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IN 2024, FRCHC PROVIDED PRIMARY HEALTHCARE, BEHAVIORAL HEALTH & DENTAL SERVICES TO ALMOST 23,000 UNIQUE PATIENTS IN PHELPS, DENT, PULASKI, MARIES, AND CRAWFORD COUNTIES.
Source: IRS Form 990 (Tax Year 2024)
Source: IRS Form 990 via ProPublica Nonprofit Explorer
Total Revenue
▼$30.1M
Total Contributions
$4.5M
Total Expenses
▼$26.1M
Total Assets
$28.9M
Total Liabilities
▼$12.8M
Net Assets
$16.1M
Officer Compensation
→$2M
Other Salaries
$8.9M
Investment Income
▼$292.9K
Fundraising
▼$0
Source: USAspending.gov · Searched by organization name
Total Federal Funding
$32.2M
Awards Found
17
Department of Health and Human Services
$2.1M
AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS
Department of Health and Human Services
$1.5M
RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? NEONATAL ABSTINENCE SYNDROME - RURAL COMMUNITIES OPIOID RESPONSE PROGRAM – NEONATAL ABSTINENCE SYNDROME
Department of Health and Human Services
$1.1M
FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION
Department of Health and Human Services
$1M
RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION
Department of Health and Human Services
$996.7K
RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION
Department of Health and Human Services
$750K
RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-IMPACT - RURAL COMMUNITIES OPIOID RESPONSE PROGRAM (RCORP)-IMPACT (HRSA-26-099) SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER D/B/A FOUR RIVERS COMMUNITY HEALTH CENTER UEI: JFB2LLZVQ5Q5 1081 E. 18TH ST. ROLLA, MO 65401-2448 STUART GIPSON, CHIEF EXECUTIVE OFFICER 573-426-4455 EXT. 2004 EMAIL ADDRESS: SGIPSON@FOURRIVERS.COM WEB SITE: WWW.FOURRIVERS.ORG U.S. CONGRESSIONAL DISTRICT(S): MO-08 FUNDING REQUEST: $750,000/YEAR FOR FOUR YEARS SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER D/B/A FOUR RIVERS COMMUNITY HEALTH CENTER (FOUR RIVERS) SERVES AS A PATIENT CENTERED MEDICAL HOME (PCMH) FOR RESIDENTS WITH LIMITED ACCESS TO HEALTH CARE IN SOUTHCENTRAL MISSOURI. FOUR RIVERS WILL PARTNER WITH LEGAL SERVICES OF SOUTHERN MISSOURI, PREVENTION CONSULTANTS OF MISSOURI, AND NEW DIMENSIONAL CHRISTIAN MINISTRY TO IMPROVE ACCESS TO INTEGRATED, COORDINATED, SUSTAINABLE SUBSTANCE USE DISORDER SERVICES, INCLUDING OPIOID USE DISORDER, IN THE FOLLOWING 100% RURAL COUNTIES: CRAWFORD, DENT, PHELPS, AND PULASKI IN MISSOURI. RCORP-IMPACT FUNDING WILL BE USED TO EXPAND ACCESS TO EVIDENCE-BASED SUD PREVENTION, TREATMENT (INCLUDING MEDICATION FOR OPIOID USE DISORDER OR MOUD), AND RECOVERY SERVICES. GRANT FUNDS WILL BE USED TO EXPAND ACCESS TO MOUD SERVICES, HIRING 0.2 FTE MOUD PROVIDERS, 4.0 FTE PEER SUPPORT SPECIALISTS, AND 4.0 FTE RECOVERY NURSES. FUNDS WILL ALSO BE USED TO CONTRACT WITH THE FOLLOWING: 1) PREVENTION CONSULTANTS OF MISSOURI TO DEVELOP A PREVENTION PROGRAM IN CRAWFORD COUNTY SCHOOLS AND A PREVENTION COALITION IN PULASKI COUNTY, 2) LEGAL AID OF SOUTHERN MISSOURI TO PROVIDE EXPUNGEMENT CLINICS THROUGHOUT THE FOUR-COUNTY TARGET RURAL AREA, AND 3) NEW DIMENSIONAL CHRISTIAN MINISTRY TO HOLD WEEKLY SUPPORT MEETINGS AND A RECOVERY MONTH CELEBRATION. THE PROJECT GOALS/OBJECTIVES ALIGN WITH THE FOUR REQUIRED RCORP-IMPACT GOALS: 1. SUD DIRECT SERVICE DELIVERY: EXPAND COORDINATED, COMPREHENSIVE, EVIDENCE-BASED SUD/OUD PREVENTION, TREATMENT, AND RECOVERY SERVICES, INCLUDING MOUD, SBIRT, MOBILE SERVICES, OVERDOSE PREVENTION, AND PEER RECOVERY SUPPORT. 2. SUPPORTIVE SERVICES: IMPROVE COORDINATION WITH SUPPORTIVE SOCIAL SERVICES BY USING CHWS, PEER STAFF, SCREENING TOOLS, AND CLOSED-LOOP REFERRALS TO ADDRESS TRANSPORTATION, INSURANCE, HOUSING, FOOD, EMPLOYMENT, CHILDCARE, AND OTHER BARRIERS TO RECOVERY. 3. WORKFORCE: STRENGTHEN THE RURAL SUD WORKFORCE BY RECRUITING, HIRING, TRAINING, AND SUPPORTING CLINICAL AND NON-CLINICAL STAFF, INCLUDING MOUD PROVIDERS, SUD COUNSELING STAFF, NURSES, CHWS, AND PEER RECOVERY SPECIALISTS. 4. NETWORK ENGAGEMENT AND SUSTAINABILITY: ENGAGE A MULTI-SECTOR RURAL NETWORK TO COORDINATE SERVICE DELIVERY, STRENGTHEN REFERRAL PATHWAYS, IMPROVE DATA-SHARING AND PERFORMANCE MONITORING, AND SUSTAIN EXPANDED SUD/OUD SERVICES BEYOND THE GRANT PERIOD. RCORP-IMPACT ACTIVITIES WILL ESTABLISH COORDINATED REFERRAL, FOLLOW-UP, AND REENTRY ENGAGEMENT WORKFLOWS WITH PROBATION AND PAROLE OFFICES, LAW ENFORCEMENT PARTNERS, AND COMMUNITY SUPERVISION AGENCIES TO SUPPORT RAPID LINKAGE TO MOUD, BEHAVIORAL HEALTH SERVICES, PEER RECOVERY SUPPORT, AND SUPPORTIVE SERVICES FOLLOWING RELEASE OR OTHER JUSTICE-SYSTEM TRANSITION POINTS. COMMUNITY HEALTH WORKERS (CHWS) AND CERTIFIED PEER SUPPORT SPECIALISTS (CPSS) WILL SUPPORT CARE COORDINATION, PATIENT ENGAGEMENT, APPOINTMENT FOLLOW-UP, AND CONTINUITY OF CARE DURING HIGH-RISK REENTRY PERIODS.
Department of Health and Human Services
$653.2K
HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING
Department of Health and Human Services
$580.7K
HEALTH CENTER INFRASTRUCTURE SUPPORT
Department of Health and Human Services
$208.4K
FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)
Department of Health and Human Services
$201.7K
FY 2023 EXPANDING COVID-19 VACCINATION
Department of Health and Human Services
$200K
RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)
Department of Health and Human Services
$58.6K
FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS
Department of Health and Human Services
$47.9K
RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM
Department of Health and Human Services
$25.9K
FY 2023 BRIDGE ACCESS PROGRAM
Department of Health and Human Services
-$905
RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)
Source: Federal Audit Clearinghouse (fac.gov)
Total Audits
10
Clean Audits
1
Material Weakness
Yes
Noncompliance Issues
No
| Year | Status | Financial Report | Federal Expenditure | Low Risk | Accepted |
|---|---|---|---|---|---|
| 2025 | Material Weakness | Unmodified (Clean) | $3.9M | No | 2026-08-21 |
| 2024 | Material Weakness | Unmodified (Clean) | $4M | No | 2025-09-25 |
| 2023 | Material Weakness | Unmodified (Clean) | $3.6M | No | 2024-10-02 |
| 2022 | Material Weakness | Unmodified (Clean) | $6.5M | No | 2023-11-22 |
| 2021 | Material Weakness | Unmodified (Clean) | $4.3M | No | 2022-10-25 |
| 2020 | Minor Findings | Unmodified (Clean) | $2.4M | No | 2021-08-03 |
| 2019 | Material Weakness | Unmodified (Clean) | $2.1M | No | 2020-06-28 |
| 2018 | Minor Findings | Unmodified (Clean) | $1.8M | No | 2019-08-08 |
| 2017 | Clean | Unmodified (Clean) | $1.7M | No | 2018-06-21 |
| 2016 | Minor Findings | Unmodified (Clean) | $1.4M | No | 2017-07-04 |
Financial Report
Unmodified (Clean)
Federal Expenditure
$3.9M
Financial Report
Unmodified (Clean)
Federal Expenditure
$4M
Financial Report
Unmodified (Clean)
Federal Expenditure
$3.6M
Financial Report
Unmodified (Clean)
Federal Expenditure
$6.5M
Financial Report
Unmodified (Clean)
Federal Expenditure
$4.3M
Financial Report
Unmodified (Clean)
Federal Expenditure
$2.4M
Financial Report
Unmodified (Clean)
Federal Expenditure
$2.1M
Financial Report
Unmodified (Clean)
Federal Expenditure
$1.8M
Financial Report
Unmodified (Clean)
Federal Expenditure
$1.7M
Financial Report
Unmodified (Clean)
Federal Expenditure
$1.4M
Source: IRS e-Filed Form 990
No officer or director compensation data available for this organization.
This data is sourced from IRS Form 990, Part VII. It may not be available if the organization files Form 990-N (e-Postcard) or has not yet been enriched.
Source: IRS Publication 78, Auto-Revocation List & e-Postcard Data
Tax-deductible contributions: Yes
Deductibility code: PC
Sources: IRS e-Filed Form 990 (XML) & ProPublica Nonprofit Explorer
Scroll →
| Year | Revenue | Contributions | Expenses | Assets | Net Assets |
|---|---|---|---|---|---|
| 2023 | $30.1M | $4.5M | $26.1M | $28.9M | $16.1M |
| 2022 | $24.2M | $7.4M | $18.1M | $24.6M | $12M |
| 2021 | $15.5M | $4.7M | $11.9M | $12.6M | $5.9M |
| 2020 | $10.5M | $4M | $8.7M | $7M |
Sources: ProPublica Nonprofit Explorer & IRS e-File Index
Financial data: IRS Form 990 via ProPublica Nonprofit Explorer (Tax Year 2023)
Federal grants: USAspending.gov (live)
Organization info: IRS Business Master File · ProPublica Nonprofit Explorer
Tax-deductibility: IRS Publication 78
| $2.3M |
| 2019 | $6.2M | $2.8M | $6.6M | $3.7M | $470.3K |
| 2018 | $4M | $2M | $4.2M | $3.6M | $956.5K |
| 2017 | $3.8M | $2M | $3.6M | $2.9M | $1.1M |
| 2016 | $2.7M | $1.8M | $2.6M | $2.2M | $878.5K |
| 2015 | $2.1M | $1.3M | $1.8M | $835.2K | $745.2K |
| 2014 | $1.7M | $1.3M | $1.3M | $519.2K | $450.5K |
| 2013 | $90.8K | $68.2K | $116.8K | $3,182 | $3,182 |
| 2012 | $140.6K | $111K | $114K | $29.2K | $29.2K |
| 2011 | $78.8K | $27.9K | $83.2K | $2,692 | $2,692 |
| 2021 | 990 | Data |
| 2020 | 990 | Data |
| 2019 | 990 | Data |
| 2018 | 990 | Data |
| 2017 | 990 | Data | PDF not yet published by IRS |
| 2016 | 990 | Data |
| 2015 | 990 | Data |
| 2014 | 990 | Data |
| 2013 | 990 | Data |
| 2012 | 990 | Data |
| 2011 | 990 | Data |
| 2010 | 990 | — |
| 2009 | 990 | — |
| 2008 | 990-EZ | — |