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Missouri · Nonprofit

NATIONAL RURAL HEALTH ASSOCIATION

NATIONAL RURAL HEALTH ASSOCIATION (Missouri) receives grants from 7 organizations whose IRS filings report $2,357,833 to it, the largest being THE JOHN A HARTFORD FOUNDATION INC ($1,808,994). 3 of them have funded it in more than one year.

Revenue FY2025
$10M
Funders on record
7
Grants received
$2.4M
Net assets
$14M
3/7 repeat funderspeak grant-dependency 4%
01What it does

What National Rural Health Association does

Mission

The association's mission is to provide leadership on rural health issues through advocacy, communications, education, and research.

As stated on its FY2025 Form 990.

Programs

  1. Nrha is a national nonprofit membership organization that brings together thousands of members across the us to tackle the vastly different obstacles faced by patients and health care providers in rural areas. Nrha members participate in in-depth analysis, assistance, discussion, advocacy, programming, and policy production with stakeholders across the country. They participate in national conferences and symposiums, engage in education and assistance, and seek to improve access to healthcare in their rural communities. Nrha works to improve access to care for those living in rural communities. One of the most pertinent issues is the health care workforce shortage and its significant impact on patients' access to care. To address this concern, nrha began to lay the foundation for a national community healthcare worker (chw) training network in 2011. Nrha has successfully implemented more than 30 trainings in the past sixteen years and has trained more than 2,200 rural chws in the us. The journal of rural health (jrh), which has been published by nrha for the past 45 years, serves to advance professional practice, research, theory development, and public policy. It is a…

    $5,614,423 spent$5,225,198 earned by the program
    63% of program spending
  2. State rural health associations (srhas) are nonprofit, grassroots organizations that are made up of the rural providers and other rural health leaders who work in each community and/or individual state. The National Rural Health Association began providing direct technical assistance to the srhas through this cooperative agreement with the federal office of rural health policy in the 1990s with 19 srhas. Over the last 30 years, nrha has supported in the development of an additional 25 srhas. National Rural Health Association, with support from the federal office of rural health policy provides technical assistance in the following three areas: communication, convenings, technical assistance and education. Besides srha, there are many other local and state agencies making a difference in providing healthcare access, training, research, and delivery to rural communities. These include oral health care initatives and age- related health initatives.

    $3,313,219 spentof which $3,313,219 as grants$3,313,219 earned by the program
    37% of program spending

The 2 programs described on its FY2025 Form 990, listed largest first by expense. Program spending in total: $8,927,642.

02The organization over time

The organization over time

Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended.

100 = 20172017 Revenue 100 ($4.4M) Expenses 100 ($4.6M) Net assets 100 ($353k)2018 Revenue 105 ($4.6M) Expenses 101 ($4.6M) Net assets 86 ($305k)2019 Revenue 128 ($5.7M) Expenses 126 ($5.8M) Net assets 78 ($276k)2020 Revenue 103 ($4.6M) Expenses 87 ($4.0M) Net assets 253 ($893k)2021 Revenue 118 ($5.2M) Expenses 103 ($4.7M) Net assets 405 ($1.4M)2022 Revenue 332 ($15M) Expenses 147 ($6.7M) Net assets 2558 ($9.0M)2023 Revenue 180 ($7.9M) Expenses 166 ($7.6M) Net assets 2902 ($10M)2024 Revenue 223 ($9.9M) Expenses 197 ($9.0M) Net assets 3517 ($12M)2025 Revenue 230 ($10M) Expenses 217 ($10.0M) Net assets 3937 ($14M)
'17'18'19'20'21'22'23'24'25
Revenue (230)Expenses (217)Net assets (3937)

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2021 to 2022, from $2.3M to $11M (+355%).

$1.2M
$1.2M
$1.2M
$1.7M
$2.3M
$11M
$12M
$14M
$15M
'17'18'19'20'21'22'23'24'25
Total assetsTotal liabilities

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

2017
2018
2019
2020
2021
2022
2023
2024
2025
ContributionsProgram revenueInvestmentOther

Government-grant reliance: 2017 43% · 2018 44% · 2019 0% · 2020 7%. Grants only. Government contracts and fees sit inside program revenue.

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 3 of the last 9 reported years ran a deficit.

−$173k
’17
−$14k
’18
−$103k
’19
$562k
’20
$495k
’21
$7.9M
’22
$323k
’23
$826k
’24
$206k
’25
1.2
months of
reserve

Leadership and staff

The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.

Chief executive

Alan E Morgan

CEO

As listed on its FY2025 Form 990.

'17'18'19'20'21'22'23'24'25
Listed232122222324242523
Joined·+8+4+0+8+14+3+2+2
No longer listed·1030713314
03Who funds it

Who funds it, year by year

2020 → 2023: the base broadened from 1 funder to 3 funders, grant income rose $100 → $11k.

1 of 7 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 0% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.

From the IRS filings of NATIONAL RURAL HEALTH ASSOCIATION’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How concentrated its funding is

NATIONAL RURAL HEALTH ASSOCIATION leans on a few funders — its largest provides 77% of grant income and the top three 98%; half comes from just 1 funder.

the vertical line marks half of all grant income — 1 funder to its left

77%
largest funder
98%
top three
~2
effective funders

Largest funder’s share by year: 2020 100% · 2021 100% · 2022 61% · 2023 92% — diversifying over time.

“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

Where its funders are

NATIONAL RURAL HEALTH ASSOCIATION draws 99% of its grant income from funders outside Missouri, across 5 states in all.

NY
MA
MO
MD
TX

In-state vs out-of-state, by year

’20
’21
’22
’23
Missouri out of state home

Funder states come from each funder’s own filing. $10k arriving through sponsors registered in 1 state is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

04Its place in the field

Government funding NATIONAL RURAL HEALTH ASSOCIATION receives

Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $9.0M on record — $8.9M federal, $27k state.

Federal$8.9M
grants $8.9Mcontracts $0
24
25
26
Top agencies
  • Department of Health and Human Services$8.9M
State$27k
10
11
12
13
14
16
17
18
19
20
21
22
23
24
25
26
By state
  • VT$16k
  • DE$3k
  • NJ$3k
  • MA$3k
  • OK$1k

Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.

Organizations like NATIONAL RURAL HEALTH ASSOCIATION

Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.

In Missouri

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

90% of spending goes to programs.

Program 90%Management 9%Fundraising 1%

Governance

17
board members
100%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention–Board reviewed the 990✓Audited financials

Public support

89%

Share of support from the public (Schedule A) — the basis for its public-charity status.

Footprint & structure

Files a return copy in 1 state

CA

Part of a family of 2 related entities

  • Rural Health Leadership & Education · exempt
  • Nrha Services Corporation · corp_trust

Screen this organization

A dated, signed PDF of the compliance screen for NATIONAL RURAL HEALTH ASSOCIATION: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.

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Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf

Questions and answers

Who funds NATIONAL RURAL HEALTH ASSOCIATION?
NATIONAL RURAL HEALTH ASSOCIATION (Missouri) receives grants from 7 organizations whose IRS filings report $2,357,833 to it, the largest being THE JOHN A HARTFORD FOUNDATION INC ($1,808,994). 3 of them have funded it in more than one year.
How many funders does NATIONAL RURAL HEALTH ASSOCIATION have?
IRS filings report 7 organizations giving $2,357,833 in grants to NATIONAL RURAL HEALTH ASSOCIATION, 3 of which have funded it in more than one year.
Who is the largest funder of NATIONAL RURAL HEALTH ASSOCIATION?
THE JOHN A HARTFORD FOUNDATION INC is the largest funder on record, with $1,808,994 in grants. The full list of funders is on this page.
How can an organization like NATIONAL RURAL HEALTH ASSOCIATION find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in Missouri. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 7 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 22, 2026. What this page cannot tell you · view filing