# Bluestem Health

Health Center, NE
Page: https://astrelis.co/providers/health_center/281809  
This twin: https://astrelis.co/providers/health_center/281809.md  
CMS Certification Number (CCN): 281809  
Release: 2321a4fc37a7 (2026-10-22)

## Headline figures (fiscal years on file: 2019 to 2025)

- **Total patients (UDS) (FY2024):** 22,025. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Total visits (all service types) (FY2024):** 68,346. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Service sites (FY2024):** 5. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Uninsured patient share (FY2024):** 19.9%. Illustrative estimate. Definition: https://astrelis.co/methodology#health-center
- **Operating margin (FY2025):** -103.2%. Astrelis calculation. Definition: https://astrelis.co/methodology#health-center
- **Total operating revenue (FY2025):** $13.6M. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Total margin (including nonoperating) (FY2025):** 0.0%. Astrelis calculation. Definition: https://astrelis.co/methodology#health-center

## Audited financial statements (Federal Audit Clearinghouse)

Read from the FAC-11 template of the audited statements: every line, every ratio and every status column print as the template carries them, and no figure is withheld. A report's tie status says whether its statements foot; a ratio's plausibility status says whether it sits inside its possible range; a median of fewer than five values says so. The figures were not audited by Astrelis. Contract: https://astrelis.co/methodology/fqhc-audit-contract

### BLUESTEM HEALTH, NE

Match to this profile: identifier verified: the EIN the dataset carries for this CCN agrees with the filed EIN (method: address and ZIP (FACLAND tier 3)).

- FY ending 2025-12-31 (audit year 2025): ties in full; audit as filed https://app.fac.gov/dissemination/summary/2025-12-GSAFAC-0000425057
- FY ending 2024-12-31 (audit year 2024): ties in full; audit as filed https://app.fac.gov/dissemination/summary/2024-12-GSAFAC-0000383302
- FY ending 2023-12-31 (audit year 2023): ties in full; audit as filed https://app.fac.gov/dissemination/summary/2023-12-GSAFAC-0000053123

| Line | FY ending 2025-12-31 | FY ending 2024-12-31 | FY ending 2023-12-31 |
|---|---:|---:|---:|
| cash and investments (current) (Statement of financial position) | 5,618,919 [derived, p.6] | 6,199,013 [derived, p.6] | 12,720,741 [derived, p.6] |
| patient receivables, net (Statement of financial position) | 1,219,303 [derived, p.6] | 1,335,820 [derived, p.6] | 1,727,740 [derived, p.6] |
| grants and other receivables (Statement of financial position) | 1,273,208 [derived, p.6] | 843,033 [derived, p.6] | 629,472 [derived, p.6] |
| other current assets (Statement of financial position) | 849,419 [derived, p.6] | 976,193 [derived, p.6] | 1,159,525 [derived, p.6] |
| TOTAL CURRENT ASSETS (Statement of financial position) | 8,960,849 [extracted, p.6] | 9,354,059 [extracted, p.6] | 16,237,478 [extracted, p.6] |
| property and equipment, net (Statement of financial position) | 2,888,256 [derived, p.6] | 3,447,666 [derived, p.6] | 3,621,011 [derived, p.6] |
| other long-term assets (Statement of financial position) | 15,776,655 [derived, p.6] | 15,937,977 [derived, p.6] | 10,765,109 [derived, p.6] |
| TOTAL ASSETS (Statement of financial position) | 27,625,760 [extracted, p.6] | 28,739,702 [extracted, p.6] | 30,623,598 [extracted, p.6] |
| payables and accrued expenses (Statement of financial position) | 2,094,148 [derived, p.6] | 2,528,316 [derived, p.6] | 2,391,846 [derived, p.6] |
| deferred revenue (Statement of financial position) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| current debt and leases (Statement of financial position) | 723,597 [derived, p.6] | 688,603 [derived, p.6] | 696,786 [derived, p.6] |
| other current liabilities (Statement of financial position) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| TOTAL CURRENT LIABILITIES (Statement of financial position) | 2,817,745 [extracted, p.6] | 3,216,919 [extracted, p.6] | 3,088,632 [extracted, p.6] |
| long-term debt and leases (Statement of financial position) | 8,267,084 [derived, p.6] | 8,989,365 [derived, p.6] | 10,105,671 [derived, p.6] |
| other long-term liabilities (Statement of financial position) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| TOTAL LIABILITIES (Statement of financial position) | 11,084,829 [extracted, p.6] | 12,206,284 [extracted, p.6] | 13,194,303 [extracted, p.6] |
| net assets without donor restrictions (Statement of financial position) | 16,540,931 [derived, p.6] | 16,533,418 [derived, p.6] | 17,429,295 [derived, p.6] |
| net assets with donor restrictions (Statement of financial position) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| TOTAL NET ASSETS (Statement of financial position) | 16,540,931 [extracted, p.6] | 16,533,418 [extracted, p.6] | 17,429,295 [extracted, p.6] |
| patient service revenue, net (Statement of activities) | 13,998,877 [derived, p.7] | 13,273,198 [derived, p.7] | 12,459,655 [derived, p.7] |
| pharmacy and 340B revenue (Statement of activities) | 9,397,910 [derived, p.7] | 6,069,628 [derived, p.7] | 5,760,542 [derived, p.7] |
| federal grants (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| other grants and contracts (Statement of activities) | 3,126,918 [derived, p.7] | 2,892,358 [derived, p.7] | 8,407,015 [derived, p.7] |
| contributions (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| other revenue (Statement of activities) | 151,653 [derived, p.7] | 1,623,644 [derived, p.7] | 1,562,946 [derived, p.7] |
| TOTAL REVENUE AND SUPPORT (Statement of activities) | 26,675,358 [extracted, p.7] | 23,858,828 [extracted, p.7] | 28,190,158 [extracted, p.7] |
| salaries and benefits (Statement of activities) | 15,679,424 [derived, p.7] | 14,852,678 [derived, p.7] | 14,068,287 [derived, p.7] |
| supplies and pharmaceuticals (Statement of activities) | 4,249,470 [derived, p.7] | 3,069,872 [derived, p.7] | 2,148,790 [derived, p.7] |
| purchased and professional services (Statement of activities) | 4,793,564 [derived, p.7] | 3,342,858 [derived, p.7] | 2,557,755 [derived, p.7] |
| occupancy (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| depreciation and amortization (Statement of activities) | 572,857 [derived, p.7] | 560,969 [derived, p.7] | 463,448 [derived, p.7] |
| interest (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| other expenses (Statement of activities) | 1,954,491 [derived, p.7] | 3,211,786 [derived, p.7] | 3,571,581 [derived, p.7] |
| TOTAL EXPENSES (Statement of activities) | 27,249,806 [extracted, p.7] | 25,038,163 [extracted, p.7] | 22,809,861 [extracted, p.7] |
| OPERATING RESULT (Statement of activities) | -574,448 [extracted, p.7] | -1,179,335 [extracted, p.7] | 5,380,297 [extracted, p.7] |
| non-operating and other changes (Statement of activities) | 581,961 [derived, p.7] | 283,458 [derived, p.7] | 247,143 [derived, p.7] |
| CHANGE IN NET ASSETS (Statement of activities) | 7,513 [extracted, p.7] | -895,877 [extracted, p.7] | 5,627,440 [extracted, p.7] |
| net assets, beginning (Statement of activities) | 16,533,418 [extracted, p.7] | 17,429,295 [extracted, p.7] | 11,801,855 [extracted, p.7] |
| net assets, end (Statement of activities) | 16,540,931 [extracted, p.7] | 16,533,418 [extracted, p.7] | 17,429,295 [extracted, p.7] |

| Ratio | FY ending 2025-12-31 | FY ending 2024-12-31 | FY ending 2023-12-31 |
|---|---:|---:|---:|
| Days cash on hand | 77 days [plausible] | 93 days [plausible] | 208 days [plausible] |
| Current ratio | 3.18x [plausible] | 2.91x [plausible] | 5.26x [plausible] |
| Operating margin | -2.2% [plausible] | -4.9% [plausible] | 19.1% [plausible] |
| Total margin | 0.0% [plausible] | -3.8% [plausible] | 20.0% [plausible] |
| Patient revenue share | 52.5% [plausible] | 55.6% [plausible] | 44.2% [plausible] |
| Grant dependency | absent [not computed] | absent [not computed] | absent [not computed] |
| Salaries share | 57.5% [plausible] | 59.3% [plausible] | 61.7% [plausible] |
| Days in patient receivables | 32 days [plausible] | 37 days [plausible] | 51 days [plausible] |
| Debt to net assets | 0.54x [plausible] | 0.59x [plausible] | 0.62x [plausible] |
| Health center award share | absent [not computed] | absent [not computed] | absent [not computed] |

## Sources

HRSA Uniform Data System (awardee level; organization match Verified). CMS HCRIS cost reports, form CMS-224-14, as filed (the Medicare cost-report appendix). Federal Audit Clearinghouse single audits as filed (BLUESTEM HEALTH; FAC-11 template snapshot, SRC-FAC-001).

Methodology: https://astrelis.co/methodology · Data sources: https://astrelis.co/data-sources · Data philosophy: https://astrelis.co/data-philosophy

## Cite this page

Astrelis Atlas, "Bluestem Health", https://astrelis.co/providers/health_center/281809, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.

Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.