Rural Health Resource Center Dba National Rural Health Resource Ctr
Nonprofit profile at a glance
- EIN
- 411797630
- IRS 990 coverage
- 2013–2024
- Forms available
- Form 990 2024
- Location
- Duluth, MN, USA
- Phone
- 2182167034
- Rating
- 83
- Verdict
- STRONG
- Rating confidence
- Moderate
- Sector
- Health - General and Rehabilitative N.E.C.
Reported finances
- Revenue
- $13,499,451
- Expenses
- $13,488,900
- Assets
- $4,566,982
- Liabilities
- $2,388,886
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
15 people listed
Executive titles in this filing
- DR RAY CHRISTENSEN (PRESIDENT)
- ALANA KNUDSON (VICE PRESIDENT)
- JESSE TISCHER (PRESIDENT ELECT)
- SALLY BUCK (CHIEF EXECUTIVE OFFICER)
Highest reported compensation
- SALLY BUCK (CHIEF EXECUTIVE OFFICER): $321,448 total reported compensation
- ALYSSA MELLER (CHIEF OPERATING OFFICER): $231,978 total reported compensation
- DANIEL HERSTAD (CONTROLLER): $186,683 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Provides technical assistance, information, tools, and resources for the improvement of rural healthcare and serves as a national rural health knowledge center and strives to build state and local capacity.
What it reported doing in 2024
Rural health system development and population health consulting: building performance improvement knowledge and skills of rural leaders seeking to strengthen the organization's health transformation through business model development, collaboration, evaluation, and leadership development. Supporting rural hospitals and communities, setting a course to population health through effective assessments, engagement, and planning.
Operating model
- Revenue model
- Grant-funded. 98% of the money available for current operations came from government grants.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and total assets are small relative to annual expenses; liquid coverage is unknown.
Rating breakdown
- Financial Efficiency: 76
- Transparency & Controls: 90
- Accountability: 95
- Sustainability: 25
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 85.9%; rating input score 86
- Program expense ratio: 85.9%; rating input score 86
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
- Pay-setting controls: 4 of 6 controls in place; rating input score 67
- Compensation committee: Pass
- Independent consultant: Pass
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
- Governance controls: 8 of 9 controls in place; rating input score 89
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Fail
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 0.1%; rating input score 33; 33rd percentile among comparable filings
- Total-asset coverage ratio: 0.34; rating input score 9; 9th percentile among comparable filings
- Liabilities to assets ratio: 0.52; rating input score 27; 27th percentile among comparable filings
- Officer compensation ratio: 7.8%; rating input score 31; 31st percentile among comparable filings
Growth
- Program expense growth: 18.6% per year; rating input score 100; 88th percentile among comparable filings
- Revenue growth: 18.4% per year; rating input score 100; 91st percentile among comparable filings
- Asset growth: 11.4% per year; rating input score 100; 70th percentile among comparable filings
Details
- Where the money goes: 85.9% of revenue deployed · 85.9% of spending went to programs
- Governance: 10 of 10 board members independent · 8 of 9 filing controls reported
- Programs: 3 filed program accomplishments · $11.6M in reported program spending
- Leadership: top reported pay $321K · 15 people listed · 4 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $4.9M reported
- Consistency: 31 of 31 current checks pass
- Schedules: 6 filed schedules · includes major donors, executive pay, and related organizations
- Filing history: 12 filing years from 2013 to 2024
- Contacts: How to reach this organization
- Money network: 5 filed money-flow records
- Related organizations: 1 filed related-organization link
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
- Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.
- Moderate — Sustainability: Operating margin scored 33/100.
- High — Sustainability: Total-asset coverage ratio scored 9/100.
- Review — Accountability: Governance controls: Form 990 shared with the board not reported.
- High — Sustainability: Liabilities to assets ratio scored 27/100.
- Moderate — Sustainability: Officer compensation ratio scored 31/100.
- High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.