A health center in CA. It ran an operating loss of 21.7% in FY21 on $48.0M of operating revenue. Operating margin improved from -44.4% in FY20 to -21.7% in FY21. Including nonoperating items, the all-in result was positive at 19.1%.
Days cash on hand
Not available
vs health centers—
Total operating revenue · FY21
$48.0M
▲ 9.2 $M vs FY20
vs health centers—
Operating margin · FY21
-21.7%
▲ 22.6 pts vs FY20
vs health centers—
Total margin · incl. nonoperating · FY21
+19.1%
▲ 11.8 pts vs FY20
vs health centers—
Where HILL COUNTRY COMMUNITY 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.
This site belongs to Hill Country Community Clinic (grant H80CS04226), which operates 2 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
7,498
unduplicated, organization-wide · UDS Table 4
Medical visits
21,419
organization-wide clinic visits
Medical staffing
27.4FTE
3.9 physician · 3.8 NP · 0.8 PA
Cost per patient
Consent-gated
Table 9D financials are consent-gated (FOIA Exemption 4): released only for centers that consent, about half in 2024. Suppressed, never zeroed.
Payer mix (share of patients)
Medicaid 46.8% · Medicare 25.1% · Uninsured 9.4% · Private 18.6% · Other public 0.0%
Clinical quality vs the national UDS median
Blood-pressure control
61.1%
national UDS median 66.6%
HRSA UDS 2024
Diabetes HbA1c > 9% (lower is better)
24.9%
national UDS median 26.1%
HRSA UDS 2024
Cervical cancer screening
32.6%
national UDS median 53.0%
HRSA UDS 2024
Breast cancer screening
52.6%
national UDS median 53.4%
HRSA UDS 2024
Colorectal cancer screening
27.2%
national UDS median 42.0%
HRSA UDS 2024
Depression screening & follow-up
40.4%
national UDS median 75.8%
HRSA UDS 2024
Tobacco cessation intervention
91.7%
national UDS median 86.8%
HRSA UDS 2024
Adult BMI screening & follow-up
71.4%
national UDS median 71.0%
HRSA UDS 2024
Childhood immunization status
0.0%
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
-21.7% (FY21)
Operating income ÷ total operating revenue · Medicare cost-report scope, not the organization's full financials
HCRIS WS G-3
Total margin
+19.1% (FY21)
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 item
FY20
FY21
Patient revenue
38,854
48,027
Total operating revenue
38,854
48,027
Total operating expenses
56,088
58,455
Operating income
(17,233)
(10,428)
Operating margin %
-44.4%
-21.7%
Other non-operating, net
21,641
24,240
Net income
4,408
13,812
Net income %
+7.3%
+19.1%
2 of 3 years available for this statement.
HCRIS CMS-224 cost report · $ thousands · FY20–FY21 · 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.
Cost per visit ($, Medicare scope)
330.65
Verified fact2021
HCRIS CMS-224
Total visits (Medicare scope)
3,826
Verified fact2021
HCRIS CMS-224
Trajectory
Cost-report basis · 2 reporting years
Operating margin
Days cash on hand
The county this health center serves
Location, CA · metro, under 250K
Median household income
$71.9K
vs $82.1K US · $59.7K rural median
Poverty rate
13.0%
vs 12.5% US · 14.3% rural median
Uninsured
6.7%
vs 8.6% US · 8.4% rural median
Age 65+
21.2%
vs 16.8% US · 20.6% rural median
Fair or poor health
21.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 15.4% of county personal income is Medicare/Medicaid medical benefits; 32.3% arrives as government transfers (BEA, 2022).
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