# Rural Health Care, Inc.

Health Center, SD
Page: https://astrelis.co/providers/health_center/431856  
This twin: https://astrelis.co/providers/health_center/431856.md  
CMS Certification Number (CCN): 431856  
Release: 2321a4fc37a7 (2026-10-22)

## Headline figures (fiscal years on file: 2021 to 2022)

- **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 (FY2022):** -0.3%. Astrelis calculation. Definition: https://astrelis.co/methodology#health-center
- **Total operating revenue (FY2022):** $13.0M. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Total margin (including nonoperating) (FY2022):** -0.3%. 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

### Rural Health Care, Inc., SD

Match to this profile: matched by name (method: name and state).

- FY ending 2025-09-30 (audit year 2025): ties in full; audit as filed https://app.fac.gov/dissemination/summary/2025-09-GSAFAC-0000416953
- FY ending 2024-09-30 (audit year 2024): ties in full; audit as filed https://app.fac.gov/dissemination/summary/2024-09-GSAFAC-0000367975
- FY ending 2023-09-30 (audit year 2023): ties in full; audit as filed https://app.fac.gov/dissemination/summary/2023-09-GSAFAC-0000039466

| Line | FY ending 2025-09-30 | FY ending 2024-09-30 | FY ending 2023-09-30 |
|---|---:|---:|---:|
| cash and investments (current) (Statement of financial position) | 19,971,588 [derived, p.6] | 19,272,049 [derived, p.6] | 18,294,393 [derived, p.6] |
| patient receivables, net (Statement of financial position) | 4,203,110 [derived, p.6] | 4,206,281 [derived, p.6] | 4,428,285 [derived, p.6] |
| grants and other receivables (Statement of financial position) | 6,898,056 [derived, p.6] | 4,339,586 [derived, p.6] | 2,340,436 [derived, p.6] |
| other current assets (Statement of financial position) | 329,048 [derived, p.6] | 330,522 [derived, p.6] | 331,418 [derived, p.6] |
| TOTAL CURRENT ASSETS (Statement of financial position) | 31,401,802 [extracted, p.6] | 28,148,438 [extracted, p.6] | 25,394,532 [extracted, p.6] |
| property and equipment, net (Statement of financial position) | 1,514,497 [derived, p.6] | 1,442,051 [derived, p.6] | 1,404,243 [derived, p.6] |
| 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) | 32,916,299 [extracted, p.6] | 29,590,489 [extracted, p.6] | 26,798,775 [extracted, p.6] |
| payables and accrued expenses (Statement of financial position) | 12,934,565 [derived, p.6] | 11,041,807 [derived, p.6] | 10,493,130 [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) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| 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) | 12,934,565 [extracted, p.6] | 11,041,807 [extracted, p.6] | 10,493,130 [extracted, p.6] |
| long-term debt and leases (Statement of financial position) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| 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) | 12,934,565 [extracted, p.6] | 11,041,807 [extracted, p.6] | 10,493,130 [extracted, p.6] |
| net assets without donor restrictions (Statement of financial position) | 19,981,734 [derived, p.6] | 18,548,682 [derived, p.6] | 16,305,645 [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) | 19,981,734 [extracted, p.6] | 18,548,682 [extracted, p.6] | 16,305,645 [extracted, p.6] |
| patient service revenue, net (Statement of activities) | 64,804,168 [derived, p.7] | 62,300,192 [derived, p.7] | 57,813,430 [derived, p.7] |
| 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) | 2,989,517 [derived, p.7] | 2,699,614 [derived, p.7] | 4,282,555 [derived, p.7] |
| contributions (Statement of activities) | 9,600 [derived, p.7] | 9,600 [derived, p.7] | 9,600 [derived, p.7] |
| other revenue (Statement of activities) | 1,082,261 [derived, p.7] | 843,407 [derived, p.7] | 634,689 [derived, p.7] |
| TOTAL REVENUE AND SUPPORT (Statement of activities) | 68,885,546 [extracted, p.7] | 65,852,813 [extracted, p.7] | 62,740,274 [extracted, p.7] |
| salaries and benefits (Statement of activities) | 4,416,817 [derived, p.7] | 3,315,271 [derived, p.7] | 3,115,067 [derived, p.7] |
| supplies and pharmaceuticals (Statement of activities) | 11,877,809 [derived, p.7] | 7,248,774 [derived, p.7] | 7,465,312 [derived, p.7] |
| purchased and professional services (Statement of activities) | 50,997,251 [derived, p.7] | 54,418,452 [derived, p.7] | 49,630,907 [derived, p.7] |
| occupancy (Statement of activities) | 40,506 [derived, p.7] | 41,091 [derived, p.7] | 28,569 [derived, p.7] |
| depreciation and amortization (Statement of activities) | 47,737 [derived, p.7] | 52,873 [derived, p.7] | 65,597 [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) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| TOTAL EXPENSES (Statement of activities) | 67,380,120 [extracted, p.7] | 65,076,461 [extracted, p.7] | 60,305,452 [extracted, p.7] |
| 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) | -72,374 [derived, p.7] | 1,466,685 [derived, p.7] | 357,553 [derived, p.7] |
| CHANGE IN NET ASSETS (Statement of activities) | 1,433,052 [extracted, p.7] | 2,243,037 [extracted, p.7] | 2,792,375 [extracted, p.7] |
| net assets, beginning (Statement of activities) | 18,548,682 [extracted, p.7] | 16,305,645 [extracted, p.7] | 13,513,270 [extracted, p.7] |
| net assets, end (Statement of activities) | 19,981,734 [extracted, p.7] | 18,548,682 [extracted, p.7] | 16,305,645 [extracted, p.7] |

| Ratio | FY ending 2025-09-30 | FY ending 2024-09-30 | FY ending 2023-09-30 |
|---|---:|---:|---:|
| Days cash on hand | 108 days [plausible] | 108 days [plausible] | 111 days [plausible] |
| Current ratio | 2.43x [plausible] | 2.55x [plausible] | 2.42x [plausible] |
| Operating margin | absent [not computed] | absent [not computed] | absent [not computed] |
| Total margin | 2.1% [plausible] | 3.4% [plausible] | 4.5% [plausible] |
| Patient revenue share | 94.1% [plausible] | 94.6% [plausible] | 92.1% [plausible] |
| Grant dependency | absent [not computed] | absent [not computed] | absent [not computed] |
| Salaries share | 6.6% [plausible] | 5.1% [plausible] | 5.2% [plausible] |
| Days in patient receivables | 24 days [plausible] | 25 days [plausible] | 28 days [plausible] |
| Debt to net assets | absent [not computed] | absent [not computed] | absent [not computed] |
| 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 (Rural Health Care, Inc.; FAC-11 template snapshot, SRC-FAC-001); the organization match is matched by name.

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/431856, 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.