FAMILY HEALTHCARE NETWORK
Total patients (UDS): 259,504 in FY2024. Total visits (all service types): 1,152,188 in FY2024. Service sites: 49 in FY2024. Uninsured patient share: 8.1% in FY2024. Figures as filed; not audited by Astrelis.
The organization behind this center
HRSA UDS 2024 · awardee level · whole organization · match ProbableThis site belongs to Family Healthcare Network (grant H80CS00786). 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. The service-site count renders once, in the headline tiles above, from its single sourced field. Site-to-organization mapping here is by the nearest HRSA site only: no address or Medicare billing number on the HRSA site record confirms it.
Audited financial statements
Federal Audit Clearinghouse · as filed · whole organization · $ as printed · identifier conflict · no award rowsTULE RIVER INDIAN HEALTH CENTER, INC. files an audited financial statement with the Federal Audit Clearinghouse each year it expends federal awards. The figures below are the template's reading of those filings and were not audited by Astrelis. 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.
Each report's status, as the template carries it. A report prints its lines whatever its status.
| Report | Tie status | Reconciliation | Award on this report | Column year, balance sheet | Column year, income statement | Net assets basis | Governmental unit | Units |
|---|---|---|---|---|---|---|---|---|
| FY ending 2025-06-30 · audit year 2025 | does not tie (first failing test G1) | not arithmetically reconciled | no health center award on this report | no column header printed | no column header printed | not applicable (governmental statements) | a health unit of a governmental entity (no non-health-center term in unit "tule river indian health center inc" or header "[no printed column header]") | dollars |
| FY ending 2024-06-30 · audit year 2024 | ties in full | arithmetically reconciled | no health center award on this report | no column header printed | no column header printed | total net assets read from the printed total | not applicable (nonprofit statements) | dollars |
| FY ending 2022-06-30 · audit year 2022 | does not tie (first failing test G1) | not arithmetically reconciled | no health center award on this report | no column header printed | no column header printed | not applicable (governmental statements) | a health unit of a governmental entity (no non-health-center term in unit "tule river indian health center inc" or header "[no printed column header]") | dollars |
Every template line of the 3 newest reports, in dollars as the statement prints them (units applied). Each cell says whether the figure was extracted from a statement line, derived from extracted lines with its formula on file, or is absent with the reason.
| Line | FY ending 2025-06-30 | FY ending 2024-06-30 | FY ending 2022-06-30 |
|---|---|---|---|
| Statement of financial position | |||
| cash and investments (current) | not in this report | 20,721,217derived · p.7 · 1 line | not in this report |
| patient receivables, net | not in this report | 1,352,703derived · p.7 · 1 line | not in this report |
| grants and other receivables | not in this report | 3,235,609derived · p.7 · 1 line | not in this report |
| other current assets | not in this report | absent · not printed, or not read | not in this report |
| TOTAL CURRENT ASSETS | not in this report | 25,309,529extracted · p.7 | not in this report |
| property and equipment, net | not in this report | 1,563,744derived · p.7 · 1 line | not in this report |
| other long-term assets | not in this report | 52,755derived · p.7 · 1 line | not in this report |
| TOTAL ASSETS | not in this report | 26,926,028extracted · p.7 | not in this report |
| payables and accrued expenses | not in this report | 589,987derived · p.7 · 2 lines | not in this report |
| deferred revenue | not in this report | 409,945derived · p.7 · 1 line | not in this report |
| current debt and leases | not in this report | 34,411derived · p.7 · 1 line | not in this report |
| other current liabilities | not in this report | absent · not printed, or not read | not in this report |
| TOTAL CURRENT LIABILITIES | not in this report | 1,034,343extracted · p.7 | not in this report |
| long-term debt and leases | not in this report | absent · not printed, or not read | not in this report |
| other long-term liabilities | not in this report | 266,259derived · p.7 · 1 line | not in this report |
| TOTAL LIABILITIES | not in this report | 1,300,602extracted · p.7 | not in this report |
| net assets without donor restrictions | not in this report | 25,625,426derived · p.7 · 2 lines | not in this report |
| net assets with donor restrictions | not in this report | absent · not printed, or not read | not in this report |
| TOTAL NET ASSETS | not in this report | 25,625,426extracted · p.7 | not in this report |
| TOTAL ASSETS | 29,487,638extracted · p.7 | not in this report | 22,470,884extracted · p.6 |
| TOTAL DEFERRED OUTFLOWS | absent · not printed, or not read | not in this report | absent · not printed, or not read |
| TOTAL LIABILITIES | 3,775,880extracted · p.7 | not in this report | 4,930,737extracted · p.6 |
| TOTAL DEFERRED INFLOWS | absent · not printed, or not read | not in this report | absent · not printed, or not read |
| TOTAL NET POSITION | 25,711,758extracted · p.7 | not in this report | 17,540,147extracted · p.6 |
| net investment in capital assets | 2,436,499extracted · p.7 | not in this report | 575,631extracted · p.6 |
| restricted net position | absent · not printed, or not read | not in this report | absent · not printed, or not read |
| unrestricted net position | 23,275,259extracted · p.7 | not in this report | 16,964,516extracted · p.6 |
| TOTAL CURRENT ASSETS | 27,051,139extracted · p.7 | not in this report | 21,895,253extracted · p.6 |
| TOTAL CURRENT LIABILITIES | 3,494,114extracted · p.7 | not in this report | 4,656,716extracted · p.6 |
| Statement of activities | |||
| TOTAL OPERATING REVENUES | 17,909,773extracted · p.8 | not in this report | 17,225,980extracted · p.7 |
| TOTAL OPERATING EXPENSES | 17,869,029extracted · p.8 | not in this report | 13,082,331extracted · p.7 |
| OPERATING INCOME OR LOSS | absent · not printed, or not read | not in this report | absent · not printed, or not read |
| TOTAL NON-OPERATING REVENUES AND EXPENSES | absent · not printed, or not read | not in this report | 17,831extracted · p.7 |
| CHANGE IN NET POSITION | 86,332extracted · p.8 | not in this report | 4,161,480extracted · p.7 |
| net position, beginning | 25,625,426extracted · p.8 | not in this report | 13,378,667extracted · p.7 |
| net position, end | 25,711,758extracted · p.8 | not in this report | 17,540,147extracted · p.7 |
| patient service revenue, net | not in this report | 4,741,282derived · p.8 · 1 line | not in this report |
| pharmacy and 340B revenue | not in this report | absent · not printed, or not read | not in this report |
| federal grants | not in this report | 11,325,179derived · p.8 · 1 line | not in this report |
| other grants and contracts | not in this report | 1,044,131derived · p.8 · 1 line | not in this report |
| contributions | not in this report | absent · not printed, or not read | not in this report |
| other revenue | not in this report | 520,339derived · p.8 · 1 line | not in this report |
| TOTAL REVENUE AND SUPPORT | not in this report | 17,630,931extracted · p.8 | not in this report |
| salaries and benefits | not in this report | 8,077,155derived · p.8 · 1 line | not in this report |
| supplies and pharmaceuticals | not in this report | 943,088derived · p.8 · 1 line | not in this report |
| purchased and professional services | not in this report | 2,851,027derived · p.8 · 2 lines | not in this report |
| occupancy | not in this report | 734,421derived · p.8 · 3 lines | not in this report |
| depreciation and amortization | not in this report | 201,462derived · p.8 · 1 line | not in this report |
| interest | not in this report | absent · not printed, or not read | not in this report |
| other expenses | not in this report | 1,117,792derived · p.8 · 7 lines | not in this report |
| TOTAL EXPENSES | not in this report | 13,924,945extracted · p.8 | not in this report |
| OPERATING RESULT | not in this report | 3,705,986extracted · p.8 | not in this report |
| non-operating and other changes | not in this report | 43,859derived · p.8 · 1 line | not in this report |
| CHANGE IN NET ASSETS | not in this report | 3,749,845extracted · p.8 | not in this report |
| net assets, beginning | not in this report | 21,875,581extracted · p.8 | not in this report |
| net assets, end | not in this report | 25,625,426extracted · p.8 | not in this report |
The template's ratios for each report with their plausibility status, beside the cohort medians for governmental statements in audit year 2025 (all reports; reports that tie in full; plausible ratios of direct-award organizations). A ratio out of its possible range is kept as computed and says so; a median of fewer than five values prints with its n.
| Ratio | FY ending 2025-06-30 | FY ending 2024-06-30 | FY ending 2022-06-30 | Median, all reports | Median, reports that tie in full | Median, plausible ratios of direct-award organizations |
|---|---|---|---|---|---|---|
| Current ratio | 7.74xplausible | 24.47xplausible | 4.70xplausible | 3.39xn = 33 · 18 non-health units | 1.70xn = 9 · 6 non-health units | 3.33xn = 24 · 14 non-health units |
| Operating margin | absent · input absent: g11 | 21.0%plausible | absent · input absent: g11 | -4.0%n = 34 · 24 non-health units | -6.7%n = 9 · 6 non-health units | -3.6%n = 30 · 20 non-health units |
| Total margin | 0.5%plausible | 21.3%plausible | 24.2%plausible | 3.8%n = 35 · 24 non-health units | -2.1%n = 9 · 6 non-health units | 4.3%n = 30 · 20 non-health units |
| Days cash on hand | not in this report | 553 daysplausible | not in this report | no median | no median | no median |
| Patient revenue share | not in this report | 26.9%plausible | not in this report | no median | no median | no median |
| Grant dependency | not in this report | 70.2%plausible | not in this report | no median | no median | no median |
| Salaries share | not in this report | 58.0%plausible | not in this report | no median | no median | no median |
| Days in patient receivables | not in this report | 104 daysplausible | not in this report | no median | no median | no median |
| Debt to net assets | not in this report | absent · input absent: long-term debt and leases | not in this report | no median | no median | no median |
| Health center award share | not in this report | absent · the award amount is not a statement-page figure | not in this report | no median | no median | no median |
The audits as filed: FY ending 2025-06-30 (2025-06-GSAFAC-0000418023) · FY ending 2024-06-30 (2024-06-GSAFAC-0000353200) · FY ending 2022-06-30 (2022-06-CENSUS-0000119186).
Source: Federal Audit Clearinghouse (FAC), single audits as filed; FAC-11 template of the audited statements (fac-audits; FACRT-02 status columns and FACRT-03 name-and-state crosswalk applied); snapshot frozen 2026-10-21. Payload contract: the FQHC audited-statements contract.
Appendix: the Medicare cost-report view
$ thousands · HCRIS cost-report basis · as filed, QA-gatedRead 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 computes only when every input is reported in the filing (otherwise its cell states which input is Not reported in source); a year whose balance sheet does not reconcile is labeled, and its derived ratios read Astrelis calculation unavailable. Not audited by Astrelis.
| Line item | FY19 |
|---|---|
| Patient revenue | 77 |
| Total operating revenue | 77 |
| Total operating expenses | 3,431 |
| Operating income | (3,353) |
| Operating margin % | -4342.8% |
| Net income | (3,353) |
| Net income % | -4342.8% |
How it operates
quality & operational context · CMS public reportingThe metrics this health center type is judged on: care quality, patient experience, and scale. Each is labeled by provenance class and public source; descriptive context only, never a ranking or adequacy claim. Provenance labels: Reported value is copied from the named public source; Astrelis calculation is a formula applied to unchanged reported inputs, with the formula shown; Illustrative estimate is a benchmark gap, multiplier, or scenario — never a measurement.
Trajectory
State context
259,504 patients across 49 sites (HRSA UDS organization data).
What changed, what matters, and what your board should ask — every figure sourced to the public record.
Reserve The Board Briefing →Health-center benchmarking runs on UDS organization measures (patients, visits, payer mix, clinical quality) — never a Medicare-scope margin rank. Coverage is disclosed above.
Reserve Performance Benchmark Report →The Board Briefing
Your facility and its world, board-ready. Measures the public record does not carry become findings, never a decline reason.
Portfolio Performance Review
A roster-priced triage of the per-facility benchmarks: every facility on your roster, benchmarked and sorted. Requires only a CCN roster.
Cite this page
release 2321a4fc37a7 · 2026-10-22Astrelis Atlas, "Family Healthcare Network", https://astrelis.co/providers/health_center/051092, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.
Machine-readable twin of this page: astrelis.co/providers/health_center/051092.md (Markdown, the same figures with their fiscal years, pools and definitions). Last modified: release 2321a4fc37a7, 2026-10-22. 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.