Skip to content
Nonprofiteer
← RURAL HEALTH CARE INC

Form 990 for tax year 2023

Filed by RURAL HEALTH CARE INC.

Totals

Total revenue
$65,852,813
Total expenses
$65,076,461
Contributions and grants received
$2,709,214
Grants paid
$0
Program service revenue
$62,300,192
Investment income
$842,561
Other revenue
$846
Total assets, end of year
$29,590,489
Total liabilities, end of year
$11,041,807
Net assets or fund balances, end of year
$18,548,682
Program services expenses (Part IX)
$61,754,021
Management and general expenses
$3,322,440
Fundraising expenses
$0
Program service expenses (Part III)
$61,754,021

Program services were 94.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1a · Federated campaigns

    $0

  • 1b · Membership dues

    $0

  • 1c · Fundraising events

    $0

  • 1d · Related organizations

    $0

  • 1e · Government grants (contributions)

    $2,699,614

  • 1f · All other contributions, gifts and grants

    $9,600

  • 1g · Noncash contributions included above

    $0

  • 2a · Program service revenue: Net patient service revenue

    total $62,300,192 · related or exempt $62,300,192 · unrelated business $0 · excluded $0

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $842,561 · related or exempt $0 · unrelated business $0 · excluded $842,561

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 5 · Royalties

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 8a · Fundraising events: contributions included on line 1c

    $0

  • 11d · All other revenue

    total $846 · related or exempt $846 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $846

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $2,595,177 · program services $990,873 · management and general $1,604,304

  • 9 · Other employee benefits

    total $720,094 · program services $303,247 · management and general $416,847

  • 11g · Fees: other

    total $54,418,452 · program services $53,809,803 · management and general $608,649

  • 13 · Office expenses

    total $7,248,774 · program services $6,602,423 · management and general $646,351

  • 16 · Occupancy

    total $41,091 · program services $27,813 · management and general $13,278

  • 22 · Depreciation, depletion and amortization

    total $52,873 · program services $19,862 · management and general $33,011

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,202,227 · end of year -$240,259

  • 2 · Savings and temporary cash investments

    beginning of year $17,092,166 · end of year $19,512,308

  • 3 · Pledges and grants receivable

    beginning of year $2,340,436 · end of year $4,339,586

  • 4 · Accounts receivable

    beginning of year $4,428,285 · end of year $4,206,281

  • 8 · Inventories for sale or use

    beginning of year $271,662 · end of year $267,791

  • 9 · Prepaid expenses and deferred charges

    beginning of year $59,756 · end of year $62,731

  • 10a · Land, buildings and equipment: cost or other basis

    $2,278,307

  • 10b · Land, buildings and equipment: accumulated depreciation

    $836,256

  • 10c · Land, buildings and equipment, net

    beginning of year $1,404,243 · end of year $1,442,051

  • 17 · Accounts payable and accrued expenses

    beginning of year $10,493,130 · end of year $11,041,807

  • 25 · Other liabilities

    beginning of year $0 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $16,305,645 · end of year $18,548,682

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2023

Mission

Rural Health Care, Inc. offers primary health care services in thirteen medical clinics. True to its mission of "Providing Access to Quality Health Care", RHCI provided medical services to over 76,478 patients for a total of 217,661 visits

Activities or mission (Part I)

Rural Health Care emphasizes primary care services by offering rural health care in nine South Dakota locations and four Minnesota location to ensure access to quality health care for all.

  • Rural Health Care, Inc. offers primary health care services in thirteen medical clinics. True to its mission of "Providing Access to Quality Health Care", RHCI provided medical services to over 76,478 patients for a total of 217,661 visits.

    Expenses $61,754,021 · Revenue $62,300,192

As filed on the 2023 return.

Listed in Part VII

  • James Hardwick

    CEO

    Total calculated
    $546,274
    From this org
    $513,689
    From related orgs
    $0
    Other
    $32,585
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $406,026
    Bonus
    $107,663
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $32,585
    Filer's total
    $546,274
  • April Crago

    Chief Medical Officer

    Total calculated
    $397,751
    From this org
    $361,841
    From related orgs
    $0
    Other
    $35,910
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $299,173
    Bonus
    $62,668
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $35,910
    Filer's total
    $397,751
  • Seth Hipple

    CFO

    Total calculated
    $242,190
    From this org
    $217,269
    From related orgs
    $0
    Other
    $24,921
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $217,269
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $24,921
    Filer's total
    $242,190
  • Lori Iversen

    Nurse Practitioner

    Total calculated
    $148,694
    From this org
    $118,670
    From related orgs
    $0
    Other
    $30,024
    Hours/week
    40
  • Stephen Knoble

    Physicians Assistant

    Total calculated
    $144,709
    From this org
    $114,911
    From related orgs
    $0
    Other
    $29,798
    Hours/week
    40
  • Rosalee Carroll

    Physicians Assistant

    Total calculated
    $140,432
    From this org
    $114,105
    From related orgs
    $0
    Other
    $26,327
    Hours/week
    40
  • Katie Urban

    Physicians Assistant

    Total calculated
    $122,599
    From this org
    $115,179
    From related orgs
    $0
    Other
    $7,420
    Hours/week
    40
  • Melissa Valburg

    Board Director

    Total calculated
    $0
    Hours/week
    2
  • Donna Leslie

    Board Director

    Total calculated
    $0
    Hours/week
    2
  • Laurie BoreBoom

    Board Director

    Total calculated
    $0
    Hours/week
    2
  • Jessica Carr

    Board Director

    Total calculated
    $0
    Hours/week
    2
  • Tonya Badger

    Board President

    Total calculated
    $0
    Hours/week
    2
  • Mike Sprenger

    Board Vice President

    Total calculated
    $0
    Hours/week
    2
  • Rod Domke

    Board Treasurer

    Total calculated
    $0
    Hours/week
    2
  • Dawn Tassler

    Board Secretary

    Total calculated
    $0
    Hours/week
    2
  • Steve Hyde

    Board Director

    Total calculated
    $0
    Hours/week
    2
  • John Langer

    Board Director

    Total calculated
    $0
    Hours/week
    2
  • Caleb Kemink

    Board Director

    Total calculated
    $0
    Hours/week
    2

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2023
Filed
31 July 2025
IRS schema version
2023v6.0
Source object
202532189349301343

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.