# Rural Health Care, Inc.

Health Center, SD
Page: https://astrelis.co/providers/health_center/431818  
This twin: https://astrelis.co/providers/health_center/431818.md  
CMS Certification Number (CCN): 431818  
Release: 2321a4fc37a7 (2026-10-22)

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

- **Total patients (UDS) (FY2024):** 78,946. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Total visits (all service types) (FY2024):** 225,384. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Service sites (FY2024):** 13. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Uninsured patient share (FY2024):** 6.3%. Illustrative estimate. Definition: https://astrelis.co/methodology#health-center
- **Operating margin (FY2024):** -1347.5%. Astrelis calculation. Definition: https://astrelis.co/methodology#health-center
- **Total operating revenue (FY2024):** $0.5M. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Total margin (including nonoperating) (FY2024):** -97.1%. 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

### SOUTH DAKOTA URBAN INDIAN HEALTH, INC. (SDUIH), SD

Match to this profile: identifier conflict: the EIN the dataset carries for this CCN differs from the filed EIN (method: exact name and state (FACLAND tier 1)).

- FY ending 2024-09-30 (audit year 2024): ties in full; audit as filed https://app.fac.gov/dissemination/summary/2024-09-GSAFAC-0000426218
- FY ending 2023-09-30 (audit year 2023): ties in full; audit as filed https://app.fac.gov/dissemination/summary/2023-09-GSAFAC-0000398615
- FY ending 2022-09-30 (audit year 2022): ties in full; audit as filed https://app.fac.gov/dissemination/summary/2022-09-GSAFAC-0000378735

| Line | FY ending 2024-09-30 | FY ending 2023-09-30 | FY ending 2022-09-30 |
|---|---:|---:|---:|
| cash and investments (current) (Statement of financial position) | 3,554,678 [derived, p.6] | 6,622,668 [derived, p.5] | 11,938,584 [derived, p.5] |
| patient receivables, net (Statement of financial position) | 131,058 [derived, p.6] | 208,449 [derived, p.5] | 208,449 [derived, p.5] |
| grants and other receivables (Statement of financial position) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| other current assets (Statement of financial position) | 12,356 [derived, p.6] | 39,043 [derived, p.5] | 8,552 [derived, p.5] |
| TOTAL CURRENT ASSETS (Statement of financial position) | 3,698,092 [extracted, p.6] | 6,870,160 [extracted, p.5] | 12,155,585 [extracted, p.5] |
| property and equipment, net (Statement of financial position) | 5,663,419 [derived, p.6] | 5,655,332 [derived, p.5] | 2,164,630 [derived, p.5] |
| other long-term assets (Statement of financial position) | 2,560,997 [derived, p.6] | 2,789,780 [derived, p.5] | 3,009,717 [derived, p.5] |
| TOTAL ASSETS (Statement of financial position) | 11,922,508 [extracted, p.6] | 15,315,272 [extracted, p.5] | 17,329,932 [extracted, p.5] |
| payables and accrued expenses (Statement of financial position) | 238,982 [derived, p.6] | 291,413 [derived, p.5] | 343,040 [derived, p.5] |
| deferred revenue (Statement of financial position) | 1,237,305 [derived, p.6] | 4,845,212 [derived, p.5] | 10,704,037 [derived, p.5] |
| current debt and leases (Statement of financial position) | 331,885 [derived, p.6] | 337,146 [derived, p.5] | 272,622 [derived, p.5] |
| 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) | 1,808,172 [extracted, p.6] | 5,473,771 [extracted, p.5] | 11,319,699 [extracted, p.5] |
| long-term debt and leases (Statement of financial position) | 4,559,853 [derived, p.6] | 4,891,402 [derived, p.5] | 4,468,138 [derived, p.5] |
| 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) | 6,368,025 [extracted, p.6] | 10,365,173 [extracted, p.5] | 15,787,837 [extracted, p.5] |
| net assets without donor restrictions (Statement of financial position) | 5,554,483 [derived, p.6] | 4,950,099 [derived, p.5] | 1,542,095 [derived, p.5] |
| 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) | 5,554,483 [extracted, p.6] | 4,950,099 [extracted, p.5] | 1,542,095 [extracted, p.5] |
| patient service revenue, net (Statement of activities) | 595,691 [derived, p.7] | 424,765 [derived, p.6] | 603,780 [derived, p.6] |
| 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) | 6,652,544 [derived, p.7] | 9,531,770 [derived, p.6] | 5,044,306 [derived, p.6] |
| contributions (Statement of activities) | 119,089 [derived, p.7] | 43,811 [derived, p.6] | 65,787 [derived, p.6] |
| other revenue (Statement of activities) | 271,191 [derived, p.7] | 58,407 [derived, p.6] | 44,279 [derived, p.6] |
| TOTAL REVENUE AND SUPPORT (Statement of activities) | 7,638,515 [extracted, p.7] | 10,058,753 [extracted, p.6] | 5,758,152 [extracted, p.6] |
| 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) | 7,034,131 [extracted, p.7] | 6,650,749 [extracted, p.6] | 5,746,508 [extracted, p.6] |
| OPERATING RESULT (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| non-operating and other changes (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| CHANGE IN NET ASSETS (Statement of activities) | 604,384 [extracted, p.7] | 3,408,004 [extracted, p.6] | 11,644 [extracted, p.6] |
| net assets, beginning (Statement of activities) | 4,950,099 [extracted, p.7] | 1,542,095 [extracted, p.6] | 1,530,451 [extracted, p.6] |
| net assets, end (Statement of activities) | 5,554,483 [extracted, p.7] | 4,950,099 [extracted, p.6] | 1,542,095 [extracted, p.6] |

| Ratio | FY ending 2024-09-30 | FY ending 2023-09-30 | FY ending 2022-09-30 |
|---|---:|---:|---:|
| Days cash on hand | absent [not computed] | absent [not computed] | absent [not computed] |
| Current ratio | 2.05x [plausible] | 1.26x [plausible] | 1.07x [plausible] |
| Operating margin | absent [not computed] | absent [not computed] | absent [not computed] |
| Total margin | 7.9% [plausible] | 33.9% [plausible] | 0.2% [plausible] |
| Patient revenue share | 7.8% [plausible] | 4.2% [plausible] | 10.5% [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 | 81 days [plausible] | 179 days [plausible] | 126 days [plausible] |
| Debt to net assets | 0.88x [plausible] | 1.06x [plausible] | 3.07x [plausible] |
| Health center award share | absent [not computed] | absent [not computed] | absent [not computed] |

## Sources

HRSA Uniform Data System (awardee level; organization match Probable). CMS HCRIS cost reports, form CMS-224-14, as filed (the Medicare cost-report appendix). Federal Audit Clearinghouse single audits as filed (SOUTH DAKOTA URBAN INDIAN HEALTH, INC. (SDUIH); 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, "Rural Health Care, Inc.", https://astrelis.co/providers/health_center/431818, 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.