A health center in MO. It ran an operating loss of 37.3% in FY22 on $10.4M of operating revenue. Operating margin improved from -50.3% in FY20 to -37.3% in FY22. Including nonoperating items, the all-in result was positive at 16.8%.
Total patients (UDS)
15,216
Verified fact2024
Source: HRSA UDS
Uninsured patient share
17.6%
Proxy2024
Source: HRSA UDS
Operating margin · FY22
-37.3%
▲ 13.3 pts vs FY21
vs health centers—
Total visits
51,202
Verified fact2024
Source: HRSA UDS
Where DOUGLAS COUNTY PUBLIC 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 centerDOUGLAS COUNTYhealth center median
This site belongs to Douglas County Public Health Services Group, Inc. (grant H80CS00457). 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
15,216
unduplicated, organization-wide · UDS Table 4
Medical visits
33,883
organization-wide clinic visits
Medical staffing
39.6FTE
3.4 physician · 11.0 NP
Cost per patient
$1,155
total accrued cost ÷ patients · UDS Table 8A
Payer mix (share of patients)
Medicaid 49.1% · Medicare 5.3% · Uninsured 17.6% · Private 28.1% · Other public 0.0%
Clinical quality vs the national UDS median
Blood-pressure control
65.3%
national UDS median 66.6%
HRSA UDS 2024
Diabetes HbA1c > 9% (lower is better)
21.9%
national UDS median 26.1%
HRSA UDS 2024
Cervical cancer screening
41.2%
national UDS median 53.0%
HRSA UDS 2024
Breast cancer screening
39.2%
national UDS median 53.4%
HRSA UDS 2024
Colorectal cancer screening
35.2%
national UDS median 42.0%
HRSA UDS 2024
Depression screening & follow-up
73.2%
national UDS median 75.8%
HRSA UDS 2024
Tobacco cessation intervention
91.5%
national UDS median 86.8%
HRSA UDS 2024
Adult BMI screening & follow-up
75.4%
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
-37.3% (FY22)
Operating income ÷ total operating revenue · Medicare cost-report scope, not the organization's full financials
HCRIS WS G-3
Total margin
+16.8% (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 item
FY20
FY21
FY22
Patient revenue
8,418
8,718
10,381
Total operating revenue
8,418
8,718
10,381
Total operating expenses
12,650
13,121
14,249
Operating income
(4,232)
(4,403)
(3,868)
Operating margin %
-50.3%
-50.5%
-37.3%
Other non-operating, net
4,981
7,137
6,750
Net income
749
2,734
2,882
Net income %
+5.6%
+17.2%
+16.8%
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)
15,216
Verified fact2024
HRSA UDS
Uninsured patient share
17.6%
Proxy2024
HRSA UDS
Medicaid patient share
49.1%
Proxy2024
HRSA UDS
Medical visits
33,831
Verified fact2024
HRSA UDS
Behavioral health visits
5,064
Verified fact2024
HRSA UDS
Dental visits
12,307
Verified fact2024
HRSA UDS
Total staff FTE
135.05
Verified fact2024
HRSA UDS
Service sites
10
Verified fact2024
HRSA UDS
Revenue per patient
$319
Proxy2024
HRSA UDS
Total visits
51,202
Verified fact2024
HRSA UDS
Trajectory
Cost-report basis · 4 reporting years
Operating margin
Days cash on hand
The county this health center serves
Location, MO · nonmetro, rural, remote
Median household income
$48.1K
vs $82.1K US · $59.7K rural median
Poverty rate
19.3%
vs 12.5% US · 14.3% rural median
Uninsured
15.7%
vs 8.6% US · 8.4% rural median
Age 65+
20.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
26.0%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 15.0% of county personal income is Medicare/Medicaid medical benefits; 36.0% arrives as government transfers (BEA, 2022).
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