2026-07-29T08:30:46-05:00 2025-11-30 593204548 JAMES MOORE & CO PL 5931 NW 1ST PLACE GAINESVILLE FL 326072063 990 2024-12-01 591792958 RURAL HEALTH CARE INC RURA 3863280108 146 COMFORT RD PALATKA FL 321778636 JOSEPH GIACOMO CHIEF FINANCIAL OFFICER 3863280108 2026-07-28 1 1 CORINNE LAROCHE P01500189 3523781331 2026-07-13 2024 2025-03-06 01:10:19Z AZA HEALTH LAURA M SPENCER PO DRAWER 817 PALATKA FL 32178 33837944 0 X AZAHEALTH.ORG/PALATKA X 1977 FL TO PROVIDE COMPREHENSIVE PRIMARY HEALTH CARE AND PREVENTATIVE HEALTH SERVICES TO UNDERSERVED COMMUNITIES. TO SERVE INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. 11 11 358 11 0 0 8323269 7299763 23886698 26490403 7472 4813 9725 42965 32227164 33837944 0 0 0 0 23289488 22862517 0 0 0 12207552 12581915 35497040 35444432 -3269876 -1606488 19015490 18198521 6641880 7431399 12373610 10767122 TO PROVIDE COMPREHENSIVE PRIMARY HEALTH CARE AND PREVENTATIVE HEALTH SERVICES TO UNDERSERVED COMMUNITIES. TO SERVE INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. 0 0 31240076 26523255 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. 31240076 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 32 0 1 358 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X LAURA SPENCER 3863280108 PO DRAWER 817 PALATKA FL 32178 SABRINA THOMAS CHAIR 1.00 X X 0 0 0 LASHONDA SIMMONS-WATSON VICE CHAIR 1.00 X X 0 0 0 KATHY DEAN BOARD SECRETARY 1.00 X X 0 0 0 DONOVAN BARDIER BOARD TREASURER 1.00 X X 0 0 0 ELIZABETH FISHER BOARD MEMBER 1.00 X 0 0 0 SELENA FOUNTAIN BOARD MEMBER 1.00 X 0 0 0 MOSES FLOYD BOARD MEMBER 1.00 X 0 0 0 CONSTANCE SCHNEIDER BOARD MEMBER 1.00 X 0 0 0 LUCIA VALDIVIA-SANCHEZ BOARD MEMBER 1.00 X 0 0 0 ROBERT GERMANN BOARD MEMBER AS OF 04/28/2025 1.00 X 0 0 0 LACRISHA ELAM BOARD MEMBER AS OF 02/24/2025 1.00 X 0 0 0 LAURA M SPENCER CEO 40.00 X 244673 0 25272 SHONDA WALLER CPO 40.00 X 147527 0 31167 ROBIN SWEAT CHRO 40.00 X 135594 0 27422 JEFFREY BOWMAN COO 40.00 X 200410 0 7137 JOSEPH GIACOMO CFO 40.00 X 193691 0 20779 ALFREDO PAIROT CDO 40.00 X 244118 0 23377 MICHAEL J VERNACCHIO CMO 32.00 X 201629 0 21563 CHARLES BALBUENA PROVIDER 40.00 X 239173 0 31598 HEZEKIAH GEORGE OWOJUYIGBE PROVIDER 40.00 X 314093 0 33999 ANA SEIJAS PROVIDER 40.00 X 282216 0 34527 MUHAMMAD USMANI PROVIDER 40.00 X 275429 0 26879 THEODOSIOS SOLDATOS PROVIDER 36.00 X 263221 0 22484 2741774 0 306204 52 0 1 0 ACF STANDBY SYSTEMS LLC 9311 SOLAR DRIVE TAMPA FL 33619 GENERATOR INSTALLATION/MAINTENANCE 454422 JAMES MOORE & CO 5931 NW 1ST PLACE GAINESVILLE FL 32607 IT MANAGEMENT AND AUDITING SERVICE 331063 TOVARS LAWN & LANDSCAPING PO BOX 814 CRESCENT CITY FL 32112 LAWNCARE AND LANDSCAPING 128692 DAVIE ROAD DOWNTOWN LLC 1335 S DAYTONA AVENUE FLAGLER BEACH FL 32136 RENT FOR PALM COAST LOCATION 127953 HALIFAX HEALTH MEDICAL CENTER 303 N CLYDE MORRIS BLVD DAYTONA BEACH FL 32114 RENT FOR DAYTONA BEACH LOCATION 112204 5 7299763 7299763 PATIENT SERVICE REVENUE 621110 26490403 26490403 26490403 4813 4813 MISCELLANEOUS REVENUE 900099 32852 32852 GAIN ON LEASE TERMINATION 900099 10113 10113 42965 33837944 26523255 0 14926 1592237 460982 1131255 17342082 15893426 1448656 409522 356849 52673 2215154 2074577 140577 1303522 1132177 171345 46823 46823 106500 106500 76058 19915 56143 62579 25015 37564 1092213 737610 354603 1350389 1292812 57577 174346 145188 29158 82467 66787 15680 163586 46673 116913 1052792 939618 113174 298416 260737 37679 PHARMACEUTICALS 3393447 3393447 SERVICE CONTRACTS 2216052 1958831 257221 BAD DEBT EXPENSE 1274679 1274679 MEDICAL SUPPLIES & DRUG 753806 722991 30815 437762 437762 35444432 31240076 4204356 0 794788 1529381 2486333 1629719 392665 307915 280919 310464 23226181 10158329 13969293 13067852 52050 52050 1039442 1301140 19015490 18198521 2936679 3280480 2377471 2620029 1327730 1530890 6641880 7431399 X 12373610 10767122 12373610 10767122 19015490 18198521 -1606488 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 857278 857278 15750555 5116275 10634280 1914927 1302612 612315 4691401 3739442 951959 12020 12020 13067852 DEPOSITS 24374 OPERATING LEASE RIGHT-OF-USE ASSET 595533 FINANCE LEASE RIGHT-OF-USE ASSET 681233 1301140 OPERATING LEASE LIABILITY 842297 FINANCE LEASE LIABILITY 688593 1530890 X 32574672 11407 -1274679 -1263272 33837944 0 33837944 34181160 11407 11407 34169753 1274679 1274679 35444432 PART X, LINE 2: THE ORGANIZATION IS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, INCOME EARNED IN THE FURTHERANCE OF THE ORGANIZATION'S TAX-EXEMPT PURPOSE IS EXEMPT FROM FEDERAL INCOME TAXES AND THE FINANCIAL STATEMENTS CONTAIN NO PROVISION OR LIABILITY FOR INCOME TAXES. THE ORGANIZATION FILES INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. THE ORGANIZATION'S RETURNS FOR THE PAST THREE YEARS ARE SUBJECT TO EXAMINATIONS BY TAX AUTHORITIES AND MAY CHANGE UPON EXAMINATION. THE ORGANIZATION HAS REVIEWED AND EVALUATED THE RELEVANT TECHNICAL MERITS OF EACH OF ITS TAX POSITIONS IN ACCORDANCE WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AND DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS THAT WOULD HAVE A MATERIAL IMPACT ON THE FINANCIAL STATEMENTS OF THE ORGANIZATION. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT PROVISION REPORTED ON 990 PART IX -1,274,679. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT PROVISION REPORTED ON 990 PART IX 1,274,679. X X X 0 0 0 0 0 0 0 0 0 HEZEKIAH GEORGE OWOJUYIGBE PROVIDER 265306 0 48787 0 0 0 8000 0 25999 0 348092 0 0 0 ANA SEIJAS PROVIDER 259742 0 22474 0 0 0 8000 0 26527 0 316743 0 0 0 MUHAMMAD USMANI PROVIDER 252937 0 22492 0 0 0 8000 0 18879 0 302308 0 0 0 THEODOSIOS SOLDATOS PROVIDER 247001 0 16220 0 0 0 7924 0 14560 0 285705 0 0 0 CHARLES BALBUENA PROVIDER 209624 0 29549 0 0 0 7619 0 23979 0 270771 0 0 0 LAURA M SPENCER CEO 226731 0 17942 0 0 0 7421 0 17851 0 269945 0 0 0 ALFREDO PAIROT CDO 228296 0 15822 0 0 0 7423 0 15954 0 267495 0 0 0 MICHAEL J VERNACCHIO CMO 186478 0 15151 0 0 0 6169 0 15394 0 223192 0 0 0 JOSEPH GIACOMO CFO 175010 0 18681 0 0 0 5846 0 14933 0 214470 0 0 0 JEFFREY BOWMAN COO 182448 0 17962 0 0 0 6012 0 1125 0 207547 0 0 0 SHONDA WALLER CPO 138948 0 8579 0 0 0 4801 0 26366 0 178694 0 0 0 ROBIN SWEAT CHRO 117612 0 17982 0 0 0 4261 0 23161 0 163016 0 0 0 PART I, LINE 3 THE COMPENSATION OF THE CEO IS SET BY THE EXECUTIVE COMMITTEE OF THE BOARD USING COMPENSATION STUDIES. ALL OTHER COMPENSATION IS SET BY THE CEO WITHIN PAY RANGES APPROVED BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE COMPLETED FORM 990 WILL BE REVIEWED BY THE CFO TO ENSURE AGREEMENT WITH THE AUDIT REPORT THAT WAS PREVIOUSLY DELIVERED TO THE BOARD OF GOVERNORS. THE COMPLETED FORM 990 IS THEN PRESENTED TO THE BOARD FOR QUESTIONS AND APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C RURAL HEALTH CARE, INC (RHCI) HAS FORMAL CONFLICT OF INTEREST POLICIES FOR THE BOARD OF GOVERNORS AND EMPLOYEES. THESE POLICIES REQUIRE ANY EMPLOYEE OR BOARD MEMBER TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST WHEN THEY BECOME AWARE OF THEM. BOARD MEMBERS ARE ALSO REQUIRED TO SIGN NEW CONFLICT OF INTEREST AFFIDAVITS EACH YEAR. AS NOTED ABOVE, RHCI CURRENTLY REQUIRES THE REPORTING OF POTENTIAL CONFLICTS NOT THE ABSENCES OF CONFLICTS OF INTEREST. ADDITIONALLY, RHCI PURCHASING POLICIES HAVE CLEAR GUIDELINES (ESTABLISHED BY THE FEDERAL GOVERNMENT - OMB) THAT DELINEATE WHEN A CONFLICT OF INTEREST EXIST IN PROCUREMENTS. WITH THE EXCEPTION OF GOVERNMENTAL ENTITIES, RHCI AS A MATTER OF POLICY DOES NOT DO BUSINESS WITH BOARD MEMBERS OR THE COMPANIES THEY WORK FOR. THE MONITORING OF THESE POLICIES FALLS PRINCIPALLY TO THE BOARD AND THE CFO. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE CEO IS SET BY THE EXECUTIVE COMMITTEE OF THE BOARD USING COMPENSATION STUDIES. ALL OTHER COMPENSATION IS SET BY THE CEO WITHIN PAY RANGES APPROVED BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.