Missouri Rural Health Association
Public records show a registered, tax-exempt organization in good standing.
What it says it does
THE ASSOCIATION IS A NON-PROFIT ORGANIZATION WHOSE MISSION IS TO SAFEGUARD AND IMPROVE THE HEALTH OF RURAL MISSOURIANS. THE ASSOCIATION ACCOMPLISHES THIS MISSION BY ENGAGING IN PARTNERSHIPS AND PROVIDING LEADERSHIP ON RURAL ISSUES THROUGH ADVOCACY, COMMUNICATION, EDUCATION AND RESEARCH.
- Income
- $956,688
- Spending
- $915,724
- Spent on programs
- 95%
- Reserves
- 3.3 months of spending
- Largest source of income
- government grants, 65%
- Employees
- 4
- Highest pay
- $93,500, executive director
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
Good: 70 out of 100. Higher than 36% of charities in its peer group (health care, $250k to $1m).
Reserves
20 of 35Spendable reserves would cover 3.3 months of spending.
Debt
20 of 20It owes 4% of what it owns.
Living within its means
15 of 15Income exceeded spending by 4% of income.
Income trend
0 of 15Income fell 30% on the year before.
Spending floor
15 of 1594% 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
Good: 71 out of 100. Higher than 40% of charities in its peer group (health care, $250k to $1m).
Independent board
25 of 2510 of 10 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
0 of 8Reports no written whistleblower policy.
Record keeping policy
0 of 7Reports no written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
0 of 5Reports no independent review process for its chief executive's pay.
Independent check of accounts
6 of 15Its accounts were not audited or reviewed by an independent accountant.
No reported misuse
10 of 10Reports 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 (4)
- $281,149 spent. The immunization program supports the Missouri Department of Health and Senior Services in increasing COVID-19 and other ACIP-recommended immunizations statewide. It focuses on reaching high-risk and underserved populations, ensuring safe and equitable vaccine administration, and boosting vaccine confidence through education and outreach. The program also provides technical support to at least ten rural health clinics to implement immunization information systems that enhance vaccination efforts.
- $275,254 spent. HealthTran, launched in 2014, is a volunteer driver program designed to bridge persistent rural transportation gaps and improve health outcomes for Missourians. It collaborates with local community champions and partner agencies to assess transportation needs, recruit vetted volunteer drivers, and coordinate rides through a HIPAA-compliant scheduling platform. By providing reliable transportation to healthcare and wellness services, HealthTran helps reduce missed appointments and prevent unnecessary emergency room visits.
- $195,133 spent. In 2019, MRHA partnered with the Missouri Foundation for Health to pilot a program addressing gaps in acute and specialty care by connecting rural hospitals with virtual care services. The initiative introduced e-Care and e-Hospitalist telehealth services to expand access in medically underserved communities
- $113,772 spent. Other: Annual conference, Healthy Blue, NRHA Grant, MARHC, UMC HP Grant
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
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.
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 October 13, 2026.
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.
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.
How long has it been tax-exempt? Passed.
Recognized by the IRS since January 2003.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
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 October 21, 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.