# Family Healthcare Network

Health Center, CA
Page: https://astrelis.co/providers/health_center/051092  
This twin: https://astrelis.co/providers/health_center/051092.md  
CMS Certification Number (CCN): 051092  
Release: 2321a4fc37a7 (2026-10-22)

## Headline figures (fiscal years on file: 2019 to 2025)

- **Total patients (UDS) (FY2024):** 259,504. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Total visits (all service types) (FY2024):** 1,152,188. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Service sites (FY2024):** 49. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Uninsured patient share (FY2024):** 8.1%. Illustrative estimate. Definition: https://astrelis.co/methodology#health-center
- **Operating margin (FY2019):** -4342.8%. Astrelis calculation. Definition: https://astrelis.co/methodology#health-center
- **Total operating revenue (FY2019):** $0.1M. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Total margin (including nonoperating) (FY2019):** -4342.8%. Astrelis calculation. Definition: https://astrelis.co/methodology#health-center

## Audited financial statements (Federal Audit Clearinghouse)

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. The figures were not audited by Astrelis. Contract: https://astrelis.co/methodology/fqhc-audit-contract

### TULE RIVER INDIAN HEALTH CENTER, INC., CA

Match to this profile: identifier conflict: the EIN the dataset carries for this CCN differs from the filed EIN (method: exact name and state (FACLAND tier 1)).

- FY ending 2025-06-30 (audit year 2025): does not tie; audit as filed https://app.fac.gov/dissemination/summary/2025-06-GSAFAC-0000418023
- FY ending 2024-06-30 (audit year 2024): ties in full; audit as filed https://app.fac.gov/dissemination/summary/2024-06-GSAFAC-0000353200
- FY ending 2022-06-30 (audit year 2022): does not tie; audit as filed https://app.fac.gov/dissemination/summary/2022-06-CENSUS-0000119186

| Line | FY ending 2025-06-30 | FY ending 2024-06-30 | FY ending 2022-06-30 |
|---|---:|---:|---:|
| cash and investments (current) (Statement of financial position) | not in this report | 20,721,217 [derived, p.7] | not in this report |
| patient receivables, net (Statement of financial position) | not in this report | 1,352,703 [derived, p.7] | not in this report |
| grants and other receivables (Statement of financial position) | not in this report | 3,235,609 [derived, p.7] | not in this report |
| other current assets (Statement of financial position) | not in this report | absent (not printed, or not read) | not in this report |
| TOTAL CURRENT ASSETS (Statement of financial position) | not in this report | 25,309,529 [extracted, p.7] | not in this report |
| property and equipment, net (Statement of financial position) | not in this report | 1,563,744 [derived, p.7] | not in this report |
| other long-term assets (Statement of financial position) | not in this report | 52,755 [derived, p.7] | not in this report |
| TOTAL ASSETS (Statement of financial position) | not in this report | 26,926,028 [extracted, p.7] | not in this report |
| payables and accrued expenses (Statement of financial position) | not in this report | 589,987 [derived, p.7] | not in this report |
| deferred revenue (Statement of financial position) | not in this report | 409,945 [derived, p.7] | not in this report |
| current debt and leases (Statement of financial position) | not in this report | 34,411 [derived, p.7] | not in this report |
| other current liabilities (Statement of financial position) | not in this report | absent (not printed, or not read) | not in this report |
| TOTAL CURRENT LIABILITIES (Statement of financial position) | not in this report | 1,034,343 [extracted, p.7] | not in this report |
| long-term debt and leases (Statement of financial position) | not in this report | absent (not printed, or not read) | not in this report |
| other long-term liabilities (Statement of financial position) | not in this report | 266,259 [derived, p.7] | not in this report |
| TOTAL LIABILITIES (Statement of financial position) | not in this report | 1,300,602 [extracted, p.7] | not in this report |
| net assets without donor restrictions (Statement of financial position) | not in this report | 25,625,426 [derived, p.7] | not in this report |
| net assets with donor restrictions (Statement of financial position) | not in this report | absent (not printed, or not read) | not in this report |
| TOTAL NET ASSETS (Statement of financial position) | not in this report | 25,625,426 [extracted, p.7] | not in this report |
| TOTAL ASSETS (Statement of financial position) | 29,487,638 [extracted, p.7] | not in this report | 22,470,884 [extracted, p.6] |
| TOTAL DEFERRED OUTFLOWS (Statement of financial position) | absent (not printed, or not read) | not in this report | absent (not printed, or not read) |
| TOTAL LIABILITIES (Statement of financial position) | 3,775,880 [extracted, p.7] | not in this report | 4,930,737 [extracted, p.6] |
| TOTAL DEFERRED INFLOWS (Statement of financial position) | absent (not printed, or not read) | not in this report | absent (not printed, or not read) |
| TOTAL NET POSITION (Statement of financial position) | 25,711,758 [extracted, p.7] | not in this report | 17,540,147 [extracted, p.6] |
| net investment in capital assets (Statement of financial position) | 2,436,499 [extracted, p.7] | not in this report | 575,631 [extracted, p.6] |
| restricted net position (Statement of financial position) | absent (not printed, or not read) | not in this report | absent (not printed, or not read) |
| unrestricted net position (Statement of financial position) | 23,275,259 [extracted, p.7] | not in this report | 16,964,516 [extracted, p.6] |
| TOTAL CURRENT ASSETS (Statement of financial position) | 27,051,139 [extracted, p.7] | not in this report | 21,895,253 [extracted, p.6] |
| TOTAL CURRENT LIABILITIES (Statement of financial position) | 3,494,114 [extracted, p.7] | not in this report | 4,656,716 [extracted, p.6] |
| TOTAL OPERATING REVENUES (Statement of activities) | 17,909,773 [extracted, p.8] | not in this report | 17,225,980 [extracted, p.7] |
| TOTAL OPERATING EXPENSES (Statement of activities) | 17,869,029 [extracted, p.8] | not in this report | 13,082,331 [extracted, p.7] |
| OPERATING INCOME OR LOSS (Statement of activities) | absent (not printed, or not read) | not in this report | absent (not printed, or not read) |
| TOTAL NON-OPERATING REVENUES AND EXPENSES (Statement of activities) | absent (not printed, or not read) | not in this report | 17,831 [extracted, p.7] |
| CHANGE IN NET POSITION (Statement of activities) | 86,332 [extracted, p.8] | not in this report | 4,161,480 [extracted, p.7] |
| net position, beginning (Statement of activities) | 25,625,426 [extracted, p.8] | not in this report | 13,378,667 [extracted, p.7] |
| net position, end (Statement of activities) | 25,711,758 [extracted, p.8] | not in this report | 17,540,147 [extracted, p.7] |
| patient service revenue, net (Statement of activities) | not in this report | 4,741,282 [derived, p.8] | not in this report |
| pharmacy and 340B revenue (Statement of activities) | not in this report | absent (not printed, or not read) | not in this report |
| federal grants (Statement of activities) | not in this report | 11,325,179 [derived, p.8] | not in this report |
| other grants and contracts (Statement of activities) | not in this report | 1,044,131 [derived, p.8] | not in this report |
| contributions (Statement of activities) | not in this report | absent (not printed, or not read) | not in this report |
| other revenue (Statement of activities) | not in this report | 520,339 [derived, p.8] | not in this report |
| TOTAL REVENUE AND SUPPORT (Statement of activities) | not in this report | 17,630,931 [extracted, p.8] | not in this report |
| salaries and benefits (Statement of activities) | not in this report | 8,077,155 [derived, p.8] | not in this report |
| supplies and pharmaceuticals (Statement of activities) | not in this report | 943,088 [derived, p.8] | not in this report |
| purchased and professional services (Statement of activities) | not in this report | 2,851,027 [derived, p.8] | not in this report |
| occupancy (Statement of activities) | not in this report | 734,421 [derived, p.8] | not in this report |
| depreciation and amortization (Statement of activities) | not in this report | 201,462 [derived, p.8] | not in this report |
| interest (Statement of activities) | not in this report | absent (not printed, or not read) | not in this report |
| other expenses (Statement of activities) | not in this report | 1,117,792 [derived, p.8] | not in this report |
| TOTAL EXPENSES (Statement of activities) | not in this report | 13,924,945 [extracted, p.8] | not in this report |
| OPERATING RESULT (Statement of activities) | not in this report | 3,705,986 [extracted, p.8] | not in this report |
| non-operating and other changes (Statement of activities) | not in this report | 43,859 [derived, p.8] | not in this report |
| CHANGE IN NET ASSETS (Statement of activities) | not in this report | 3,749,845 [extracted, p.8] | not in this report |
| net assets, beginning (Statement of activities) | not in this report | 21,875,581 [extracted, p.8] | not in this report |
| net assets, end (Statement of activities) | not in this report | 25,625,426 [extracted, p.8] | not in this report |

| Ratio | FY ending 2025-06-30 | FY ending 2024-06-30 | FY ending 2022-06-30 |
|---|---:|---:|---:|
| Current ratio | 7.74x [plausible] | 24.47x [plausible] | 4.70x [plausible] |
| Operating margin | absent [not computed] | 21.0% [plausible] | absent [not computed] |
| Total margin | 0.5% [plausible] | 21.3% [plausible] | 24.2% [plausible] |
| Days cash on hand | not in this report | 553 days [plausible] | not in this report |
| Patient revenue share | not in this report | 26.9% [plausible] | not in this report |
| Grant dependency | not in this report | 70.2% [plausible] | not in this report |
| Salaries share | not in this report | 58.0% [plausible] | not in this report |
| Days in patient receivables | not in this report | 104 days [plausible] | not in this report |
| Debt to net assets | not in this report | absent [not computed] | not in this report |
| Health center award share | not in this report | absent [not computed] | not in this report |

## Sources

HRSA Uniform Data System (awardee level; organization match Probable). CMS HCRIS cost reports, form CMS-224-14, as filed (the Medicare cost-report appendix). Federal Audit Clearinghouse single audits as filed (TULE RIVER INDIAN HEALTH CENTER, INC.; FAC-11 template snapshot, SRC-FAC-001).

Methodology: https://astrelis.co/methodology · Data sources: https://astrelis.co/data-sources · Data philosophy: https://astrelis.co/data-philosophy

## Cite this page

Astrelis 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.

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.