Astrelis
health center · SD

RURAL HEALTH CARE, INC.

CCN 431856Latest FY 2022
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A health center in SD. It ran an operating loss of 0.3% in FY22 on $13.0M of operating revenue. Operating margin improved from -24.5% in FY21 to -0.3% in FY22.

Total patients (UDS)
78,946
Verified fact2024
Source: HRSA UDS
Uninsured patient share
6.3%
Proxy2024
Source: HRSA UDS
Operating margin · FY22
-0.3%
24.2 pts vs FY21
vs health centers
Total visits
225,384
Verified fact2024
Source: HRSA UDS

Where RURAL HEALTH CARE, 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.

-20%-10%0%+10%+20%health center median -36.625%RURAL HEALTH -0.3%-20%0%+20%health center median -36.625%RURAL HEALTH -0.3%
One health centerRURAL HEALTHhealth center median

The organization behind this center

HRSA UDS 2024 · awardee level · whole organization

This site belongs to Rural Health Care, Inc. (grant H80CS00456), which operates 5 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
78,946
unduplicated, organization-wide · UDS Table 4
Medical visits
219,793
organization-wide clinic visits
Medical staffing
263.1FTE
49.8 physician · 28.5 NP · 12.2 PA
Cost per patient
$832
total accrued cost ÷ patients · UDS Table 8A
Payer mix (share of patients)
Medicaid 16.2% · Medicare 20.2% · Uninsured 6.3% · Private 57.3%
Clinical quality vs the national UDS median
Blood-pressure control
70.4%
national UDS median 66.6%
HRSA UDS 2024
Diabetes HbA1c > 9% (lower is better)
14.9%
national UDS median 26.1%
HRSA UDS 2024
Cervical cancer screening
66.7%
national UDS median 53.0%
HRSA UDS 2024
Breast cancer screening
75.8%
national UDS median 53.4%
HRSA UDS 2024
Colorectal cancer screening
68.9%
national UDS median 42.0%
HRSA UDS 2024
Depression screening & follow-up
59.1%
national UDS median 75.8%
HRSA UDS 2024
Tobacco cessation intervention
96.9%
national UDS median 86.8%
HRSA UDS 2024
Adult BMI screening & follow-up
32.5%
national UDS median 71.0%
HRSA UDS 2024
Childhood immunization status
42.5%
national UDS median 26.8%
HRSA UDS 2024

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
-0.3% (FY22)
Operating income ÷ total operating revenue · Medicare cost-report scope, not the organization's full financials
HCRIS WS G-3
Total margin
-0.3% (FY22)
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 itemFY21FY22
Patient revenue8,58913,039
Total operating revenue8,58913,039
Total operating expenses10,69113,078
Operating income(2,102)(39)
Operating margin %-24.5%-0.3%
Net income(2,102)(39)
Net income %-24.5%-0.3%
2 of 3 years available for this statement.
HCRIS CMS-224 cost report · $ thousands · FY21–FY22 · 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)
78,946
Verified fact2024
HRSA UDS
Uninsured patient share
6.3%
Proxy2024
HRSA UDS
Medicaid patient share
16.2%
Proxy2024
HRSA UDS
Medical visits
218,420
Verified fact2024
HRSA UDS
Behavioral health visits
6,964
Verified fact2024
HRSA UDS
Total staff FTE
451.75
Verified fact2024
HRSA UDS
Service sites
13
Verified fact2024
HRSA UDS
Revenue per patient
$48
Proxy2024
HRSA UDS
Total visits
225,384
Verified fact2024
HRSA UDS
Total visits (Medicare scope)
47,535
Verified fact2022
HCRIS CMS-224

Trajectory

Cost-report basis · 2 reporting years
Operating margin
-24.5%-0.3%FY21FY22
Days cash on hand
Not available

The county this health center serves

Location, SD · nonmetro, urban 20K+
Median household income
$67.3K
vs $82.1K US · $59.7K rural median
Poverty rate
12.8%
vs 12.5% US · 14.3% rural median
Uninsured
4.3%
vs 8.6% US · 8.4% rural median
Age 65+
13.3%
vs 16.8% US · 20.6% rural median
Fair or poor health
13.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 4.1% of county personal income is Medicare/Medicaid medical benefits; 13.4% arrives as government transfers (BEA, 2022).
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