Form 990 for tax year 2024

Totals

Total revenue

$9,864,495

Total expenses

$9,038,267

Contributions and grants received

$1,323,889

Grants paid

$2,490,888

Program service revenue

$8,210,030

Investment income

$231,638

Other revenue

$98,938

Total assets, end of year

$14,014,916

Total liabilities, end of year

$1,589,425

Net assets or fund balances, end of year

$12,425,491

Program services expenses (Part IX)

$7,791,153

Management and general expenses

$1,148,378

Fundraising expenses

$98,736

Program service expenses (Part III)

$7,791,153

Program services were 86.2% 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.

Mission and programs · 2024

• NRHA IS A NATIONAL NONPROFIT MEMBERSHIP ORGANIZATION THAT BRINGS TOGETHER THOUSANDS OF MEMBERS ACROSS THE US TO TACKLE THE VASTLY DIFFERENT OBSTACLES FACED BY PATIENTS AND HEALTH CARE PROVIDERS IN RURAL AREAS. NRHA MEMBERS PARTICIPATE IN IN-DEPTH ANALYSIS, ASSISTANCE, DISCUSSION, ADVOCACY, PROGRAMMING, AND POLICY PRODUCTION WITH STAKEHOLDERS ACROSS THE COUNTRY. THEY PARTICIPATE IN NATIONAL CONFERENCES AND SYMPOSIUMS, ENGAGE IN EDUCATION AND ASSISTANCE, AND SEEK TO IMPROVE ACCESS TO HEALTHCARE IN THEIR RURAL COMMUNITIES. NRHA WORKS TO IMPROVE ACCESS TO CARE FOR THOSE LIVING IN RURAL COMMUNITIES. ONE OF THE MOST PERTINENT ISSUES IS THE HEALTH CARE WORKFORCE SHORTAGE AND ITS SIGNIFICANT IMPACT ON PATIENTS' ACCESS TO CARE. TO ADDRESS THIS CONCERN, NRHA BEGAN TO LAY THE FOUNDATION FOR A NATIONAL COMMUNITY HEALTHCARE WORKER (CHW) TRAINING NETWORK IN 2011. NRHA HAS SUCCESSFULLY IMPLEMENTED MORE THAN 30 TRAININGS IN THE PAST SIXTEEN YEARS AND HAS TRAINED MORE THAN 2,200 RURAL CHWS IN THE US. THE JOURNAL OF RURAL HEALTH (JRH), WHICH HAS BEEN PUBLISHED BY NRHA FOR THE PAST 45 YEARS, SERVES TO ADVANCE PROFESSIONAL PRACTICE, RESEARCH, THEORY DEVELOPMENT, AND PUBLIC POLICY. IT IS A PEER-REVIEWED QUARTERLY JOURNAL USED TO DISSEMINATE EVIDENCE-BASED BEST PRACTICES TO THE MEMBERSHIP WORKING IN RURAL COMMUNITIES. IT'S REACH HAS INCREASED TO INCLUDE MORE THAN 7,000 INSTITUTIONS IN DEVELOPING COUNTRIES AT LOW OR NO COST DUE TO PHILANTHROPIC INITIATIVES. NRHA ALSO PUBLISHES A QUARTERLY MAGAZINE, RURAL HORIZONS, FEATURING ARTICLES TO ENGAGE AND INFORM ALL THOSE WORKING TO IMPROVE HEALTH CARE IN RURAL AMERICA. THE WEEKLY ELECTRONIC NEWSLETTER NRHA TODAY IS DELIVERED EVERY THURSDAY MORNING TO ALL ACTIVE MEMBERS WITH VALID EMAIL ADDRESSES AND PROVIDES UPDATES ON ACTIVITIES AND OPPORTUNITIES WITHIN NRHA'S PROGRAMMING, GOVERNMENT AFFAIRS, FUNDING AND EDUCATIONAL EFFORTS, AS WELL AS NATIONAL NEWS THAT IMPACTS RURAL HEALTH.

  Expenses $5,300,265 · Revenue $4,921,141

• STATE RURAL HEALTH ASSOCIATIONS (SRHAS) ARE NONPROFIT, GRASSROOTS ORGANIZATIONS THAT ARE MADE UP OF THE RURAL PROVIDERS AND OTHER RURAL HEALTH LEADERS WHO WORK IN EACH COMMUNITY AND/OR INDIVIDUAL STATE. THE NATIONAL RURAL HEALTH ASSOCIATION BEGAN PROVIDING DIRECT TECHNICAL ASSISTANCE TO THE SRHAS THROUGH THIS COOPERATIVE AGREEMENT WITH THE FEDERAL OFFICE OF RURAL HEALTH POLICY IN THE 1990S WITH 19 SRHAS. OVER THE LAST 30 YEARS, NRHA HAS SUPPORTED IN THE DEVELOPMENT OF AN ADDITIONAL 25 SRHAS. IN 2024, THERE WERE 44 STATES REPRESENTED BY 39 STATE RURAL HEALTH ASSOCIATIONS. IN 2024, NATIONAL RURAL HEALTH ASSOCIATION, WITH SUPPORT FROM THE FEDERAL OFFICE OF RURAL HEALTH POLICY PROVIDED TECHNICAL ASSISTANCE IN THE FOLLOWING THREE AREAS: COMMUNICATION, CONVENINGS, TECHNICAL ASSISTANCE AND EDUCATION. BESIDES SRHA, THERE ARE MANY OTHER LOCAL AND STATE AGENCIES MAKING A DIFFERENCE IN PROVIDING HEALTHCARE ACCESS, TRAINING, RESEARCH, AND DELIVERY TO RURAL COMMUNITIES. THESE INCLUDE ORAL HEALTH CARE INITATIVES AND AGE- RELATED HEALTH INITATIVES.

  Expenses $2,490,888 · Grants $2,490,888 · Revenue $3,288,889

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

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

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

• STROUDWATER ASSOCIATES

  $724,077

  TECHNICAL ASSISTANCE

• EIDE BAILLY LLP

  $414,299

  IMPROVE RURAL HEALTH

• 3RNET-NATIONAL RURAL RECRUITMENT AND RETENTION NETWORK

  $398,911

  BEHAVIOR HEALTH PROJ

• FORVIS

  $139,966

  IMPROVE RURAL HEALTH

• WIPFLI

  $117,720

  IMPROVE RURAL HEALTH

• TEXAS A&M HEALTH SCIENCE CENTER

  $99,999

  BEST PRACTICES & DEV

• AGRISAFE NETWORK

  $60,000

  IMPROVE RURAL HEALTH

• NEW ENGLAND RURAL HEALTH ASSOCIATIO

  $60,000

  TECHNICAL ASSISTANCE

• LOUISANA RURAL HEALTH ASSOCIATION

  $21,000

  TECHNICAL ASSISTANCE

• COLORADO RURAL HEALTH CENTER

  $20,000

  TECHNICAL ASSISTANCE

The 10 largest by cash amount. The API serves every itemized grant.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

• RURAL HEALTH LEADERSHIP & EDUCATION FOUNDATION

  501C3 · SUPPORT · MO · controlled entity

  Directly controlled by NATIONAL RURAL HEALTH ASSOCIATION

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Provenance

Return type

form_990

Tax year

2024

Filed

8 May 2025

IRS schema version

2024v5.0

Source object

202521679349301227

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

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