Nonprofit · EIN 46-0396683
RURAL HEALTH CARE INC
Tax-exempt · FORT PIERRE, SD 57532
Financials
| Year ended | Form | Revenue | Expenses | Net income | Total assets | Liabilities | Net assets |
|---|---|---|---|---|---|---|---|
| September 30, 2025 | 990 | $68,885,546 | $67,380,120 | $1,505,426 | $32,916,299 | $12,934,565 | $19,981,734 |
| September 30, 2024 | 990 | $65,852,813 | $65,076,461 | $776,352 | $29,590,489 | $11,041,807 | $18,548,682 |
| September 30, 2023 | 990 | $62,740,274 | $60,305,452 | $2,434,822 | $26,798,775 | $10,493,130 | $16,305,645 |
Financial details: 990 for the year ended September 30, 2025
Revenue
- Contributions, gifts and grants
- $2,999,117
- of which government grants
- $2,989,517
- Program service revenue
- $64,804,168
- Investment income
- $977,128
- Other revenue
- $105,133
Expenses
- Grants and similar amounts paid
- $0
- Other salaries and wages
- $3,315,792
- Salaries, compensation and benefits (total)
- $4,416,817
- Professional fundraising fees
- $0
- Occupancy
- $40,506
- Depreciation
- $47,737
- Program services (functional)
- $64,261,402
- Management and general (functional)
- $3,118,718
Balance sheet and other
- Total assets, start of year
- $29,590,489
- Total assets, end of year
- $32,916,299
- Total liabilities, end of year
- $12,934,565
- Net assets, end of year
- $19,981,734
- Land, buildings and equipment
- $1,514,497
- Net assets without donor restrictions
- $19,981,734
- Gross receipts
- $68,885,546
- Employees
- 28
- Volunteers
- 0
- Year formed
- 1987
- State of legal domicile
- SD
From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.
Officers, directors and key employees
As listed on the 990 for the year ended September 30, 2025, highest compensation first.
| Name | Title | Hours / week | Compensation | Other / benefits |
|---|---|---|---|---|
| James Hardwick | CEO Officer | 40 | $549,252 | $33,875 |
| April Crago | Chief Medical Officer Highest-paid employee | 40 | $396,501 | $37,646 |
| Seth Hipple | CFO Officer | 40 | $225,750 | $26,420 |
| Mary Fischer | Clinic Manager Highest-paid employee | 40 | $165,986 | $17,429 |
| Jennifer O Connor | Clinic Manager Highest-paid employee | 40 | $130,385 | $34,497 |
| Lori Iversen | NP Highest-paid employee | 40 | $123,696 | $32,652 |
| Mark Edwardson | Controller Highest-paid employee | 40 | $125,556 | $15,527 |
| Melissa Valburg | Board Director Trustee or director | 2 | $0 | $0 |
| Donna Leslie | Board Director Trustee or director | 2 | $0 | $0 |
| Laurie BoreBoom | Board Director Trustee or director | 2 | $0 | $0 |
| Jessica Carr | Board Director Trustee or director | 2 | $0 | $0 |
| Tonya Badger | Board President Highest-paid employee | 2 | $0 | $0 |
| Mike Sprenger | Board Vice President Highest-paid employee | 2 | $0 | $0 |
| Rod Domke | Board Treasurer Highest-paid employee | 2 | $0 | $0 |
| Dawn Tassler | Board Secretary Highest-paid employee | 2 | $0 | $0 |
3 more people on this return
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| Steve Hyde | Board Director Highest-paid employee | 2 | $0 |
| John Langer | Board Director Highest-paid employee | 2 | $0 |
| Caleb Kemink | Board Director Highest-paid employee | 2 | $0 |
990 for the year ended September 30, 2024: 18 people
| Name | Title | Hours / week | Compensation | Other / benefits |
|---|---|---|---|---|
| James Hardwick | CEO Officer | 40 | $513,689 | $32,585 |
| April Crago | Chief Medical Officer Highest-paid employee | 40 | $361,841 | $35,910 |
| Seth Hipple | CFO Officer | 40 | $217,269 | $24,921 |
| Lori Iversen | Nurse Practitioner Highest-paid employee | 40 | $118,670 | $30,024 |
| Stephen Knoble | Physicians Assistant Highest-paid employee | 40 | $114,911 | $29,798 |
| Rosalee Carroll | Physicians Assistant Highest-paid employee | 40 | $114,105 | $26,327 |
| Katie Urban | Physicians Assistant Highest-paid employee | 40 | $115,179 | $7,420 |
| Melissa Valburg | Board Director Trustee or director | 2 | $0 | $0 |
| Donna Leslie | Board Director Trustee or director | 2 | $0 | $0 |
| Laurie BoreBoom | Board Director Trustee or director | 2 | $0 | $0 |
| Jessica Carr | Board Director Trustee or director | 2 | $0 | $0 |
| Tonya Badger | Board President Highest-paid employee | 2 | $0 | $0 |
| Mike Sprenger | Board Vice President Highest-paid employee | 2 | $0 | $0 |
| Rod Domke | Board Treasurer Highest-paid employee | 2 | $0 | $0 |
| Dawn Tassler | Board Secretary Highest-paid employee | 2 | $0 | $0 |
| Steve Hyde | Board Director Highest-paid employee | 2 | $0 | $0 |
| John Langer | Board Director Highest-paid employee | 2 | $0 | $0 |
| Caleb Kemink | Board Director Highest-paid employee | 2 | $0 | $0 |
990 for the year ended September 30, 2023: 18 people
| Name | Title | Hours / week | Compensation | Other / benefits |
|---|---|---|---|---|
| James Hardwick | CEO Officer | 40 | $459,024 | $31,554 |
| April Crago | Chief Medical Officer Officer | 40 | $367,426 | $34,858 |
| Seth Hipple | CFO Officer | 40 | $206,644 | $24,153 |
| Lori Iversen | NP Highest-paid employee | 40 | $113,756 | $29,536 |
| Stephen Knoble | PA Highest-paid employee | 40 | $110,202 | $29,323 |
| Rosalle Carroll | PA Highest-paid employee | 40 | $109,417 | $25,993 |
| Katie Urban | PA Highest-paid employee | 40 | $117,687 | $7,233 |
| Mike Sprenger | Vice President Trustee or director | 2 | $0 | $0 |
| Caleb Kemink | Director Trustee or director | 2 | $0 | $0 |
| Steve Hyde | Director Trustee or director | 2 | $0 | $0 |
| John Langer | Director Trustee or director | 2 | $0 | $0 |
| Rod Domke | Treasurer Trustee or director | 2 | $0 | $0 |
| Dawn Tassler | Secretary Trustee or director | 2 | $0 | $0 |
| Melissa Valburg | Director Trustee or director | 2 | $0 | $0 |
| Donna Leslie | Director Trustee or director | 2 | $0 | $0 |
| Tonya Badger | Board President Trustee or director | 2 | $0 | $0 |
| Jessica Carr | Director Trustee or director | 2 | $0 | $0 |
| Laurie Boreboom | Director Trustee or director | 2 | $0 | $0 |
Address and contacts
- Address (IRS master file)
- 202 ISLAND DR STE 1, FORT PIERRE, SD 57532-7303
- In care of
- % JAMES M HARDWICK
- Principal officer (990 for 2024)
- RHC, 202 Island Drive, Fort Pierre, SD 57532
- Signed the 990
- James Hardwick, CEO
- Phone
- (605) 223-2200
- Website
- www.accesshealth.net
- Return prepared by
- CHW LLP
Mission
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.
Program accomplishments
- 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.Expenses $64,261,402 · revenue $64,804,168
What it must file and when
IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in September, so each return is due on the 15th day of the 5th month after that.
| Tax year | Year ended | Due | IRS public records |
|---|---|---|---|
| 2025 | September 30, 2026 | February 16, 2027 | Not due yet |
| 2024 | September 30, 2025 | February 17, 2026 | 990 on file |
| 2023 | September 30, 2024 | February 18, 2025 | 990 on file |
IRS record
- EIN
- 46-0396683
- Tax-exempt status
- 501(c)(3): Charitable, religious, educational or scientific organization
- Foundation status
- Publicly supported organization (170(b)(1)(A)(vi))
- Donations deductible (Pub 78)
- Public charity, 50% deduction limit
- Exempt since
- 1987
- Accounting year ends
- September
- Files
- Form 990 or 990-EZ
- Assets (IRS master file)
- $32,916,299
- Income (IRS master file)
- $68,885,546
Filing history
| Form | Year ended | Revenue | Expenses | Assets | Return |
|---|---|---|---|---|---|
| 990 | September 2025 | $68,885,546 | $67,380,120 | $32,916,299 | XML |
| 990 | September 2024 | $65,852,813 | $65,076,461 | $29,590,489 | XML |
| 990 | September 2023 | $62,740,274 | $60,305,452 | $26,798,775 | XML |
| 990 | September 2022 | $55,572,301 | $51,768,622 | $24,869,074 | IRS |
| 990 | September 2021 | – | – | – | IRS |
| 990 | September 2020 | – | – | – | IRS |
| 990 | September 2019 | – | – | – | IRS |
| 990 | September 2018 | – | – | – | IRS |
990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 46-0396683).
Questions about RURAL HEALTH CARE INC
- What is the EIN of RURAL HEALTH CARE INC?
- The employer identification number (EIN) of RURAL HEALTH CARE INC is 46-0396683.
- Is RURAL HEALTH CARE INC tax-exempt?
- Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 1987.
- Are donations to RURAL HEALTH CARE INC tax-deductible?
- Yes. It is listed in IRS Publication 78 (Public charity, 50% deduction limit).
- Which annual return does RURAL HEALTH CARE INC file?
- Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
- When is the next return of RURAL HEALTH CARE INC due?
- The return for tax year 2025 (the year ending September 30, 2026) is due February 16, 2027. Form 8868 extends it by six months; the 990-N cannot be extended.
- When did RURAL HEALTH CARE INC last file with the IRS?
- The latest return in the IRS public files is the 990 for the year ended September 2025.
- Who is the principal officer of RURAL HEALTH CARE INC?
- The 990 for the year ended September 30, 2025 names RHC.
- Who are the officers and directors of RURAL HEALTH CARE INC?
- The 990 for the year ended September 30, 2025 lists 18 people; 7 received compensation from the organization, the highest $549,252 (James Hardwick, CEO).
- How much revenue does RURAL HEALTH CARE INC have?
- On its 990 for the year ended September 30, 2025 it reported revenue of $68,885,546, expenses of $67,380,120 and total assets of $32,916,299 at year end.
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