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South Central Missouri Community Health Center

Also known as Four Rivers Community Health Center

Rolla, MO · EIN 26-2522083 · 501(c)(3) · Publicly supported organization (170(b)(1)(A)(vi))
Latest filing: Form 990 for calendar year 2024 (tax year 2024) · View the filing · Correct or respond

South Central Missouri Community Health Center reported $35.9 million in revenue and $33.4 million in expenses for calendar year 2024. Of every $100 it spent, $80.86 went to program services, $19.14 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 85.0% of the total. Government grants made up 9.5%. The highest compensation it reported for one person was $1,717,106 (ORAL SURGEON). 30 people received more than $100,000 in reportable compensation. Revenue rose 482% between 2019 and 2024. Source: Form 990, 2024.

Where $100 of spending went

Calendar year 2024 · Form 990, Part IX, line 25 · total expenses $33M

For context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).

Where $100 of revenue came from

Calendar year 2024 · Form 990, Part VIII · total revenue $36M

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

2024 filing. Median across 5,634 covered charities in this category, from their latest filings.
Measure2024Median
Program services
Part IX 25(B) ÷ 25(A)
80.9%85.6%
Management & general
Part IX 25(C) ÷ 25(A)
19.1%13.7%
Fundraising
Part IX 25(D) ÷ 25(A)
0.0%0.0%
Fundraising cost per $1 of contributions
Part IX 25(D) ÷ Part VIII 1h
$0.00$0.00
Contributions & grants share of revenue
Part VIII 1h ÷ 12
13.8%1.3%
Government grants share of revenue
Part VIII 1e ÷ 12
9.5%0.1%
Program service revenue share
Part VIII 2g ÷ 12
85.0%93.7%
Highest reported compensation
Part VII-A, columns D–F
$1,717,106$975,831
Highest compensation as share of expenses
Part VII-A ÷ Part IX 25(A)
5.14%1.34%
People paid over $100,000
Part VII, line 2
3027
Net assets, in months of expenses
Part X 33(B) ÷ monthly expenses
6.76.6
Independent voting board members
Part VI 1a–1b
11 of 1188.9%

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

2024 · Form 990, Part III · the three largest programs by expense
$16M expenses · 59.0% of program spending · revenue $18M

Dental: in 2024, frchc provided dental services on the smile mobile (mobile dental unit) as well as from our various dental clinics. Serving 15,730 unique patients (up ~798 from 2023), with a total attended patient appointments of 35,112. 10.44 fte dentists were serving our patients (1 on smile mobile + 9.44 in clinic) and 4.29 fte dental hygienists. There were no virtual visits were performed by our dentist in 2024

$11M expenses · 39.8% of program spending · revenue $12M

Clinic: in 2024, four rivers Community Health Center served 9,750 unique primary care patients with 30,163 attended appointments in the clinic. Frchc utilized 5.67 fte family nurse practitioners, 5.05 fte family medicine doctors, 1 fte physician assistant, 1.48 fte clinical pharmacist, 1.79 fte licensed clinical social worker, and 2.90 fte community outreach specialists to provide 504 patients with sud services

$323K expenses · 1.2% of program spending · revenue $365K

Behavioral: in 2024, frchc continued use of an integrated healthcare team to provided 321 unique patients with access to behavioral health services. Patients attended a total of 695 appointments

Highest reported compensation

2024 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here
RoleFrom this orgFrom related orgsOtherTotal
ORAL SURGEON
Key employee, 40.0 hrs/week
$1,344,950$0$372,156$1,717,106
DENTIST
Highest compensated employee, 40.0 hrs/week
$308,451$0$61,289$369,740
DENTAL DIRECTOR
Key employee, 40.0 hrs/week
$307,384$0$56,345$363,729
DENTIST
Highest compensated employee, 40.0 hrs/week
$337,535$0$21,585$359,120
MEDICAL DIRECTOR
Key employee, 40.0 hrs/week
$301,500$0$53,016$354,516
CEO
Officer, 40.0 hrs/week
$291,363$0$54,551$345,914
DENTIST
Highest compensated employee, 40.0 hrs/week
$293,542$0$42,660$336,202
DENTIST
Highest compensated employee, 40.0 hrs/week
$198,894$0$53,832$252,726

30 people received more than $100,000 in reportable compensation from South Central Missouri Community Health Center (Part VII, line 2). Compensation of current officers, directors and key employees totaled $3.1M (Part IX, line 5).

6 years of filings

Form 990, Parts I, VII, IX and X · each row is that year's own filing, linked
RevenueExpenses
$0$10M$20M$30M$40M201920202021202220232024$36M$33M
FilingRevenueExpensesProgramsNet assetsTop pay
2024 ⓘ$36M$33M80.9%$19M$1,717,106
2023 ⓘ$30M$26M83.3%$16M$861,579
2022 ⓘ$24M$18M81.5%$12M$1,026,128
2021 ⓘ$15M$12M81.1%$5.9M$667,179
2020 ⓘ$11M$8.7M77.4%$2.3M$293,882
2019 ⓘ$6.2M$6.6M80.2%$470K$304,596

Governance answers, as filed

2024 · 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–1b11 · 11 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 4No
  • 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 5275
  • Volunteers Part I, line 611

Largest outside contractors

2024 · Form 990, Part VII, Section B · businesses only
RD WILKERSON BMD PC
Dental services
$3,711,881
CAHILL CONSTRUCTION INC
Construction
$1,028,040
PEDIATRIC DENTISRY OF THE OZARKS
Pediatric dentistry
$985,621
BUILDTEC CONSTRUCTION LLC
Construction
$455,564

Individuals listed as contractors are left out. 8 contractors were paid more than $100,000 in all.

Private foundation grants it received

1 private foundation reported grants to South Central Missouri Community Health Center totaling $11 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 South Central Missouri Community Health Center's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for South Central Missouri Community Health Center, you can publish a response that is linked from this page.

Similar-sized charities in this cause

All health care charities · Largest charities in Missouri

Questions people ask

How much of South Central Missouri Community Health Center's spending goes to programs?

In calendar year 2024, South Central Missouri Community Health Center reported that 80.9% of its $33.4 million in expenses went to program services, 19.1% to management and general and 0.0% to fundraising (Form 990, Part IX).

How much does South Central Missouri Community Health Center pay its top executive?

The largest total compensation South Central Missouri Community Health Center reported for one person in calendar year 2024 was $1,717,106, for the role of ORAL SURGEON (Form 990, Part VII, including compensation from related organizations and other compensation).

Where does South Central Missouri Community Health Center get its money?

Of $35.9 million in revenue in calendar year 2024, 13.8% came from contributions and grants (including 9.5% from government grants) and 85.0% from program service revenue (Form 990, Part VIII).

Is South Central Missouri Community Health Center a registered charity?

The IRS lists EIN 26-2522083 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. A filing shows what the organization reported; it doesn't by itself show whether a program works.

Sources

  • 2024: Form 990 for calendar year 2024, object 202513149349305111 · read the filing · XML
  • 2023: Form 990 for calendar year 2023, object 202403199349315840 · read the filing
  • 2022: Form 990 for calendar year 2022, object 202343139349303149 · read the filing
  • 2021: Form 990 for calendar year 2021, object 202243159349306884 · read the filing
  • 2020: Form 990 for calendar year 2020, object 202113199349322961 · read the filing
  • 2019: Form 990 for calendar year 2019, object 202042969349301619 · read the filing

All filings for EIN 26-2522083: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.