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Nonprofiteer
← RURAL HEALTH CARE INCORPORATED

Form 990 for tax year 2024

Filed by RURAL HEALTH CARE INCORPORATED.

Totals

Total revenue
$33,837,944
Total expenses
$35,444,432
Contributions and grants received
$7,299,763
Grants paid
$0
Program service revenue
$26,490,403
Investment income
$4,813
Other revenue
$42,965
Total assets, end of year
$18,198,521
Total liabilities, end of year
$7,431,399
Net assets or fund balances, end of year
$10,767,122
Program services expenses (Part IX)
$31,240,076
Management and general expenses
$4,204,356
Fundraising expenses
$0
Program service expenses (Part III)
$31,240,076

Program services were 88.1% 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.

  • 1e · Government grants (contributions)

    $7,299,763

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $26,490,403 · related or exempt $26,490,403

  • 3 · Investment income

    total $4,813 · excluded $4,813

  • 11a · Other revenue: MISCELLANEOUS REVENUE

    total $32,852 · related or exempt $32,852

  • 11b · Other revenue: GAIN ON LEASE TERMINATION

    total $10,113 · excluded $10,113

  • 11e · Other revenue, total

    $42,965

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $1,592,237 · program services $460,982 · management and general $1,131,255

  • 7 · Other salaries and wages

    total $17,342,082 · program services $15,893,426 · management and general $1,448,656

  • 8 · Pension plan contributions

    total $409,522 · program services $356,849 · management and general $52,673

  • 9 · Other employee benefits

    total $2,215,154 · program services $2,074,577 · management and general $140,577

  • 10 · Payroll taxes

    total $1,303,522 · program services $1,132,177 · management and general $171,345

  • 11b · Fees: legal

    total $46,823 · management and general $46,823

  • 11c · Fees: accounting

    total $106,500 · management and general $106,500

  • 11g · Fees: other

    total $76,058 · program services $19,915 · management and general $56,143

  • 12 · Advertising and promotion

    total $62,579 · program services $25,015 · management and general $37,564

  • 13 · Office expenses

    total $1,092,213 · program services $737,610 · management and general $354,603

  • 16 · Occupancy

    total $1,350,389 · program services $1,292,812 · management and general $57,577

  • 17 · Travel

    total $174,346 · program services $145,188 · management and general $29,158

  • 19 · Conferences, conventions and meetings

    total $82,467 · program services $66,787 · management and general $15,680

  • 20 · Interest

    total $163,586 · program services $46,673 · management and general $116,913

  • 22 · Depreciation, depletion and amortization

    total $1,052,792 · program services $939,618 · management and general $113,174

  • 23 · Insurance

    total $298,416 · program services $260,737 · management and general $37,679

  • 24a · Other expenses: PHARMACEUTICALS

    total $3,393,447 · program services $3,393,447

  • 24b · Other expenses: SERVICE CONTRACTS

    total $2,216,052 · program services $1,958,831 · management and general $257,221

  • 24c · Other expenses: BAD DEBT EXPENSE

    total $1,274,679 · program services $1,274,679

  • 24d · Other expenses: MEDICAL SUPPLIES & DRUG

    total $753,806 · program services $722,991 · management and general $30,815

  • 24e · All other expenses

    total $437,762 · program services $437,762

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $794,788 · end of year $1,529,381

  • 4 · Accounts receivable

    beginning of year $2,486,333 · end of year $1,629,719

  • 8 · Inventories for sale or use

    beginning of year $392,665 · end of year $307,915

  • 9 · Prepaid expenses and deferred charges

    beginning of year $280,919 · end of year $310,464

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

    $23,226,181

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

    $10,158,329

  • 10c · Land, buildings and equipment, net

    beginning of year $13,969,293 · end of year $13,067,852

  • 13 · Investments: program-related

    beginning of year $52,050 · end of year $52,050

  • 15 · Other assets

    beginning of year $1,039,442 · end of year $1,301,140

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,936,679 · end of year $3,280,480

  • 23 · Secured mortgages and notes payable

    beginning of year $2,377,471 · end of year $2,620,029

  • 25 · Other liabilities

    beginning of year $1,327,730 · end of year $1,530,890

  • 27 · Net assets without donor restrictions

    beginning of year $12,373,610 · end of year $10,767,122

Mission and programs · 2024

Mission

TO PROVIDE COMPREHENSIVE PRIMARY HEALTH CARE AND PREVENTATIVE HEALTH SERVICES TO UNDERSERVED COMMUNITIES. TO SERVE INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY.

  • DURING THE 2024-2025 FISCAL YEAR, RHCI SERVED 37,074 INDIVIDUAL PATIENTS, PROVIDING 90,559 MEDICAL ENCOUNTERS, 18,012 DENTAL ENCOUNTERS AND 7,527 MENTAL HEALTH ENCOUNTERS. IN ADDITION, 363 ENABLING VISITS WERE PROVIDED TO OUR PATIENTS FOR HEALTH EDUCATION AND MEDICAL REFERRALS. OUR PHARMACIES DELIVERED 158,860 PRESCRIPTIONS TO RHCI PATIENTS. $2,160,393 IN SLIDING FEE DISCOUNTS WERE PROVIDED TO SELF-PAY PATIENTS TO OFFSET THE COST OF HEALTHCARE TO INDIVIDUALS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES. APPROXIMATELY 79% OF THE PATIENTS SERVED HAD INCOMES AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES AND 14% OF THE PATIENTS SERVED WERE UNINSURED.

    Expenses $31,240,076 · Revenue $26,523,255

As filed on the 2024 return.

Listed in Part VII

  • SABRINA THOMAS

    CHAIR

    Total calculated
    $0
    Hours/week
    1

  • LASHONDA SIMMONS-WATSON

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • KATHY DEAN

    BOARD SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • DONOVAN BARDIER

    BOARD TREASURER

    Total calculated
    $0
    Hours/week
    1

  • ELIZABETH FISHER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • SELENA FOUNTAIN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • MOSES FLOYD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • CONSTANCE SCHNEIDER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • LUCIA VALDIVIA-SANCHEZ

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • ROBERT GERMANN

    BOARD MEMBER AS OF 04/28/2025

    Total calculated
    $0
    Hours/week
    1

  • LACRISHA ELAM

    BOARD MEMBER AS OF 02/24/2025

    Total calculated
    $0
    Hours/week
    1

  • LAURA M SPENCER

    CEO

    Total calculated
    $269,945
    From this org
    $244,673
    From related orgs
    $0
    Other
    $25,272
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $226,731
    Bonus
    $17,942
    Other
    $0
    Deferred
    $7,421
    Nontaxable benefits
    $17,851
    Filer's total
    $269,945

  • SHONDA WALLER

    CPO

    Total calculated
    $178,694
    From this org
    $147,527
    From related orgs
    $0
    Other
    $31,167
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $138,948
    Bonus
    $8,579
    Other
    $0
    Deferred
    $4,801
    Nontaxable benefits
    $26,366
    Filer's total
    $178,694

  • ROBIN SWEAT

    CHRO

    Total calculated
    $163,016
    From this org
    $135,594
    From related orgs
    $0
    Other
    $27,422
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $117,612
    Bonus
    $17,982
    Other
    $0
    Deferred
    $4,261
    Nontaxable benefits
    $23,161
    Filer's total
    $163,016

  • JEFFREY BOWMAN

    COO

    Total calculated
    $207,547
    From this org
    $200,410
    From related orgs
    $0
    Other
    $7,137
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $182,448
    Bonus
    $17,962
    Other
    $0
    Deferred
    $6,012
    Nontaxable benefits
    $1,125
    Filer's total
    $207,547

  • JOSEPH GIACOMO

    CFO

    Total calculated
    $214,470
    From this org
    $193,691
    From related orgs
    $0
    Other
    $20,779
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $175,010
    Bonus
    $18,681
    Other
    $0
    Deferred
    $5,846
    Nontaxable benefits
    $14,933
    Filer's total
    $214,470

  • ALFREDO PAIROT

    CDO

    Total calculated
    $267,495
    From this org
    $244,118
    From related orgs
    $0
    Other
    $23,377
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $228,296
    Bonus
    $15,822
    Other
    $0
    Deferred
    $7,423
    Nontaxable benefits
    $15,954
    Filer's total
    $267,495

  • MICHAEL J VERNACCHIO

    CMO

    Total calculated
    $223,192
    From this org
    $201,629
    From related orgs
    $0
    Other
    $21,563
    Hours/week
    32

    Schedule J breakdown matched by us

    Base
    $186,478
    Bonus
    $15,151
    Other
    $0
    Deferred
    $6,169
    Nontaxable benefits
    $15,394
    Filer's total
    $223,192

  • CHARLES BALBUENA

    PROVIDER

    Total calculated
    $270,771
    From this org
    $239,173
    From related orgs
    $0
    Other
    $31,598
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $209,624
    Bonus
    $29,549
    Other
    $0
    Deferred
    $7,619
    Nontaxable benefits
    $23,979
    Filer's total
    $270,771

  • HEZEKIAH GEORGE OWOJUYIGBE

    PROVIDER

    Total calculated
    $348,092
    From this org
    $314,093
    From related orgs
    $0
    Other
    $33,999
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $265,306
    Bonus
    $48,787
    Other
    $0
    Deferred
    $8,000
    Nontaxable benefits
    $25,999
    Filer's total
    $348,092

  • ANA SEIJAS

    PROVIDER

    Total calculated
    $316,743
    From this org
    $282,216
    From related orgs
    $0
    Other
    $34,527
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $259,742
    Bonus
    $22,474
    Other
    $0
    Deferred
    $8,000
    Nontaxable benefits
    $26,527
    Filer's total
    $316,743

  • MUHAMMAD USMANI

    PROVIDER

    Total calculated
    $302,308
    From this org
    $275,429
    From related orgs
    $0
    Other
    $26,879
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $252,937
    Bonus
    $22,492
    Other
    $0
    Deferred
    $8,000
    Nontaxable benefits
    $18,879
    Filer's total
    $302,308

  • THEODOSIOS SOLDATOS

    PROVIDER

    Total calculated
    $285,705
    From this org
    $263,221
    From related orgs
    $0
    Other
    $22,484
    Hours/week
    36

    Schedule J breakdown matched by us

    Base
    $247,001
    Bonus
    $16,220
    Other
    $0
    Deferred
    $7,924
    Nontaxable benefits
    $14,560
    Filer's total
    $285,705

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 · Written employment contract
  • 3 · Compensation survey or study
  • 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

The filer's explanations (Part III)

PART I, LINE 3
THE COMPENSATION OF THE CEO IS SET BY THE EXECUTIVE COMMITTEE OF THE BOARD USING COMPENSATION STUDIES. ALL OTHER COMPENSATION IS SET BY THE CEO WITHIN PAY RANGES APPROVED BY THE BOARD.

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
2024
Filed
28 July 2026
IRS schema version
2024v5.5
Source object
202602109349301300

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