---
title: Policy Institute  | The Chartis Center for Rural Health
image: https://info.chartis.com/hubfs/CFO%20of%20the%20Future.png
---

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[Insights](https://www.chartis.com/insights)        [Services](https://www.chartis.com/expertise/rural-health)        [Contact](https://www.chartis.com/about/contact-us)

##### Rural Health Policy Institute Conference

# Research & Resources

For more than a decade, The Chartis Center for Rural Health's research has provided an important lens into the stability of the rural health safety net and we are delighted to once again share our latest analysis and research with rural healthcare leaders, advocates and members of the United States Congress during the National Rural Health Association's 36th Annual Rural Health Policy Institute Conference in Washington, D.C. If you have questions about this research, please reach out to us at [CCRH@chartis.com](mailto:CCRH@chartis.com). 

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##### 2025 Study

#### Instability continues to threaten rural health safety net

New research conducted by Chartis finds reimbursement pressure, dwindling access to care and declining population health status are driving widespread instability across the rural health safety net. 

[Read the Study>](https://www.chartis.com/insights/2025-rural-health-state-state)

##### National and State Data Tables

#### Understanding instability on a state-by-state basis

Our national and state data tables bring clarity to the challenges rural hospitals face through state-by-state breakdowns of the key metrics including, operating margin, policy impact and vulnerability. 

[View Tables >](https://info.chartis.com/ccrh-policy-institute-2025-state-data-0?hsLang=en)

##### Conference Presentation

#### 2025 State of the Rural Health Safety Net

Michael Topchik, Executive Director of The Chartis Center for Rural Health shares the key findings from the firm's latest study during the 2025 rural Health Policy Institute Conference in Washington, DC.

[View>](https://info.chartis.com/hubfs/CCRH/Policy%20Institute%202025/Chartis_Policy%20Institute%20Presentation%20FINAL%2002.10.25.pdf?hsLang=en)

##### Data Visualization Compendium 

#### Safety net indicators and population health domains

Our data visualization compendium provides heat map views across various safety net indicators and population health domains featured in this year's rural safety net state of the state study. 

[View>](https://info.chartis.com/hubfs/CCRH/Policy%20Institute%202025/Chartis_Rural%20State%20of%20the%20State_Heat%20Map%20Compendium%20FINAL%2002.10.25.pdf?hsLang=en)

##### Top 100 Performance

#### Recognizing the Top 100 Rural Hospitals for 2025

Each year, Chartis recognizes the Top 100 Critical Access Hospitals and the Top 100 Rural & Community facilities based on the results of the Chartis Rural Hospital Performance INDEX. Find out which hospitals are being recognized this year. 

[View>](https://info.chartis.com/ccrh_top-100-kit-request?hsLang=en)

##### Contact Us

Questions about this year's study? Want to learn more about the Top 100? Reach out to our team at [CCRH@Chartis.com](mailto:CCRH@Chartis.com).