SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2023
Open to Public
Inspection
Name of the organization
RURAL HEALTH SERVICES INC
 
Employer identification number

23-7085643
Return Reference Explanation
Pt VI, Line 11b MANAGEMENT AND THE BOARD REVIEW AND APPROVE THE FORM 990 BEFORE
Pt VI, Line 11b IT IS FILED WITH THE IRS.
Pt VI, Line 12c ANNUALLY, THE BOARD IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST
Pt VI, Line 12c STATEMENT THAT COMPLIES WIH THE CONFLICT OF INTEREST POLICY.
Pt VI, Line 15a THE ORGANIZATION IS A MEMBER OF THE NATIONAL ASSOCIATION OF COMMUNITY
Pt VI, Line 15b HEALTH CENTERS, AND WITH THIS MEMBERSHIP IS ABLE TO RECEIVE COMPLETED
Pt VI, Line 15b COMPENSATION SURVEYS THAT LIST COMPENSATION BY FUNCTION AND REGION
Pt VI, Line 15b OF EMPLOYMENT. USING THIS SURVEY IS THE INITIAL STATE OF COMPENSATION
Pt VI, Line 15b EVAULATION. THE ORGANIZATION ALSO WILL REVIEW THE APPLICANTS REQUESTED
Pt VI, Line 15b COMPENSATION RANGE AND DETERMINE IF THIS MEETS PREVIOUSLY
Pt VI, Line 15b COMPENSATION RANGE AND DETERMINE IF THIS MEETS PREVIOUSLY
Pt VI, Line 15b AVAILABLE IN COMPLIANCE WITH THE FREEDOM OF INFORMATION ACT
Pt VI, Line 15b THROUGH HRSA.
Pt VI, Line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT
Pt VI, Line 19 OF INTEREST POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST.
Pt XI LINE 9 REPRESENTS THE NET CHANGE IN NET ASSETS WITH
Pt XI DONOR RESTRICTIONS FOR THE YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2023


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