# Community Health Center Of Black Hills, Inc.

Health Center, SD
Page: https://astrelis.co/providers/health_center/431812  
This twin: https://astrelis.co/providers/health_center/431812.md  
CMS Certification Number (CCN): 431812  
Release: 2321a4fc37a7 (2026-10-22)

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

- **Total patients (UDS) (FY2024):** 9,951. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Total visits (all service types) (FY2024):** 30,083. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Service sites (FY2024):** 2. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Uninsured patient share (FY2024):** 20.4%. Illustrative estimate. Definition: https://astrelis.co/methodology#health-center
- **Operating margin (FY2025):** -56.2%. Astrelis calculation. Definition: https://astrelis.co/methodology#health-center
- **Total operating revenue (FY2025):** $8.5M. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Total margin (including nonoperating) (FY2025):** -8.9%. 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

### COMMUNITY HEALTH CENTER OF THE BLACK HILLS, INC., SD

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-0000430106
- FY ending 2024-12-31 (audit year 2024): ties in full; audit as filed https://app.fac.gov/dissemination/summary/2024-12-GSAFAC-0000365920
- FY ending 2023-12-31 (audit year 2023): ties in full; audit as filed https://app.fac.gov/dissemination/summary/2023-12-GSAFAC-0000057706

| Line | FY ending 2025-12-31 | FY ending 2024-12-31 | FY ending 2023-12-31 |
|---|---:|---:|---:|
| cash and investments (current) (Statement of financial position) | 252,999 [derived, p.7] | 706,987 [derived, p.7] | 1,271,373 [derived, p.7] |
| patient receivables, net (Statement of financial position) | absent (not printed, or not read) | 763,422 [derived, p.7] | 1,009,715 [derived, p.7] |
| grants and other receivables (Statement of financial position) | 100,099 [derived, p.7] | 117,161 [derived, p.7] | 79,633 [derived, p.7] |
| other current assets (Statement of financial position) | 1,177,418 [derived, p.7] | 474,257 [derived, p.7] | 458,891 [derived, p.7] |
| TOTAL CURRENT ASSETS (Statement of financial position) | 1,530,516 [extracted, p.7] | 2,061,827 [extracted, p.7] | 2,819,612 [extracted, p.7] |
| property and equipment, net (Statement of financial position) | 7,375,287 [derived, p.7] | 7,783,129 [derived, p.7] | 8,342,402 [derived, p.7] |
| other long-term assets (Statement of financial position) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| TOTAL ASSETS (Statement of financial position) | 8,905,803 [extracted, p.7] | 9,844,956 [extracted, p.7] | 11,162,014 [extracted, p.7] |
| payables and accrued expenses (Statement of financial position) | 1,308,932 [derived, p.7] | 1,073,716 [derived, p.7] | 976,067 [derived, p.7] |
| 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) | 133,403 [derived, p.7] | 128,565 [derived, p.7] | 123,902 [derived, p.7] |
| other current liabilities (Statement of financial position) | 11,736 [derived, p.7] | absent (not printed, or not read) | absent (not printed, or not read) |
| TOTAL CURRENT LIABILITIES (Statement of financial position) | 1,454,071 [extracted, p.7] | 1,202,281 [extracted, p.7] | 1,099,969 [extracted, p.7] |
| long-term debt and leases (Statement of financial position) | 2,706,253 [derived, p.7] | 2,838,048 [derived, p.7] | 2,964,728 [derived, p.7] |
| 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) | 4,160,324 [extracted, p.7] | 4,040,329 [extracted, p.7] | 4,064,697 [extracted, p.7] |
| net assets without donor restrictions (Statement of financial position) | 4,745,479 [derived, p.7] | 5,804,627 [derived, p.7] | 7,097,317 [derived, p.7] |
| 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) | 4,745,479 [extracted, p.7] | 5,804,627 [extracted, p.7] | 7,097,317 [extracted, p.7] |
| patient service revenue, net (Statement of activities) | 8,310,948 [derived, p.8] | 8,647,710 [derived, p.8] | 8,094,835 [derived, p.8] |
| pharmacy and 340B revenue (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| 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) | 3,305,960 [derived, p.8] | 3,321,241 [derived, p.8] | 4,406,922 [derived, p.8] |
| contributions (Statement of activities) | 187,041 [derived, p.8] | 324,058 [derived, p.8] | 178,422 [derived, p.8] |
| other revenue (Statement of activities) | 13,044 [derived, p.8] | 18,275 [derived, p.8] | 102,578 [derived, p.8] |
| TOTAL REVENUE AND SUPPORT (Statement of activities) | 11,816,993 [extracted, p.8] | 12,311,284 [extracted, p.8] | 12,782,757 [extracted, p.8] |
| salaries and benefits (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| supplies and pharmaceuticals (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| purchased and professional services (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| 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) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| 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) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| TOTAL EXPENSES (Statement of activities) | 12,912,632 [extracted, p.8] | 13,565,969 [extracted, p.8] | 13,131,439 [extracted, p.8] |
| OPERATING RESULT (Statement of activities) | -1,095,639 [extracted, p.8] | -1,254,685 [extracted, p.8] | -348,682 [extracted, p.8] |
| non-operating and other changes (Statement of activities) | 36,491 [derived, p.8] | -38,005 [derived, p.8] | 332,323 [derived, p.8] |
| CHANGE IN NET ASSETS (Statement of activities) | -1,059,148 [extracted, p.8] | -1,292,690 [extracted, p.8] | -16,359 [extracted, p.8] |
| net assets, beginning (Statement of activities) | 5,804,627 [extracted, p.8] | 7,097,317 [extracted, p.8] | 7,113,676 [extracted, p.8] |
| net assets, end (Statement of activities) | 4,745,479 [extracted, p.8] | 5,804,627 [extracted, p.8] | 7,097,317 [extracted, p.8] |

| Ratio | FY ending 2025-12-31 | FY ending 2024-12-31 | FY ending 2023-12-31 |
|---|---:|---:|---:|
| Days cash on hand | absent [not computed] | absent [not computed] | absent [not computed] |
| Current ratio | 1.05x [plausible] | 1.71x [plausible] | 2.56x [plausible] |
| Operating margin | -9.3% [plausible] | -10.2% [plausible] | -2.7% [plausible] |
| Total margin | -9.0% [plausible] | -10.5% [plausible] | -0.1% [plausible] |
| Patient revenue share | 70.3% [plausible] | 70.2% [plausible] | 63.3% [plausible] |
| Grant dependency | absent [not computed] | absent [not computed] | absent [not computed] |
| Salaries share | absent [not computed] | absent [not computed] | absent [not computed] |
| Days in patient receivables | absent [not computed] | 32 days [plausible] | 46 days [plausible] |
| Debt to net assets | 0.60x [plausible] | 0.51x [plausible] | 0.44x [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 (COMMUNITY HEALTH CENTER OF THE BLACK HILLS, INC.; 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, "Community Health Center Of Black Hills, Inc.", https://astrelis.co/providers/health_center/431812, 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.