Rural Health Care Inc is a 501(c)(3) organization based in Ft Pierre, South Dakota, registered in 1987, with $65,852,813 in FY2023 revenue. CharityIndex grades it A+, and it directs about 95% of spending to programs.
Revenue (FY2023)
$65.9M
▲ 5.0% vs prior year
Expenses (FY2023)
$65.1M
Net assets
$18.5M
Employees
29
Measures how much of every dollar spent actually reaches programs, plus what it costs to raise $100 of donations. The worse of the two measures sets the letter (85%+ to programs is an A; under $15 to raise $100 is an A), averaged over the three most recent filings. For Rural Health Care Inc: 95% to programs · $0 to raise $100 earns a A+ on this criterion. See the exact thresholds →
Measures whether the organization is built to last: how many months its reserves would cover expenses (3+ months earns an A-range score, but hoarding 5+ years of budget is capped) and whether it runs a surplus or a deficit. For Rural Health Care Inc: 3 mo reserves · +1% margin earns a A on this criterion. See the exact thresholds →
Checks how the organization is run, from its own Form 990: an independent board majority, a board of five or more, conflict-of-interest, whistleblower and document-retention policies, and independently audited financials. The share of disclosed checks that pass sets the letter. For Rural Health Care Inc: 6 of 6 checks met earns a A+ on this criterion. See the exact thresholds →
Counts five disclosure signals: a recent filing, a mission statement, program descriptions, a listed website, and the full expense breakdown. More disclosure, better letter. For Rural Health Care Inc: 4 of 5 disclosure signals earns a A on this criterion. See the exact thresholds →
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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.
Revenue grew from $4.7M (FY2013) to $65.9M (FY2023) across 11 reported years.
Financial snapshot
Operating margin
1.2%
Revenue exceeded expenses in the latest fiscal year.
Total assets
$29.6M
Total liabilities
$11.0M
Net assets
$18.5M
Salaries & benefits
$3.3M
5% of expenses
Board members
11
11 independent
| Fiscal year | Revenue | Expenses | Net assets | Total assets | Form |
|---|---|---|---|---|---|
| 2023 | $65,852,813▲5.0% | $65,076,461▲7.9% | $18,548,682▲13.8% | $29,590,489▲10.4% | 990 |
| 2022 | $62,740,274▲12.9% | $60,305,452▲16.5% | $16,305,645▲20.7% | $26,798,775▲7.8% | 990 |
| 2021 | $55,572,301▲48.8% | $51,768,622▲44.3% | $13,513,270▲13.4% | $24,869,074▲22.5% | 990 |
| 2020 | $37,355,927▲63.0% | $35,871,294▲86.5% | $11,920,348▲14.2% | $20,303,216▲50.1% | 990 |
| 2019 | $22,921,769▲53.7% | $19,238,294▲45.8% | $10,435,715▲54.6% | $13,526,072▲50.7% | 990 |
| 2018 | $14,913,845▲6.3% | $13,194,383▲6.2% | $6,752,240▲31.7% | $8,978,457▲35.6% | 990 |
| 2017 | $14,025,907▼1.2% | $12,420,696▼1.2% | $5,127,952▲46.4% | $6,619,495▲21.5% | 990 |
| 2016 | $14,200,734▲2.5% | $12,569,373▼3.7% | $3,503,666▲72.9% | $5,449,795▲4.6% | 990 |
| 2015 | $13,849,742▲97.3% | $13,057,936▲97.2% | $2,026,285▲69.3% | $5,211,811▲81.0% | 990 |
| 2014 | $7,018,508▲48.0% | $6,621,922▲41.8% | $1,196,676▲49.6% | $2,879,763▲107% | 990 |
| 2013 | $4,740,980 | $4,670,515 | $800,090 | $1,387,928 | 990 |
Original Form 990 PDFs (the Form column) are served by ProPublica Nonprofit Explorer, as filed with the IRS. Create a free account to download the CSV report.
Highest-paid: James Hardwick — $513,689 (0.79% of total expenses)
| Name | Title | Hours/week | Compensation |
|---|---|---|---|
| James Hardwick | Ceo | 40 | $513,689 |
| April Crago | Chief Medical Officer | 40 | $361,841 |
| Seth Hipple | Cfo | 40 | $217,269 |
| Lori Iversen | Nurse Practitioner | 40 | $118,670 |
| Katie Urban | Physicians Assistant | 40 | $115,179 |
| Stephen Knoble | Physicians Assistant | 40 | $114,911 |
| Rosalee Carroll | Physicians Assistant | 40 | $114,105 |
| Caleb Kemink | Board Director | 2 | — |
| Dawn Tassler | Board Secretary | 2 | — |
| Donna Leslie | Board Director | 2 | — |
| Jessica Carr | Board Director | 2 | — |
| John Langer | Board Director | 2 | — |
| Laurie Boreboom | Board Director | 2 | — |
| Melissa Valburg | Board Director | 2 | — |
| Mike Sprenger | Board Vice President | 2 | — |
| Rod Domke | Board Treasurer | 2 | — |
| Steve Hyde | Board Director | 2 | — |
| Tonya Badger | Board President | 2 | — |
| Contractor | Services | Paid |
|---|---|---|
| Avera Mckennan | Professional Medical Services | $8,778,000 |
| Avera Queen of Peace | Professional Services | $5,596,000 |
7 grants to Rural Health Care Inc totaling $564K, reported by foundations on their Schedule I filings.
| Grantmaker | Purpose | Year | Amount |
|---|---|---|---|
| Americares Foundation Inc | On-going | 2019 | $91,811 |
| Americares Foundation Inc | On-going | 2018 | $85,808 |
| Americares Foundation Inc | On-going | 2017 | $18,271 |
| Americares Foundation Inc | On-going | 2017 | $18,271 |
| Americares Foundation Inc | On-going | 2016 | $133,436 |
| Americares Foundation Inc | On-going | 2015 | $135,368 |
| Americares Foundation Inc | On-going | 2014 | $80,955 |
Explore more
Data for Rural Health Care Inc (EIN 46-0396683) comes from the IRS Business Master File and e-filed Form 990 returns, via CharityIndex. Figures reflect what the organization reported to the IRS for each fiscal year.