# Eastern Shore Rural Health System, Inc.

Health Center, VA
Page: https://astrelis.co/providers/health_center/491804  
This twin: https://astrelis.co/providers/health_center/491804.md  
CMS Certification Number (CCN): 491804  
Release: 2321a4fc37a7 (2026-10-22)

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

- **Total patients (UDS) (FY2024):** 32,481. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Operating margin (FY2025):** -100.2%. Astrelis calculation. Definition: https://astrelis.co/methodology#health-center
- **Service sites (FY2024):** 13. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Uninsured patient share (FY2024):** 14.3%. Illustrative estimate. Definition: https://astrelis.co/methodology#health-center
- **Total operating revenue (FY2025):** $22.7M. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Total margin (including nonoperating) (FY2025):** +1.1%. 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

### Eastern Shore Rural Health System, Incorporated, VA

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

- FY ending 2025-05-31 (audit year 2025): ties in full; audit as filed https://app.fac.gov/dissemination/summary/2025-05-GSAFAC-0000396296
- FY ending 2024-05-31 (audit year 2024): ties in full; audit as filed https://app.fac.gov/dissemination/summary/2024-05-GSAFAC-0000345246
- FY ending 2023-05-31 (audit year 2023): ties in full; audit as filed https://app.fac.gov/dissemination/summary/2023-05-GSAFAC-0000000188

| Line | FY ending 2025-05-31 | FY ending 2024-05-31 | FY ending 2023-05-31 |
|---|---:|---:|---:|
| cash and investments (current) (Statement of financial position) | 33,632,693 [derived, p.6] | 31,913,176 [derived, p.6] | 27,133,812 [derived, p.7] |
| patient receivables, net (Statement of financial position) | 6,805,779 [derived, p.6] | 6,926,105 [derived, p.6] | 4,676,002 [derived, p.7] |
| 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) | 568,438 [derived, p.6] | 852,477 [derived, p.6] | 408,260 [derived, p.7] |
| TOTAL CURRENT ASSETS (Statement of financial position) | 41,006,910 [extracted, p.6] | 39,691,758 [extracted, p.6] | 32,218,074 [extracted, p.7] |
| property and equipment, net (Statement of financial position) | 22,024,347 [derived, p.6] | 22,079,079 [derived, p.6] | 22,382,826 [derived, p.7] |
| other long-term assets (Statement of financial position) | 1,600,242 [derived, p.6] | 1,546,363 [derived, p.6] | 587,908 [derived, p.7] |
| TOTAL ASSETS (Statement of financial position) | 64,631,499 [extracted, p.6] | 63,317,200 [extracted, p.6] | 55,188,808 [extracted, p.7] |
| payables and accrued expenses (Statement of financial position) | 3,421,926 [derived, p.6] | 2,385,837 [derived, p.6] | 3,717,893 [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) | 507,407 [derived, p.6] | 444,457 [derived, p.6] | 162,148 [derived, p.7] |
| other current liabilities (Statement of financial position) | 235,736 [derived, p.6] | 172,989 [derived, p.6] | 232,368 [derived, p.7] |
| TOTAL CURRENT LIABILITIES (Statement of financial position) | 4,165,069 [extracted, p.6] | 3,003,283 [extracted, p.6] | 4,112,409 [extracted, p.7] |
| long-term debt and leases (Statement of financial position) | 3,863,295 [derived, p.6] | 4,205,493 [derived, p.6] | 1,527,365 [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) | 8,028,364 [extracted, p.6] | 7,208,776 [extracted, p.6] | 5,639,774 [extracted, p.7] |
| net assets without donor restrictions (Statement of financial position) | 56,414,737 [derived, p.6] | 56,108,424 [derived, p.6] | 49,467,820 [derived, p.7] |
| net assets with donor restrictions (Statement of financial position) | 188,398 [derived, p.6] | absent (not printed, or not read) | 81,214 [derived, p.7] |
| TOTAL NET ASSETS (Statement of financial position) | 56,603,135 [extracted, p.6] | 56,108,424 [extracted, p.6] | 49,549,034 [extracted, p.7] |
| patient service revenue, net (Statement of activities) | 37,902,240 [derived, p.7] | 36,788,268 [derived, p.7] | 29,305,001 [derived, p.8] |
| pharmacy and 340B revenue (Statement of activities) | 15,246,077 [derived, p.7] | 12,443,781 [derived, p.7] | 8,951,705 [derived, p.8] |
| federal grants (Statement of activities) | 5,504,536 [derived, p.7] | 6,143,072 [derived, p.7] | 7,849,083 [derived, p.8] |
| other grants and contracts (Statement of activities) | 488,507 [derived, p.7] | 341,060 [derived, p.7] | 1,378,921 [derived, p.8] |
| contributions (Statement of activities) | 373,274 [derived, p.7] | 5,088,294 [derived, p.7] | 47,388 [derived, p.8] |
| other revenue (Statement of activities) | -14,281,480 [derived, p.7] | -12,061,534 [derived, p.7] | -11,825,163 [derived, p.8] |
| TOTAL REVENUE AND SUPPORT (Statement of activities) | 45,845,487 [extracted, p.7] | 49,901,420 [extracted, p.7] | 39,254,153 [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) | 45,350,776 [extracted, p.7] | 43,342,030 [extracted, p.7] | 36,061,566 [extracted, p.8] |
| 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) | 494,711 [extracted, p.7] | 6,559,390 [extracted, p.7] | 3,192,587 [extracted, p.8] |
| net assets, beginning (Statement of activities) | 56,108,424 [extracted, p.7] | 49,549,034 [extracted, p.7] | 46,356,447 [extracted, p.8] |
| net assets, end (Statement of activities) | 56,603,135 [extracted, p.7] | 56,108,424 [extracted, p.7] | 49,549,034 [extracted, p.8] |

| Ratio | FY ending 2025-05-31 | FY ending 2024-05-31 | FY ending 2023-05-31 |
|---|---:|---:|---:|
| Days cash on hand | absent [not computed] | absent [not computed] | absent [not computed] |
| Current ratio | 9.85x [plausible] | 13.22x [plausible] | 7.83x [plausible] |
| Operating margin | absent [not computed] | absent [not computed] | absent [not computed] |
| Total margin | 1.1% [plausible] | 13.1% [plausible] | 8.1% [plausible] |
| Patient revenue share | 82.7% [plausible] | 73.7% [plausible] | 74.7% [plausible] |
| Grant dependency | 13.1% [plausible] | 13.0% [plausible] | 23.5% [plausible] |
| Salaries share | absent [not computed] | absent [not computed] | absent [not computed] |
| Days in patient receivables | 66 days [plausible] | 69 days [plausible] | 58 days [plausible] |
| Debt to net assets | 0.08x [plausible] | 0.08x [plausible] | 0.03x [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 (Eastern Shore Rural Health System, Incorporated; 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, "Eastern Shore Rural Health System, Inc.", https://astrelis.co/providers/health_center/491804, 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.