Astrelis
health center · IA

RIVER HILLS COMMUNITY HEALTH CENTER, INC.

CCN 161002Latest FY 2022
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A health center in IA. It reported $0.1M of operating revenue. Only a single comparable reporting year is available, so trend context is limited.

Total patients (UDS)
21,850
Verified fact2024
Source: HRSA UDS
Uninsured patient share
17.2%
Proxy2024
Source: HRSA UDS
Operating margin
Not available
vs health centers
Total visits
86,201
Verified fact2024
Source: HRSA UDS

Where RIVER HILLS 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%-20%0%+20%health center median -36.625%
One health centerRIVER HILLShealth center median

The organization behind this center

HRSA UDS 2024 · awardee level · whole organization

This site belongs to River Hills Community Health Center, Inc. (grant H80CS00796), which operates 5 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
21,850
unduplicated, organization-wide · UDS Table 4
Medical visits
25,282
organization-wide clinic visits
Medical staffing
46.1FTE
1.0 physician · 12.1 NP
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 46.1% · Medicare 7.1% · Uninsured 17.3% · Private 29.6% · Other public 0.0%
Clinical quality vs the national UDS median
Blood-pressure control
80.5%
national UDS median 66.6%
HRSA UDS 2024
Diabetes HbA1c > 9% (lower is better)
28.7%
national UDS median 26.1%
HRSA UDS 2024
Cervical cancer screening
19.2%
national UDS median 53.0%
HRSA UDS 2024
Breast cancer screening
19.6%
national UDS median 53.4%
HRSA UDS 2024
Colorectal cancer screening
24.3%
national UDS median 42.0%
HRSA UDS 2024
Depression screening & follow-up
83.3%
national UDS median 75.8%
HRSA UDS 2024
Tobacco cessation intervention
25.9%
national UDS median 86.8%
HRSA UDS 2024
Adult BMI screening & follow-up
32.9%
national UDS median 71.0%
HRSA UDS 2024
Childhood immunization status
41.5%
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
Not reported in this filing
Operating income ÷ total operating revenue · Medicare cost-report scope, not the organization's full financials
HCRIS WS G-3
Total margin
-1.6% (FY22)
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 itemFY22
Patient revenue117
Total operating revenue117
Total operating expenses302
Operating income(184)
Operating margin %-157.3%
Other non-operating, net179
Net income(5)
Net income %-1.7%
1 of 3 years available for this statement.
HCRIS CMS-224 cost report · $ thousands · FY22–FY22 · Medicare cost-report scope, not the organization’s full financials
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)
21,850
Verified fact2024
HRSA UDS
Uninsured patient share
17.2%
Proxy2024
HRSA UDS
Medicaid patient share
46.1%
Proxy2024
HRSA UDS
Medical visits
25,257
Verified fact2024
HRSA UDS
Behavioral health visits
33,878
Verified fact2024
HRSA UDS
Dental visits
27,066
Verified fact2024
HRSA UDS
Total staff FTE
204.47
Verified fact2024
HRSA UDS
Service sites
32
Verified fact2024
HRSA UDS
Revenue per patient
$267
Proxy2024
HRSA UDS
Total visits
86,201
Verified fact2024
HRSA UDS
Cost per visit ($, Medicare scope)
380.28
Verified fact2022
HCRIS CMS-224

Trajectory

Cost-report basis · single reporting year
Operating margin
Not available
Days cash on hand
Not available

The county this health center serves

Location, IA · nonmetro, urban 5–20K
Median household income
$56.8K
vs $82.1K US · $59.7K rural median
Poverty rate
14.6%
vs 12.5% US · 14.3% rural median
Uninsured
7.2%
vs 8.6% US · 8.4% rural median
Age 65+
25.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
19.2%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 10.6% of county personal income is Medicare/Medicaid medical benefits; 24.4% arrives as government transfers (BEA, 2022).
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