National

National Community Health Center Financial Analytics Dashboard Summary

The National Community Health Center Financial Analytics Dashboard summary aggregates the audited financial statement data for fiscal years 2016 to 2021 of 1,250+ community health centers in all 50 US states, DC, and five US territories.

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

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Key National-Level Findings

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Finding #1: Audits for 1,253 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 $64B in 2021

Year-over-year average total revenue growth was significant, representing a 52% increase from 2016 to 2021.

Revenues vs. Expenses Analytics

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Finding #3: Total assets exceeded $68B in 2021

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

Assets vs. Liabilities Analytics

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Finding #4: Total Net Operating Income exceeded $5.5B in 2021

Year-over-year average total net operating income growth was significant, representing a 178% increase from 2016 to 2021.

Net Operating Income Analytics

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Finding #5: Average Operating Margins exceeded 14% in 2021

Average operating margins increased by 48% from 2016 to 2021, representing a six-year high in 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 $40B in 2021

Year-over-year average net asset growth was significant, representing an 84% increase from 2016 to 2021.

Net Asset Analytics

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Finding #7: Average Return on Net Assets (RONA) exceeded 19% in 2021

The average RONA increased by 22% from 2019 to 2021, representing a three-year high in 2021.

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 55% in 2021

The average salary expenditures as a percentage of total revenues declined from a high of 61% in 2018 to a low of 55% 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 143 days in 2021

The average days of cash on hand increased by 75%, from a low of 82 days in 2016 to a high of 143 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 8% from 4.95 in 2018 to 5.37 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 27% in 2021

The average fixed assets as a percentage of net assets declined from a high of 102% in 2018 to a low of 27% 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.