Iowa

Iowa Community Health Center Financial Analytics Dashboard Summary

The Iowa Community Health Center Financial Analytics Dashboard summary aggregates the audited financial statement data for fiscal years 2016 to 2021 of 14 community health centers in Iowa.

Click the button below to access the dashboard and view community health center-specific data or keeping scrolling down to view state-level summary data.

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Key State-Level Findings

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Finding #1: Audits for 14 community health centers are included

Audits for most community health centers were available for public review via the Federal Audit Clearing House.

Annual “audit available” comparison analytics

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Finding #2: Total revenues exceeded $283M in 2021

Year-over-year average total revenue growth was significant, representing a 73% increase from 2016 to 2021.

Revenues vs. Expenses Analytics

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Finding #3: Total assets exceeded $250M in 2021

Year-over-year average total asset growth was significant, representing a 95% increase from 2016 to 2021.

Assets vs. Liabilities Analytics

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Finding #4: Total Net Operating Income exceeded $31M in 2021

Year-over-year average total net operating income growth was significant, representing a 72% increase from 2016 to 2021.

Net Operating Income Analytics

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Finding #5: Average Operating Margins exceeded 15% in 2021

Average operating margins increased by 71% from 2019 to 2021.

Note: The operating margin is a profitability metric used to measure the percentage of revenue a health center keeps as operating profit—2-4% is ideal.

Operating Margin Analytics

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Finding #6: Net Assets approached $191M in 2021

Year-over-year average net asset growth was significant, representing a 101% increase from 2016 to 2021.

Net Asset Analytics

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Finding #7: Average Return on Net Assets (RONA) exceeded 16% in 2021

The average RONA declined by .57 from 17.52% in 2016 to 16.95% in 2021, representing a 3.2% decline over the six-year period.

Note: The return on net assets (RONA) metric is a profitability metric that measures how well health center management deploys assets. Higher values indicate management squeezing more earnings from each dollar invested in assets. RONA is also used to assess how well a health center is performing compared to others in its sector (5% is good; 20%+ is great).

Return on Net Assets (RONA)
Analytics

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Finding #8: Salaries as a % of revenues exceeded 56% in 2021

The average salary expenditures as a percentage of total revenues declined from a high of 62% in 2018 to 56% in 2021.

Note: The salary expense to revenue metric is an operational efficiency metric that measures how much-earned revenue is allocated to payroll costs and employee benefits—45% – 55% is the sector average.

Salaries vs. Revenues
Analytics

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Finding #9: Average days of cash on hand exceeded 147 days in 2021

The average days of cash on hand increased by 64%, from 90 days in 2016 to 148 days in 2021.

Note: Days of cash on hand is a liquidity metric used to measure financial security. It is calculated as total cash and cash equivalents divided by current liabilities. It estimates the days a health center can pay its daily operation and maintenance costs before running out of cash—180 days minimum is ideal.

Days of Cash Analytics

Finding #10: Average current ratio exceeded 5.0 in 2021

The average current ratio increased by 51% from 3.96 in 2016 to 5.98 in 2021.

Note: The current ratio is a liquidity metric used to measure a health center’s ability to pay short-term obligations or those due within one year (2.0+ is ideal).

Current Ratio Analytics

Finding #11: Average fixed assets as a % of net assets declined to 50% in 2021

The average fixed assets as a percentage of net assets declined from a high of 67% in 2019 to a low of 50% in 2021.

Note: The fixed asset to net asset metric is an asset utilization metric that measures, in percentage terms, the portion of total assets that are tied up with fixed assets. It shows the extent to which unrestricted net assets are frozen in the form of fixed assets, such as property, plant, and equipment. Lower percentages are better, with percentages in excess of 100% indicating a reliance on debt to finance fixed asset purchases.