Astrelis
health center · ID

BOUNDARY REGIONAL COMMUNITY HEALTH CENTER

CCN 131822Latest FY 2023
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Financial anchor year: FY22. Margin and revenue are as filed for FY22. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read

A health center in ID. It ran an operating loss of 97.1% in FY22 on $9.8M of operating revenue. Operating margin declined from -85.0% in FY21 to -97.1% in FY22. Including nonoperating items, the all-in result was positive at 1.0%.

Total patients (UDS)
13,898
Verified fact2024
Source: HRSA UDS
Uninsured patient share
12.5%
Proxy2024
Source: HRSA UDS
Operating margin · FY22
-97.1%
12.1 pts vs FY21
vs health centers
Total visits
62,211
Verified fact2024
Source: HRSA UDS

Where BOUNDARY REGIONAL COMMUNITY 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.

-20%-10%0%+10%+20%health center median -36.625%BOUNDARY REGIONAL -97.09%-20%0%+20%health center median -36.625%BOUNDARY REGIONAL -97.09%
One health centerBOUNDARY REGIONALhealth center median

The organization behind this center

HRSA UDS 2024 · awardee level · whole organization

This site belongs to Boundary Regional Community Health Center (grant H80CS00302). 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
13,898
unduplicated, organization-wide · UDS Table 4
Medical visits
37,766
organization-wide clinic visits
Medical staffing
62.9FTE
7.0 physician · 6.1 NP · 3.8 PA
Cost per patient
Consent-gated
Table 9D financials are consent-gated (FOIA Exemption 4): released only for centers that consent, about half in 2024. Suppressed, never zeroed.
Payer mix (share of patients)
Medicaid 28.4% · Medicare 20.5% · Uninsured 12.6% · Private 38.5% · Other public 0.0%
Clinical quality vs the national UDS median
Blood-pressure control
81.5%
national UDS median 66.6%
HRSA UDS 2024
Diabetes HbA1c > 9% (lower is better)
10.8%
national UDS median 26.1%
HRSA UDS 2024
Cervical cancer screening
66.2%
national UDS median 53.0%
HRSA UDS 2024
Breast cancer screening
64.4%
national UDS median 53.4%
HRSA UDS 2024
Colorectal cancer screening
61.0%
national UDS median 42.0%
HRSA UDS 2024
Depression screening & follow-up
98.7%
national UDS median 75.8%
HRSA UDS 2024
Tobacco cessation intervention
98.5%
national UDS median 86.8%
HRSA UDS 2024
Adult BMI screening & follow-up
97.8%
national UDS median 71.0%
HRSA UDS 2024
Childhood immunization status
19.6%
national UDS median 26.8%
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
-97.1% (FY22)
Operating income ÷ total operating revenue · Medicare cost-report scope, not the organization's full financials
HCRIS WS G-3
Total margin
+1.0% (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 itemFY21FY22FY23
Patient revenue9,9419,6239,765
Total operating revenue9,9419,6239,765
Total operating expenses18,39118,96620,502
Operating income(8,449)(9,343)(10,737)
Operating margin %-85.0%-97.1%-110.0%
Other non-operating, net9,84310,44910,951
Net income1,3941,106214
Net income %+7.0%+5.5%+1.0%
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.

Total patients (UDS)
13,898
Verified fact2024
HRSA UDS
Uninsured patient share
12.5%
Proxy2024
HRSA UDS
Medicaid patient share
28.4%
Proxy2024
HRSA UDS
Medical visits
36,445
Verified fact2024
HRSA UDS
Behavioral health visits
11,004
Verified fact2024
HRSA UDS
Dental visits
14,762
Verified fact2024
HRSA UDS
Total staff FTE
150.60
Verified fact2024
HRSA UDS
Service sites
20
Verified fact2024
HRSA UDS
Revenue per patient
$679
Proxy2024
HRSA UDS
Total visits
62,211
Verified fact2024
HRSA UDS
Cost per visit ($, Medicare scope)
270.01
Verified fact2023
HCRIS CMS-224
Total visits (Medicare scope)
44,121
Verified fact2023
HCRIS CMS-224

Trajectory

Cost-report basis · 4 reporting years
Operating margin
-85.0%-97.1%FY20FY21FY22FY23
Days cash on hand
Not available

The county this health center serves

Location, ID · nonmetro, rural, remote
Median household income
$62.4K
vs $82.1K US · $59.7K rural median
Poverty rate
17.2%
vs 12.5% US · 14.3% rural median
Uninsured
13.6%
vs 8.6% US · 8.4% rural median
Age 65+
23.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
19.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 10.9% of county personal income is Medicare/Medicaid medical benefits; 29.5% arrives as government transfers (BEA, 2022).
build aa21187 · 2026-07-28