Rural Nebraska Healthcare Network

Rural Nebraska Healthcare Network faces persistent deficits and declining assets, raising long-term sustainability concerns.

EIN: 204113373 · Scottsbluff, NE · NTEE: W050 · Updated: 2026-03-28

$110KRevenue
$5.5MAssets
65/100Mission Score (Good)
W050
Rural Nebraska Healthcare Network Financial Summary
MetricValue
Total Revenue$110K
Total Expenses$1.0M
Program Spending80%
Net Assets$6.5M
Transparency Score65/100

Is Rural Nebraska Healthcare Network Legit?

Some Concerns

GoodFiling Consistency
ExcellentSpending Efficiency
GoodTransparency
4 FoundRed Flags

Assessment based on IRS 990 filings, spending patterns, and AI analysis. Not a guarantee of legitimacy. Full charity check →

Rural Nebraska Healthcare Network directs 80% of its spending to programs. This exceeds the industry benchmark of 65%, indicating strong mission focus.

About Rural Nebraska Healthcare Network

Rural Nebraska Healthcare Network (EIN: 204113373) is a nonprofit organization based in Scottsbluff, NE, classified under NTEE code W050. The organization reported total revenue of $110K and total assets of $5.5M according to its most recent IRS 990 filing. This transparency report provides an AI-powered analysis of Rural Nebraska Healthcare Network's financial health, spending patterns, executive compensation, and overall mission effectiveness based on publicly available IRS data.

Organization Overview

17Years Operating
SmallSize Classification
13Years of Filings
MixedRevenue Trajectory

Rural Nebraska Healthcare Network is a small nonprofit that has been operating for 17 years, with 13 years of IRS 990 filings on record (2011–2023). Revenue has grown at a compound annual rate of -25.8%.

Key Financial Metrics (2023)

From the most recent IRS 990 filing on record:

Total Revenue$407K
Total Expenses$1.0M
Surplus / Deficit$-604,714
Total Assets$6.5M
Net Assets$6.5M
Operating Margin-148.6%
Months of Reserves76.8 months

Financial Health Grade: B

In 2023, Rural Nebraska Healthcare Network reported a deficit of $605K with expenses exceeding revenue, holds 76.8 months of operating reserves (strong position).

Financial Trends

Over 13 years of filings (2011–2023), Rural Nebraska Healthcare Network's revenue has declined at a compound annual growth rate (CAGR) of -25.8%.

YearRevenue ChangeExpense ChangeAsset Change
2023-31.9%+15.8%-8.5%
2022-17.3%-24.8%-3.8%
2021-27.7%-38.7%-5.6%
2020+2.8%+61.9%-10.3%
2019+22.0%+3.3%-2.2%

IRS Tax-Exempt Classification

IRS Classification Codes1000
IRS Ruling Date2009

Classification data from ProPublica Nonprofit Explorer. Additional BMF data may be available after enrichment.

AI Transparency Report

Rural Nebraska Healthcare Network exhibits a concerning trend of declining revenue and increasing net deficits over the past several years. In 2023, the organization reported revenue of $407,072 against expenses of $1,011,786, resulting in a significant deficit. This pattern is consistent across recent filings, with expenses consistently exceeding revenue since at least 2019. While the organization maintains substantial assets, reported at $6,472,569 in 2023, these assets have been steadily decreasing from a high of over $11 million in 2014, suggesting the organization may be drawing down reserves to cover operational shortfalls. The consistent reporting of zero liabilities is a positive indicator of financial stability in that regard, but the long-term sustainability is questionable given the expenditure trends. The organization's transparency is strong regarding executive compensation, as it consistently reports 0% officer compensation, indicating that its leadership is either unpaid or compensated through other means not classified as officer compensation on the 990, which is a positive for donor confidence. However, without a detailed breakdown of program, administrative, and fundraising expenses, it's challenging to fully assess spending efficiency. The overall financial trajectory suggests a need for strategic review to align expenses with revenue generation or to secure new funding sources to reverse the trend of asset depletion.

Mission Effectiveness Score

NonprofitSpending's AI analysis rates Rural Nebraska Healthcare Network with a Mission Score of 65 out of 100 (Good). This score reflects the organization's overall financial transparency, program spending efficiency, and governance indicators derived from IRS 990 public filings.

Spending Breakdown

According to IRS 990 filings, Rural Nebraska Healthcare Network allocates its expenses as follows: admin: 15%, programs: 80%, fundraising: 5%. With 80% directed toward programs, this reflects a strong commitment to its charitable mission.

Key Financial Metrics (2023)

From the most recent IRS 990 filing on record:

$407KTotal Revenue
$1.0MTotal Expenses
$6.5MTotal Assets
$6.5MNet Assets

Executive Compensation Analysis

The organization consistently reports 0% officer compensation across all available filings, indicating that its leadership is either entirely volunteer-based or compensated through non-officer roles, which is a strong positive for donor perception and suggests efficient use of funds at the executive level.

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 Rural Nebraska Healthcare Network's IRS 990 filings:

Strengths

The following positive indicators were identified for Rural Nebraska Healthcare Network:

Frequently Asked Questions about Rural Nebraska Healthcare Network

Is Rural Nebraska Healthcare Network a legitimate charity?

Based on AI analysis of IRS 990 filings, Rural Nebraska Healthcare Network (EIN: 204113373) some concerns. Mission Score: 65/100. 4 red flags identified, 3 strengths noted.

How does Rural Nebraska Healthcare Network spend its money?

Rural Nebraska Healthcare Network directs 80% of its spending to programs and services. The remaining budget covers administration and fundraising costs.

Are donations to Rural Nebraska Healthcare Network tax-deductible?

Rural Nebraska Healthcare Network is registered as a tax-exempt nonprofit (EIN: 204113373). Donations to most 501(c)(3) organizations are tax-deductible. Consult a tax professional for your specific situation.

What percentage of Rural Nebraska Healthcare Network's spending goes to programs?

Rural Nebraska Healthcare Network directs 80% to programs, 5% to fundraising. This exceeds the 65% industry benchmark for efficient nonprofits.

How does Rural Nebraska Healthcare Network compare to similar nonprofits?

With a transparency score of 65/100 (Good), Rural Nebraska Healthcare Network is above average for NTEE category W050 nonprofits. The score reflects financial transparency, program spending efficiency, and governance quality based on IRS 990 data.

Where is Rural Nebraska Healthcare Network located?

Rural Nebraska Healthcare Network is headquartered in Scottsbluff, Nebraska and files with the IRS under EIN 204113373. It is classified under NTEE code W050.

How many years of IRS 990 filings does Rural Nebraska Healthcare Network have?

Rural Nebraska Healthcare Network has 13 years of IRS 990 filings on record at NonprofitSpending. This extensive filing history provides a strong basis for evaluating long-term financial trends. The most recent filing shows $110K in total revenue.

Is Rural Nebraska Healthcare Network financially sustainable given its consistent deficits?

The organization has consistently reported expenses exceeding revenue since at least 2019, leading to significant annual deficits (e.g., $604,714 in 2023). While it has substantial assets ($6,472,569 in 2023), these have been declining, suggesting reliance on reserves. This trend raises serious questions about long-term financial sustainability without a change in revenue or expense structure.

What is causing the significant decline in assets?

The organization's assets have decreased from over $11 million in 2014 to $6.47 million in 2023. This decline directly correlates with the consistent annual deficits where expenses have outpaced revenue, indicating that the organization is likely using its asset base to cover operational costs.

How does the organization manage to operate with 0% officer compensation?

The consistent reporting of 0% officer compensation on IRS Form 990 suggests that the organization's officers are either volunteers or are compensated through mechanisms not classified as 'officer compensation' on the form. This is a positive indicator of resource allocation towards the mission rather than executive salaries.

What are the primary sources of revenue for the organization?

While the provided data shows total revenue, it does not detail the specific sources (e.g., grants, contributions, program service revenue). Given the NTEE code W050 (General and Rehabilitative Hospitals), program service revenue from healthcare services is likely a significant component, but further detail would be needed to understand funding diversity.

What steps is the organization taking to address its financial deficits?

The provided data does not include strategic plans or explanations for the financial trends. Given the consistent deficits and declining assets, it would be crucial for the organization to implement strategies to increase revenue, reduce expenses, or both, to ensure its continued operation and mission delivery.

Filing History

IRS 990 filing history for Rural Nebraska Healthcare Network showing financial trends over 13 years of public records:

Over 13 years of IRS 990 filings (2011–2023), Rural Nebraska Healthcare Network's revenue has declined by 97.2%, moving from $14.5M to $407K. Total assets decreased by 55% over the same period, from $14.4M to $6.5M. Total functional expenses rose by 642.4%, from $136K to $1.0M. In its most recent filing year (2023), Rural Nebraska Healthcare Network reported a deficit of $605K, with expenses exceeding revenue.

YearRevenueExpensesAssetsLiabilitiesOfficer Comp. %PDF
2023 $407K $1.0M $6.5M $0
2022 $598K $874K $7.1M $0
2021 $723K $1.2M $7.4M $0 View 990
2020 $1000K $1.9M $7.8M $0
2019 $972K $1.2M $8.7M $0 View 990
2018 $797K $1.1M $8.9M $0 View 990
2017 $1.9M $1.3M $9.4M $0 View 990
2016 $840K $2.6M $8.9M $0 View 990
2015 $927K $2.2M $10.7M $0 View 990
2014 $764K $2.2M $11.9M $0 View 990
2013 $2.7M $4.1M $13.3M $0 View 990
2012 $2.1M $1.7M $14.7M $0 View 990
2011 $14.5M $136K $14.4M $0 View 990

Year-by-Year Financial Summary

View Individual Filing Years

Explore detailed financial data from each IRS 990 filing year for Rural Nebraska Healthcare Network:

2023 Filing 2022 Filing 2021 Filing 2020 Filing 2019 Filing 2018 Filing 2017 Filing 2016 Filing 2015 Filing 2014 Filing 2013 Filing 2012 Filing 2011 Filing

Data Sources and Methodology

This transparency report for Rural Nebraska Healthcare Network 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.

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