RURAL ALLIANCE FOR BETTER FAMILY HEALTH (EIN 431932702) - Form 990 Financial Analysis & Trantor Score

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

2001

Legal Domicile

Phone

4172558464

Tax Period

2024-03-01 to 2025-02-28

RURAL ALLIANCE FOR BETTER FAMILY HEALTH, founded in 2001, is a community nonprofit in the Health Care sector that reported $9.3M in total revenue in fiscal year 2024. Revenue decreased 7% compared to the prior year. Expenses of $8.2M left a modest 12% surplus.

Mission

To provide health related services and limited prescription assistance to low-income or underserved persons in Howell and Oregon Counties and surrounding areas. THE ORGANIZATION IS ORGANIZED TO SERVE AS A PRIMARY RESOURCE FOR THE RENDERING OF HEALTHCARE SERVICES, WHICH SERVICES INCLUDE BUT ARE NOT LIMITED TO MEDICAL, DENTAL, AND MENTAL HEALTHCARE TO THOSE PERSONS IN HOWELL AND OREGON COUNTIES, AND SUCH OTHER COUNTIES IN THE STATE OF MISSOURI AS THE BOARD OF DIRECTORS MAY DESIGNATE; SUCH HEALTHCARE SERVICES SHALL BE RENDERED TO ALL INDIVIDUALS IN NEED OF SUCH SERVICES, BUT PARTICULARLY FOR MEDICALLY AND SOCIALLY INDIGENT INDIVIDUALS WHO CURRENTLY LACK ACCESS TO SUCH CARE; WITH A GOAL OF ENHANCING THE HEALTH MEMBERS OF THE COMMUNITY. THE BOARD OF DIRECTORS WILL ASSESS ON AN ONGOING BASIS THE HEALTH NEEDS OF THE TARGET AREAS TO ESTABLISH SHORT AND LONG TERM GOALS TO ACCOMPLISH ITS PURPOSES AND ENSURE THAT SERVICES ARE AVAILABLE AND ACCESSIBLE.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $2,479,815

Program Service Revenue $6,487,289

Investment Income $320,436

Other Revenue $45,439

TOTAL REVENUE $9,332,979

Expense Breakdown

Grants Paid $0

Salaries & Benefits $5,564,565

Fundraising Expenses $0

Program Expenses $4,255,217

Other Expenses $2,636,682

TOTAL EXPENSES $8,201,247

Year-over-Year Comparison

	2024	2023	Change
Revenue	$9,332,979	$10,018,415	-0.1%
Expenses	$8,201,247	$7,936,226	+0.0%
Net Income	$1,131,732	$2,082,189	-0.5%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✓ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

Volunteers

Governance Policies

✗ Conflict of Interest Policy

✗ Whistleblower Policy

✗ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✓ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$403,342

Total Directors

Key Employees

$544,249

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
CONNIE HARRIS	VICE PRESIDENT/TREASURER	1.0	Officer Director	$0	$0	$0
CONNIE PENDERGRASS	PRESIDENT	1.5	Officer Director	$0	$0	$0
DIANA PACE	SECRETARY	1.0	Officer Director	$0	$0	$0
AMBER SQUIRES	DIRECTOR	1.0	Director	$0	$0	$0
Brent Campbell	Director	1.0	Director	$0	$0	$0
BRITTANY HUNTER	DIRECTOR	1.0	Director	$0	$0	$0
G ALEX O'NEILL	DIRECTOR	1.0	Director	$0	$0	$0
JANIS GENDRON	DIRECTOR	1.0	Director	$0	$0	$0
KAREN PERKINS	DIRECTOR	1.0	Director	$0	$0	$0
TERRY NEWTON	DIRECTOR	1.0	Director	$0	$0	$0
TONYA WOODS	DIRECTOR	1.0	Director	$0	$0	$0
ANGELA GARGUS	CFO	40.0	Officer	$150,504	$17,441	$167,945
BRYAN ADCOCK	CEO	40.0	Officer	$212,298	$23,099	$235,397
C LEANN FINKE MD	MEDICAL DIRECTOR	30.0	Key Emp	$227,794	$21,190	$248,984
TRAVIS SHEARER DDS	DENTAL DIRECTOR	32.0	Key Emp	$251,733	$43,532	$295,265
ASHLEIGH KAYSER DDS	DENTIST	32.0	Highest	$146,991	$16,861	$163,852
GARRY FINKE MD	PHYSICIAN	32.0	Highest	$226,608	$28,393	$255,001
MEGAN MONTAGUE DO	PHYSICIAN	40.0	Highest	$246,159	$21,517	$267,676
ROBERT CAUSEY MD	PHYSICIAN	39.0	Highest	$216,880	$47,805	$264,685
TARA JACKSON DO	PHYSICIAN	40.0	Highest	$200,304	$38,547	$238,851

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2025	$9,332,979	$8,201,247	$16,585,196	$1,131,732
2024	$10,018,415	$7,936,226	$14,824,351	$2,082,189
2023	$9,068,379	$7,909,862	$12,230,613	$1,158,517
2022	$7,975,341	$7,346,118	$10,304,906	$629,223
2021	$8,547,343	$6,802,688	$9,633,107	$1,744,655
2020	$7,423,265	$6,502,166	$8,245,576	$921,099
2019	$6,334,121	$5,653,245	$7,353,644	$680,876

RURAL ALLIANCE FOR BETTER FAMILY HEALTH