# Western Sierra Medical Clinic

Health Center, CA
Page: https://astrelis.co/providers/health_center/051922  
This twin: https://astrelis.co/providers/health_center/051922.md  
CMS Certification Number (CCN): 051922  
Release: 2321a4fc37a7 (2026-10-22)

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

- **Operating margin (FY2025):** +13.5%. Astrelis calculation. Definition: https://astrelis.co/methodology#health-center
- **Total operating revenue (FY2025):** $73.5M. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Total margin (including nonoperating) (FY2025):** +42.3%. 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

### Chapa-De Indian Health Program, 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): ties in full; audit as filed https://app.fac.gov/dissemination/summary/2025-06-GSAFAC-0000400043
- FY ending 2024-06-30 (audit year 2024): ties in full; audit as filed https://app.fac.gov/dissemination/summary/2024-06-GSAFAC-0000355762
- FY ending 2023-06-30 (audit year 2023): ties in full; audit as filed https://app.fac.gov/dissemination/summary/2023-06-GSAFAC-0000025815

| Line | FY ending 2025-06-30 | FY ending 2024-06-30 | FY ending 2023-06-30 |
|---|---:|---:|---:|
| cash and investments (current) (Statement of financial position) | 38,156,654 [derived, p.6] | 35,757,185 [derived, p.6] | 51,787,788 [derived, p.6] |
| patient receivables, net (Statement of financial position) | 5,435,376 [derived, p.6] | 5,158,136 [derived, p.6] | 4,316,362 [derived, p.6] |
| grants and other receivables (Statement of financial position) | 915,994 [derived, p.6] | 245,122 [derived, p.6] | 832,647 [derived, p.6] |
| other current assets (Statement of financial position) | 3,075,318 [derived, p.6] | 1,994,139 [derived, p.6] | 1,657,241 [derived, p.6] |
| TOTAL CURRENT ASSETS (Statement of financial position) | 47,583,342 [extracted, p.6] | 43,154,582 [extracted, p.6] | 58,594,038 [extracted, p.6] |
| property and equipment, net (Statement of financial position) | 51,872,382 [derived, p.6] | 42,318,513 [derived, p.6] | 40,605,382 [derived, p.6] |
| other long-term assets (Statement of financial position) | 200,461,093 [derived, p.6] | 162,972,354 [derived, p.6] | 108,849,027 [derived, p.6] |
| TOTAL ASSETS (Statement of financial position) | 299,916,817 [extracted, p.6] | 248,445,449 [extracted, p.6] | 208,048,447 [extracted, p.6] |
| payables and accrued expenses (Statement of financial position) | 8,460,388 [derived, p.6] | 5,453,303 [derived, p.6] | 5,198,049 [derived, p.6] |
| deferred revenue (Statement of financial position) | 16,478,678 [derived, p.6] | 13,556,170 [derived, p.6] | 10,824,032 [derived, p.6] |
| current debt and leases (Statement of financial position) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| other current liabilities (Statement of financial position) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| TOTAL CURRENT LIABILITIES (Statement of financial position) | 24,939,066 [extracted, p.6] | 19,009,473 [extracted, p.6] | 16,022,081 [extracted, p.6] |
| long-term debt and leases (Statement of financial position) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| other long-term liabilities (Statement of financial position) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| TOTAL LIABILITIES (Statement of financial position) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| net assets without donor restrictions (Statement of financial position) | 274,977,751 [derived, p.6] | 229,435,976 [derived, p.6] | 192,026,366 [derived, p.6] |
| net assets with donor restrictions (Statement of financial position) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| TOTAL NET ASSETS (Statement of financial position) | 274,977,751 [extracted, p.6] | 229,435,976 [extracted, p.6] | 192,026,366 [extracted, p.6] |
| patient service revenue, net (Statement of activities) | 63,305,492 [derived, p.7] | 48,424,486 [derived, p.7] | 41,073,598 [derived, p.7] |
| pharmacy and 340B revenue (Statement of activities) | 13,423,387 [derived, p.7] | 10,888,212 [derived, p.7] | 8,297,088 [derived, p.7] |
| federal grants (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| other grants and contracts (Statement of activities) | 14,754,976 [derived, p.7] | 13,091,156 [derived, p.7] | 13,084,079 [derived, p.7] |
| contributions (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| other revenue (Statement of activities) | 18,619,737 [derived, p.7] | 16,202,654 [derived, p.7] | 9,541,068 [derived, p.7] |
| TOTAL REVENUE AND SUPPORT (Statement of activities) | 110,103,592 [extracted, p.7] | 88,606,508 [extracted, p.7] | 71,995,833 [extracted, p.7] |
| salaries and benefits (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| supplies and pharmaceuticals (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| purchased and professional services (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| occupancy (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| depreciation and amortization (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| interest (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| other expenses (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| TOTAL EXPENSES (Statement of activities) | 64,561,817 [extracted, p.7] | 51,196,898 [extracted, p.7] | 44,727,036 [extracted, p.7] |
| OPERATING RESULT (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| non-operating and other changes (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| CHANGE IN NET ASSETS (Statement of activities) | 45,541,775 [extracted, p.7] | 37,409,610 [extracted, p.7] | 27,268,797 [extracted, p.7] |
| net assets, beginning (Statement of activities) | 229,435,976 [extracted, p.7] | 192,026,366 [extracted, p.7] | 164,757,569 [extracted, p.7] |
| net assets, end (Statement of activities) | 274,977,751 [extracted, p.7] | 229,435,976 [extracted, p.7] | 192,026,366 [extracted, p.7] |

| Ratio | FY ending 2025-06-30 | FY ending 2024-06-30 | FY ending 2023-06-30 |
|---|---:|---:|---:|
| Days cash on hand | absent [not computed] | absent [not computed] | absent [not computed] |
| Current ratio | 1.91x [plausible] | 2.27x [plausible] | 3.66x [plausible] |
| Operating margin | absent [not computed] | absent [not computed] | absent [not computed] |
| Total margin | 41.4% [plausible] | 42.2% [plausible] | 37.9% [plausible] |
| Patient revenue share | 57.5% [plausible] | 54.7% [plausible] | 57.0% [plausible] |
| Grant dependency | absent [not computed] | absent [not computed] | absent [not computed] |
| Salaries share | absent [not computed] | absent [not computed] | absent [not computed] |
| Days in patient receivables | 31 days [plausible] | 39 days [plausible] | 38 days [plausible] |
| Debt to net assets | absent [not computed] | absent [not computed] | absent [not computed] |
| Health center award share | absent [not computed] | absent [not computed] | absent [not computed] |

## 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 (Chapa-De Indian Health Program, 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, "Western Sierra Medical Clinic", https://astrelis.co/providers/health_center/051922, 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.