Signature Performance and Rural Health Enterprise Announce Strategic Partnership to Strengthen Rural Hospital Financial Sustainability

Partnership will focus on optimizing revenue cycle operations, improving financial sustainability, and supporting rural healthcare delivery.

OMAHA, Neb., Oct. 21, 2026 /PRNewswire/ -- Signature Performance, a leading provider of healthcare business, technology, and operational solutions, announced a strategic partnership with Rural Health Enterprise (RHE) to optimize revenue cycle performance and strengthen the financial sustainability of rural hospitals across Washington state.

Through the partnership, Signature Performance will bring its revenue cycle expertise, technology-enabled solutions, and operational capabilities to help RHE member hospitals strengthen revenue capture, streamline workflows, reduce administrative complexity, and improve financial performance. The initial phase is expected to focus on four hospitals, with the potential to expand support across the broader RHE network.

"Few opportunities are more meaningful than helping create lasting change for rural healthcare communities," said Matt Leshy, Provider Practice Leader at Signature Performance. "Our partnership with Rural Health Enterprise creates an opportunity to improve revenue cycle performance, strengthen financial sustainability, and help rural hospitals continue serving the communities that depend on them."

"Strong partnerships begin with trusted relationships and a shared vision," said Chris Vairo, Provider Chief Business Development Officer at Signature Performance. "Our collaboration with Rural Health Enterprise brings together organizations committed to helping rural hospitals navigate financial and operational challenges. We see tremendous opportunity to build on this foundation and create a sustainable model that can benefit rural healthcare organizations well beyond Washington state."

For RHE, the partnership brings additional expertise and resources to support the long-term success of rural hospitals.

"Our member hospitals are committed to serving their communities, and financial sustainability is critical to fulfilling that mission," said Leslie Hiebert, CEO of RHE. "Partnering with Signature Performance gives us access to specialized expertise and resources that can help our hospitals strengthen their operations and build for the future."

About Signature Performance

Founded in 2004 and headquartered in Omaha, Nebraska, Signature Performance is a healthcare solutions company dedicated to optimizing the business of healthcare. Serving providers, payers, and government organizations, Signature combines deep industry expertise, innovative technology, and scalable advisory and managed services to improve financial performance, reduce administrative burdens, and enhance operational efficiency. With experience supporting more than 250 hospitals, Signature delivers measurable results through personalized partnerships backed by national-scale capabilities. Learn more at www.signatureperformance.com.

About Rural Health Enterprise

The Rural Health Enterprise (RHE) is a limited liability partnership owned by rural hospitals and serving rural health providers across Washington State. Its mission is to create Independence through Interdependence by delivering exceptional services at competitive prices. RHE provides administrative, financial, and operational programs that give independent rural health systems the advantages of a large system while preserving local control. RHE aims to be the go-to resource rural providers can depend on.

SOURCE Signature Performance