BIG SPRINGS MEDICAL ASSOCIATION DBA MISSOURI HIGHLAND HEALTH CARE
CCN 261815Latest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A health center in MO. It ran an operating loss of 30.2% in FY24 on $31.9M of operating revenue. Operating margin improved from -33.1% in FY21 to -30.2% in FY24, though it fell 6.6 points in the most recent year. Including nonoperating items, the all-in result was positive at 5.9%.
Total patients (UDS)
25,301
Verified fact2024
Source: HRSA UDS
Uninsured patient share
10.2%
Proxy2024
Source: HRSA UDS
Operating margin · FY24
-30.2%
▼ 6.6 pts vs FY23
vs health centers—
Total visits
120,481
Verified fact2024
Source: HRSA UDS
Where BIG SPRINGS 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.
This site belongs to Big Springs Medical Association Dba Missouri Highland Health Care (grant H80CS00703), 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
25,301
unduplicated, organization-wide · UDS Table 4
Medical visits
76,591
organization-wide clinic visits
Medical staffing
97.7FTE
10.2 physician · 24.0 NP · 0.0 PA
Cost per patient
$1,623
total accrued cost ÷ patients · UDS Table 8A
Payer mix (share of patients)
Medicaid 46.3% · Medicare 16.4% · Uninsured 10.3% · Private 27.0% · Other public 0.0%
Clinical quality vs the national UDS median
Blood-pressure control
70.7%
national UDS median 66.6%
HRSA UDS 2024
Diabetes HbA1c > 9% (lower is better)
27.9%
national UDS median 26.1%
HRSA UDS 2024
Cervical cancer screening
38.9%
national UDS median 53.0%
HRSA UDS 2024
Breast cancer screening
39.1%
national UDS median 53.4%
HRSA UDS 2024
Colorectal cancer screening
33.2%
national UDS median 42.0%
HRSA UDS 2024
Depression screening & follow-up
88.9%
national UDS median 75.8%
HRSA UDS 2024
Tobacco cessation intervention
86.3%
national UDS median 86.8%
HRSA UDS 2024
Adult BMI screening & follow-up
78.3%
national UDS median 71.0%
HRSA UDS 2024
Childhood immunization status
5.9%
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
-30.2% (FY24)
Operating income ÷ total operating revenue · Medicare cost-report scope, not the organization's full financials
HCRIS WS G-3
Total margin
+5.9% (FY24)
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
FY22
FY23
FY24
Patient revenue
24,561
30,042
31,924
Total operating revenue
24,561
30,042
31,924
Total operating expenses
30,034
37,143
41,561
Operating income
(5,473)
(7,101)
(9,637)
Operating margin %
-22.3%
-23.6%
-30.2%
Other non-operating, net
10,734
9,274
12,235
Net income
5,261
2,173
2,598
Net income %
+14.9%
+5.5%
+5.9%
HCRIS CMS-224 cost report · $ thousands · FY21–FY24 · 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)
25,301
Verified fact2024
HRSA UDS
Uninsured patient share
10.2%
Proxy2024
HRSA UDS
Medicaid patient share
46.3%
Proxy2024
HRSA UDS
Medical visits
73,205
Verified fact2024
HRSA UDS
Behavioral health visits
5,580
Verified fact2024
HRSA UDS
Dental visits
21,478
Verified fact2024
HRSA UDS
Total staff FTE
284.92
Verified fact2024
HRSA UDS
Service sites
38
Verified fact2024
HRSA UDS
Revenue per patient
$459
Proxy2024
HRSA UDS
Total visits
120,481
Verified fact2024
HRSA UDS
Cost per visit ($, Medicare scope)
293.74
Verified fact2024
HCRIS CMS-224
Total visits (Medicare scope)
63,816
Verified fact2024
HCRIS CMS-224
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
$44.4K
vs $82.1K US · $59.7K rural median
Poverty rate
17.9%
vs 12.5% US · 14.3% rural median
Uninsured
13.4%
vs 8.6% US · 8.4% rural median
Age 65+
23.3%
vs 16.8% US · 20.6% rural median
Fair or poor health
25.1%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 19.9% of county personal income is Medicare/Medicaid medical benefits; 44.1% arrives as government transfers (BEA, 2022).
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