Civic Intelligence

Rural Health Care Inc

EIN 46-0396683 • 501(c)3 • Fort Pierre, SD

Profile

Rural Health Care, Inc. offers primary health care services in 9 medical clinics. True to its mission of "Providing Access to Quality Health Care", RHCI provided medical services to 11,453 Patients for a total of 57,992 Visits.

202 Island Drive Suite 1Fort Pierre, SD 57532

www.ruralhc.net

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

62nd percentile

0.37x

Higher debt load relative to assets than 62% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

31st percentile

0.17x

Higher debt load relative to revenue than 31% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

39th percentile

1.2%

Higher net margin than 39% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

72nd percentile

$546,274

Higher top officer pay than 72% of similar nonprofits.

Top officer pay equals 0.8% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Asset Growth

67th percentile

10%

Faster asset growth than 67% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Revenue Growth

41st percentile

5.0%

Faster revenue growth than 41% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets62nd percentile

Assets

Up

$29,590,489

Up $2,791,714 (+10%) from 2023

Liabilities

Up

$11,041,807

Up $548,677 (+5.2%) from 2023

Net Assets

Up

$18,548,682

Up $2,243,037 (+14%) from 2023

Operations
Liabilities / Revenue31st percentileNet Margin39th percentile

Revenue

Up

$65,852,813

Up $3,112,539 (+5.0%) from 2023

Expenses

Up

$65,076,461

Up $4,771,009 (+7.9%) from 2023

Net Income

Down

$776,352

Down $1,658,470 (-68%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth67th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$30M$20M$10M$0Assets 2011: $620,105Liabilities 2011: $427,363Net Assets 2011: $192,7422011Assets 2012: $702,699Liabilities 2012: $395,530Net Assets 2012: $307,1692012Assets 2013: $818,288Liabilities 2013: $206,024Net Assets 2013: $612,2642013Assets 2014: $1,387,928Liabilities 2014: $587,838Net Assets 2014: $800,0902014Assets 2015: $2,879,763Liabilities 2015: $1,683,087Net Assets 2015: $1,196,6762015Assets 2016: $5,211,811Liabilities 2016: $3,185,526Net Assets 2016: $2,026,2852016Assets 2017: $5,449,795Liabilities 2017: $1,946,129Net Assets 2017: $3,503,6662017Assets 2018: $6,619,495Liabilities 2018: $1,491,543Net Assets 2018: $5,127,9522018Assets 2019: $8,978,457Liabilities 2019: $2,226,217Net Assets 2019: $6,752,2402019Assets 2020: $13,526,072Liabilities 2020: $3,090,357Net Assets 2020: $10,435,7152020Assets 2021: $20,303,216Liabilities 2021: $8,382,868Net Assets 2021: $11,920,3482021Assets 2022: $24,869,074Liabilities 2022: $11,355,804Net Assets 2022: $13,513,2702022Assets 2023: $26,798,775Liabilities 2023: $10,493,130Net Assets 2023: $16,305,6452023Assets 2024: $29,590,489Liabilities 2024: $11,041,807Net Assets 2024: $18,548,6822024

Highlighted filing

2024

Assets$29,590,489
Liabilities$11,041,807
Net Assets$18,548,682
Open 2024 Filing

Operations Trend

Revenue Growth41st percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$80M$60M$40M$20M$0-$20MRevenue 2011: $2,904,613Expenses 2011: $3,476,995Net Income 2011: -$572,3822011Revenue 2012: $3,298,478Expenses 2012: $3,184,051Net Income 2012: $114,4272012Revenue 2013: $3,838,089Expenses 2013: $3,532,994Net Income 2013: $305,0952013Revenue 2014: $4,740,980Expenses 2014: $4,670,515Net Income 2014: $70,4652014Revenue 2015: $7,018,508Expenses 2015: $6,621,922Net Income 2015: $396,5862015Revenue 2016: $13,849,742Expenses 2016: $13,057,936Net Income 2016: $791,8062016Revenue 2017: $14,200,734Expenses 2017: $12,569,373Net Income 2017: $1,631,3612017Revenue 2018: $14,025,907Expenses 2018: $12,420,696Net Income 2018: $1,605,2112018Revenue 2019: $14,913,845Expenses 2019: $13,194,383Net Income 2019: $1,719,4622019Revenue 2020: $22,921,769Expenses 2020: $19,238,294Net Income 2020: $3,683,4752020Revenue 2021: $37,355,927Expenses 2021: $35,871,294Net Income 2021: $1,484,6332021Revenue 2022: $55,572,301Expenses 2022: $51,768,622Net Income 2022: $3,803,6792022Revenue 2023: $62,740,274Expenses 2023: $60,305,452Net Income 2023: $2,434,8222023Revenue 2024: $65,852,813Expenses 2024: $65,076,461Net Income 2024: $776,3522024

Highlighted filing

2024

Revenue$65,852,813
Expenses$65,076,461
Net Income$776,352
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$29,590,489
Liabilities
$11,041,807
Net assets
$18,548,682
Revenue
$65,852,813
Expenses
$65,076,461
Net income
$776,352
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$29.6$11.0$18.5$65.9$65.1$0.78
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$26.8$10.5$16.3$62.7$60.3$2.43
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$24.9$11.4$13.5$55.6$51.8$3.80
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$20.3$8.38$11.9$37.4$35.9$1.48
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$13.5$3.09$10.4$22.9$19.2$3.68
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$8.98$2.23$6.75$14.9$13.2$1.72
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.62$1.49$5.13$14.0$12.4$1.61
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.45$1.95$3.50$14.2$12.6$1.63
2016Detailed filing. Detailed filing data is available for this year.$5.21$3.19$2.03$13.8$13.1$0.79
2015Detailed filing. Detailed filing data is available for this year.$2.88$1.68$1.20$7.02$6.62$0.40
2014Detailed filing. Detailed filing data is available for this year.$1.39$0.59$0.80$4.74$4.67$0.07
2013Summary only. Only limited summary data is available for this year.$0.82$0.21$0.61$3.84$3.53$0.31
2012Summary only. Only limited summary data is available for this year.$0.70$0.40$0.31$3.30$3.18$0.11
2011Summary only. Only limited summary data is available for this year.$0.62$0.43$0.19$2.90$3.48$0.57
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Jul 31, 2025
Return Version
2023v6.0
Gross Receipts
$65,852,813
Mission and Program Overview

Mission

Rural Health Care, Inc. offers primary health care services in 11 medical clinics. True to its mission of "Providing Access to Quality Health Care", RHCI provided medical services to over 27,934 Patients for a total of 64,302 Visits.

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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$17,092,166$19,512,308▲ $2,420,142
Pledges and Grants Receivable$2,340,436$4,339,586▲ $1,999,150
Accounts Receivable$4,428,285$4,206,281▼ $222,004
Land, Buildings, and Equipment, Net$1,404,243$1,442,051▲ $37,808
Inventories for Sale or Use$271,662$267,791▼ $3,871
Prepaid Expenses and Deferred Charges$59,756$62,731▲ $2,975
Cash and Non-Interest-Bearing Accounts$1,202,227$-240,259▼ $1,442,486
Total Assets$26,798,775$29,590,489▲ $2,791,714
Liabilities
Accounts Payable and Accrued Expenses$10,493,130$11,041,807▲ $548,677
Other Liabilities$0$0→ $0
Total Liabilities$10,493,130$11,041,807▲ $548,677
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$16,305,645$18,548,682▲ $2,243,037
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$16,305,645$18,548,682▲ $2,243,037
Total Liabilities and Net Assets / Fund Balance$26,798,775$29,590,489▲ $2,791,714

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$1,442,051$836,256$2,278,307
Buildings$0$0$0
Other Land Buildings$0$0$0
Land$0-$0
Leasehold Improvements$0$0$0
Compensation and Service Providers
Top Officer Pay72nd percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
James HardwickCEOFT$406,026$140,248$546,274
April CragoChief Medical OfficerFT$299,173$98,578$397,751
Seth HippleCFOFT$217,269$24,921$242,190
Lori IversenNurse PractitionerFT$118,670$30,024$148,694
Stephen KnoblePhysicians AssistantFT$114,911$29,798$144,709
Rosalee CarrollPhysicians AssistantFT$114,105$26,327$140,432
Katie UrbanPhysicians AssistantFT$115,179$7,420$122,599

Board Members and Trustees

NameTitle
Tonya BadgerBoard President
Mike SprengerBoard Vice President
Caleb KeminkBoard Director
Donna LeslieBoard Director
Jessica CarrBoard Director
John LangerBoard Director
Laurie BoreBoomBoard Director
Melissa ValburgBoard Director
Steve HydeBoard Director
Dawn TasslerBoard Secretary
Rod DomkeBoard Treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$2,709,214
Program Service Revenue
$62,300,192
Investment Income
$842,561
Other Revenue
$846
All Other Contributions
$9,600
Change in Net Assets
$776,352

Audited Revenue Reconciliation

Revenue per Audited Statements
$65,852,813
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$1,466,685
Other Revenue Adjustments
$0
Total Revenue per Audited Statements
$67,319,498
Total Revenue per Form 990
$65,852,813
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$61,761,190
Salaries, Compensation, and Employee Benefits$3,315,271
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$53,809,803$608,649-$54,418,452
Office Expenses$6,602,423$646,351-$7,248,774
Current Officers, Directors, Trustees, and Key Employees$990,873$1,604,304-$2,595,177
Other Employee Benefits$303,247$416,847-$720,094
Depreciation Depletion$19,862$33,011-$52,873
Occupancy$27,813$13,278-$41,091
Total Functional Expenses$61,754,021$3,322,440$0$65,076,461

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$65,076,461
Total Expenses per Audited Statements$65,076,461
Total Expenses per Form 990$65,076,461
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Other Expense Adjustments$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

“The 990 is prepared by an independent CPA firm, reviewed by senior management. The return is made available to board members, if possible, prior to filing.”

Form 990, Part VI, Section B, Line 12C

“Monitoring compliance with conflict of interest policy- a conflict of interest policy has been adopted by the board of directors and is presented to members of the board of directors to be signed. It is required that each member read the conflict of interest policy and disclose transactions or affiliations of interests of which the member or their immediate family has taken part. The transactions are defined in the policy as interests, investments, outside activities, gifts, gratuities and entertainment, and other conflicts the member then signs the policy, certifying their review and understanding and declaring the information reported is accurate.”

Form 990, Part VI, Section B, Line 15

“Review of CEO compensation- the compensation of the CEO and other officers is performed by the board using comparability data and is substantiated by the approved board minutes annual reviews are conducted for the CEO, James Hardwick, annually, each fall.”

Form 990, Part VI, Section C, Line 19

“Available upon request.”

Filing and Contact Details

Filer

Filer Name
Rural Health Care Inc
EIN
46-0396683
Phone
6052232200
Address
202 Island Drive Suite 1, Fort Pierre, SD 57532

Signing Officer

Name
James Hardwick
Title
CEO
Phone
6052232200
Signed
2025-07-31
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Rural Health Care
Formed
1987
Legal Domicile
Sd
Voting Board Members
11
Independent Board Members
11
Employees
29
Volunteers
0

Preparer

Firm
Chw Llp
Address
7797 N First Street Suite 15, Fresno, CA 93720
Preparer
Jeremy Ware
Phone
5595495400
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Professional and Purchased Services”

Financial Statement Notes

Schedule D, Part X, Line 2

“The Organization is exempt from Federal Taxes under Section 501(c)(3) of the Internal Revenue Code as amended. Accordingly, no provision for Federal and Franchise taxes has been recognized in the financial statements. The Organization has adopted the accounting guidance related to uncertain tax positions and has evaluated its tax positions and believes that all of the positions taken by the Organization in its federal and state exempt organization tax returns are more likely than not to be sustained upon examination. The Organization's returns are subject to examination by federal and state taxing authorities generally for three years after they are filed.”

Raw XML AppendixShowing 400 of 584 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/PersonNm1April Crago
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IRS990/Form990PartVIISectionAGrp/PersonNm6Katie Urban
IRS990/Form990PartVIISectionAGrp/PersonNm7Melissa Valburg
IRS990/Form990PartVIISectionAGrp/PersonNm8Donna Leslie
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IRS990/Form990PartVIISectionAGrp/PersonNm10Jessica Carr
IRS990/Form990PartVIISectionAGrp/PersonNm11Tonya Badger
IRS990/Form990PartVIISectionAGrp/PersonNm12Mike Sprenger
IRS990/Form990PartVIISectionAGrp/PersonNm13Rod Domke
IRS990/Form990PartVIISectionAGrp/PersonNm14Dawn Tassler
IRS990/Form990PartVIISectionAGrp/PersonNm15Steve Hyde
IRS990/Form990PartVIISectionAGrp/PersonNm16John Langer
IRS990/Form990PartVIISectionAGrp/PersonNm17Caleb Kemink
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IRS990/Form990PartVIISectionAGrp/TitleTxt2CFO
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IRS990/Form990PartVIISectionAGrp/TitleTxt8Board Director
IRS990/Form990PartVIISectionAGrp/TitleTxt9Board Director
IRS990/Form990PartVIISectionAGrp/TitleTxt10Board Director
IRS990/Form990PartVIISectionAGrp/TitleTxt11Board President
IRS990/Form990PartVIISectionAGrp/TitleTxt12Board Vice President
IRS990/Form990PartVIISectionAGrp/TitleTxt13Board Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt14Board Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt15Board Director
IRS990/Form990PartVIISectionAGrp/TitleTxt16Board Director
IRS990/Form990PartVIISectionAGrp/TitleTxt17Board Director
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IRS990/MissionDesc0Rural 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 over 76,478 patients for a total of 217,661 visits
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