NATIONAL ORGANIZATION OF STATE OFF… - Form 990 Financial Data

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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

1995

Legal Domicile

Principal Officer

TAMMY NORVILLE

Phone

8883917258

Tax Period

2024-08-01 to 2025-07-31

NATIONAL ORGANIZATION OF STATE OFFICES OF RURAL HEALTH INC, founded in 1995, is a community nonprofit in the Health Care sector that reported $1.8M in total revenue in fiscal year 2024. Expenses of $2.0M exceeded revenue, resulting in a 11% operating deficit.

Mission

NOSORH PROMOTES THE CAPACITY OF STATE OFFICES OF RURAL HEALTH TO IMPROVE HEALTH CARE IN RURAL AMERICA THROUGH LEADERSHIP DEVELOPMENT, ADVOCACY, EDUCATION, & PARTNERSHIPS.

Program Service Accomplishments

Program 1

Expenses: $1,531,703 Revenue: $571,561

GENERAL EDUCATION AND MENTORING OPPORTUNITIES FOR STATE OFFICES OF RURAL HEALTH AND THEIR PARTNERS. IN FISCAL YEAR 2025, 2,933 PEOPLE PARTICIPATED IN WEBINARS, MEETINGS, AND MENTORING ACTIVITIES TO ENHANCE LEADERSHIP AND PARTNERSHIPS FOR RURAL HEALTH AND ENGAGE STATE OFFICES OF RURAL HEALTH AND PARTNER ORGANIZATIONS ON KEY RURAL HEALTH ISSUES, INCLUDING HEALTH INFORMATION TECHNOLOGY, EMS, RURAL DEVELOPMENT, PRIMARY CARE, AND WORKFORCE.

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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 $1,177,000

Program Service Revenue $558,788

Investment Income $33,730

Other Revenue $12,773

TOTAL REVENUE $1,782,291

Expense Breakdown

Grants Paid $0

Salaries & Benefits $1,010,372

Fundraising Expenses $0

Program Expenses $1,531,703

Other Expenses $966,514

TOTAL EXPENSES $1,976,886

Year-over-Year Comparison

	2024	2023	Change
Revenue	$1,782,291	$1,841,246	0.0%
Expenses	$1,976,886	$1,972,783	+0.0%
Net Income	$-194,595	$-131,537	+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

$186,803

Total Directors

$6,600

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
PETE WALTON	BOARD MEMBER	1.00	Director	$6,600	$0	$6,600
HEIDI PEIRCE	BOARD MEMBER	1.00	Director	$0	$0	$0
MELANIE KEAMS	BOARD MEMBER	1.00	Director	$0	$0	$0
SHARON WEBER	BOARD MEMBER	1.00	Director	$0	$0	$0
SCOTT DANIELS	BOARD MEMBER	1.00	Director	$0	$0	$0
MATT COLEMAN	BOARD MEMBER	1.00	Director	$0	$0	$0
KELLY BRAUN	BOARD MEMBER	1.00	Director	$0	$0	$0
STEPHANIE NANTZ	BOARD MEMBER	1.00	Director	$0	$0	$0
CRYSTAL BARTER	BOARD MEMBER	1.00	Director	$0	$0	$0
ZORA RADOSEVICH	BOARD MEMBER	1.00	Director	$0	$0	$0
MICHELLE MILLS	BOARD MEMBER	1.00	Director	$0	$0	$0
GRAHAM ADAMS	BOARD MEMBER	1.00	Director	$0	$0	$0
ERIC JOHNSON	BOARD MEMBER	1.00	Director	$0	$0	$0
NATALIE CLAIBORNE	BOARD MEMBER	1.00	Director	$0	$0	$0
NICOLE BRETON	BOARD MEMBER	1.00	Director	$0	$0	$0
SARA SEITZ	BOARD MEMBER	1.00	Director	$0	$0	$0
KIRBY LECY	BOARD MEMBER	1.00	Director	$0	$0	$0
KAREN MADDEN	PARLIAMENTARIAN	1.00	Officer Director	$0	$0	$0
JILL OESTERLE	SECRETARY	1.00	Officer Director	$0	$0	$0
CORIE KAISER	TREASURER	1.00	Officer Director	$0	$0	$0
ASHLEY MORETZ	PRESIDENT-ELECT	2.00	Officer Director	$0	$0	$0
ALBERT RUIZ	PRESIDENT	5.00	Officer Director	$0	$0	$0
BOB DUEHMIG	PAST PRESIDENT	2.00	Officer Director	$0	$0	$0
TAMMY NORVILLE	CEO	62.50	Officer	$173,206	$13,597	$186,803
CHRIS SALYERS	PROGRAMS & EVALUATIONS DIRECTOR	38.60	Highest	$118,864	$9,514	$128,378

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	$1,782,291	$1,976,886	$1,083,888	$-194,595
2024	$1,841,246	$1,972,783	$1,356,163	$-131,537
2023	$2,138,988	$2,080,984	$1,540,241	$58,004
2022	$2,645,784	$2,417,739	$1,615,005	$228,045
2021	$1,742,514	$1,555,732	$1,983,744	$186,782
2020	$1,422,648	$1,279,051	$1,764,445	$143,597
2019	$1,266,602	$1,307,767	$1,443,776	$-41,165
2018	$1,287,057	$1,296,003	$680,797	$-8,946

NATIONAL ORGANIZATION OF STATE OFFICES OF RURAL HEALTH INC