2027) plus expiry of the enhanced ACA premium tax credits (end of 2025) threaten North Carolina's expansion population and FQHC Medicaid revenue.

Payer Mix (HRSA UDS)

Medicaid 25.4%Uninsured 10.04%Medicare 25.87%

$48.7M

Total Revenue (IRS 990) · FY2023

$44.9M

Total Expenses (IRS 990)

IRS 990 filing-entity totals; hospital-affiliated centers may reflect a parent health system, not isolated FQHC operations.

Federal + California, every Monday

Federal Program Data

Congressional Representation

North Carolina Policy Context

Payer Mix (HRSA UDS)

Structural HRSA data

Rural Health Group, Inc.

Federal Program Data

Congressional Representation

North Carolina Policy Context

Payer Mix (HRSA UDS)

Structural HRSA data