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South Central Missouri Community Health Center

EIN 26-2522083 · Rolla, MO

Public records show a registered, tax-exempt organization in good standing.

LegitimacyPassesRegistration and standingFinancial healthFair65 out of 100GovernanceStrong90 out of 100Impact evidenceDescribes programsHow well its results are evidenced

What it says it does

THE MISSION OF FOUR RIVERS COMMUNITY HEALTH CENTER IS TO PROVIDE ACCESS TO HIGH-QUALITY, COMPASSIONATE, PATIENT-CENTERED HEALTHCARE TO EVERYONE REGARDLESS OF FINANCIAL, CULTURAL OR SOCIAL BARRIERS.

Income
$35.9 million
Spending
$33.4 million
Spent on programs
81%
Reserves
1.6 months of spending
Largest source of income
fees for its services, 85%
Employees
275
Volunteers
11
Highest pay
$1.7 million, oral surgeon

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Financial health

Fair: 65 out of 100. Higher than 50% of charities in its peer group (health care, $10m to $100m).

  • Reserves

    10 of 35

    Spendable reserves would cover 1.6 months of spending.

  • Debt

    10 of 20

    It owes 42% of what it owns.

  • Living within its means

    15 of 15

    Income exceeded spending by 7% of income.

  • Income trend

    15 of 15

    Income rose 19% on the year before.

  • Spending floor

    15 of 15

    81% of spending went to programs and raising each dollar of donations cost 0 cents.

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Governance

Strong: 90 out of 100. Higher than 29% of charities in its peer group (health care, $10m to $100m).

  • Independent board

    25 of 25

    11 of 11 voting board members are independent.

  • Conflict of interest policy

    15 of 15

    Has a written conflict of interest policy.

  • Whistleblower policy

    8 of 8

    Has a written whistleblower policy.

  • Record keeping policy

    7 of 7

    Has a written policy on keeping and destroying records.

  • Board minutes

    5 of 5

    Keeps minutes of board meetings.

  • Board sees the tax return

    0 of 10

    Did not give the board a copy of this return before filing it.

  • Pay set independently

    5 of 5

    Sets its chief executive's pay through independent review and comparison.

  • Independent check of accounts

    15 of 15

    Its accounts were audited by an independent accountant.

  • No reported misuse

    10 of 10

    Reports no diversion of assets, excess benefits or loans to insiders.

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Impact evidence

Describes programs. Its tax return describes what it does but we have found no measurable results in it.

Programs described in its return (3)
  1. $15.9 million spent. DENTAL: IN 2024, FRCHC PROVIDED DENTAL SERVICES ON THE SMILE MOBILE (MOBILE DENTAL UNIT) AS WELL AS FROM OUR VARIOUS DENTAL CLINICS. SERVING 15,730 UNIQUE PATIENTS (UP ~798 FROM 2023), WITH A TOTAL ATTENDED PATIENT APPOINTMENTS OF 35,112. 10.44 FTE DENTISTS WERE SERVING OUR PATIENTS (1 ON SMILE MOBILE + 9.44 IN CLINIC) AND 4.29 FTE DENTAL HYGIENISTS. THERE WERE NO VIRTUAL VISITS WERE PERFORMED BY OUR DENTIST IN 2024.
  2. $10.8 million spent. CLINIC: IN 2024, FOUR RIVERS COMMUNITY HEALTH CENTER SERVED 9,750 UNIQUE PRIMARY CARE PATIENTS WITH 30,163 ATTENDED APPOINTMENTS IN THE CLINIC. FRCHC UTILIZED 5.67 FTE FAMILY NURSE PRACTITIONERS, 5.05 FTE FAMILY MEDICINE DOCTORS, 1 FTE PHYSICIAN ASSISTANT, 1.48 FTE CLINICAL PHARMACIST, 1.79 FTE LICENSED CLINICAL SOCIAL WORKER, AND 2.90 FTE COMMUNITY OUTREACH SPECIALISTS TO PROVIDE 504 PATIENTS WITH SUD SERVICES.
  3. $323,141 spent. BEHAVIORAL: IN 2024, FRCHC CONTINUED USE OF AN INTEGRATED HEALTHCARE TEAM TO PROVIDED 321 UNIQUE PATIENTS WITH ACCESS TO BEHAVIORAL HEALTH SERVICES. PATIENTS ATTENDED A TOTAL OF 695 APPOINTMENTS.

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Legitimacy checks

  1. Is it registered with the IRS? Passed.

    Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  2. Has the IRS revoked its tax-exempt status? Passed.

    Not on the IRS automatic revocation list.

    Source: Automatic revocation of exemption list, Internal Revenue Service, file dated November 6, 2026.

  3. Are donations tax-deductible? Passed.

    On the IRS list of organizations eligible to receive tax-deductible contributions.

    Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.

  4. Is it keeping up with its IRS filings? Passed.

    Most recent return on file covers the year ending December 2024.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  5. How long has it been tax-exempt? Passed.

    Recognized by the IRS since November 2008.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  6. Is it in good standing with state regulators? Passed.

    Not on California's list of charities barred from soliciting. Other states are not yet checked.

    Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated November 4, 2026.

Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.