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Nonprofiteer
← RURAL HEALTH CARE INC

Form 990 for tax year 2024

Filed by RURAL HEALTH CARE INC.

Totals

Total revenue
$68,885,546
Total expenses
$67,380,120
Contributions and grants received
$2,999,117
Grants paid
$0
Program service revenue
$64,804,168
Investment income
$977,128
Other revenue
$105,133
Total assets, end of year
$32,916,299
Total liabilities, end of year
$12,934,565
Net assets or fund balances, end of year
$19,981,734
Program services expenses (Part IX)
$64,261,402
Management and general expenses
$3,118,718
Fundraising expenses
$0
Program service expenses (Part III)
$64,261,402

Program services were 95.4% 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)

    $2,989,517

  • 1f · All other contributions, gifts and grants

    $9,600

  • 1g · Noncash contributions included above

    $0

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

    total $64,804,168 · related or exempt $64,804,168 · 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 $977,128 · related or exempt $0 · unrelated business $0 · excluded $977,128

  • 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 $105,133 · related or exempt $105,133 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $105,133

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $3,315,792 · program services $1,672,307 · management and general $1,643,485

  • 9 · Other employee benefits

    total $1,101,025 · program services $483,318 · management and general $617,707

  • 11g · Fees: other

    total $50,997,251 · program services $50,641,037 · management and general $356,214

  • 13 · Office expenses

    total $11,877,809 · program services $11,414,474 · management and general $463,335

  • 16 · Occupancy

    total $40,506 · program services $27,442 · management and general $13,064

  • 22 · Depreciation, depletion and amortization

    total $47,737 · program services $22,824 · management and general $24,913

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year -$240,259 · end of year -$623,260

  • 2 · Savings and temporary cash investments

    beginning of year $19,512,308 · end of year $20,594,848

  • 3 · Pledges and grants receivable

    beginning of year $4,339,586 · end of year $6,898,056

  • 4 · Accounts receivable

    beginning of year $4,206,281 · end of year $4,203,110

  • 8 · Inventories for sale or use

    beginning of year $267,791 · end of year $241,691

  • 9 · Prepaid expenses and deferred charges

    beginning of year $62,731 · end of year $87,357

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

    $2,349,862

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

    $835,365

  • 10c · Land, buildings and equipment, net

    beginning of year $1,442,051 · end of year $1,514,497

  • 17 · Accounts payable and accrued expenses

    beginning of year $11,041,807 · end of year $12,934,565

  • 25 · Other liabilities

    beginning of year $0 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $18,548,682 · end of year $19,981,734

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2024

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 82,693 Patients for a total of 231,808 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 82,693 Patients for a total of 231,808 Visits.

    Expenses $64,261,402 · Revenue $64,804,168

As filed on the 2024 return.

Listed in Part VII

  • James Hardwick

    CEO

    Total calculated
    $583,127
    From this org
    $549,252
    From related orgs
    $0
    Other
    $33,875
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $430,064
    Bonus
    $119,188
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $33,875
    Filer's total
    $583,127
  • April Crago

    Chief Medical Officer

    Total calculated
    $434,147
    From this org
    $396,501
    From related orgs
    $0
    Other
    $37,646
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $330,880
    Bonus
    $65,621
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $37,646
    Filer's total
    $434,147
  • Seth Hipple

    CFO

    Total calculated
    $252,170
    From this org
    $225,750
    From related orgs
    $0
    Other
    $26,420
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $185,826
    Bonus
    $39,924
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $26,420
    Filer's total
    $252,170
  • Mary Fischer

    Clinic Manager

    Total calculated
    $183,415
    From this org
    $165,986
    From related orgs
    $0
    Other
    $17,429
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $165,986
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $17,429
    Filer's total
    $183,415
  • Jennifer O Connor

    Clinic Manager

    Total calculated
    $164,882
    From this org
    $130,385
    From related orgs
    $0
    Other
    $34,497
    Hours/week
    40
  • Lori Iversen

    NP

    Total calculated
    $156,348
    From this org
    $123,696
    From related orgs
    $0
    Other
    $32,652
    Hours/week
    40
  • Mark Edwardson

    Controller

    Total calculated
    $141,083
    From this org
    $125,556
    From related orgs
    $0
    Other
    $15,527
    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
2024
Filed
7 July 2026
IRS schema version
2024v5.0
Source object
202622229349301962

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