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Rural Health CARE

Fort Pierre, SD · EIN 46-0396683 · 501(c)(3) · Publicly supported organization (170(b)(1)(A)(vi))
Latest filing: Form 990 for the fiscal year ending September 30, 2025 (tax year 2024) · View the filing · Correct or respond

Rural Health CARE reported $68.9 million in revenue and $67.4 million in expenses for the fiscal year ending September 30, 2025. Of every $100 it spent, $95.37 went to program services, $4.63 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: 94.1% of the total. The highest compensation it reported for one person was $583,127 (CEO). 11 people received more than $100,000 in reportable compensation. Revenue rose 201% between FY2020 and FY2025. Source: Form 990, FY2025.

Where $100 of spending went

The fiscal year ending September 30, 2025 · Form 990, Part IX, line 25 · total expenses $67M

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

The fiscal year ending September 30, 2025 · Form 990, Part VIII · total revenue $69M

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

FY2025 filing. Median across 5,634 covered charities in this category, from their latest filings.
MeasureFY2025Median
Program services
Part IX 25(B) ÷ 25(A)
95.4%85.6%
Management & general
Part IX 25(C) ÷ 25(A)
4.6%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
4.4%1.3%
Government grants share of revenue
Part VIII 1e ÷ 12
4.3%0.1%
Program service revenue share
Part VIII 2g ÷ 12
94.1%93.7%
Highest reported compensation
Part VII-A, columns D–F
$583,127$975,831
Highest compensation as share of expenses
Part VII-A ÷ Part IX 25(A)
0.87%1.34%
People paid over $100,000
Part VII, line 2
1127
Net assets, in months of expenses
Part X 33(B) ÷ monthly expenses
3.66.6
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

FY2025 · Form 990, Part III · the three largest programs by expense
$64M expenses · 100.0% of program spending · revenue $65M

Rural 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 82,693 Patients for a total of 231,808 Visits

Highest reported compensation

FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here
RoleFrom this orgFrom related orgsOtherTotal
CEO
Officer, 40 hrs/week
$549,252$0$33,875$583,127
Chief Medical Officer
Highest compensated employee, 40 hrs/week
$396,501$0$37,646$434,147
CFO
Officer, 40 hrs/week
$225,750$0$26,420$252,170
Clinic Manager
Highest compensated employee, 40 hrs/week
$165,986$0$17,429$183,415
Clinic Manager
Highest compensated employee, 40 hrs/week
$130,385$0$34,497$164,882
NP
Highest compensated employee, 40 hrs/week
$123,696$0$32,652$156,348
Controller
Highest compensated employee, 40 hrs/week
$125,556$0$15,527$141,083

11 people received more than $100,000 in reportable compensation from Rural Health CARE (Part VII, line 2).

6 years of filings

Form 990, Parts I, VII, IX and X · each row is that year's own filing, linked
RevenueExpenses
$0$20M$40M$60M$80MFY2020FY2021FY2022FY2023FY2024FY2025$69M$67M
FilingRevenueExpensesProgramsNet assetsTop pay
FY2025 ⓘ$69M$67M95.4%$20M$583,127
FY2024 ⓘ$66M$65M94.9%$19M$546,274
FY2023 ⓘ$63M$60M94.7%$16M$490,578
FY2022 ⓘ$56M$52M93.8%$14M$451,479
FY2021 ⓘ$37M$36M84.3%$12M$422,423
FY2020 ⓘ$23M$19M81.8%$10M$401,656

Governance answers, as filed

FY2025 · 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 11aYes
  • 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 528

Private foundation grants it received

1 private foundation reported grants to Rural Health CARE totaling $26 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 Rural Health CARE's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Rural Health CARE, you can publish a response that is linked from this page.

Similar-sized charities in this cause

All health care charities · Largest charities in South Dakota

Questions people ask

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

In the fiscal year ending September 30, 2025, Rural Health CARE reported that 95.4% of its $67.4 million in expenses went to program services, 4.6% to management and general and 0.0% to fundraising (Form 990, Part IX).

How much does Rural Health CARE pay its top executive?

The largest total compensation Rural Health CARE reported for one person in the fiscal year ending September 30, 2025 was $583,127, for the role of CEO (Form 990, Part VII, including compensation from related organizations and other compensation).

Where does Rural Health CARE get its money?

Of $68.9 million in revenue in the fiscal year ending September 30, 2025, 4.4% came from contributions and grants (including 4.3% from government grants) and 94.1% from program service revenue (Form 990, Part VIII).

Is Rural Health CARE a registered charity?

The IRS lists EIN 46-0396683 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

  • FY2025: Form 990 for the fiscal year ending September 30, 2025, object 202622229349301962 · read the filing
  • FY2024: Form 990 for the fiscal year ending September 30, 2024, object 202532189349301343 · read the filing
  • FY2023: Form 990 for the fiscal year ending September 30, 2023, object 202402129349300715 · read the filing
  • FY2022: Form 990 for the fiscal year ending September 30, 2022, object 202312099349301381 · read the filing
  • FY2021: Form 990 for the fiscal year ending September 30, 2021, object 202242229349300944 · read the filing
  • FY2020: Form 990 for the fiscal year ending September 30, 2020, object 202122259349301802 · read the filing

All filings for EIN 46-0396683: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.