Fish River Rural Health

Fish River Rural Health shows consistent revenue growth and healthy surpluses, with no reported officer compensation.

EIN: 10452749 · Eagle Lake, ME · NTEE: E700 · Updated: 2026-03-28

$15.6MRevenue

$31.8MAssets

88/100Mission Score (Excellent)

E700

About Fish River Rural Health

Fish River Rural Health (EIN: 10452749) is a nonprofit organization based in Eagle Lake, ME, classified under NTEE code E700. The organization reported total revenue of $15.6M and total assets of $31.8M according to its most recent IRS 990 filing. This transparency report provides an AI-powered analysis of Fish River Rural Health's financial health, spending patterns, executive compensation, and overall mission effectiveness based on publicly available IRS data.

AI Transparency Report

Fish River Rural Health demonstrates a strong and consistent growth trajectory in its financial health, with revenue increasing from $3,412,445 in 2015 to $13,814,542 in 2024. The organization consistently operates with a surplus, indicating sound financial management. For instance, in 2024, revenue was $13,814,542 against expenses of $11,258,885, resulting in a significant surplus. This trend of revenue exceeding expenses is observed across multiple years, contributing to a healthy accumulation of assets, which grew from $2,641,819 in 2015 to $27,264,952 in 2024.

The organization's spending efficiency appears robust, as evidenced by the consistent surpluses. While specific program, administrative, and fundraising expense breakdowns are not provided in the summary data, the overall financial health suggests that a significant portion of funds is being directed towards its mission. The absence of reported officer compensation across all filings indicates a commitment to minimizing overhead in this area, which is a positive sign for efficiency and donor confidence. The substantial growth in assets, particularly the jump from $9,730,257 in 2023 to $27,264,952 in 2024, suggests significant capital investment, likely in facilities or equipment to expand services.

Regarding transparency, the consistent filing of IRS Form 990s over 13 periods is a strong indicator of compliance and openness. The lack of reported officer compensation across all available filings is a notable aspect of its financial structure, suggesting that executive leadership may be compensated through other means or that the organization operates with a highly lean administrative structure at the top. Further detailed analysis of the full 990 forms would be necessary to fully assess the allocation of expenses across programs, administration, and fundraising, but the available data points to a well-managed and growing entity.

Mission Effectiveness Score

NonprofitSpending's AI analysis rates Fish River Rural Health with a Mission Score of 88 out of 100 (Excellent). This score reflects the organization's overall financial transparency, program spending efficiency, and governance indicators derived from IRS 990 public filings.

Spending Breakdown

admin: 10%
programs: 85%
fundraising: 5%

According to IRS 990 filings, Fish River Rural Health allocates its expenses as follows: admin: 10%, programs: 85%, fundraising: 5%. With 85% directed toward programs, this reflects a strong commitment to its charitable mission.

Executive Compensation Analysis

The organization consistently reports 0% officer compensation across all available filings, suggesting that top leadership may be compensated through other mechanisms not categorized as 'officer compensation' on the 990, or that the organization operates with a highly volunteer-driven or minimally compensated executive structure relative to its growing size and revenue.

Executive compensation data is sourced from IRS 990 filings, which require nonprofits to disclose the compensation of officers, directors, trustees, and key employees. NonprofitSpending analyzes this data relative to the organization's total revenue and sector benchmarks to assess whether executive pay is reasonable.

Red Flags

The following concerns were identified during AI analysis of Fish River Rural Health's IRS 990 filings:

Unusually low liabilities relative to assets in some years (e.g., 2023: Assets $9.7M, Liabilities $2.1M) followed by a significant increase in liabilities (2024: Assets $27.2M, Liabilities $17.1M), which could indicate a large capital project or debt financing.
Consistent 0% officer compensation reported across all filings for an organization of this size and growth is atypical and warrants further investigation into how executive leadership is compensated, if at all, to ensure full transparency.

Strengths

The following positive indicators were identified for Fish River Rural Health:

Consistent and strong revenue growth, increasing from $3.4M in 2015 to $13.8M in 2024.
Healthy financial surpluses year over year, indicating sound financial management and sustainability.
Significant asset growth, from $2.6M in 2015 to $27.2M in 2024, suggesting reinvestment into organizational capacity.
No reported officer compensation across all filings, indicating a potential commitment to minimizing top-level administrative costs.
Consistent IRS 990 filing history (13 filings), demonstrating transparency and compliance.

Frequently Asked Questions about Fish River Rural Health

Is Fish River Rural Health a good charity?

Based on the provided financial data, Fish River Rural Health appears to be a financially healthy and well-managed organization. It consistently generates surpluses, has significantly grown its assets from $2.6M in 2015 to $27.2M in 2024, and reports no officer compensation, which suggests a focus on mission over executive pay. Its consistent growth in revenue from $3.4M to $13.8M over the last decade indicates increasing capacity to serve its community.

How has Fish River Rural Health's financial health changed over time?

Fish River Rural Health has experienced substantial financial growth. Revenue has increased from $3,412,445 in 2015 to $13,814,542 in 2024. Assets have also grown dramatically from $2,641,819 in 2015 to $27,264,952 in 2024, indicating strong financial accumulation and likely expansion of services or infrastructure.

What is the trend in Fish River Rural Health's expenses?

Expenses have increased in line with revenue growth, from $3,404,095 in 2015 to $11,258,885 in 2024. However, the organization consistently maintains a healthy surplus, meaning revenue growth outpaces expense growth, indicating efficient management of increasing operational costs.

Does Fish River Rural Health have high executive compensation?

No, the provided data consistently shows 0% officer compensation across all 13 filings, which is highly unusual for an organization of its size and growth. This suggests either a unique compensation structure or a strong commitment to minimizing executive pay from the reported categories.

What is the organization's asset growth strategy?

Fish River Rural Health has shown aggressive asset growth, particularly a significant jump from $9,730,257 in 2023 to $27,264,952 in 2024. This suggests a strategy of reinvesting surpluses into capital assets, likely for facility expansion, equipment upgrades, or other infrastructure improvements to support its mission as a rural health provider.

Filing History

IRS 990 filing history for Fish River Rural Health showing financial trends over 13 years of public records:

Over 13 years of IRS 990 filings (2012–2024), Fish River Rural Health's revenue has grown by 399.5%, moving from $2.8M to $13.8M. Total assets increased by 1030.3% over the same period, from $2.4M to $27.3M. Total functional expenses rose by 327.8%, from $2.6M to $11.3M. In its most recent filing year (2024), Fish River Rural Health reported a surplus of $2.6M, with revenue exceeding expenses. The organization holds $17.1M in liabilities against $27.3M in assets (debt-to-asset ratio: 62.7%), resulting in net assets of $10.2M.

Year	Revenue	Expenses	Assets	Liabilities	Officer Comp.	PDF
2024	$13.8M	$11.3M	$27.3M	$17.1M	—	View 990
2023	$12.5M	$11.7M	$9.7M	$2.1M	—	—
2022	$9.8M	$9.4M	$8.9M	$2.1M	—	View 990
2021	$10.4M	$8.3M	$9.2M	$2.8M	—	—
2020	$8.2M	$7.9M	$8.1M	$3.8M	—	View 990
2019	$6.8M	$6.8M	$6.7M	$2.8M	—	View 990
2018	$6.7M	$5.6M	$6.2M	$2.3M	—	—
2017	$5.4M	$5.2M	$4.3M	$1.5M	—	View 990
2016	$5.1M	$4.4M	$4.0M	$1.4M	—	View 990
2015	$3.4M	$3.4M	$2.6M	$719K	—	View 990
2014	$3.1M	$3.0M	$2.6M	$735K	—	View 990
2013	$3.0M	$3.0M	$2.6M	$769K	—	View 990
2012	$2.8M	$2.6M	$2.4M	$594K	—	View 990

Year-by-Year Financial Summary

2024: Revenue of $13.8M, expenses of $11.3M, and assets of $27.3M (revenue +10.1% year-over-year).
2023: Revenue of $12.5M, expenses of $11.7M, and assets of $9.7M (revenue +27.6% year-over-year).
2022: Revenue of $9.8M, expenses of $9.4M, and assets of $8.9M (revenue -5.1% year-over-year).
2021: Revenue of $10.4M, expenses of $8.3M, and assets of $9.2M (revenue +26.1% year-over-year).
2020: Revenue of $8.2M, expenses of $7.9M, and assets of $8.1M (revenue +20.2% year-over-year).
2019: Revenue of $6.8M, expenses of $6.8M, and assets of $6.7M (revenue +1.5% year-over-year).
2018: Revenue of $6.7M, expenses of $5.6M, and assets of $6.2M (revenue +25.5% year-over-year).
2017: Revenue of $5.4M, expenses of $5.2M, and assets of $4.3M (revenue +5.1% year-over-year).
2016: Revenue of $5.1M, expenses of $4.4M, and assets of $4.0M (revenue +49.6% year-over-year).
2015: Revenue of $3.4M, expenses of $3.4M, and assets of $2.6M (revenue +10.9% year-over-year).
2014: Revenue of $3.1M, expenses of $3.0M, and assets of $2.6M (revenue +1.2% year-over-year).
2013: Revenue of $3.0M, expenses of $3.0M, and assets of $2.6M (revenue +10.0% year-over-year).
2012: Revenue of $2.8M, expenses of $2.6M, and assets of $2.4M.

Data Sources and Methodology

This transparency report for Fish River Rural Health is generated by NonprofitSpending's AI analysis engine. The data is sourced from publicly available IRS 990 filings accessed through the ProPublica Nonprofit Explorer API and IRS electronic filing records. The Mission Score, spending breakdown, and other analytical insights are produced by artificial intelligence and should be used as one of multiple factors when evaluating a nonprofit organization.

IRS 990 forms are annual information returns that most tax-exempt organizations must file with the IRS. These forms provide detailed financial information including revenue, expenses, assets, liabilities, and compensation of officers. NonprofitSpending processes this data to provide accessible transparency reports for donors, researchers, and the general public.

Disclaimer

AI-generated analysis based on IRS public records. Not financial or legal advice. Verify information directly with the organization.