Chartis Center for Rural Health

Improving the Delivery of Care
Across Rural America

The rural health safety net is under pressure. Rural communities face socioeconomic disadvantages and greater health disparities while having less access to primary, dental, and mental healthcare at the median. At the same time, many rural providers struggle with negative operating margins, uncertainty, and the unintended consequences of various policies.

The Chartis Center for Rural Health (CCRH) offer an unparalleled value proposition to rural health leaders and those advocating on their behalf. Pairing iVantage Health Analytics’ extensive knowledge of rural healthcare, its research and solution portfolio with the expertise and resources of The Chartis Group, the CCRH provides the insight and solutions needed to address providers’ biggest challenges and drive performance improvement.

iVantage maintains the largest database of proprietary rural hospital performance data in the country for financial and operational performance improvement. Today, the Hospital Strength INDEX® compares hospitals across a continuum of financial, value based and market-driven indicators to provide a unique lens into their performance. Each year, top performers are recognized as a benchmark for other rural facilities as they strive to achieve similar results and provide a blueprint for successfully navigating the uncertainty of the new healthcare.

We offer advisory services and tools built to advance rural strategy and performance in key areas.

What We Offer:

In the News:

The Chartis Center for Rural Health will present new findings on the downward trajectory of rural hospital operating margins to advocates and members of Congress during the National Rural Health Association’s Rural Health Policy Institute conference in Washington. 


  • Michael Topchik

    Michael Topchik
    National Leader, Chartis Center for Rural Health
    Michael Topchik is the National Leader for the Chartis Center for Rural Health and specializes in rural health network development and benchmarking for performance improvement consulting.

    Troy Brown

    Troy Brown
    Manager, Chartis Center for Rural Health
    Troy Brown is a Manager with the Chartis Center for Rural Health with over 15 years of rural healthcare management and consulting experience, with a focus on Critical Access Hospitals and network facilitation.

  • Hunter Clark

    Hunter Clark
    Account Executive, Chartis Center for Rural Health
    ​Hunter Clark is an Account Executive with the Chartis Center for Rural Health. Mr. Clark collaborates with senior hospital leadership teams and boards to provide development and education on trends impacting rural healthcare.

    Amanda Howard

    Amanda Howard
    Analyst, Chartis Center for Rural Health
    Amanda Howard is an Analyst with the Chartis Center for Rural Health who advises rural and critical access hospital networks in several states across the country.