The authors examined whether Reading Rescue continues to be an effective literacy intervention and factors that impact its effectiveness. Data were collected on 143 first-grade students, tutored by 104 tutors at 38 schools. There was significant growth on all foundational skills (ps < 0.001) and significant change in proportion of students attaining grade-level reading status pre- and postintervention (ps < 0.001; d = 1.62 sight words, d = 1.68 oral reading/comprehension). Student-level factors of Individualized Education Program status, program completion, number of session, and invented spelling; tutor-level factors of sessions delivered and years of experience; school level factors of school size and percentage of language minority students all predicted grade-level passage or word reading (all ps < 0.05). Findings indicate Reading Rescue continues to be highly effective, even while expanding substantially as a program since Ehri et al.'s (2007) study. Efforts should focus on ensuring program completion and increasing program exposure in neediest schools.