Civic Intelligence

Rural Health Care Inc

EIN 59-1792958 • 501(c)3 • Palatka, FL

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Profile

To provide comprehensive primary health care and preventative health services to underserved communities. To serve individuals regardless of their ability to pay.

146 Comfort RdPalatka, FL 32177-8636

azahealth.org/PALATKA

Siviq Scores

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

Liabilities / Assets

63rd percentile

0.35x

Higher debt load relative to assets than 63% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

42nd percentile

0.21x

Higher debt load relative to revenue than 42% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

16th percentile

-10%

Higher net margin than 16% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

65th percentile

$334,184

Higher top officer pay than 65% of similar nonprofits.

Top officer pay equals 1.0% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Asset Growth

5th percentile

-16%

Faster asset growth than 5% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

20th percentile

-7.0%

Faster revenue growth than 20% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets63rd percentile

Assets

Down

$19,015,490

Down $3,556,661 (-16%) from 2023

Liabilities

Down

$6,641,880

Down $286,785 (-4.1%) from 2023

Net Assets

Down

$12,373,610

Down $3,269,876 (-21%) from 2023

Operations
Liabilities / Revenue42nd percentileNet Margin16th percentile

Revenue

Down

$32,227,164

Down $2,442,088 (-7.0%) from 2023

Expenses

Up

$35,497,040

Up $486,405 (+1.4%) from 2023

Net Income

Down

-$3,269,876

Down $2,928,493 (-858%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth5th percentile

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

$30M$20M$10M$0Assets 2010: $7,370,224Liabilities 2010: $2,240,305Net Assets 2010: $5,129,9192010Assets 2011: $7,761,818Liabilities 2011: $2,033,778Net Assets 2011: $5,728,0402011Assets 2012: $8,380,973Liabilities 2012: $2,549,978Net Assets 2012: $5,830,9952012Assets 2013: $9,270,907Liabilities 2013: $2,522,204Net Assets 2013: $6,748,7032013Assets 2014: $9,842,718Liabilities 2014: $2,537,840Net Assets 2014: $7,304,8782014Assets 2015: $13,231,335Liabilities 2015: $4,235,652Net Assets 2015: $8,995,6832015Assets 2016: $13,386,792Liabilities 2016: $3,731,238Net Assets 2016: $9,655,5542016Assets 2017: $14,739,823Liabilities 2017: $3,930,352Net Assets 2017: $10,809,4712017Assets 2018: $15,657,102Liabilities 2018: $4,181,163Net Assets 2018: $11,475,9392018Assets 2019: $15,807,579Liabilities 2019: $4,341,003Net Assets 2019: $11,466,5762019Assets 2020: $20,504,757Liabilities 2020: $9,615,404Net Assets 2020: $10,889,3532020Assets 2021: $21,088,992Liabilities 2021: $6,692,540Net Assets 2021: $14,396,4522021Assets 2022: $22,422,392Liabilities 2022: $6,437,523Net Assets 2022: $15,984,8692022Assets 2023: $22,572,151Liabilities 2023: $6,928,665Net Assets 2023: $15,643,4862023Assets 2024: $19,015,490Liabilities 2024: $6,641,880Net Assets 2024: $12,373,6102024

Highlighted filing

2024

Assets$19,015,490
Liabilities$6,641,880
Net Assets$12,373,610
Open 2024 Filing

Operations Trend

Revenue Growth20th percentile

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

$40M$30M$20M$10M$0-$10MExpenses 2010: $14,228,7432010Expenses 2011: $14,808,6782011Expenses 2012: $15,847,9862012Revenue 2013: $17,778,896Expenses 2013: $16,861,188Net Income 2013: $917,7082013Revenue 2014: $18,172,804Expenses 2014: $17,616,629Net Income 2014: $556,1752014Revenue 2015: $22,044,949Expenses 2015: $20,354,144Net Income 2015: $1,690,8052015Revenue 2016: $23,763,700Expenses 2016: $23,103,829Net Income 2016: $659,8712016Revenue 2017: $26,236,829Expenses 2017: $25,082,912Net Income 2017: $1,153,9172017Revenue 2018: $29,132,698Expenses 2018: $28,466,230Net Income 2018: $666,4682018Revenue 2019: $29,098,995Expenses 2019: $29,108,358Net Income 2019: -$9,3632019Revenue 2020: $29,477,517Expenses 2020: $30,054,740Net Income 2020: -$577,2232020Revenue 2021: $35,988,483Expenses 2021: $32,481,384Net Income 2021: $3,507,0992021Revenue 2022: $34,718,922Expenses 2022: $33,130,505Net Income 2022: $1,588,4172022Revenue 2023: $34,669,252Expenses 2023: $35,010,635Net Income 2023: -$341,3832023Revenue 2024: $32,227,164Expenses 2024: $35,497,040Net Income 2024: -$3,269,8762024

Highlighted filing

2024

Revenue$32,227,164
Expenses$35,497,040
Net Income-$3,269,876
Open 2024 Filing

Filings

Most recent year

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

Open filing
Assets
$19,015,490
Liabilities
$6,641,880
Net assets
$12,373,610
Revenue
$32,227,164
Expenses
$35,497,040
Net income
-$3,269,876
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$19.0$6.64$12.4$32.2$35.5$3.27
2023Detailed filing. Detailed filing data is available for this year.$22.6$6.93$15.6$34.7$35.0$0.34
2022Detailed filing. Detailed filing data is available for this year.$22.4$6.44$16.0$34.7$33.1$1.59
2021Detailed filing. Detailed filing data is available for this year.$21.1$6.69$14.4$36.0$32.5$3.51
2020Detailed filing. Detailed filing data is available for this year.$20.5$9.62$10.9$29.5$30.1$0.58
2019Detailed filing. Detailed filing data is available for this year.$15.8$4.34$11.5$29.1$29.1$0.01
2018Detailed filing. Detailed filing data is available for this year.$15.7$4.18$11.5$29.1$28.5$0.67
2017Detailed filing. Detailed filing data is available for this year.$14.7$3.93$10.8$26.2$25.1$1.15
2016Detailed filing. Detailed filing data is available for this year.$13.4$3.73$9.66$23.8$23.1$0.66
2015Detailed filing. Detailed filing data is available for this year.$13.2$4.24$9.00$22.0$20.4$1.69
2014Detailed filing. Detailed filing data is available for this year.$9.84$2.54$7.30$18.2$17.6$0.56
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.27$2.52$6.75$17.8$16.9$0.92
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.38$2.55$5.83$15.8
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.76$2.03$5.73$14.8
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.37$2.24$5.13$14.2
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Dec 1, 2023 to Nov 30, 2024
Signed
Jun 30, 2025
Return Version
2023v6.0
Gross Receipts
$32,234,245
Mission and Program Overview

Mission

To provide comprehensive primary health care and preventative health services to underserved communities. To serve individuals regardless of their ability to pay.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$12,424,487$13,969,293▲ $1,544,806
Accounts Receivable$1,183,827$2,486,333▲ $1,302,506
Savings and Temporary Cash Investments$2,339,034$0▼ $2,339,034
Intangible Assets$1,344,449$1,011,113▼ $333,336
Cash and Non-Interest-Bearing Accounts$4,624,706$794,788▼ $3,829,918
Inventories for Sale or Use$316,982$392,665▲ $75,683
Prepaid Expenses and Deferred Charges$260,075$280,919▲ $20,844
Investments Program Related$52,050$52,050→ $0
Total Assets$22,572,151$19,015,490▼ $3,556,661
Other Assets Total$26,541$28,329▲ $1,788
Liabilities
Accounts Payable and Accrued Expenses$2,650,876$2,936,679▲ $285,803
Mortgage Notes Payable Secured by Investment Property$2,567,584$2,377,471▼ $190,113
Other Liabilities$1,710,205$1,327,730▼ $382,475
Total Liabilities$6,928,665$6,641,880▼ $286,785
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$15,643,486$12,373,610▼ $3,269,876
Total Net Assets Fund Balance$15,643,486$12,373,610▼ $3,269,876
Total Liabilities and Net Assets / Fund Balance$22,572,151$19,015,490▼ $3,556,661

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$7,496,931$4,655,612$12,152,543
Equipment$1,174,060$4,502,890$5,676,950
Other Land Buildings$3,702,688-$3,702,688
Leasehold Improvements$738,336$1,176,591$1,914,927
Land$857,278-$857,278
Compensation and Service Providers
Top Officer Pay65th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Hezekiah George OwojuyigbeProviderFT$258,533$75,651$334,184
Ana SeijasProviderFT$237,981$80,657$318,638
Theodosios SoldatosProviderFT$237,069$71,327$308,396
Muhammad UsmaniProviderFT$243,074$59,454$302,528
Laura M SpencerCEOFT$215,601$70,064$285,665
Charles BalbuenaProviderFT$218,035$47,724$265,759
Michael J VernacchioCMOFT$177,827$63,608$241,435
Joseph GiacomoCFOFT$168,492$61,827$230,319
Jeff BowmanCOOFT$168,304$59,973$228,277
Robin SweatChroFT$113,541$62,934$176,475
Larry PedersonCPOPT$132,999$12,908$145,907

Board Members and Trustees

NameTitle
Gilberto Del Castillo-espanaBoard Chair Until 02/26/2024
Sabrina ThomasChair
Lashonda Simmons-watsonVice Chair
Constance SchneiderBoard Member
Elizabeth FisherBoard Member
Lucia Valdivia-sanchezBoard Member
Moses FloydBoard Member
Selena FountainBoard Member as of 11/25/2024
Lillian KempBoard Member Until 09/08/2024
Kathy DeanBoard Secretary
Donovan BardierBoard Treasurer as of 01/01/2024
Bob MorenoBoard Treasurer Until 11/13/2024
Shonda WallerCPO as of 09/23/2024

Highest Paid Contractors

ContractorServicesLocationCompensation
Nextgen Healthcare INCBilling And E.h.r. SystemPO BOX 809390, Chicago, IL 60680$497,655
James Moore & CoIt Management And Auditing Service5931 NW 1ST PLACE, Gainesville, FL 32607$347,675
Tovars Lawn & LandscapingLawncare And LandscapingPO BOX 814, Crescent City, FL 32112$191,510
Davie Road Downtown LLCRent For Palm Coast Location1335 S DAYTONA AVENUE, Flagler Beach, FL 32136$135,062
Halifax Health Medical CenterRent For Daytona Beach Location303 N CLYDE MORRIS BLVD, Daytona Beach, FL 32114$120,004
Revenue and Support

Revenue Composition

Contributions and Grants
$8,323,269
Program Service Revenue
$23,886,698
Investment Income
$7,472
Other Revenue
$9,725
Change in Net Assets
$-3,269,876

Audited Revenue Reconciliation

Revenue per Audited Statements
$32,234,245
Revenue Not Reported on Financial Statements
$-7,081
Revenue Not Reported on Form 990
$-1,356,990
Other Revenue Adjustments
$-7,081
Total Revenue per Audited Statements
$30,877,255
Total Revenue per Form 990
$32,227,164
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$23,289,488
Other Expenses$12,207,552
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$16,337,625$1,501,364-$17,838,989
Other Employee Benefits$2,074,698$308,772-$2,383,470
Current Officers, Directors, Trustees, and Key Employees$365,146$1,008,351-$1,373,497
Payroll Taxes$1,175,003$175,592-$1,350,595
Office Expenses$674,843$495,527-$1,170,370
Depreciation Depletion$802,983$150,666-$953,649
All Other Expenses$860,552$63,757-$924,309
Other Expenses$735,364$157,379-$892,743
Occupancy$874,643$80-$874,723
Pension Plan Contributions$334,999$7,938-$342,937
Insurance$213,802$39,446-$253,248
Travel$166,055$29,046-$195,101
Interest$39,518$100,730-$140,248
Fees for Services Other$82,900$41,860-$124,760
Advertising$66,958$40,253-$107,211
Fees for Services Accounting-$100,000-$100,000
Conferences and Meetings$64,343$20,392-$84,735
Fees for Services Legal-$16,402-$16,402
Total Functional Expenses$31,002,137$4,494,903$0$35,497,040

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$35,497,040
Total Expenses per Audited Statements$34,147,131
Expenses per Audited Statements$34,121,798
Expenses Not Reported on Financial Statements$1,375,242
Other Expense Adjustments$1,375,242
Expenses Not Reported on Form 990$25,333
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Liabilities$1,327,730
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 completed form 990 will be reviewed by the cfo to ensure agreement with the audit report that was previously delivered to the board of governors. The completed form 990 is then presented to the board for questions and approval.”

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

“Rural health care, inc (rhci) has formal conflict of interest policies for the board of governors and employees. These policies require any employee or board member to disclose potential conflicts of interest when they become aware of them. Board members are also required to sign new conflict of interest affidavits each year. As noted above, rhci currently requires the reporting of potential conflicts not the absences of conflicts of interest. Additionally, rhci purchasing policies have clear guidelines (established by the federal government - omb) that delineate when a conflict of interest exist in procurements. With the exception of governmental entities, rhci as a matter of policy does not do business with board members or the companies they work for. The monitoring of these policies falls principally to the board and the cfo.”

Form 990, Part VI, Section B, Line 15

“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.”

Form 990, Part VI, Section C, Line 19

“The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Rural Health Care Inc
EIN
59-1792958
Phone
3863280108
Address
146 COMFORT RD, PALATKA, FL 32177-8636
Doing Business As
Aza Health

Signing Officer

Name
Joseph Giacomo
Title
Chief Financial Officer
Phone
3863280108
Signed
2025-06-30
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Laura M Spencer
Formed
1977
Legal Domicile
Fl
Voting Board Members
9
Independent Board Members
9
Employees
363
Volunteers
12

Preparer

Firm
James Moore & Co Pl
Address
5931 NW 1ST PLACE, GAINESVILLE, FL 32607-2063
Preparer
Corinne Laroche
Phone
3523781331
Supplemental Narrative

Financial Statement Notes

PART X, LINE 2:

“The organization is a tax-exempt organization under section 501(c)(3) of the internal revenue code. Accordingly, income earned in the furtherance of the organization's tax-exempt purpose is exempt from federal income taxes and the financial statements contain no provision or liability for income taxes. The organization files income tax returns in the u.s. Federal jurisdiction. The organization's returns for the past three years are subject to examinations by tax authorities and may change upon examination. The organization has reviewed and evaluated the relevant technical merits of each of its tax positions in accordance with accounting principles generally accepted in the united states of america for accounting for uncertainty in income taxes, and determined that there are no uncertain tax positions that would have a material impact on the financial statements of the organization.”

PART XI, LINE 2D - OTHER ADJUSTMENTS:

“Bad debt provision reported on 990 part ix -1,375,242.”

PART XI, LINE 4B - OTHER ADJUSTMENTS:

“Loss from disposal of fixed assets reported on 990 part viii -7,081.”

PART XII, LINE 2D - OTHER ADJUSTMENTS:

“Loss from disposal of fixed assets reported on 990 part viii 7,081.”

PART XII, LINE 4B - OTHER ADJUSTMENTS:

“Bad debt provision reported on 990 part ix 1,375,242.”

Raw XML AppendixShowing 400 of 770 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/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0TO PROVIDE COMPREHENSIVE PRIMARY HEALTH CARE AND PREVENTATIVE HEALTH SERVICES TO UNDERSERVED COMMUNITIES. TO SERVE INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY.
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IRS990/ContractorCompensationGrp/ServicesDesc3RENT FOR PALM COAST LOCATION
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IRS990/Desc0DURING 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.
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