RHC Cost Reporting

Healthcare Business Specialists prepared approximately 150 RHC cost reports annually for Independent RHCs. Mark R. Lynn, CPA has over 35 years experience working with RHCs and Dani Gilbert, CPA is a Certified Rural Health Professional as accredited by the NARHC. Our goal it to prepare your Medicare cost reports as accurately and timely as possible within the constraints of tight independent RHC budgets. The following is a link that will open our RHC Cost Reporting brochure if you are interested in more information related to cost reporting services for RHCs.

RHC Cost Reporting Brochure


RHC Cost Reporting for 2019

Healthcare Business Specialists prepares 150 Medicare Cost Reports every year for Independent RHCs in addition to performing numerous RHC startups, annual evaluations, and other services exclusively to Rural Health Clinics. We have over 35 years of healthcare experience and as we start our 32 season of preparing RHC cost reports, we wanted to provide the checklist of information that we need to complete the RHC Cost Report. Thank you for everyone that has returned your agreements for this year and your retainers. We appreciate that very much and look forward to receiving your information.  Here is the link to this year's cost report checklist:

On February 7, 2019, Healthcare Business Specialists conducted a webinar on the cost report changes for 2018 including electronic fling of cost reports. Here is the Youtube webinar and PDF of the presentation:

RHC Cost Reporting Webinar on December 11, 2018

On December 11, 2018, Healthcare Business Specialists presented a webinar on RHC Cost Reporting and planning for cost report filing for our RHC clients. Mark Lynn, CPA and Dani Gilbert, CPA presented this webinar to assist clients with meeting important cost reporting deadlines. The following is a recording of our webinar on Cost Reporting for Rural Health Clinics - Year-End Planning presented on 12/11/2018. We discuss cost reporting timelines, bad debt deadlines, base year cost reports, counting RHC visits, information needed to file a timely and accurate cost report and instructions on getting set up on EIDM to obtain your P S and R.

Help in getting your P S and R


To assist your cost report preparation, the Provider Statistical and Reimbursement (PS&R) summary report can be obtained from the CMS website: https://psr-ui.cms.hhs.gov/psr-ui.

 It is your responsibility to obtain the reports directly from the PS&R system. In an effort to ensure all providers have signed up for the PS&R system successfully, we are requiring an EIDM helpdesk ticket in order to process PS&R requests for FYEs 2009 and after. If you have not signed up for an EIDM account, please visit the following link for information on obtaining access:


You must complete the registration process in order to pull your own PS&R going forward. Also, please ensure you log into the PS&R system every 60 days so you can change your password and keep the account active.