Powered by Harsight · Built for TORCH
TORCH built the network. UNITE makes it the best-informed network in rural America.
hospitals in the TORCH CIN — 32 of them Critical Access
covered lives in value-based arrangements
member closures or forced affiliations since 2021
new capital projects required to add the intelligence layer
Watch first
HARS Advisors runs the advisory and central-billing-office lane; Harsight Technologies builds the platform. This short film introduces both — press play and the frame expands, then settles back when you pause.
HARS Advisors × Harsight Technologies
The TORCH story
Thirty-five years of association work, five years of network operations, and a track record that rural health systems in other states do not have. Everything below is history, not proposal.
The trade association for Texas rural and community hospitals — advocacy, education, shared services.
Nine hospitals launch a member-owned LLC, seeded by UnitedHealthcare. Rural hospitals contract together for the first time.
32 Critical Access hospitals, ~100 clinics, ~800 miles of Texas, ~800,000 rural Texans, 90,000+ covered lives.
No member closed or was forced into affiliation, while 26 rural hospitals closed elsewhere in the same window.
TORCH partnered with the nonprofit HIE after the state's required Medicaid quality-data platform proved "prohibitively expensive" for small facilities.
After 550+ days of failed negotiation, the network walked. The next round of negotiations needs evidence.
Scroll the timeline sideways →
Block one
The analytics platform required for Texas Medicaid quality incentives was found “prohibitively expensive.” Characterization of the TORCH board's finding, as described in the Ascendient guide to rural clinically integrated networks (March 2026).
That was the correct call. A rural network should not fund a big-vendor analytics platform as a capital project — not at a per-hospital price built for 400-bed urban systems, not with a two-year implementation, and not with a seat license for every finance analyst you do not have.
But saying no left a gap. The network's own Executive Director has described raw data as “not always helpful,” with robust analytics remaining the biggest unmet need. Data you cannot interpret is not leverage. It is storage.
Contracts, covered lives, a governance structure, member trust, and a data-sharing partnership with C3HIE.
A shared way to see how each member is actually performing against payers, against peers, and against the market — in numbers a CFO can take into a negotiation.
Not a CIN. TORCH owns the CIN. Harsight proposes to be the vendor that supplies its intelligence layer, using infrastructure already built, owned, and running for Texas rural hospitals.
Block two
This is not a platform to be built. These four capabilities run today inside Harsight's rural-hospital stack. UNITE points them at the network instead of one hospital at a time.
Advisor-verified figures, not a data dump. Every number traceable to the source file and the human who signed it.
DIMTPublic payer negotiated-rate files, normalized to comparable services so a rate can be read against its own region.
Market LakeScorecards for days-to-pay, denial and overturn rates, plus underpayment evidence tied to the contract term it violates.
VERIFYRow-level separation per hospital. Peers only ever see aged aggregates — never another member's identified numbers.
Tenant isolationBlock three
Three steps. No new entity, no new reporting burden, and no hospital ever negotiating on another hospital's behalf.
The same monthly financial and revenue-cycle files that already leave the business office. No new template, no new staff.
Statistics are published only when all three conditions hold:
TORCH committees get network-level intelligence. Each hospital gets its own position and its own evidence — and every hospital negotiates on its own.
Who is behind this
Harsight Technologies builds the platform — governed hospital financial data, market-rate intelligence, and payer-accountability analytics for rural hospitals.
harsight.com →HARS ADVISORS
HARS Advisors are the operators — revenue cycle management, fractional finance leadership, and manager of the TORCH shared-services central billing office.
harsrcm.com →A committee view for TORCH, and the member view a single CFO would open. Both built from fictional data for this review.