Financial anchor year: FY23. Margin and revenue are as filed for FY23. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A health center in NC. It ran an operating loss of 83.3% in FY23 on $10.5M of operating revenue. Operating margin declined from -70.8% in FY21 to -83.3% in FY23.
Total patients (UDS)
16,971
Verified fact2024
Source: HRSA UDS
Uninsured patient share
27.6%
Proxy2024
Source: HRSA UDS
Operating margin · FY23
-83.3%
▼ 0.2 pts vs FY22
vs health centers—
Total visits
70,862
Verified fact2024
Source: HRSA UDS
Where HIGH COUNTRY 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.
This site belongs to High Country Community Health (grant H80CS24142), which operates 2 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
16,971
unduplicated, organization-wide · UDS Table 4
Medical visits
50,697
organization-wide clinic visits
Medical staffing
65.4FTE
7.8 physician · 12.8 NP
Cost per patient
$1,436
total accrued cost ÷ patients · UDS Table 8A
Payer mix (share of patients)
Medicaid 26.1% · Medicare 19.8% · Uninsured 27.6% · Private 26.6% · 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
-83.3% (FY23)
Operating income ÷ total operating revenue · Medicare cost-report scope, not the organization's full financials
HCRIS WS G-3
Total margin
-7.4% (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
7,200
9,498
10,522
Total operating revenue
7,200
9,498
10,522
Total operating expenses
13,184
17,409
21,362
Operating income
(5,984)
(7,912)
(10,839)
Operating margin %
-83.1%
-83.3%
-103.0%
Other non-operating, net
9,247
9,238
9,369
Net income
3,263
1,326
(1,470)
Net income %
+19.8%
+7.1%
-7.4%
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)
16,971
Verified fact2024
HRSA UDS
Uninsured patient share
27.6%
Proxy2024
HRSA UDS
Medicaid patient share
26.1%
Proxy2024
HRSA UDS
Medical visits
50,337
Verified fact2024
HRSA UDS
Behavioral health visits
10,746
Verified fact2024
HRSA UDS
Dental visits
7,972
Verified fact2024
HRSA UDS
Total staff FTE
251.48
Verified fact2024
HRSA UDS
Service sites
18
Verified fact2024
HRSA UDS
Revenue per patient
$462
Proxy2024
HRSA UDS
Total visits
70,862
Verified fact2024
HRSA UDS
Cost per visit ($, Medicare scope)
239.59
Verified fact2024
HCRIS CMS-224
Total visits (Medicare scope)
37,271
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, NC · nonmetro, urban 20K+
Median household income
$51.4K
vs $82.1K US · $59.7K rural median
Poverty rate
24.7%
vs 12.5% US · 14.3% rural median
Uninsured
10.7%
vs 8.6% US · 8.4% rural median
Age 65+
16.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
17.5%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 7.3% of county personal income is Medicare/Medicaid medical benefits; 20.2% 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.
