health center · MD

TRI-STATE COMMUNITY HEALTH CENTER

CCN 211809Latest FY 2022

Cost-report basis

HCRIS · as filed

Not audited by Astrelis

Total patients (UDS): 17,256 in FY2024. Service sites: 8 in FY2024. Uninsured patient share: 4.5% in FY2024. Figures as filed; not audited by Astrelis.

The organization behind this center

HRSA UDS 2024 · awardee level · whole organization · match Verified

This site belongs to Tri-State Community Health Center (grant H80CS00069). 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.

Patients

17,256

unduplicated, organization-wide · UDS Table 4

Medical visits

Not reported

organization-wide medical clinic visits · HRSA UDS 2024 (the total-visit figure in the headline tiles covers all service types)

Medical staffing

Masked

staffing is masked under H80 confidentiality rules: reported for roughly 40% of centers

Payer mix (share of patients)

Medicaid 26.9% · Medicare 22.8% · Uninsured 4.5% · Private 44.8% · Other public 1.0%

Clinical quality vs the national UDS median

Blood-pressure control

73.1%

national UDS median 66.6%

HRSA UDS 2024

Diabetes HbA1c > 9% (lower is better)

24.6%

national UDS median 26.1%

HRSA UDS 2024

Cervical cancer screening

62.0%

national UDS median 53.0%

HRSA UDS 2024

Breast cancer screening

62.4%

national UDS median 53.4%

HRSA UDS 2024

Colorectal cancer screening

52.3%

national UDS median 42.0%

HRSA UDS 2024

Depression screening & follow-up

73.6%

national UDS median 75.8%

HRSA UDS 2024

Tobacco cessation intervention

91.0%

national UDS median 86.8%

HRSA UDS 2024

Adult BMI screening & follow-up

63.2%

national UDS median 71.0%

HRSA UDS 2024

Audited financial statements

Federal Audit Clearinghouse · as filed · whole organization · $ as printed · identifier verified · direct award

TRI-STATE COMMUNITY HEALTH CENTER 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.

Filing organization: TRI-STATE COMMUNITY HEALTH CENTER, MD · the nonprofit entity · nonprofit statements
Match to this profile: identifier verified: the EIN the dataset carries for this CCN agrees with the filed EIN; method: exact name and state (FACLAND tier 1); EIN check: agrees
Health center award: a direct health center award (section 330) on file for this organization
On file: 5 years of filings, 5 that tie in full; latest audit year 2023 (ties in full).

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 2023-11-30 · audit year 2023	ties in full	arithmetically reconciled	direct 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 2022-11-30 · audit year 2022	ties in full	arithmetically reconciled	direct award on this report	column year confirmed from the printed header	column year confirmed from the printed header	total net assets read from the printed total	not applicable (nonprofit statements)	dollars
FY ending 2021-11-30 · audit year 2021	ties in full	arithmetically reconciled	direct award on this report	column year confirmed from the printed header	column year confirmed from the printed header	total net assets read from the printed total	not applicable (nonprofit statements)	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 2023-11-30	FY ending 2022-11-30	FY ending 2021-11-30
Statement of financial position
cash and investments (current)	9,850,646derived · p.5 · 2 lines	10,325,646derived · p.6 · 1 line	10,826,458derived · p.6 · 1 line
patient receivables, net	1,708,293derived · p.5 · 2 lines	1,881,774derived · p.6 · 2 lines	1,382,053derived · p.6 · 2 lines
grants and other receivables	2,228,790derived · p.5 · 2 lines	1,445,069derived · p.6 · 2 lines	1,030,210derived · p.6 · 2 lines
other current assets	236,331derived · p.5 · 1 line	201,557derived · p.6 · 2 lines	201,964derived · p.6 · 2 lines
TOTAL CURRENT ASSETS	14,024,060extracted · p.5	13,854,046extracted · p.6	13,440,685extracted · p.6
property and equipment, net	1,793,546derived · p.5 · 6 lines	1,973,288derived · p.6 · 1 line	2,146,187derived · p.6 · 1 line
other long-term assets	1,871,732derived · p.5 · 4 lines	1,873,620derived · p.6 · 2 lines	1,890,341derived · p.6 · 2 lines
TOTAL ASSETS	17,689,338extracted · p.5	17,700,954extracted · p.6	17,477,213extracted · p.6
payables and accrued expenses	914,459derived · p.6 · 2 lines	817,478derived · p.6 · 3 lines	644,720derived · p.6 · 3 lines
deferred revenue	absent · not printed, or not read	176,733derived · p.6 · 1 line	176,733derived · p.6 · 1 line
current debt and leases	188,683derived · p.6 · 2 lines	24,255derived · p.6 · 1 line	31,097derived · p.6 · 1 line
other current liabilities	absent · not printed, or not read	12,788derived · p.6 · 1 line	16,160derived · p.6 · 1 line
TOTAL CURRENT LIABILITIES	1,103,142extracted · p.6	1,031,254extracted · p.6	868,710extracted · p.6
long-term debt and leases	105,754derived · p.6 · 2 lines	12,087derived · p.6 · 1 line	33,989derived · p.6 · 1 line
other long-term liabilities	absent · not printed, or not read	absent · not printed, or not read	absent · not printed, or not read
TOTAL LIABILITIES	1,208,896extracted · p.6	1,043,341extracted · p.6	902,699extracted · p.6
net assets without donor restrictions	16,480,442derived · p.6 · 1 line	16,649,289derived · p.6 · 1 line	16,565,916derived · p.6 · 1 line
net assets with donor restrictions	absent · not printed, or not read	8,324derived · p.6 · 1 line	8,598derived · p.6 · 1 line
TOTAL NET ASSETS	16,480,442extracted · p.6	16,657,613extracted · p.6	16,574,514extracted · p.6
Statement of activities
patient service revenue, net	7,158,188derived · p.7 · 1 line	6,848,448derived · p.7 · 2 lines	6,923,648derived · p.7 · 2 lines
pharmacy and 340B revenue	3,137,628derived · p.7 · 1 line	3,310,233derived · p.7 · 1 line	2,710,964derived · p.7 · 1 line
federal grants	absent · not printed, or not read	4,517,047derived · p.7 · 1 line	6,295,680derived · p.7 · 1 line
other grants and contracts	4,698,595derived · p.7 · 1 line	10,000derived · p.7 · 1 line	absent · not printed, or not read
contributions	132,116derived · p.7 · 1 line	absent · not printed, or not read	absent · not printed, or not read
other revenue	389,738derived · p.7 · 3 lines	275derived · p.7 · 1 line	755derived · p.7 · 1 line
TOTAL REVENUE AND SUPPORT	15,516,265extracted · p.7	14,686,003extracted · p.7	15,931,047extracted · p.7
salaries and benefits	absent · not printed, or not read	9,872,679derived · p.7 · 1 line	9,631,820derived · p.7 · 1 line
supplies and pharmaceuticals	absent · not printed, or not read	836,401derived · p.7 · 1 line	750,212derived · p.7 · 1 line
purchased and professional services	absent · not printed, or not read	1,566,412derived · p.7 · 1 line	1,677,243derived · p.7 · 1 line
occupancy	absent · not printed, or not read	305,098derived · p.7 · 1 line	298,999derived · p.7 · 1 line
depreciation and amortization	absent · not printed, or not read	246,835derived · p.7 · 1 line	249,309derived · p.7 · 1 line
interest	absent · not printed, or not read	4,908derived · p.7 · 1 line	4,905derived · p.7 · 1 line
other expenses	absent · not printed, or not read	1,836,514derived · p.7 · 2 lines	1,191,871derived · p.7 · 2 lines
TOTAL EXPENSES	15,685,112extracted · p.7	14,668,847extracted · p.7	13,804,359extracted · p.7
OPERATING RESULT	(168,847)extracted · p.7	17,156extracted · p.7	2,126,688extracted · p.7
non-operating and other changes	(8,324)derived · p.7 · 1 line	65,943derived · 5 lines	1,808,709derived · 7 lines
CHANGE IN NET ASSETS	(177,171)extracted · p.7	83,099extracted · p.8	3,935,397extracted · p.8
net assets, beginning	16,657,613extracted · p.7	16,574,514extracted · p.8	12,639,117extracted · p.8
net assets, end	16,480,442extracted · p.7	16,657,613extracted · p.8	16,574,514extracted · p.8

The template's ratios for each report with their plausibility status, beside the cohort medians for nonprofit statements in audit year 2023 (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 2023-11-30	FY ending 2022-11-30	FY ending 2021-11-30	Median, all reports	Median, reports that tie in full	Median, plausible ratios of direct-award organizations
Days cash on hand	absent · input absent: depreciation and amortization	261 daysplausible	292 daysplausible	93 daysn = 435	93 daysn = 383	92 daysn = 420
Current ratio	12.71xplausible	13.43xplausible	15.47xplausible	3.52xn = 1,248	3.50xn = 1,096	3.61xn = 1,174
Operating margin	-1.1%plausible	0.1%plausible	13.3%plausible	3.2%n = 786	3.4%n = 701	3.4%n = 747
Total margin	-1.1%plausible	0.6%plausible	24.7%plausible	5.5%n = 1,368	5.5%n = 1,205	5.5%n = 1,271
Patient revenue share	46.1%plausible	46.6%plausible	43.5%plausible	51.4%n = 1,270	51.6%n = 1,108	51.7%n = 1,204
Grant dependency	absent · input absent: federal grants	30.8%plausible	absent · input absent: other grants and contracts	35.4%n = 478	35.4%n = 411	35.3%n = 460
Salaries share	absent · input absent: salaries and benefits	67.3%plausible	69.8%plausible	64.1%n = 483	64.3%n = 426	64.3%n = 468
Days in patient receivables	87 daysplausible	100 daysplausible	73 daysplausible	45 daysn = 1,218	45 daysn = 1,068	45 daysn = 1,160
Debt to net assets	0.02xplausible	0.00xplausible	0.00xplausible	0.24xn = 1,088	0.24xn = 972	0.24xn = 1,032
Health center award share	absent · the award amount is not a statement-page figure	absent · the award amount is not a statement-page figure	absent · the award amount is not a statement-page figure	no eligible values	no eligible values	no eligible values

The audits as filed: FY ending 2023-11-30 (2023-11-GSAFAC-0000429418) · FY ending 2022-11-30 (2022-11-GSAFAC-0000055131) · FY ending 2021-11-30 (2021-11-CENSUS-0000075706).

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.

Total patients (UDS)

17,256

Reported value2024

Source: HRSA UDS

Operating margin · FY22

-114.1%

Astrelis calculation · as-filed inputs

▼ 14.8 pts vs FY21

not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY22)

Service sites

Reported value2024

Source: HRSA UDS

Uninsured patient share

4.5%

Reported value2024

Source: HRSA UDS

Appendix: the Medicare cost-report view

$ thousands · HCRIS cost-report basis · as filed, QA-gated

Read 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.

Operating margin

-114.1% (FY22)

Operating income ÷ total operating revenue · Medicare cost-report scope, not the organization's full financials

Astrelis calculation · HCRIS WS G-3

Total margin

+0.8% (FY22)

Net income ÷ total revenue incl. nonoperating · Medicare cost-report scope, not the organization's full financials

Astrelis calculation · HCRIS WS G-3

Days cash on hand

Not reported in source

Cash & investments ÷ daily operating expense

Astrelis calculation · HCRIS WS G / G-3

Current ratio

Not reported in source

Total current assets ÷ current liabilities

Astrelis calculation · HCRIS WS G

Equity financing ratio

Not reported in source

Total net assets ÷ total assets

Astrelis calculation · HCRIS WS G

Days in net patient A/R

Not reported in source

Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year

Astrelis calculation · HCRIS WS G / G-3

$ in thousands

Line item	FY20	FY21	FY22
Patient revenue	6,530	6,935	6,857
Total operating revenue	6,530	6,935	6,857
Total operating expenses	13,716	13,816	14,677
Operating income	(7,187)	(6,881)	(7,820)
Operating margin %	-110.1%	-99.2%	-114.1%
Other non-operating, net	5,890	10,816	7,935
Net income	(1,297)	3,935	115
Net income %	-10.4%	+22.2%	+0.8%

— = Not reported in source for that year.

HCRIS CMS-224 cost report · $ thousands · FY19–FY22 · Medicare cost-report scope, not the organization’s full financials · FY20–21 may include COVID-era relief funding

Balance sheet: Not reported in source — the public cost report does not carry substantive balance-sheet detail (assets, liabilities, and net assets that reconcile) for this health center. The income statement and ratio exhibit above are the reliable financial view here. We lead with those rather than render a hollow table.

Display states. FY22 · Operating margin (Medicare scope): -114.1% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100%)FY20 · Operating margin (Medicare scope): -110.1% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100%)

How it operates

quality & operational context · CMS public reporting

The 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.

Total patients (UDS)

17,256

Reported value2024

HRSA UDS

Uninsured patient share

4.5%

Reported value2024

HRSA UDS

Medicaid patient share

26.9%

Reported value2024

HRSA UDS

Service sites

Reported value2024

HRSA UDS

Revenue per patient

$228

Reported value2024

HRSA UDS

Cost per visit ($, Medicare scope)

121.94

Reported value2022

HCRIS CMS-224

Total visits (Medicare scope)

55,027

Reported value2022

HCRIS CMS-224

Trajectory

Cost-report basis · 4 reporting years

Operating margin

Days cash on hand

State context

Maryland

County-level statistics: linkage not established — this record's county mapping is not verified in the resolved spine, and we never place a facility in a county by guesswork. State-level context appears here once a state aggregate layer lands.

UDS organization profileAstrelis calculation

17,256 patients across 8 sites (HRSA UDS organization data).

The Board Briefing

What changed, what matters, and what your board should ask — every figure sourced to the public record.

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Performance Benchmark Report

Health-center benchmarking runs on UDS organization measures (patients, visits, payer mix, clinical quality) — never a Medicare-scope margin rank. Coverage is disclosed above.

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Report coverage: Limited Facility Benchmark. 10 of 13 facility measures available from public sources. UDS organization match: Verified. The report covers the available measures against their peer benchmarks; measures the public record does not carry become findings. Coverage is disclosed here before you reserve, and thin data is never a decline reason. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.

The Board Briefing

Your facility and its world, board-ready. Measures the public record does not carry become findings, never a decline reason.

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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.

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Cite this page

release 2321a4fc37a7 · 2026-10-22

Astrelis Atlas, "Tri-State Community Health Center", https://astrelis.co/providers/health_center/211809, 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/211809.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.

TRI-STATE COMMUNITY HEALTH CENTER

The organization behind this center

Audited financial statements

Appendix: the Medicare cost-report view

How it operates

Trajectory

State context

The Board Briefing

Portfolio Performance Review

Related facilities

Cite this page