Skip to content
Nonprofiteer
← All organizations

RURAL HEALTH CARE INC

EIN 46-0396683 FORT PIERRE, SD

Largest nonprofits in South Dakota

Revenue 2024
$68,885,546
Expenses 2024
$67,380,120

Program services were 95.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

As filed

Subsection
03
Classification
1000
Street
202 ISLAND DR STE 1

These codes are the IRS's own and are shown exactly as filed. What each one means is in the Business Master File documentation (opens in a new tab).

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.

Officers and directors · 2024

As listed in Part VII of the 2024 return, in the order the filer printed them. Each return names its own; this is not a roster the organization keeps with us.

  • 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. Earlier years are each on their own filing page.

Filings

  • 2024
    Revenue
    $68,885,546
    Expenses
    $67,380,120
    Contributions
    $2,999,117
    Grants paid
    $0
  • 2023
    Revenue
    $65,852,813
    Expenses
    $65,076,461
    Contributions
    $2,709,214
    Grants paid
    $0
  • 2022
    Revenue
    $62,740,274
    Expenses
    $60,305,452
    Contributions
    $4,292,155
    Grants paid
    $0

The four totals the IRS asks for on Part I of the Form 990, as filed. A dash means the figure was not present on the return — not that it was zero.

Other returns filed

  • 2021 · 990

    Revenue
    $55,572,301
    Expenses
    $51,768,622
    Assets (EOY)
    $24,869,074
  • 2020 · 990

    Revenue
    $37,355,927
    Expenses
    $35,871,294
    Assets (EOY)
    $20,303,216
  • 2019 · 990

    Revenue
    $22,921,769
    Expenses
    $19,238,294
    Assets (EOY)
    $13,526,072
  • 2018 · 990

    Revenue
    $14,913,845
    Expenses
    $13,194,383
    Assets (EOY)
    $8,978,457
  • 2017 · 990

    Revenue
    $14,025,907
    Expenses
    $12,420,696
    Assets (EOY)
    $6,619,495
  • 2016 · 990

    Revenue
    $14,200,734
    Expenses
    $12,569,373
    Assets (EOY)
    $5,449,795
  • 2015 · 990

    Revenue
    $13,849,742
    Expenses
    $13,057,936
    Assets (EOY)
    $5,211,811
  • 2014 · 990

    Revenue
    $7,018,508
    Expenses
    $6,621,922
    Assets (EOY)
    $2,879,763
  • 2013 · 990

    Revenue
    $4,740,980
    Expenses
    $4,670,515
    Assets (EOY)
    $1,387,928

Nonprofiteer parses Forms 990, 990-EZ and 990-PF, in a window of recent tax years. These returns are recorded from the IRS e-file index, so their figures were extracted by that index rather than read from the return here — treat them as a different source from the filings above, not as more of the same record. A dash means the index carries no figure; Form 990-T listings carry none at all.

Grants made

No itemized grants to organizations. Schedule I is filed only by organizations that granted more than $5,000 to a recipient, so most filers have none.

Grants received

Other IRS files

Auto-Revocation List

Not listed. The IRS publishes this list for organizations whose exemption was automatically revoked for failing to file for three consecutive years.

Publication 78

Listed as of 13 October 2026, under deductibility PC.

These are two separate IRS files on two separate schedules, shown as published and not reconciled with each other. Neither is a statement about whether a contribution is deductible today: 19,245 organizations appear in Publication 78 while the IRS's own revocation file lists them as currently revoked, more than half of those revoked before 2019. Absence from Publication 78 is evidence of nothing, and presence is not evidence either. Verify current status with the IRS before relying on it.

What this page reflects

The registration facts above come from the IRS Business Master File published 13 October 2026 and read 1 November 2026, for every organization at once. Returns through tax year 2024, the newest we have parsed for this organization.