Nonprofit · EIN 59-1792958
RURAL HEALTH CARE INCORPORATED
Also known as AZALEA HEALTH
Tax-exempt · PALATKA, FL 32177
Financials
| Year ended | Form | Revenue | Expenses | Net income | Total assets | Liabilities | Net assets |
|---|---|---|---|---|---|---|---|
| November 30, 2025 | 990 | $33,837,944 | $35,444,432 | -$1,606,488 | $18,198,521 | $7,431,399 | $10,767,122 |
| November 30, 2024 | 990 | $32,227,164 | $35,497,040 | -$3,269,876 | $19,015,490 | $6,641,880 | $12,373,610 |
| November 30, 2023 | 990 | $34,669,252 | $35,010,635 | -$341,383 | $22,572,151 | $6,928,665 | $15,643,486 |
Financial details: 990 for the year ended November 30, 2025
Revenue
- Contributions, gifts and grants
- $7,299,763
- of which government grants
- $7,299,763
- Program service revenue
- $26,490,403
- Investment income
- $4,813
- Other revenue
- $42,965
Expenses
- Grants and similar amounts paid
- $0
- Compensation of officers, directors and key employees
- $1,592,237
- Other salaries and wages
- $17,342,082
- Salaries, compensation and benefits (total)
- $22,862,517
- Professional fundraising fees
- $0
- Legal fees
- $46,823
- Accounting fees
- $106,500
- Occupancy
- $1,350,389
- Travel
- $174,346
- Depreciation
- $1,052,792
- Program services (functional)
- $31,240,076
- Management and general (functional)
- $4,204,356
Balance sheet and other
- Total assets, start of year
- $19,015,490
- Total assets, end of year
- $18,198,521
- Total liabilities, end of year
- $7,431,399
- Net assets, end of year
- $10,767,122
- Land, buildings and equipment
- $13,067,852
- Net assets without donor restrictions
- $10,767,122
- Gross receipts
- $33,837,944
- Employees
- 358
- Volunteers
- 11
- Year formed
- 1977
- State of legal domicile
- FL
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 November 30, 2025, highest compensation first.
| Name | Title | Hours / week | Compensation | Other / benefits |
|---|---|---|---|---|
| HEZEKIAH GEORGE OWOJUYIGBE | PROVIDER Highest-paid employee | 40 | $314,093 | $33,999 |
| ANA SEIJAS | PROVIDER Highest-paid employee | 40 | $282,216 | $34,527 |
| MUHAMMAD USMANI | PROVIDER Highest-paid employee | 40 | $275,429 | $26,879 |
| THEODOSIOS SOLDATOS | PROVIDER Highest-paid employee | 36 | $263,221 | $22,484 |
| CHARLES BALBUENA | PROVIDER Highest-paid employee | 40 | $239,173 | $31,598 |
| LAURA M SPENCER | CEO Officer | 40 | $244,673 | $25,272 |
| ALFREDO PAIROT | CDO Key employee | 40 | $244,118 | $23,377 |
| MICHAEL J VERNACCHIO | CMO Key employee | 32 | $201,629 | $21,563 |
| JOSEPH GIACOMO | CFO Officer | 40 | $193,691 | $20,779 |
| JEFFREY BOWMAN | COO Officer | 40 | $200,410 | $7,137 |
| SHONDA WALLER | CPO Officer | 40 | $147,527 | $31,167 |
| ROBIN SWEAT | CHRO Officer | 40 | $135,594 | $27,422 |
| SABRINA THOMAS | CHAIR Trustee or director, Officer | 1 | $0 | $0 |
| LASHONDA SIMMONS-WATSON | VICE CHAIR Trustee or director, Officer | 1 | $0 | $0 |
| KATHY DEAN | BOARD SECRETARY Trustee or director, Officer | 1 | $0 | $0 |
8 more people on this return
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| DONOVAN BARDIER | BOARD TREASURER Trustee or director, Officer | 1 | $0 |
| ELIZABETH FISHER | BOARD MEMBER Trustee or director | 1 | $0 |
| SELENA FOUNTAIN | BOARD MEMBER Trustee or director | 1 | $0 |
| MOSES FLOYD | BOARD MEMBER Trustee or director | 1 | $0 |
| CONSTANCE SCHNEIDER | BOARD MEMBER Trustee or director | 1 | $0 |
| LUCIA VALDIVIA-SANCHEZ | BOARD MEMBER Trustee or director | 1 | $0 |
| ROBERT GERMANN | BOARD MEMBER AS OF 04/28/2025 Trustee or director | 1 | $0 |
| LACRISHA ELAM | BOARD MEMBER AS OF 02/24/2025 Trustee or director | 1 | $0 |
990 for the year ended November 30, 2024: 24 people
| Name | Title | Hours / week | Compensation | Other / benefits |
|---|---|---|---|---|
| HEZEKIAH GEORGE OWOJUYIGBE | PROVIDER Highest-paid employee | 40 | $284,387 | $49,797 |
| ANA SEIJAS | PROVIDER Highest-paid employee | 40 | $267,180 | $51,458 |
| THEODOSIOS SOLDATOS | PROVIDER Highest-paid employee | 40 | $265,174 | $43,222 |
| MUHAMMAD USMANI | PROVIDER Highest-paid employee | 40 | $260,133 | $42,395 |
| LAURA M SPENCER | CEO Officer | 40 | $240,684 | $44,981 |
| CHARLES BALBUENA | PROVIDER Highest-paid employee | 40 | $235,094 | $30,665 |
| MICHAEL J VERNACCHIO | CMO Key employee | 40 | $204,128 | $37,307 |
| JOSEPH GIACOMO | CFO Officer | 40 | $193,729 | $36,590 |
| JEFF BOWMAN | COO Officer | 40 | $193,607 | $34,670 |
| ROBIN SWEAT | CHRO Officer | 40 | $138,688 | $37,787 |
| LARRY PEDERSON | CPO Officer | 20 | $132,999 | $12,908 |
| GILBERTO DEL CASTILLO-ESPANA | BOARD CHAIR UNTIL 02/26/2024 Trustee or director, Officer | 1 | $0 | $0 |
| SABRINA THOMAS | CHAIR Trustee or director, Officer | 1 | $0 | $0 |
| KATHY DEAN | BOARD SECRETARY Trustee or director, Officer | 1 | $0 | $0 |
| LASHONDA SIMMONS-WATSON | VICE CHAIR Trustee or director, Officer | 1 | $0 | $0 |
| LILLIAN KEMP | BOARD MEMBER UNTIL 09/08/2024 Trustee or director | 1 | $0 | $0 |
| CONSTANCE SCHNEIDER | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| BOB MORENO | BOARD TREASURER UNTIL 11/13/2024 Trustee or director, Officer | 1 | $0 | $0 |
| LUCIA VALDIVIA-SANCHEZ | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| ELIZABETH FISHER | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| MOSES FLOYD | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| DONOVAN BARDIER | BOARD TREASURER AS OF 01/01/2024 Trustee or director, Officer | 1 | $0 | $0 |
| SELENA FOUNTAIN | BOARD MEMBER AS OF 11/25/2024 Trustee or director | 1 | $0 | $0 |
| SHONDA WALLER | CPO AS OF 09/23/2024 Trustee or director, Officer | 1 | $0 | $0 |
990 for the year ended November 30, 2023: 21 people
| Name | Title | Hours / week | Compensation | Other / benefits |
|---|---|---|---|---|
| ANA SEIJAS | PROVIDER Highest-paid employee | 40 | $257,664 | $50,927 |
| THEODOSIOS SOLDATOS | PROVIDER Highest-paid employee | 40 | $248,956 | $52,447 |
| HEZEKIAH GEORGE OWOJUYIGBE | PROVIDER Highest-paid employee | 40 | $249,556 | $50,930 |
| MUHAMMAD USMANI | PROVIDER Highest-paid employee | 40 | $250,281 | $44,987 |
| LAURA M SPENCER | CEO Officer | 40 | $232,836 | $57,995 |
| IFTIKHAR HAQ | PROVIDER Highest-paid employee | 40 | $233,678 | $47,123 |
| JOSEPH GIACOMO | CFO Officer | 40 | $184,468 | $44,499 |
| MICHAEL J VERNACCHIO | CMO Key employee | 40 | $180,229 | $43,798 |
| JEFF BOWMAN | COO Officer | 40 | $177,627 | $31,681 |
| ROBIN SWEAT | CHRO Officer | 40 | $126,678 | $40,826 |
| LARRY PEDERSON | CPO Officer | 20 | $117,015 | $18,182 |
| GILBERTO DEL CASTILLO-ESPANA | BOARD CHAIR Trustee or director, Officer | 1 | $0 | $0 |
| SABRINA THOMAS | BOARD VICE CHAIR Trustee or director, Officer | 1 | $0 | $0 |
| KATHY DEAN | BOARD SECRETARY Trustee or director, Officer | 1 | $0 | $0 |
| LASHONDA SIMMONS-WATSON | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| LILLIAN KEMP | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| CONSTANCE SCHNEIDER | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| BOB MORENO | BOARD TREASURER Trustee or director, Officer | 1 | $0 | $0 |
| LUCIA VALDIVIA-SANCHEZ | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| ELIZABETH FISHER | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| MOSES FLOYD | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
Address and contacts
- Address (IRS master file)
- 146 COMFORT RD, PALATKA, FL 32177-8636
- In care of
- % LAURA M SPENCER CEO
- Principal officer (990 for 2024)
- LAURA M SPENCER, PO DRAWER 817, PALATKA, FL 32178
- Signed the 990
- JOSEPH GIACOMO, CHIEF FINANCIAL OFFICER
- Phone
- (386) 328-0108
- Website
- AZAHEALTH.ORG/PALATKA
- Return prepared by
- JAMES MOORE & CO PL
Mission
TO PROVIDE COMPREHENSIVE PRIMARY HEALTH CARE AND PREVENTATIVE HEALTH SERVICES TO UNDERSERVED COMMUNITIES. TO SERVE INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY.
Program accomplishments
- 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 THE FEDERAL POVERTY GUIDELINES AND 14% OF THE PATIENTS SERVED WERE UNINSURED.Expenses $31,240,076 · revenue $26,523,255
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 November, so each return is due on the 15th day of the 5th month after that.
| Tax year | Year ended | Due | IRS public records |
|---|---|---|---|
| 2024 | November 30, 2025 | April 15, 2026 | 990 on file |
| 2023 | November 30, 2024 | April 15, 2025 | 990 on file |
| 2022 | November 30, 2023 | April 15, 2024 | 990 on file |
IRS record
- EIN
- 59-1792958
- Tax-exempt status
- 501(c)(3): Charitable, religious, educational or scientific organization
- Foundation status
- Hospital or medical research organization
- Donations deductible (Pub 78)
- Public charity, 50% deduction limit
- Exempt since
- 1978
- Accounting year ends
- November
- Files
- Form 990 or 990-EZ
- Category (NTEE)
- Health care (E39Z)
- Assets (IRS master file)
- $18,198,521
- Income (IRS master file)
- $33,837,944
Filing history
| Form | Year ended | Revenue | Expenses | Assets | Return |
|---|---|---|---|---|---|
| 990 | November 2025 | $33,837,944 | $35,444,432 | $18,198,521 | XML |
| 990 | November 2024 | $32,227,164 | $35,497,040 | $19,015,490 | XML |
| 990 | November 2023 | $34,669,252 | $35,010,635 | $22,572,151 | XML |
| 990 | November 2022 | $34,718,922 | $33,130,505 | $22,422,392 | IRS |
| 990 | November 2021 | – | – | – | IRS |
| 990 | November 2020 | – | – | – | IRS |
| 990 | November 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 59-1792958).
Questions about RURAL HEALTH CARE INCORPORATED
- What is the EIN of RURAL HEALTH CARE INCORPORATED?
- The employer identification number (EIN) of RURAL HEALTH CARE INCORPORATED is 59-1792958.
- Is RURAL HEALTH CARE INCORPORATED tax-exempt?
- Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 1978.
- Are donations to RURAL HEALTH CARE INCORPORATED tax-deductible?
- Yes. It is listed in IRS Publication 78 (Public charity, 50% deduction limit).
- Which annual return does RURAL HEALTH CARE INCORPORATED 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 INCORPORATED due?
- The return for tax year 2025 (the year ending November 30, 2026) is due April 15, 2027. Form 8868 extends it by six months; the 990-N cannot be extended.
- When did RURAL HEALTH CARE INCORPORATED last file with the IRS?
- The latest return in the IRS public files is the 990 for the year ended November 2025.
- Who is the principal officer of RURAL HEALTH CARE INCORPORATED?
- The 990 for the year ended November 30, 2025 names LAURA M SPENCER.
- Who are the officers and directors of RURAL HEALTH CARE INCORPORATED?
- The 990 for the year ended November 30, 2025 lists 23 people; 12 received compensation from the organization, the highest $314,093 (HEZEKIAH GEORGE OWOJUYIGBE, PROVIDER).
- How much revenue does RURAL HEALTH CARE INCORPORATED have?
- On its 990 for the year ended November 30, 2025 it reported revenue of $33,837,944, expenses of $35,444,432 and total assets of $18,198,521 at year end.
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