This report, prepared by Capital Link with support from the Health Resources and Services Administration (HRSA), provides an aggregate financial and operational profile of rural Federally Qualified Health Centers. The report offers a framework for identifying the financial strengths, challenges, and benchmarks that support opportunities for rural FQHC performance improvement through an examination of multi-year trends and median results. The report also provides comparisons between rural, urban, and national performance, as well as recommended benchmarks, where available. (Released in 2021)