A health center in CA. It ran an operating loss of 77.2% in FY23 on $10.3M of operating revenue. Operating margin improved from -96.6% in FY20 to -77.2% in FY23.
Days cash on hand
Not available
vs health centers—
Total operating revenue · FY23
$10.3M
▲ 1.1 $M vs FY22
vs health centers—
Operating margin · FY23
-77.2%
▲ 11.2 pts vs FY22
vs health centers—
Total margin · incl. nonoperating · FY23
-8.2%
▼ 9.9 pts vs FY22
vs health centers—
Where WESTERN SIERRA MEDICAL sits among health centers
Operating margin · FY23 pool · n = 1,112 of 4,110 filed
Each point is one health center in the national distribution for this provider type, placed by operating margin. Facilities are not matched on size, case mix, or market — that is the matched-peer comparison in the paid benchmark. The health center median is -36.6%. Descriptive context only, not a ranking.
One health centerWESTERN SIERRAhealth center median
This site belongs to Western Sierra Medical Clinic (grant H80CS08234), which operates 7 FQHC sites. UDS reports at the organization level: the figures below describe the whole organization and are repeated on each of its site pages, never summed per site.
Patients
19,825
unduplicated, organization-wide · UDS Table 4
Medical visits
71,264
organization-wide clinic visits
Medical staffing
60.2FTE
9.1 physician · 8.4 NP · 7.9 PA
Cost per patient
$1,125
total accrued cost ÷ patients · UDS Table 8A
Payer mix (share of patients)
Medicaid 57.3% · Medicare 15.7% · Uninsured 5.4% · Private 21.5% · Other public 0.0%
Clinical quality vs the national UDS median
Blood-pressure control
70.8%
national UDS median 66.6%
HRSA UDS 2024
Diabetes HbA1c > 9% (lower is better)
24.8%
national UDS median 26.1%
HRSA UDS 2024
Cervical cancer screening
43.1%
national UDS median 53.0%
HRSA UDS 2024
Breast cancer screening
35.5%
national UDS median 53.4%
HRSA UDS 2024
Colorectal cancer screening
25.1%
national UDS median 42.0%
HRSA UDS 2024
Depression screening & follow-up
30.6%
national UDS median 75.8%
HRSA UDS 2024
Tobacco cessation intervention
49.5%
national UDS median 86.8%
HRSA UDS 2024
Adult BMI screening & follow-up
28.6%
national UDS median 71.0%
HRSA UDS 2024
Appendix: the Medicare cost-report view
$ thousands · HCRIS cost-report basis · as filed, QA-gated
Read this first: this is a partial, Medicare-centric view. Health centers are grant-funded: HRSA Section 330 grants, Medicaid, and sliding-fee revenue dominate their finance and are not on this cost report, which carries only an income statement. A thin or negative cost-report margin here is not whole-organization distress; the organization-level picture is the UDS section above.
Ratios tell you how this health center is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.
Operating margin
-77.2% (FY23)
Operating income ÷ total operating revenue · Medicare cost-report scope, not the organization's full financials
HCRIS WS G-3
Total margin
-8.2% (FY23)
Net income ÷ total revenue incl. nonoperating · Medicare cost-report scope, not the organization's full financials
HCRIS WS G-3
Days cash on hand
Not reported in this filing
Cash & investments ÷ daily operating expense
HCRIS WS G / G-3
Current ratio
Not reported in this filing
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
Not reported in this filing
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not reported in this filing
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY21
FY22
FY23
Patient revenue
9,837
9,248
10,308
Total operating revenue
9,837
9,248
10,308
Total operating expenses
15,287
17,419
18,266
Operating income
(5,450)
(8,171)
(7,958)
Operating margin %
-55.4%
-88.4%
-77.2%
Other non-operating, net
6,691
8,459
6,569
Net income
1,241
288
(1,389)
Net income %
+7.5%
+1.6%
-8.2%
HCRIS CMS-224 cost report · $ thousands · FY20–FY23 · Medicare cost-report scope, not the organization’s full financials · FY20–21 may include COVID-era relief funding
A condensed balance sheet is not shown for this health center: the public cost report does not carry substantive balance-sheet detail (assets, liabilities, and net assets that reconcile) for this provider. The income statement and ratio exhibit above are the reliable financial view here. We lead with those rather than render a hollow table.
How it operates
quality & operational context · CMS public reporting
The metrics this health center type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.
Cost per visit ($, Medicare scope)
285.59
Verified fact2023
HCRIS CMS-224
Total visits (Medicare scope)
49,895
Verified fact2023
HCRIS CMS-224
Trajectory
Cost-report basis · 4 reporting years
Operating margin
Days cash on hand
The county this health center serves
Location, CA · nonmetro, rural, metro-adjacent
Median household income
$60.0K
vs $82.1K US · $59.7K rural median
Poverty rate
12.3%
vs 12.5% US · 14.3% rural median
Uninsured
12.4%
vs 8.6% US · 8.4% rural median
Age 65+
34.5%
vs 16.8% US · 20.6% rural median
Fair or poor health
26.1%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 9.7% of county personal income is Medicare/Medicaid medical benefits; 25.7% arrives as government transfers (BEA, 2022).
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