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National Rural Health Association

Kansas City, MO · EIN 01-0363873 · 501(c)(3) · Publicly supported organization (170(b)(1)(A)(vi))
Latest filing: Form 990 for calendar year 2025 (tax year 2025) · View the filing · Correct or respond

National Rural Health Association reported $10.2 million in revenue and $10.0 million in expenses for calendar year 2025. Of every $100 it spent, $89.58 went to program services, $9.37 to management and general costs and $1.05 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 83.9% of the total. The highest compensation it reported for one person was $541,969 (CEO). 6 people received more than $100,000 in reportable compensation. Revenue rose 80% between 2019 and 2025. Source: Form 990, 2025.

Where $100 of spending went

Calendar year 2025 · Form 990, Part IX, line 25 · total expenses $10.0M

For context, the median across 2,451 covered unclassified charities: $88.23 programs, $11.72 management, $0.05 fundraising (medians computed separately, so they may not sum to $100).

Where $100 of revenue came from

Calendar year 2025 · Form 990, Part VIII · total revenue $10M

The 990 scorecard · same measures for every charity, no grades

2025 filing. Median across 2,451 covered charities in this category, from their latest filings.
Measure2025Median
Program services
Part IX 25(B) ÷ 25(A)
89.6%86.7%
Management & general
Part IX 25(C) ÷ 25(A)
9.4%11.5%
Fundraising
Part IX 25(D) ÷ 25(A)
1.1%0.0%
Fundraising cost per $1 of contributions
Part IX 25(D) ÷ Part VIII 1h
$0.08$0.01
Contributions & grants share of revenue
Part VIII 1h ÷ 12
13.3%29.5%
Government grants share of revenue
Part VIII 1e ÷ 12
0.0%3.5%
Program service revenue share
Part VIII 2g ÷ 12
83.9%58.8%
Highest reported compensation
Part VII-A, columns D–F
$541,969$302,069
Highest compensation as share of expenses
Part VII-A ÷ Part IX 25(A)
5.44%1.38%
People paid over $100,000
Part VII, line 2
66
Net assets, in months of expenses
Part X 33(B) ÷ monthly expenses
16.76.8
Independent voting board members
Part VI 1a–1b
17 of 17100.0%

A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.

What the money paid for, in its own words

2025 · Form 990, Part III · the three largest programs by expense
$5.6M expenses · 62.9% of program spending · revenue $5.2M

Nrha is a national nonprofit membership organization that brings together thousands of members across the US to tackle the vastly different obstacles faced by patients and health care providers in rural areas. Nrha members participate in in-depth analysis, assistance, discussion, advocacy, programming, and policy production with stakeholders across the country. They participate in national conferences and symposiums, engage in education and assistance, and seek to improve access to healthcare in their rural communities. Nrha works to improve access to care for those living in rural…

$3.3M expenses · 37.1% of program spending · grants $3.3M · revenue $3.3M

State Rural Health associations (srhas) are nonprofit, grassroots organizations that are made up of the rural providers and other Rural Health leaders who work in each community and/or individual state. The National Rural Health Association began providing direct technical assistance to the srhas through this cooperative agreement with the federal office of Rural Health policy in the 1990s with 19 srhas. Over the last 30 years, nrha has supported in the development of an additional 25 srhas. National Rural Health Association, with support from the federal office of Rural Health policy…

Highest reported compensation

2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here
RoleFrom this orgFrom related orgsOtherTotal
CEO
Officer, 40.00 hrs/week
$496,471$0$45,498$541,969
CFO
Officer, 40.00 hrs/week
$250,200$0$34,902$285,102
COO
Officer, 40.00 hrs/week
$250,194$0$23,777$273,971
CHIEF STRATE
Officer, 40.00 hrs/week
$251,494$0$21,216$272,710
CHIEF POLICY
Officer, 40.00 hrs/week
$251,494$0$13,568$265,062
DEVELOPMENT
Highest compensated employee, 40.00 hrs/week
$131,299$0$26,752$158,051

6 people received more than $100,000 in reportable compensation from National Rural Health Association (Part VII, line 2). Compensation of current officers, directors and key employees totaled $1.6M (Part IX, line 5).

7 years of filings

Form 990, Parts I, VII, IX and X · each row is that year's own filing, linked
RevenueExpenses
$0$5.0M$10M$15M$20M2019202020212022202320242025$10M$10.0M
FilingRevenueExpensesProgramsNet assetsTop pay
2025 ⓘ$10M$10.0M89.6%$14M$541,969
2024 ⓘ$9.9M$9.0M86.2%$12M$508,067
2023 ⓘ$7.9M$7.6M88.0%$10M$482,829
2022 ⓘ$15M$6.7M88.2%$9.0M$425,863
2021 ⓘ$5.2M$4.7M84.4%$1.4M$376,257
2020 ⓘ$4.6M$4.0M79.4%$893K$343,818
2019 ⓘ$5.7M$5.8M86.2%$276K$319,512

Governance answers, as filed

2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means
  • Voting board members, and how many are independent Part VI, lines 1a–1b17 · 17 independent
  • Audited financial statements Part XII 2bYes
  • Conflict-of-interest policy Part VI 12aYes
  • Whistleblower policy Part VI 13Yes
  • Document retention policy Part VI 14Yes
  • Independent process for top executive pay Part VI 15aYes
  • Board given the 990 before filing Part VI 11aNo
  • Family or business ties among insiders Part VI 2No
  • Aware of a significant diversion of assets Part VI 5No
  • Excess benefit transaction with an insider Part IV 25aNo
  • Loans to or from insiders outstanding Part IV 26No
  • Lobbying, or a 501(h) election in effect Part IV 4Yes
  • Over $15,000 of professional fundraising services Part IV 18No
  • Over $10,000 of activity outside the U.S. Part IV 14bNo
  • Employees Part I, line 527
  • Volunteers Part I, line 6300

Private foundation grants it received

3 private foundations reported grants to National Rural Health Association totaling $10,891 on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.

Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.

Correct a figure or respond

Every number above is copied from National Rural Health Association's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for National Rural Health Association, you can publish a response that is linked from this page.

Similar-sized charities in this cause

All unclassified charities · Largest charities in Missouri

Questions people ask

How much of National Rural Health Association's spending goes to programs?

In calendar year 2025, National Rural Health Association reported that 89.6% of its $10.0 million in expenses went to program services, 9.4% to management and general and 1.1% to fundraising (Form 990, Part IX).

How much does National Rural Health Association pay its top executive?

The largest total compensation National Rural Health Association reported for one person in calendar year 2025 was $541,969, for the role of CEO (Form 990, Part VII, including compensation from related organizations and other compensation).

Where does National Rural Health Association get its money?

Of $10.2 million in revenue in calendar year 2025, 13.3% came from contributions and grants and 83.9% from program service revenue (Form 990, Part VIII).

Is National Rural Health Association a registered charity?

The IRS lists EIN 01-0363873 as a 501(c)(3) organization (publicly supported organization (170(b)(1)(a)(vi))), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024, 2025. A filing shows what the organization reported; it doesn't by itself show whether a program works.

Sources

  • 2025: Form 990 for calendar year 2025, object 202642239349302319 · read the filing · XML
  • 2024: Form 990 for calendar year 2024, object 202521679349301227 · read the filing
  • 2023: Form 990 for calendar year 2023, object 202421739349300817 · read the filing
  • 2022: Form 990 for calendar year 2022, object 202302349349301520 · read the filing
  • 2021: Form 990 for calendar year 2021, object 202241939349300739 · read the filing
  • 2020: Form 990 for calendar year 2020, object 202122869349302122 · read the filing
  • 2019: Form 990 for calendar year 2019, object 202022419349300812 · read the filing

All filings for EIN 01-0363873: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.