Civic Intelligence

Rural Health Services Consortium Inc

EIN 62-1240690 • 501(c)3 • Rogersville, TN

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Profile

The organization provides health care to individuals regardless of their ability to pay. This is a direct fulfillment of their tax exempt purpose.

PO Box 850Rogersville, TN 37857

n/A

Siviq Scores

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

Liabilities / Assets

27th percentile

0.07x

Higher debt load relative to assets than 27% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Liabilities / Revenue

25th percentile

0.13x

Higher debt load relative to revenue than 25% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Net Margin

59th percentile

7.9%

Higher net margin than 59% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Top Officer Pay

48th percentile

$346,441

Higher top officer pay than 48% of similar nonprofits.

Top officer pay equals 0.9% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Asset Growth

49th percentile

5.6%

Faster asset growth than 49% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2024 to 2025

Revenue Growth

38th percentile

4.0%

Faster revenue growth than 38% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2024 to 2025

Balance Sheet
Liabilities / Assets27th percentile

Assets

Up

$75,955,351

Up $4,027,183 (+5.6%) from 2024

Liabilities

Up

$5,155,672

Up $550,824 (+12%) from 2024

Net Assets

Up

$70,799,679

Up $3,476,359 (+5.2%) from 2024

Operations
Liabilities / Revenue25th percentileNet Margin59th percentile

Revenue

Up

$40,215,884

Up $1,543,703 (+4.0%) from 2024

Expenses

Up

$37,052,195

Up $710,414 (+2.0%) from 2024

Net Income

Up

$3,163,689

Up $833,289 (+36%) from 2024

Trend Graphs

Balance Sheet Trend

Asset Growth49th percentile

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

$80M$60M$40M$20M$0Assets 2011: $13,144,366Liabilities 2011: $2,969,556Net Assets 2011: $10,174,8102011Assets 2012: $14,156,798Liabilities 2012: $2,931,454Net Assets 2012: $11,225,3442012Assets 2013: $18,974,056Liabilities 2013: $3,249,950Net Assets 2013: $15,724,1062013Assets 2014: $25,438,718Liabilities 2014: $2,285,522Net Assets 2014: $23,153,1962014Assets 2015: $26,213,726Liabilities 2015: $1,579,326Net Assets 2015: $24,634,4002015Assets 2016: $29,175,532Liabilities 2016: $1,088,755Net Assets 2016: $28,086,7772016Assets 2017: $33,276,522Liabilities 2017: $2,231,714Net Assets 2017: $31,044,8082017Assets 2018: $37,231,312Liabilities 2018: $3,084,278Net Assets 2018: $34,147,0342018Assets 2019: $40,990,501Liabilities 2019: $3,849,181Net Assets 2019: $37,141,3202019Assets 2020: $44,899,822Liabilities 2020: $3,605,013Net Assets 2020: $41,294,8092020Assets 2021: $56,293,856Liabilities 2021: $7,284,233Net Assets 2021: $49,009,6232021Assets 2022: $62,835,076Liabilities 2022: $4,051,825Net Assets 2022: $58,783,2512022Assets 2023: $67,812,356Liabilities 2023: $4,161,397Net Assets 2023: $63,650,9592023Assets 2024: $71,928,168Liabilities 2024: $4,604,848Net Assets 2024: $67,323,3202024Assets 2025: $75,955,351Liabilities 2025: $5,155,672Net Assets 2025: $70,799,6792025

Highlighted filing

2025

Assets$75,955,351
Liabilities$5,155,672
Net Assets$70,799,679
Open 2025 Filing

Operations Trend

Revenue Growth38th percentile

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

$60M$40M$20M$0Expenses 2011: $15,179,8482011Expenses 2012: $16,817,0972012Expenses 2013: $15,761,1602013Revenue 2014: $23,651,537Expenses 2014: $16,222,447Net Income 2014: $7,429,0902014Revenue 2015: $18,965,867Expenses 2015: $17,484,662Net Income 2015: $1,481,2052015Revenue 2016: $21,655,815Expenses 2016: $18,330,159Net Income 2016: $3,325,6562016Revenue 2017: $22,210,219Expenses 2017: $19,252,188Net Income 2017: $2,958,0312017Revenue 2018: $22,949,850Expenses 2018: $19,847,624Net Income 2018: $3,102,2262018Revenue 2019: $25,001,725Expenses 2019: $22,007,439Net Income 2019: $2,994,2862019Revenue 2020: $30,340,661Expenses 2020: $26,187,172Net Income 2020: $4,153,4892020Revenue 2021: $35,040,806Expenses 2021: $29,280,038Net Income 2021: $5,760,7682021Revenue 2022: $42,021,848Expenses 2022: $31,214,032Net Income 2022: $10,807,8162022Revenue 2023: $39,469,577Expenses 2023: $33,100,357Net Income 2023: $6,369,2202023Revenue 2024: $38,672,181Expenses 2024: $36,341,781Net Income 2024: $2,330,4002024Revenue 2025: $40,215,884Expenses 2025: $37,052,195Net Income 2025: $3,163,6892025

Highlighted filing

2025

Revenue$40,215,884
Expenses$37,052,195
Net Income$3,163,689
Open 2025 Filing

Filings

Most recent year

2025 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$75,955,351
Liabilities
$5,155,672
Net assets
$70,799,679
Revenue
$40,215,884
Expenses
$37,052,195
Net income
$3,163,689
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Facts available. Structured filing facts are available, but richer extracted sections are limited.$76.0$5.16$70.8$40.2$37.1$3.16
2024Detailed filing. Detailed filing data is available for this year.$71.9$4.60$67.3$38.7$36.3$2.33
2023Detailed filing. Detailed filing data is available for this year.$67.8$4.16$63.7$39.5$33.1$6.37
2022Detailed filing. Detailed filing data is available for this year.$62.8$4.05$58.8$42.0$31.2$10.8
2021Detailed filing. Detailed filing data is available for this year.$56.3$7.28$49.0$35.0$29.3$5.76
2020Detailed filing. Detailed filing data is available for this year.$44.9$3.61$41.3$30.3$26.2$4.15
2019Detailed filing. Detailed filing data is available for this year.$41.0$3.85$37.1$25.0$22.0$2.99
2018Detailed filing. Detailed filing data is available for this year.$37.2$3.08$34.1$22.9$19.8$3.10
2017Detailed filing. Detailed filing data is available for this year.$33.3$2.23$31.0$22.2$19.3$2.96
2016Detailed filing. Detailed filing data is available for this year.$29.2$1.09$28.1$21.7$18.3$3.33
2015Detailed filing. Detailed filing data is available for this year.$26.2$1.58$24.6$19.0$17.5$1.48
2014Detailed filing. Detailed filing data is available for this year.$25.4$2.29$23.2$23.7$16.2$7.43
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$19.0$3.25$15.7$15.8
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$14.2$2.93$11.2$16.8
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$13.1$2.97$10.2$15.2
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Apr 1, 2024 to Mar 31, 2025
Signed
Sep 2, 2025
Return Version
2024v5.2
Gross Receipts
$40,510,384
Mission and Program Overview

Mission

The organization provides health care to individuals regardless of their ability to pay. This is a direct fulfillment of their tax exempt purpose.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$28,115,996$30,370,258▲ $2,254,262
Land, Buildings, and Equipment, Net$19,009,523$19,805,873▲ $796,350
Investments in Publicly Traded Securities$18,201,750$19,096,628▲ $894,878
Accounts Receivable$3,127,057$2,934,902▼ $192,155
Inventories for Sale or Use$710,524$738,156▲ $27,632
Cash and Non-Interest-Bearing Accounts$411,965$332,338▼ $79,627
Prepaid Expenses and Deferred Charges$24,015$139,206▲ $115,191
Pledges and Grants Receivable$89,629$98,632▲ $9,003
Total Assets$71,928,168$75,955,351▲ $4,027,183
Other Assets Total$2,237,709$2,439,358▲ $201,649
Liabilities
Other Liabilities$2,237,709$2,439,358▲ $201,649
Accounts Payable and Accrued Expenses$1,818,185$2,177,924▲ $359,739
Mortgage Notes Payable Secured by Investment Property$548,954$538,390▼ $10,564
Total Liabilities$4,604,848$5,155,672▲ $550,824
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$67,323,320$70,799,679▲ $3,476,359
Total Net Assets Fund Balance$67,323,320$70,799,679▲ $3,476,359
Total Liabilities and Net Assets / Fund Balance$71,928,168$75,955,351▲ $4,027,183

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$14,925,212$8,098,215-
Other Land Buildings$147,473--
Land$3,118,848--
Equipment$1,614,340$6,497,042-
Compensation and Service Providers
Top Officer Pay48th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Linda BuckChief Executive OffierFT$308,236$38,205$346,441
Linda Buck--$308,236$38,205$346,441
Jose VelascoPhysicianFT$257,431$58,282$315,713
Jose Velasco--$257,431$58,282$315,713
Mark Dalle-avePhysicianFT$271,091$38,025$309,116
Mark Dalle-ave--$271,091$38,025$309,116
Wes HansonChief Medical OfficerFT$258,964$33,504$292,468
Wes Hanson--$258,964$33,504$292,468
Amylyn CrawfordPhysicianFT$222,131$37,674$259,805
Amylyn Crawford--$222,131$37,674$259,805
Rachel MetzgarPhysicianFT$192,593$49,031$241,624
Rachel Metzgar--$192,593$49,031$241,624
Warren KirkpatrickPharmacistFT$152,464$44,571$197,035
Warren Kirkpatrick--$152,464$44,571$197,035
Bruce IngleChief Financial OfficerFT$80,653$22,938$103,591

Board Members and Trustees

NameTitle
Amelia BaileyBoard Member
Betty Jo GreeneBoard Member
Charles H HeckBoard Member
Charles HuffmanBoard Member
Cloyce EllerBoard Member
Geren StreetBoard Member
J Paul FryeBoard Member
Jacqueline CharlesBoard Member
Lorena ReynosoBoard Member
Minnie MillerBoard Member
Terry CunninghamBoard Member
Timothy SmithsonBoard Member

Highest Paid Contractors

ContractorServicesLocationCompensation
Goins Rash Cain INCConstruction Services130 REGIONAL PARK DR, Kingsport, TN 37660$1,689,610
Nextgen Healthcare INCContract Ehr Services18111 VON KARMAN AVENUE SUITE 700, Irvine, CA 92612$323,547
Timedoc HealthContract Care Management Services222 W MERCHANDISE MART PLAZA SUITE, Chicago, IL 60654$263,848
Delta Dental Of TennesseeDental Services130 1600 WEST END AVENUE SUITE 1700, Nashville, TN 37203$110,234
Revenue and Support

Revenue Composition

Contributions and Grants
$6,057,755
Program Service Revenue
$32,223,510
Investment Income
$1,934,619
Other Revenue
$0
All Other Contributions
$310,264
Change in Net Assets
$3,163,689

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Drugs and Medical Supplies20,684$310,264Fair Market Value (FMV)
Total Noncash Contributions20,684$310,264-

Audited Revenue Reconciliation

Revenue per Audited Statements
$40,062,574
Revenue Not Reported on Financial Statements
$153,310
Revenue Not Reported on Form 990
$465,980
Total Revenue per Audited Statements
$40,528,554
Total Revenue per Form 990
$40,215,884
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$20,938,843
Other Expenses$16,113,352
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$13,965,884$2,171,585$0$16,137,469
Other Employee Benefits$2,021,841$314,380$0$2,336,221
Payroll Taxes$1,002,571$155,892$0$1,158,463
Office Expenses$623,406$528,730$0$1,152,136
Depreciation Depletion$960,275$169,460$0$1,129,735
Fees for Services Other$426,994$435,537$0$862,531
Current Officers, Directors, Trustees, and Key Employees$584,537$90,891$0$675,428
Pension Plan Contributions$546,314$84,948$0$631,262
Occupancy$502,664$88,706$0$591,370
Information Technology$30,050$487,341$0$517,391
Other Expenses$293,395$0$0$293,395
Travel$170,012$84,507$0$254,519
Insurance$98,906$17,454$0$116,360
Fees for Services Accounting$0$64,398$0$64,398
Fees for Services Legal$0$9,823$0$9,823
Total Functional Expenses$32,325,917$4,726,278$0$37,052,195

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$37,052,195
Total Expenses per Audited Statements$37,052,195
Total Expenses per Form 990$37,052,195
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
Deferred Compensation Plan$2,439,358
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
Filing and Contact Details

Filer

Filer Name
Rural Health Services Consortium Inc
EIN
62-1240690
Phone
4232729163
Address
PO BOX 850, ROGERSVILLE, TN 37857

Signing Officer

Name
Linda Buck
Title
Chief Executive Officer
Phone
4232729163
Signed
2025-09-02
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Linda Buck
Formed
1985
Legal Domicile
Tn
Voting Board Members
12
Independent Board Members
12
Employees
312
Volunteers
0

Preparer

Firm
Terry Horne CPA Inc
Address
732 West Main Street, Lebanon, TN 37087
Preparer
Terry Horne CPA
Phone
6154447293
Supplemental Narrative

Additional Explanations

Pt VI, Line 19

“The organization makes its governing documents, conflict of interest”

Pt VI, Line 19

“Policy and form 990 available upon written request.”

Pt XII, Line 2C

“The ceo, cfo and finance committee oversee financial statement preparation”

Pt XII, Line 2C

“AND AUDIT ENGAGEMENT.”

Pt VI, Line 12C

“The board reviews and each member reads policy and signs disclosure.”

Pt VI, Line 15A

“State and national salary comparisons are used to establish salary limits”

Pt VI, Line 15B

“For top management officials. Performance evaluations are performed annually”

Pt VI, Line 15B

“And salary increases are board approved.”

Pt VI, Line 11B

“The ceo, cfo and finance committee oversee financial statement preparation”

Pt VI, Line 11B

“AND AUDIT ENGAGEMENT.”

Raw XML AppendixShowing 400 of 715 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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