A health center in MT. It ran an operating loss of 11.2% in FY23 on $3.5M of operating revenue. Operating margin improved from -87.7% in FY21 to -11.2% in FY23. Including nonoperating items, the all-in result was positive at 38.4%.
Total patients (UDS)
25,040
Verified fact2024
Source: HRSA UDS
Uninsured patient share
22.6%
Proxy2024
Source: HRSA UDS
Operating margin · FY23
-11.2%
vs health centers—
Days cash on hand
Not available
vs health centers—
Where BIGHORN VALLEY HEALTH 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 centerBIGHORN VALLEYhealth center median
This site belongs to Bighorn Valley Health Center (grant H80CS24102), which operates 14 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
25,040
unduplicated, organization-wide · UDS Table 4
Medical visits
Not reported
organization-wide clinic visits
Medical staffing
Masked
staffing is masked under H80 confidentiality rules: reported for roughly 40% of centers
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 24.4% · Medicare 18.8% · Uninsured 22.6% · Private 34.2% · Other public 0.0%
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
-11.2% (FY23)
Operating income ÷ total operating revenue · Medicare cost-report scope, not the organization's full financials
HCRIS WS G-3
Total margin
+38.4% (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
1,822
1,977
3,476
Total operating revenue
1,822
1,977
3,476
Total operating expenses
3,419
4,628
3,864
Operating income
(1,598)
(2,651)
(387)
Operating margin %
-87.7%
-134.1%
-11.1%
Other non-operating, net
2,873
3,194
2,795
Net income
1,275
543
2,408
Net income %
+27.2%
+10.5%
+38.4%
HCRIS CMS-224 cost report · $ thousands · FY21–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)
25,040
Verified fact2024
HRSA UDS
Uninsured patient share
22.6%
Proxy2024
HRSA UDS
Medicaid patient share
24.4%
Proxy2024
HRSA UDS
Service sites
37
Verified fact2024
HRSA UDS
Revenue per patient
$1,209
Proxy2024
HRSA UDS
Cost per visit ($, Medicare scope)
349.07
Verified fact2023
HCRIS CMS-224
Total visits (Medicare scope)
7,709
Verified fact2023
HCRIS CMS-224
Trajectory
Cost-report basis · 3 reporting years
Operating margin
Days cash on hand
The county this health center serves
Location, MT · nonmetro, rural, metro-adjacent
Median household income
$56.7K
vs $82.1K US · $59.7K rural median
Poverty rate
23.6%
vs 12.5% US · 14.3% rural median
Uninsured
18.5%
vs 8.6% US · 8.4% rural median
Age 65+
13.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
29.3%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 21.0% of county personal income is Medicare/Medicaid medical benefits; 37.4% arrives as government transfers (BEA, 2022).
The Board Briefing$1,000
The free profile shows the record. The Board Briefing tells you what changed, what matters, and what your board should ask. 35+ pages, built entirely from public sources, no client data required. Delivered within 2 business days. If we cannot deliver the published scope for your facility, you pay nothing.
