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Nonprofiteer
← RURAL HEALTH CARE INCORPORATED

Form 990 for tax year 2023

Filed by RURAL HEALTH CARE INCORPORATED.

Totals

Total revenue
$32,227,164
Total expenses
$35,497,040
Contributions and grants received
$8,323,269
Grants paid
$0
Program service revenue
$23,886,698
Investment income
$7,472
Other revenue
$9,725
Total assets, end of year
$19,015,490
Total liabilities, end of year
$6,641,880
Net assets or fund balances, end of year
$12,373,610
Program services expenses (Part IX)
$31,002,137
Management and general expenses
$4,494,903
Fundraising expenses
$0
Program service expenses (Part III)
$31,002,137

Program services were 87.3% 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)

    $8,323,269

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $23,886,698 · related or exempt $23,886,698

  • 3 · Investment income

    total $14,553 · excluded $14,553

  • 7b · Less cost or other basis and sales expenses

    other assets $7,081

  • 7c · Gain or loss

    other assets -$7,081

  • 7d · Net gain or loss

    total -$7,081 · excluded -$7,081

  • 11a · Other revenue: MISCELLANEOUS REVENUE

    total $9,725 · related or exempt $9,725

  • 11e · Other revenue, total

    $9,725

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $1,373,497 · program services $365,146 · management and general $1,008,351

  • 7 · Other salaries and wages

    total $17,838,989 · program services $16,337,625 · management and general $1,501,364

  • 8 · Pension plan contributions

    total $342,937 · program services $334,999 · management and general $7,938

  • 9 · Other employee benefits

    total $2,383,470 · program services $2,074,698 · management and general $308,772

  • 10 · Payroll taxes

    total $1,350,595 · program services $1,175,003 · management and general $175,592

  • 11b · Fees: legal

    total $16,402 · management and general $16,402

  • 11c · Fees: accounting

    total $100,000 · management and general $100,000

  • 11g · Fees: other

    total $124,760 · program services $82,900 · management and general $41,860

  • 12 · Advertising and promotion

    total $107,211 · program services $66,958 · management and general $40,253

  • 13 · Office expenses

    total $1,170,370 · program services $674,843 · management and general $495,527

  • 16 · Occupancy

    total $874,723 · program services $874,643 · management and general $80

  • 17 · Travel

    total $195,101 · program services $166,055 · management and general $29,046

  • 19 · Conferences, conventions and meetings

    total $84,735 · program services $64,343 · management and general $20,392

  • 20 · Interest

    total $140,248 · program services $39,518 · management and general $100,730

  • 22 · Depreciation, depletion and amortization

    total $953,649 · program services $802,983 · management and general $150,666

  • 23 · Insurance

    total $253,248 · program services $213,802 · management and general $39,446

  • 24a · Other expenses: PHARMACEUTICALS

    total $2,691,406 · program services $2,691,406

  • 24b · Other expenses: SERVICE CONTRACTS

    total $2,303,405 · program services $2,066,057 · management and general $237,348

  • 24c · Other expenses: BAD DEBT EXPENSE

    total $1,375,242 · program services $1,375,242

  • 24d · Other expenses: MEDICAL SUPPLIES & DRUG

    total $892,743 · program services $735,364 · management and general $157,379

  • 24e · All other expenses

    total $924,309 · program services $860,552 · management and general $63,757

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $4,624,706 · end of year $794,788

  • 2 · Savings and temporary cash investments

    beginning of year $2,339,034 · end of year $0

  • 4 · Accounts receivable

    beginning of year $1,183,827 · end of year $2,486,333

  • 8 · Inventories for sale or use

    beginning of year $316,982 · end of year $392,665

  • 9 · Prepaid expenses and deferred charges

    beginning of year $260,075 · end of year $280,919

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

    $24,304,386

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

    $10,335,093

  • 10c · Land, buildings and equipment, net

    beginning of year $12,424,487 · end of year $13,969,293

  • 13 · Investments: program-related

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

  • 14 · Intangible assets

    beginning of year $1,344,449 · end of year $1,011,113

  • 15 · Other assets

    beginning of year $26,541 · end of year $28,329

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,650,876 · end of year $2,936,679

  • 23 · Secured mortgages and notes payable

    beginning of year $2,567,584 · end of year $2,377,471

  • 25 · Other liabilities

    beginning of year $1,710,205 · end of year $1,327,730

  • 27 · Net assets without donor restrictions

    beginning of year $15,643,486 · end of year $12,373,610

Mission and programs · 2023

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 2023-2024 FISCAL YEAR RHCI SERVED 36,800 INDIVIDUAL PATIENTS, PROVIDING 91,565 MEDICAL ENCOUNTERS, 18,294 DENTAL ENCOUNTERS AND 7,660 MENTAL HEALTH ENCOUNTERS. IN ADDITION, 498 ENABLING VISITS WERE PROVIDED TO OUR PATIENTS FOR HEALTH EDUCATION AND MEDICAL REFERRALS. OUR PHARMACIES DELIVERED 160,749 PRESCRIPTIONS TO RHCI PATIENTS. $1,575,972 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 90% OF THE PATIENTS SERVED HAD INCOMES AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES AND 38% OF THE PATIENTS SERVED WERE UNINSURED.

    Expenses $31,002,137 · Revenue $23,896,423

As filed on the 2023 return.

Listed in Part VII

  • Gilberto Del Castillo-Espana

    BOARD CHAIR UNTIL 02/26/2024

    Total calculated
    $0
    Hours/week
    1

  • Sabrina Thomas

    CHAIR

    Total calculated
    $0
    Hours/week
    1

  • Kathy Dean

    BOARD SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • Lashonda Simmons-Watson

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • Lillian Kemp

    BOARD MEMBER UNTIL 09/08/2024

    Total calculated
    $0
    Hours/week
    1

  • Constance Schneider

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Bob Moreno

    BOARD TREASURER UNTIL 11/13/2024

    Total calculated
    $0
    Hours/week
    1

  • Lucia Valdivia-Sanchez

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Elizabeth Fisher

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Moses Floyd

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Donovan Bardier

    BOARD TREASURER AS OF 01/01/2024

    Total calculated
    $0
    Hours/week
    1

  • Selena Fountain

    BOARD MEMBER AS OF 11/25/2024

    Total calculated
    $0
    Hours/week
    1

  • Shonda Waller

    CPO AS OF 09/23/2024

    Total calculated
    $0
    Hours/week
    1

  • Laura M Spencer

    CEO

    Total calculated
    $285,665
    From this org
    $240,684
    From related orgs
    $0
    Other
    $44,981
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $215,601
    Bonus
    $25,083
    Other
    $0
    Deferred
    $25,494
    Nontaxable benefits
    $19,487
    Filer's total
    $285,665

  • Joseph Giacomo

    CFO

    Total calculated
    $230,319
    From this org
    $193,729
    From related orgs
    $0
    Other
    $36,590
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $168,492
    Bonus
    $25,237
    Other
    $0
    Deferred
    $20,017
    Nontaxable benefits
    $16,573
    Filer's total
    $230,319

  • Jeff Bowman

    COO

    Total calculated
    $228,277
    From this org
    $193,607
    From related orgs
    $0
    Other
    $34,670
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $168,304
    Bonus
    $25,303
    Other
    $0
    Deferred
    $20,656
    Nontaxable benefits
    $14,014
    Filer's total
    $228,277

  • Robin Sweat

    CHRO

    Total calculated
    $176,475
    From this org
    $138,688
    From related orgs
    $0
    Other
    $37,787
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $113,541
    Bonus
    $25,147
    Other
    $0
    Deferred
    $12,226
    Nontaxable benefits
    $25,561
    Filer's total
    $176,475

  • Larry Pederson

    CPO

    Total calculated
    $145,907
    From this org
    $132,999
    From related orgs
    $0
    Other
    $12,908
    Hours/week
    20

  • Michael J Vernacchio

    CMO

    Total calculated
    $241,435
    From this org
    $204,128
    From related orgs
    $0
    Other
    $37,307
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $177,827
    Bonus
    $26,301
    Other
    $0
    Deferred
    $20,276
    Nontaxable benefits
    $17,031
    Filer's total
    $241,435

  • Theodosios Soldatos

    PROVIDER

    Total calculated
    $308,396
    From this org
    $265,174
    From related orgs
    $0
    Other
    $43,222
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $237,069
    Bonus
    $28,105
    Other
    $0
    Deferred
    $27,025
    Nontaxable benefits
    $16,197
    Filer's total
    $308,396

  • Muhammad Usmani

    PROVIDER

    Total calculated
    $302,528
    From this org
    $260,133
    From related orgs
    $0
    Other
    $42,395
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $243,074
    Bonus
    $17,059
    Other
    $0
    Deferred
    $20,948
    Nontaxable benefits
    $21,447
    Filer's total
    $302,528

  • Ana Seijas

    PROVIDER

    Total calculated
    $318,638
    From this org
    $267,180
    From related orgs
    $0
    Other
    $51,458
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $237,981
    Bonus
    $29,199
    Other
    $0
    Deferred
    $22,034
    Nontaxable benefits
    $29,424
    Filer's total
    $318,638

  • Hezekiah George Owojuyigbe

    PROVIDER

    Total calculated
    $334,184
    From this org
    $284,387
    From related orgs
    $0
    Other
    $49,797
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $258,533
    Bonus
    $25,854
    Other
    $0
    Deferred
    $21,406
    Nontaxable benefits
    $28,391
    Filer's total
    $334,184

  • Charles Balbuena

    PROVIDER

    Total calculated
    $265,759
    From this org
    $235,094
    From related orgs
    $0
    Other
    $30,665
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $218,035
    Bonus
    $17,059
    Other
    $0
    Deferred
    $3,789
    Nontaxable benefits
    $26,876
    Filer's total
    $265,759

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
2023
Filed
30 June 2025
IRS schema version
2023v6.0
Source object
202511829349300111

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