NARHC 2021 In-Person Fall Institute

Event Date: 10/18/2021 - 10/20/2021

Event Overview

Registration is now FULL
Please click HERE for the digital option

Northern Kentucky Convention Center in Covington, KY (Cincinnati)
OCTOBER 18-20, 2021 (M-W)

A Conference For and About RHCs
For CEOs, CFOs, Physicians, PAs, NPs, Clinic Managers, Billers & Coders

Earn Continuing Education Credits: 14.5 CME from AAFP (for MDs, PAs, NPs) and 17 CEUs from AAPC (for coders).

Printable/Downloadable Registration Form

Additionally, we are now offering an online course, the Certified Rural Health Clinic Professional (CRHCP), with an online proctored final exam on October 22nd. This course is a separate registration fee.  If you want to attend both the conference and the course, you will be required to pay both registration fees.  For more information on the CRHCP course Click Here.

Member Rates: Save $100 per person on registration by being a NARHC member! If you are interested in becoming a member Click Here for the membership application. Unsure if you're a member? Call us and we'll be happy to check your organization's status for you (866-306-1961 x1).

For those interested in being a speaker at one of our upcoming conferences, please see our Call for Speakers page.




     Nathan Baugh
Director of Government Affairs
National Association of Rural Health Clinics
Alexandria, VA

Nathan became the Director of Government Affairs for the National Association of Rural Health Clinics (NARHC) in April of 2015. Nathan works on both regulatory and legislative policy at the federal level. He has been involved in issues such as the Chronic Care Management benefit, COVID-19 allocations for RHCs, and telehealth. He worked closely with the federal government on the RHC COVID-19 Testing program and with Congress on the RHC Payment Modernization policy that passed in late 2020.



John Burns, CPC, CPMA, CEMC
VP of Audit/Compliance Services
Gransevoort, NY


John Burns has worked in the healthcare arena for more than 25 years and focuses his efforts on clinical documentation improvement, correct coding, optimization of the revenue cycle and managing compliance risk for the healthcare business. His current focus with the Arch Pro Coding centers on providing documentation and coding reviews for clients all across the United States.

He has served as a corporate compliance officer and a civilian volunteer to the US Department of Defense. John provides professional audit services and customized training for qualified healthcare practitioners in an effort to identify areas of documentation, coding, and/or billing compliance concerns and offer strategies for risk mitigation. John is also an instructor and teaches many of the Arch Pro Coding classes (both virtual and on-site) including the Evaluation and Management Documentation and Coding curriculum and the Rural Health and Community Health Coding and Billing Bootcamps.

John began his career with an Atlanta-based consulting firm in 1995 and went on to form Modern Conventions in Compliance, Inc. where he served as President and CEO from 2004 to 2013. John then joined DoctorsManagement, LLC based in Knoxville, TN where he served as Senior Consultant until May 2016 before coming on board with Arch Pro Coding in 2016. John resides in upstate New York and serves as Vice President of Audit & Compliance Services for Arch Pro Coding. He has been published in various medical journals and publications including Coding Alert, BC Advantage and Part B News to name a few. John travels extensively and has served clients in all 50 states.



Shannon Chambers, CPC, CRCA
Director of Provider Solutions
South Carolina Office of Rural Health (SCORH)
Lexington, SC


Shannon assists private physician offices who desire to convert to RHC status and provides technical assistance to RHCs in maintaining compliance with the South Carolina Department of Health & Environmental Control guidelines. Shannon also provides technical assistance in billing and coding, EHR implementation, and practice management for all RHCs. Prior to joining the South Carolina Office of Rural Health, Shannon worked in multiple physician practices. She has experience in Family Practice, Internal Medicine, Orthopedics, Urology, Pediatrics, and many other specialties. Shannon has been a certified professional coder with the AAPC since 2006. She is also a Notary Public for the State of South Carolina since 2001. In 2015, Shannon became an AHIMA approved ICD 10 CM/PCS Trainer. Shannon has been a key player in the creation of NARHC’s Certified RHC Professional course.



     Adrienne Chase
Corporate Compliance & Risk Officer
Dickinson County Healthcare
Iron Mountain, MI

Ms. Chase has an extensive background in healthcare compliance and privacy. For nearly a decade, she has been dedicated to protecting patient and organization healthcare data and improving organizational culture at hospitals and clinics in the Midwest. Chase holds an Executive Juris Doctorate (EJD) degree specializing in Healthcare Law/Compliance. She holds current certifications in Healthcare Compliance and Healthcare Privacy through the Health Care Compliance Association (HCCA) and attended an FBI Compliance Officer Academy through the Society of Corporate Compliance and Ethics Association (SCCE). She also currently holds social work licenses in both Michigan and Wisconsin. Chase helps ensure organizations adhere to procedures and laws, perform internal risk assessments and reviews, and support data protection on health information of employees and patients. Most recently, in October of 2020 she played an Incident Commander role in a facility that experienced a cyber-attack.



Doug Copley
Chief Information & Security Officer
Dickinson County Healthcare
Iron Mountain, MI


Doug Copley is a security and privacy veteran with more than 25 years’ experience in information security, data privacy, IT, regulatory compliance, and risk management. Doug has been a Chief Information Security Officer for several organizations and was Chief Privacy Officer for a large financial organization. Doug has specialized experience building out and enhancing security programs in the healthcare, insurance and financial services industries. As Founder and past Chairman of the Michigan Healthcare Cybersecurity Council, Doug is a strong advocate for cybersecurity preparedness and cross-company collaboration. Doug now focuses his time on helping small and mid-sized organizations with cybersecurity preparedness and founded Data Protection Partners, which provides assessments as well as cybersecurity management and oversight services to businesses looking for deep expertise, but on a part-time basis. Doug continues to function as a virtual cybersecurity and data privacy leader and advisor to companies and industry working groups.



Taylor Cottano
Southern Evals
Alexandria, LA


Taylor is the top infection prevention & control regulatory compliance clinical consultant in the nation. He is the founder of Southern EVALS, a regulatory strategy consulting firm. His unique skillset, combining infection control & regulatory compliance, helps organizations implement best practices in infection control while maximizing their ability to protect their patients & staff. He was recently recognized by the IFAH as One of the Top 100 Healthcare Leaders in the Nation. He is one of 24 Board Certified Infection Preventionists in Louisiana, one of 1,000 in the entire United States, and 1 of just over 5,000 in the entire world. Mr. Cottano has helped countless healthcare providers & organizations successfully obtain licensing, certification & accreditation all while most recently helping his clients navigate the COVID-19 Pandemic. He has a bachelor’s degree in biology & nursing from Louisiana College. Mr. Cottano has previous experience as a front-line nurse specializing in critical care in medical & surgical intensive care settings. His true passion has always been helping others & is obsessed with helping healthcare providers & organizations get crystal clarity on a direction for success in their future. 



Paul F DeChant, MD, MBA, FAAFP
Paul DeChange, MD, MBA, LLC
San Ramon, CA


Dr. Paul DeChant is a thought leader to C-level executives pursuing organizational well-being. He is an authority on reducing physician burnout by fixing dysfunction in the clinical workplace. He is co-author of the book, “Preventing Physician Burnout: Curing the Chaos and Returning Joy to the Practice of Medicine”, speaks internationally, and blogs regularly at

He is an experienced physician executive with more than 25 years of clinical and management experience in all aspects of medical group leadership, including quality improvement, strategic planning, financial growth, acquisitions, and Lean transformation.

From 2009 - 2014 he served as CEO of Sutter Gould Medical Foundation (SGMF), a 300-physician medical group. Under his tenure he led a management system and culture transformation based on the theme of “Returning Joy to Patient Care”, which:

  • Achieved the highest levels of provider and patient satisfaction in Sutter Health;

  • Improved physician satisfaction from the 45th to 87th percentile

  • Increased profitability while reducing costs;

  • Recognized as the highest rated in overall care among 170 California medical groups two years in a row

Dr. DeChant graduated Phi Beta Kappa from the University of Oregon with a Bachelor of Science degree. He received his medical degree from the Oregon Health and Science University School of Medicine and earned his Master of Business Administration from the University of Colorado-Denver.



Bill Finerfrock
Executive Director
National Association of Rural Health Clinics
Alexandria, VA


Bill is the co-founder & Executive Director of NARHC. Under Bill’s vision & leadership, the Assn.  established the tax-exempt NARHC Research & Education Foundation. The REF will provide financial support for RHC-related research & make financial assistance available to health professionals wishing to do clinical rotations in RHCs. Bill has worked in & with the U.S. Congress & Federal agencies on health policy matters for more than 40 years. He is a 1977 graduate of Penn State University (BA in Political Science). He is also President & owner of Capitol Associates, a government relations consulting firm specializing in healthcare policy.  Prior to taking ownership at CAI in 2014, Bill served as the Company’s Senior VP for Health Policy from 1993-2013.  In this capacity, he works with a number of non-profit organizations including the Advocacy Council of American College of Allergy, Asthma & Immunology, the Healthcare Business Management Association, AHRA The Association for Medical Imaging Management, & the Movement is Life Caucus.



Noel Harilson
Director IPA Services
Kentucky Primary Care Association, Inc
Frankfort, KY


In his role at KPCA, Noel supervises a team that services association members as well as members of the KPCA’s Clinically Integrated IPA. Among many services, the IPA contracts with Medicaid, Medicare Advantage and Commercial plans on behalf of the network. The IPA provides delegated credentialing for these contracts as well as roster management and KY Medicaid portal support. The KPCA is proud to be the state affiliate for NARHC in Kentucky and is one of a handful of PCAs in the country that specifically supports and advocates on behalf of RHCs. Previously, Noel spent 8 years working for the Kentucky Cabinet for Health & Family Services, including time with the Department for Medicaid Services, Community Based Services, and Disability Determination Services. Noel also has 8 years of experience working with Managed Care Organizations in KY. His areas of focus included dealing with claims, provider network management, and contracting both Medicaid & Commercial lines of business. Noel has served as a board member for the KY Rural Health Assn (KRHA) as well as serving as the KRHA President from November 17-18. He also served on the board of the Kidney Health Alliance of Kentucky. Since 2016, he helped represent the KRHA at the NRHA’s Rural Health Policy Institute in Washington, D.C. In addition, he is a Fellow with the Kentucky Population Health Leadership Institute. Noel received his Masters’ Degree in Health Promotion from the University of Kentucky in 2006.



Patty Harper
inQuiseek Consulting
Shreveport, LA


Patty is CEO of inQuiseek Consulting, a healthcare consulting firm servicing critical access hospitals, rural health clinics and other organization across the United States. She has over 22 years of healthcare experience in healthcare finance and reimbursement, health info. management, compliance and practice management. She began her healthcare career as a hospital controller and reimbursement analyst. Patty holds a B.S. in Health Information Administration (cum laude) from LA Tech University. She is credentialed through AHIMA as a RHIA, CHTS-IM, and CHTS-PW. Patty successfully completed AHIMA’s ICD-10 Academy and has been recognized as an ICD-10 Trainer. She is Certified in Healthcare Compliance (CHC®) through the Compliance Certification Board. She has held memberships in regional, state and national organizations throughout her healthcare career including NARHC, NRHA, AHIMA, MGMA, and HFMA. Patty currently serves on the NARHC Board and LRHA.



Charles James Jr, MBA
President & CEO
North American Healthcare Management Services
St Louis, MO


Charles took the position of President & CEO in 2004 after the loss of the company founder, Charles James, Sr. North American Healthcare Management Services (NAHMS) celebrated its 25th year in business in 2017. Charles began his career with James Clinic running the IT department. As part of NAHMS, Charles has overseen & helped develop all aspects of the company. North American Healthcare Management Services is a proud gold-certified, Aprima EHR/PRM. In addition, he provides Revenue Cycle Management, RHC certification/cost reporting/Annual Evaluations, Provider Enrollment, and Financial Consulting to all types of healthcare entities. Charles is the current President of NARHC.



Jeff Johnson, CPA
Western US Market Regional Leader & Health Care Partner
Wipfli, LLP
Oakland, CA


Jeff Johnson is the firm’s Western U.S. geographic market leader with more than 25 years of in-depth experience in providing audit, reimbursement and consulting services to a variety of healthcare organizations across the country. Specifically, he provides strategic and financial solutions to hospitals, medical practices (including RHCs) and other healthcare providers through Wipfli’s Oakland office. Jeff is a frequent speaker for regional and national healthcare associations on finance, reimbursement and operational matters. He is a member of the AICPA, several state societies of CPAs, HFMA, and MGMA..



Michon Mayfield
Director of Accreditation
Gurnee, IL


Michon joined AAAASF in 2019. She is responsible for management and oversight over all accreditation processing functions and activities. Previously, she was the Business Relations Ambassador with AAHHS-HFAP, a Healthcare Facilities Accreditation Program, briefly. Before that she was Senior Director, Business Development with the Accreditation Association for Ambulatory Health Care (AAAHHC) for over 19 years. She has a Masters’ Degree in Health Services Administration from National Louis University. Michon is a dynamic, accomplished, and results-driven executive specializing in healthcare accreditation with a wide array of experience in training/development and accreditation management in various healthcare settings. Michon’s experience with the Medicare deemed status program for providers and suppliers is extensive. She and the Accreditation Team at AAAASF are available to aid Rural Health Clinics as they begin or renew their accreditation.



Kim Presley, RN
Clinic Nursing Supervisor
Citizens Memorial Healthcare
Bolivar, MO


Kim has been the Clinic Nursing Supervisor at Citizens Memorial Hospital in Bolivar Missouri for eight years. She works with the clinic managers and nursing staff in 34 clinics to assure regulatory compliance, nursing clinical skill, policy, procedure, and processes meet standards. Thirteen of the clinics are RHCs. Kim has been an RN since 1994 and has a background in long-term care, home health, inpatient surgical cardiac care, cath lab, and quality improvement. Citizens Memorial Hospital is a Missouri Quality Award Recipient in 2018, 2014, and 2010. Kim was on the application writing team each of these years. The award is modeled after the Malcolm Baldrige National Quality Award.



Julie Quinn
VP Compliance & Cost Reporting
Health Services Associates
Ringgold, GA


Ms. Quinn is a CPA with over 25 years’ experience in governmental compliance and cost reporting, 15 of which she spent in the Medicare Contractor arena. She holds an MBA with a concentration in Healthcare Administration. During her years with Medicare, she managed an audit staff responsible independent RHC cost reports in 15 states and served as Compliance Officer for a Medicare Contractor. In her current role, she assists RHCs with cost reporting, audit resolution, rate setting and various cost issues. Ms. Quinn also works with new and existing RHCs providing mock surveys, policy and procedure manuals, as well as HIPAA and other compliance solutions.



Scott Robbins
Manager of Clinic Development & Research
Midwest Health Care, Inc
Cape Girardeau, MO


Scott serves as the Manager of Clinic Development for Midwest Health Care based in Cape Girardeau, Missouri. He specializes in Rural Health Clinic compliance and provides experience on subjects such as Rural Health Clinic feasibility, Certifications, Program Evaluations, Policy, Emergency Preparedness, customer service and operations. Prior to joining Midwest Health Care, he served as the Chief Operations Officer and Compliance Officer at a finance company based in Oklahoma. Scott graduated with a bachelor’s degree in religion & youth counseling from Union University in Jackson, Tennessee. He has completed numerous courses and workshops related to management, sales and customer service with the Dale Carnegie Group, Janek Performance Group and Circle of Service.



Tressa Sacrey
RHC Compliance Analyst
Health Services Associates
Fremont, MI


Tressa joined Health Services Associates in May 2015 as a Compliance Analyst. She brings over 10 years of business experience to Health Services Associates, Inc. She received her Bachelors’ Degree in Education and has completed courses in Business Applied Technology. Her key areas of responsibility include Policy and Procedure Manuals, Civil Rights, Emergency Preparedness and facilitation of hazardous training, Research of CMS regulations, education training, on-site compliance mock surveys, and creating forms and tools to assist RHC's across the nation.



Mandy Shelast
VP of Physician Services & Clinical Networks
Dickinson County Healthcare System
Iron Mountain, MI


Mandy is the Vice-President of the NARHC Board of Directors. She is also the VP of Physician Services & Clinical Networks with Dickinson County Healthcare System. Her organization has 3 Provider Based NARHC Member RHCs in Northern Michigan. Previously, Mandy served as a Regional Clinic Director for Aspirus Health System. Her service area included Aspirus Keweenaw & Aspirus Ontonagon, two critical access hospitals with multiple RHCs. Mandy brings nine years of experience in RHC operations & has a built rapport with the Michigan Center for Rural Health. She was one of the first group who took and passed NARHC’s Certified RHC Professional (CRHCP) course. Mandy knew from a young age she wanted to work in healthcare and has truly found her passion in serving the rural communities she calls home.



Robert H. Zondag
Senior Manager
Wipfli, LLP
Milwaukee, WI


Robert H. Zondag brings to his clients, 25+ years of leadership experience, both as an entrepreneur and executive. With a focus on strategic planning, capital planning, divestures/acquisitions, and enterprise risk management, Robert is passionate about bringing clarity to his clients when they face complex business issues and regulatory matters. His experience includes appointments to the State of Wisconsin Medical Examining Board and a Commissioner on the Interstate Medical Licensure Compact Commission.


      NARHC 2021 Fall Institute Agenda





Board Candidates

      NARHC 2022 Board of Director Candidates


Click on the Candidates Pictures to Watch Their Video Message 

Erin Aune, MBA, CPC, CRHCP

Erin is the Director of the Glasgow Clinic Specialty Care Division at Frances Mahon Deaconess Hospital overseeing Orthopedics, General Surgery, & OBGYN. She also oversees the operations & marketing of Hi-Line Med Spa, which she helped launch, bringing a new service line to the community. Erin participated in the implementation & build of a new EMR system & electronic policies/procedures program. She has been with FMDH for 6 years, but also has experience as the Director of Finance & the Director of Human Resources at a local nursing home. Erin has served on the Glasgow Chamber of Commerce Board of Directors for the past 9 years, and during this time, she has had the role of President, VP, Past President, & Secretary. She currently serves on NARHC’s Education Committee.

Being born and raised in the rural community of Glasgow, Erin is very active in volunteering for community events and attending sporting events with her children; she also serves on the Board of Directors for the Glasgow Wrestling Club that her children are active participants in. On a personal note, Erin enjoys cooking, spending time with family and friends, watching her kids participate in sports, and spending time on the lake.

Erin would love the opportunity to serve on the NARHC board and be able to represent the State of Montana. She would enjoy being an advocate for Rural Health Clinics in the area and keeping facilities informed and up to date on new information, as well as providing them with education. She would appreciate your support to serve on the board, as she would be a great addition with her dedication and well-rounded knowledge base for Rural Health Clinics. Erin is very outgoing and would enjoy this opportunity to grow and build networking relationships.

Erin Aune, MBA, CPC, CRHCP
Director of Glasgow Clinic Specialty Care, FMDH Glasgow Clinic, 221 5th St. S, Glasgow, MT 59230

Bradley Bibb, MD, MBA

Brad is the owner and CEO of Access Medical Clinic. Access Medical Clinic operates 36 clinics in Arkansas, Oklahoma, Tennessee, and Georgia. Currently, 25 of those clinics have Independent RHC status with more pending certification.

Not only is Brad a physician, he also has a passion for business and politics. He began growing his clinics in rural areas after completing his MBA in 2015. He enjoys advocating for his profession, his patients, and his employees in many ways. He currently is on the executive committee of the Arkansas Medical Society and is the chairman of their Political Action Committee board. Brad would like to help advocate for RHC's on the federal level as he has for physicians on the state level.

Brad believes that being more involved with the NARHC would enable him to bring value to an organization that is focused on the same principles he has dedicated his career to, which is improving healthcare in rural America. He would appreciate your support and vote in this endeavor.

Bradley Bibb, MD, MBA
CEO, Access Medical Clinic, 4196 Hwy 62/412, Suite A, Hardy, AR 72542

Charles A. James Jr - Incumbent

Charles is the President of the NARHC Board of Directors. His career is dedicated to managing, certifying, overseeing compliance, and billing claims for RHCs. While North American was founded in 1992, he has been working in “rural health clinics” his whole life. The James family started eight of what would become the first RHCs in the state of Missouri. The clinics that his family owned were founded upon a strong commitment to Rural Primary Care and the need facing patients in these areas.

North American Healthcare Management is a strong leader in providing Revenue Cycle Management, EHR hosting, and RHC consulting services to RHCs across the country. They have developed a strong understanding of the technical aspects of RHC billing, RHC compliance, practice management, & provider enrollment. They deal directly with the difficulties their constituent members face on a daily basis. Their record is one of constant, unwavering support to NARHC. NAHMS has consistently attended all conferences as vendors & presenters for many years. Charles is one of the organization’s biggest cheerleaders. He believes he has a special understanding of the organization, formed during many years of involvement with it.

What Charles hopes to provide NARHC is a measure of the same passion for RHCs that some of their irreplaceable predecessors have. In this era of Healthcare Reform, RHCs need strong advocates. He believes he qualifies on that level, at the very least. He assures you that he will continue to make an active and energetic addition to the organization. Thank you for consideration to serve in this manner.

Charles A. James, Jr.
President/CEO, North American Healthcare Management Services, 9245 Watson Industrial Park, St. Louis, MO 63126


Jackie is the Director of Compliance & Clinical Informatics/Health Information Management Consultant at the Illinois Critical Access Hospital Network (ICAHN), a 57-member non-profit organization whose mission is to strengthen Illinois critical access and small rural hospitals and RHCs through collaboration. ICAHN’s goal is to preserve access to rural healthcare while improving the vibrancy and viability of the communities served. In keeping with this goal, Jackie manages and supports multiple ICAHN peer network groups including Rural Health Clinic, Business Office, HIM, Informatics, CFO, and Compliance, providing quarterly educational events while monitoring the internal listserv groups and researching issues as they arise. She has presented to large and small groups in Illinois and nationally. Jackie also created and teaches the ArchProCoding Critical Access Hospital Coding & Billing boot camp nationally.

Jackie earned her Master of Science in Health Informatics degree from the University of Illinois at Chicago in 2012. She served as adjunct faculty for the UIC MSHI program for several years after graduation. She has worked in the health care field for over 30 years in both clinical and administrative positions at small rural and critical access hospitals and physician practices both independent and RHC. Prior roles include Medical Imaging Technologist, Quality Management/ Utilization Analyst, Process Management Facilitator, Health Information Management (HIM) Director, and Clinical Informatics Director. Jackie actively collaborates with NARHC leadership on Medicare billing and payment issues related to RHC policies. She earned her CRHCP credential in October of 2020 and is very passionate about advocating for the sustainability the of RHC program. She would very much appreciate your support to serve on the NARHC Board of Directors beginning in 2022.

Director of Compliance & Clinical Informatics/HIM Consultant, ICAHN, 1945 Van’s Way, Princeton, IL 61356 

Amanda Shelast - Incumbent

Mandy is honored to serve as the Vice-President of the NARHC Board of Directors. Additionally she serves as the Vice-President of the Michigan Rural Health Clinic Network. In her professional career, she is the Vice-President of Physician Services & Clinical Networks with Dickinson County Healthcare System a sole community hospital with a multistate health system and 8 Provider RHCs in Northern Michigan. Amanda brings over a decade of years’ experience in RHC She understands the uniqueness of rural communities and the vital role these clinics play to their residents. Mandy was one of the first people to take and pass NARHC’s Certified RHC Professional course. She asks now for the tremendous opportunity to bring her experience and voice to continue to serve on the NARHC Board of Directors.

Amanda Shelast, CRHCP
Vice-President of Physician Services & Clinical Networks, Dickinson County Healthcare System, 1721 S Stephenson Ave, Iron Mountain, MI 49801

Roger Wells, PA-C

Roger Wells, a practicing Physician Assistant for over 30 years, is presently employed at the Lexington Regional Health Center in Lexington, Nebraska. Throughout his career he has been devoted to rural health care serving patients in Rural Health Clinics and Critical Access Hospitals utilizing a family practice setting. Roger has been serving on the National Association of Rural Health Clinics “Policy Committee” and presently seeking a position on the Board of Directors, moving the Association forward with a clinician point of view.

Throughout his career, Roger has served on multiple policy and board of director positions. His
experience includes being former member of the Federal Office Of Rural Health Policy National Advisory Commission on Rural Health and Human Services, past Board of Directors member and Secretary of the American Academy of Physical Assistants, previous Clinical Constituent Chair, Policy Congress and member of the Board of Trustees of the National Rural Health Association, present Co-Chair of the University of Nebraska Medical Center’s Rural Health Commission and previous Chairperson and present member of the Nebraska Governor’s Rural Health Commission.

Roger was raised on a small rural Nebraska family farm and has experienced the limitations of rural medical access and restricted resources. His primary platform is to enhance the medical safety net through utilization of RHCs.

Roger Wells, PA-C
Physician Assistant, Lexington Regional Health Center, 1105 N. Erie, Lexington, NE 68850

Cancellation Policy

      NARHC 2021 Fall Institute Cancellation/Transfer Policy



All cancellation/transfer refunds will incur a $25 processing fee. Transfers to a future conference are not allowed.

100% - On or before September 18, 2021
50% - September 19, 2021 thru October 1, 2021
No Refunds - After October 1, 2021
Substitute Attendee - Substitutions will be allowed with advance notice

If you feel you cannot participate in the live event or travel, please complete the form below. 

Complete This Form to cancel/transfer your registration



COVID-19 Waiver

      NARHC 2021 Fall Institute & COVID-19


Safety Precautions

To host an event that is as safe as possible for all in attendance, we highly encourage that all attendees be vaccinated or take a rapid test within 3 days of attending. Please know that all NARHC staff are fully vaccinated.

Regardless of vaccination or testing status, all attendees are required to wear facemasks when indoors or when they are unable to socially distance from one another, according to current CDC guidance. We ask that you socially distance yourself while attending all conference events. Should there be future changes in applicable law or guidance, we may change our requirements.

Throughout the planning process and on-site, we work with our conference center and hotel partners to provide a healthy environment where you can focus on maximizing your attendance while we concentrate on keeping you safe.

There will be hand sanitizing stations throughout the conference area. Seating will be set to accommodate social distancing and the seat you choose each morning will be your seat for the entire day. If you are experiencing symptoms of COVID-19, such as fever, cough, or shortness of breath, we ask you do not attend our in-person event and transfer to our digital conference instead.

If you feel you cannot comply with the safety measures we’ve outlined above, we understand. Please reach out to us at if you would like to transfer to the virtual option.

We felt it was important to share what we’ll ask of you in person now, so you can make the best decision for yourself and the people around you.

Hotel & Travel

      NARHC 2021 Fall Institute Hotel & Travel



Reservations & Room Rates: You will have 2 hotel options to choose from. Hotel blocks will be closing September 26, 2021 October 4, 2021. Link to register for either hotel: Rates & concessions are NOT guaranteed through 3rd party online booking services.

Cincinnati Marriott at RiverCenter 
Virtual Tour
NARHC block price $169/night. Pool & Fitness Center, Renovated in 2020, Connected to Convention Center.*

Embassy Suites by Hilton Cincinnati RiverCenter (Directly across the street from the convention center!)
Virtual Tour

NARHC block price $155/night. Every Room is a Suite, Free Parking for Overnight Guests, Free FULL breakfast (not continental), Free Hors D'oeuvres, Pool & Fitness Center, Renovated in 2018, Kitty-corner from the Convention Center.*

*Both have waterfront views. Due to the water proximity, a ground floor elevator or stairs take you up to lobby level.

Airport: Cincinnati/Northern Kentucky International Airport, 3087 Terminal Dr, Hebron, KY 41048


Airport: Cincinnati/Northern KY International Airport (CVG)

Cab, Uber, Lyft - 17 min. from Cincinnati/Northern KY International Airport

Southbank Shuttle Trolley - $1 cash. Stops between our 2 hotels every 15 min. & travels the riverfront cities of Covington, Newport, & Cincinnati. View routes here (Possibly reopening this summer?)

Overnight Parking:

Marriott Cincinnati RiverCenter - $10 day self park (located underneath & not owned by hotel)

Embassy Suites by Hilton Cincinnati RiverCenter - Free self-parking for overnight guests of Embassy Suites

Kenton County Parking Garage - $13.00 for 24 hours, located across the street from the Convention Center + an open air lot just beside that.