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Rural Health CARE

Also known as Aza Health

Palatka, FL · EIN 59-1792958 · 501(c)(3) · Hospital or medical research organization
Latest filing: Form 990 for the fiscal year ending November 30, 2025 (tax year 2024) · View the filing · Correct or respond

Rural Health CARE reported $33.8 million in revenue and $35.4 million in expenses for the fiscal year ending November 30, 2025. Of every $100 it spent, $88.14 went to program services, $11.86 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: 78.3% of the total. Government grants made up 21.6%. The highest compensation it reported for one person was $348,092 (PROVIDER). 52 people received more than $100,000 in reportable compensation. Revenue rose 15% between FY2020 and FY2025. Source: Form 990, FY2025.

Where $100 of spending went

The fiscal year ending November 30, 2025 · Form 990, Part IX, line 25 · total expenses $35M

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 November 30, 2025 · Form 990, Part VIII · total revenue $34M

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)
88.1%85.6%
Management & general
Part IX 25(C) ÷ 25(A)
11.9%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
21.6%1.3%
Government grants share of revenue
Part VIII 1e ÷ 12
21.6%0.1%
Program service revenue share
Part VIII 2g ÷ 12
78.3%93.7%
Highest reported compensation
Part VII-A, columns D–F
$348,092$975,831
Highest compensation as share of expenses
Part VII-A ÷ Part IX 25(A)
0.98%1.34%
People paid over $100,000
Part VII, line 2
5227
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
$31M expenses · 100.0% of program spending · revenue $27M

During the 2024-2025 fiscal year, rhci served 37,074 individual patients, providing 90,559 medical encounters, 18,012 dental encounters and 7,527 mental health encounters. In addition, 363 enabling visits were provided to our patients for health education and medical referrals. Our pharmacies delivered 158,860 prescriptions to rhci patients. $2,160,393 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 79% of the patients served had incomes at or below 200% of…

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
PROVIDER
Highest compensated employee, 40.00 hrs/week
$314,093$0$33,999$348,092
PROVIDER
Highest compensated employee, 40.00 hrs/week
$282,216$0$34,527$316,743
PROVIDER
Highest compensated employee, 40.00 hrs/week
$275,429$0$26,879$302,308
PROVIDER
Highest compensated employee, 36.00 hrs/week
$263,221$0$22,484$285,705
PROVIDER
Highest compensated employee, 40.00 hrs/week
$239,173$0$31,598$270,771
CEO
Officer, 40.00 hrs/week
$244,673$0$25,272$269,945
CDO
Key employee, 40.00 hrs/week
$244,118$0$23,377$267,495
CMO
Key employee, 32.00 hrs/week
$201,629$0$21,563$223,192

52 people received more than $100,000 in reportable compensation from Rural Health CARE (Part VII, line 2). Compensation of current officers, directors and key employees totaled $1.6M (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$40MFY2020FY2021FY2022FY2023FY2024FY2025$34M$35M
FilingRevenueExpensesProgramsNet assetsTop pay
FY2025 ⓘ$34M$35M88.1%$11M$348,092
FY2024 ⓘ$32M$35M87.3%$12M$334,184
FY2023 ⓘ$35M$35M87.0%$16M$308,591
FY2022 ⓘ$35M$33M84.8%$16M$290,719
FY2021 ⓘ$36M$32M85.9%$14M$261,916
FY2020 ⓘ$29M$30M87.6%$11M$278,575

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 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 5358
  • Volunteers Part I, line 611

Largest outside contractors

FY2025 · Form 990, Part VII, Section B · businesses only
ACF STANDBY SYSTEMS LLC
Generator installation/maintenance
$454,422
TOVARS LAWN & LANDSCAPING
Lawncare and landscaping
$128,692
DAVIE ROAD DOWNTOWN LLC
Rent for palm coast location
$127,953
HALIFAX HEALTH MEDICAL CENTER
Rent for daytona beach location
$112,204

Individuals listed as contractors are left out. 5 contractors were paid more than $100,000 in all.

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

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Questions people ask

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

In the fiscal year ending November 30, 2025, Rural Health CARE reported that 88.1% of its $35.4 million in expenses went to program services, 11.9% 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 November 30, 2025 was $348,092, for the role of PROVIDER (Form 990, Part VII, including compensation from related organizations and other compensation).

Where does Rural Health CARE get its money?

Of $33.8 million in revenue in the fiscal year ending November 30, 2025, 21.6% came from contributions and grants (including 21.6% from government grants) and 78.3% from program service revenue (Form 990, Part VIII).

Is Rural Health CARE a registered charity?

The IRS lists EIN 59-1792958 as a 501(c)(3) organization (hospital or medical research organization), 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 November 30, 2025, object 202602109349301300 · read the filing
  • FY2024: Form 990 for the fiscal year ending November 30, 2024, object 202511829349300111 · read the filing
  • FY2023: Form 990 for the fiscal year ending November 30, 2023, object 202432539349300108 · read the filing
  • FY2022: Form 990 for the fiscal year ending November 30, 2022, object 202332709349300703 · read the filing
  • FY2021: Form 990 for the fiscal year ending November 30, 2021, object 202222599349300722 · read the filing
  • FY2020: Form 990 for the fiscal year ending November 30, 2020, object 202132399349301553 · read the filing

All filings for EIN 59-1792958: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.