RURAL HEALTH CARE, INC.
202 Island Dr, Suite 1, Fort Pierre, SD, 57532-7303
Latest — UDS 2025
UDS reporting always covers January to December, which is what makes these directly comparable across centers.
Operations
7 reporting years
| Year | Patients | Visits | Medicaid | Uninsured | ≤200% FPL | FTE |
|---|---|---|---|---|---|---|
| 2025 | 78,662 | 218,470 | 16.3% | 6.1% | 19.4% | 457.67 |
| 2024 | 78,946 | 219,793 | 16.2% | 6.3% | 19.5% | 451.75 |
| 2023 | 76,478 | 210,851 | 16.4% | 6.0% | 17.6% | 428.19 |
| 2022 | 75,005 | 206,605 | 16.6% | 6.2% | 16.3% | 453.45 |
| 2021 | 51,840 | — | 13.5% | 6.0% | 23.6% | — |
| 2020 | 33,240 | — | 15.4% | 5.6% | 29.3% | — |
| 2019 | 29,707 | — | 16.8% | 4.7% | 28.6% | — |
IRS Form 990
EIN 460396683 · figures exactly as filed, each with the period it covers
| Period | Revenue | Expenses | Net | Assets | Staff | |
|---|---|---|---|---|---|---|
| FY2024Oct 2023 – Sep 2024 | $65.9M | $65.1M | $776.4K | $29.6M | 29 | XML |
| FY2023Oct 2022 – Sep 2023 | $62.7M | $60.3M | $2.4M | $26.8M | 26 | XML |
| FY2022Oct 2021 – Sep 2022 | $55.6M | $51.8M | $3.8M | $24.9M | 33 | XML |
| FY2021Oct 2020 – Sep 2021 | $37.4M | $35.9M | $1.5M | $20.3M | 29 | XML |
| FY2020Oct 2019 – Sep 2020 | $22.9M | $19.2M | $3.7M | $13.5M | 35 | XML |
| FY2019Oct 2018 – Sep 2019 | $14.9M | $13.2M | $1.7M | $9.0M | 41 | XML |
| FY2018Oct 2017 – Sep 2018 | $14.0M | $12.4M | $1.6M | $6.6M | 43 | XML |
Vendors and contractors
IRS Form 990 Part VII-B lists only the five highest-paid independent contractors at or above $100,000. A vendor below that threshold does not appear — absence here means 'not in the top five', never 'no vendor'.
| Vendor | Service | Location | Amount |
|---|---|---|---|
| Avera McKennan | Professional Medical Services | Sioux Falls, SD | $8,778,000 |
| Avera Queen of Peace | Professional Services | Mitchell, SD | $5,596,000 |
6 contractor records across 3 filing years — vendor switches and tenure are computed from this history.
Single audits
Uniform Guidance audits across every federal program, not only the Health Center Program — a material weakness is one regardless of which award surfaced it.
| Year | Auditor | Federal spend | Findings | Flags |
|---|---|---|---|---|
| 2025 | CHW LLP | $3.0M | 0 | Low risk |
| 2024 | CHW LLP | $2.7M | 0 | Low risk |
| 2023 | CHW LLP | $4.3M | 0 | Low risk |
| 2022 | CHW,LLP | $5.5M | 0 | Low risk |
| 2021 | CHW, LLP | $5.8M | 1 | Low risk |
| 2020 | CHW LLP | $3.9M | 0 | Low risk |
| 2019 | CHW. LLP | $2.4M | 0 | Low risk |
1 finding with auditor text and corrective action plans
2021-001 Compliance Over Reporting CFDA Number: 93.224 Program: Community Health Center Cluster Compliance Requirement: (L) Reporting Criteria: Pursuant to the reporting requirement set forth by the Department of Health and Human Services, the Organization is required to file the quarterly Federal Financial Report (FFR) within 30 days of the end of the quarter. Finding/ Condition: During our reporting period, we noted that the Organization submitted the quarterly FFR late for each quarter. Questioned Cost: None. Effect: The delay in submitting the required report may lead to the granting agency to impose temporary restrictions on the drawdown process. Cause: The reporting requirement was not included on a quarterly reminder checklist. Recommendation: We recommend the Organization file the required quarterly FFR in a timely manner. Views of Respon…
Corrective action: 2021-001 Compliance over Reporting Name of Contact Person: Seth Hipple, CFO Corrective Action: The Organization agrees with the recommendation and has taken steps to correct these errors by implementing controls to make sure FFRs are filed timely. Proposed Completion Date: June 30, 2022
Leadership
Form 990 Part VII-A, FY2024
| Name | Title | Reported comp |
|---|---|---|
| James Hardwick | CEO | $513,689 |
| April Crago | Chief Medical Officer | $361,841 |
| Seth Hipple | CFO | $217,269 |
| Lori Iversen | Nurse Practitioner | $118,670 |
| Katie Urban | Physicians Assistant | $115,179 |
| Stephen Knoble | Physicians Assistant | $114,911 |
| Rosalee Carroll | Physicians Assistant | $114,105 |
| Melissa Valburg | Board Director | $0 |
| Donna Leslie | Board Director | $0 |
| Laurie BoreBoom | Board Director | $0 |
| Jessica Carr | Board Director | $0 |
| Tonya Badger | Board President | $0 |
Service delivery sites
13 sites, updated daily from HRSA
| Access Health - Brookings | Brookings, SD | All Other Clinic Types |
| Access Health - Chamberlain | Chamberlain, SD | All Other Clinic Types |
| Access Health - Fort Pierre | Fort Pierre, SD | All Other Clinic Types |
| Access Health-Fulda | Fulda, MN | All Other Clinic Types |
| Access Health - Highmore | Highmore, SD | All Other Clinic Types |
| Access Health - Kennebec | Kennebec, SD | All Other Clinic Types |
| Access Health - Marshall | Marshall, MN | All Other Clinic Types |
| Access Health - Mitchell | Mitchell, SD | All Other Clinic Types |
| Access Health - Murdo | Murdo, SD | All Other Clinic Types |
| Access Health - Onida | Onida, SD | All Other Clinic Types |
| Access Health - Presho | Presho, SD | All Other Clinic Types |
| Access Health - Windom | Windom, MN | All Other Clinic Types |
| Access Health - Worthington | Worthington, MN | All Other Clinic Types |
Where this data came from
Every figure above traces to a government filing. This is what makes a number defensible in a client conversation rather than something to re-derive by hand.
- HRSA
- BHCMISID 080590 · grant H80CS00456 · reported 2019–2025
- IRS identity
- EIN 460396683 as RURAL HEALTH CARE, INC.(name_geo, confidence 0.95)name 1.00 + city confirmed
- Fiscal year
- Ends Sep — IRS figures cover a different twelve months than UDS
- Known gaps
- 1 source-year missingEIN resolved, filing deadline passed, no Form 990 in the IRS index