# Downriver Community Services, Inc.

Health Center, MI
Page: https://astrelis.co/providers/health_center/231820  
This twin: https://astrelis.co/providers/health_center/231820.md  
CMS Certification Number (CCN): 231820  
Release: 2321a4fc37a7 (2026-10-22)

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

- **Total patients (UDS) (FY2024):** 10,020. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Total visits (all service types) (FY2024):** 30,805. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Service sites (FY2024):** 4. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Uninsured patient share (FY2024):** 8.4%. Illustrative estimate. Definition: https://astrelis.co/methodology#health-center
- **Operating margin (FY2025):** -241.0%. Astrelis calculation. Definition: https://astrelis.co/methodology#health-center
- **Total operating revenue (FY2025):** $3.8M. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Total margin (including nonoperating) (FY2025):** -19.9%. 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

### Downriver Community Services, INC. D/B/A Community First Health Center, MI

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)).

- FY ending 2025-05-31 (audit year 2025): each statement foots, not linked; audit as filed https://app.fac.gov/dissemination/summary/2025-05-GSAFAC-0000380614
- FY ending 2024-05-31 (audit year 2024): ties in full; audit as filed https://app.fac.gov/dissemination/summary/2024-05-GSAFAC-0000067216
- FY ending 2023-05-31 (audit year 2023): ties in full; audit as filed https://app.fac.gov/dissemination/summary/2023-05-GSAFAC-0000010474

| Line | FY ending 2025-05-31 | FY ending 2024-05-31 | FY ending 2023-05-31 |
|---|---:|---:|---:|
| cash and investments (current) (Statement of financial position) | 3,070,186 [derived, p.6] | 1,785,553 [derived, p.7] | 1,784,674 [derived, p.7] |
| patient receivables, net (Statement of financial position) | 737,609 [derived, p.6] | 533,409 [derived, p.7] | 706,507 [derived, p.7] |
| grants and other receivables (Statement of financial position) | 554,709 [derived, p.6] | 2,288,160 [derived, p.7] | 2,257,985 [derived, p.7] |
| other current assets (Statement of financial position) | 174,681 [derived, p.6] | 169,950 [derived, p.7] | 166,609 [derived, p.7] |
| TOTAL CURRENT ASSETS (Statement of financial position) | 4,537,185 [extracted, p.6] | 4,777,072 [extracted, p.7] | 4,915,775 [extracted, p.7] |
| property and equipment, net (Statement of financial position) | 8,091,702 [derived, p.6] | 8,554,615 [derived, p.7] | 9,028,865 [derived, p.7] |
| other long-term assets (Statement of financial position) | 616,468 [derived, p.6] | 1,317,915 [derived, p.7] | 1,345,594 [derived, p.7] |
| TOTAL ASSETS (Statement of financial position) | 13,245,355 [extracted, p.6] | 14,649,602 [extracted, p.7] | 15,290,234 [extracted, p.7] |
| payables and accrued expenses (Statement of financial position) | 843,673 [derived, p.7] | 781,769 [derived, p.7] | 710,475 [derived, p.7] |
| deferred revenue (Statement of financial position) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| current debt and leases (Statement of financial position) | 134,355 [derived, p.7] | 130,814 [derived, p.7] | 125,847 [derived, p.7] |
| other current liabilities (Statement of financial position) | 192,139 [derived, p.7] | absent (not printed, or not read) | absent (not printed, or not read) |
| TOTAL CURRENT LIABILITIES (Statement of financial position) | 1,170,167 [extracted, p.7] | 912,583 [extracted, p.7] | 836,322 [extracted, p.7] |
| long-term debt and leases (Statement of financial position) | 3,241,591 [derived, p.7] | 3,376,372 [derived, p.7] | 3,507,186 [derived, p.7] |
| 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) | 4,411,758 [extracted, p.7] | 4,288,955 [extracted, p.7] | 4,343,508 [extracted, p.7] |
| net assets without donor restrictions (Statement of financial position) | 8,833,597 [derived, p.7] | 10,360,647 [derived, p.7] | 10,946,726 [derived, p.7] |
| 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) | absent (not printed, or not read) | 10,360,647 [extracted, p.7] | 10,946,726 [extracted, p.7] |
| patient service revenue, net (Statement of activities) | 3,874,379 [derived, p.8] | 6,636,559 [derived, p.8] | 6,071,654 [derived, p.8] |
| pharmacy and 340B revenue (Statement of activities) | 1,621,884 [derived, p.8] | 1,196,576 [derived, p.8] | 1,021,020 [derived, p.8] |
| federal grants (Statement of activities) | 3,960,953 [derived, p.8] | 3,863,171 [derived, p.8] | 5,739,909 [derived, p.8] |
| other grants and contracts (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| contributions (Statement of activities) | 150,594 [derived, p.8] | 131,223 [derived, p.8] | 175,998 [derived, p.8] |
| other revenue (Statement of activities) | 1,735,506 [derived, p.8] | 757,020 [derived, p.8] | 640,623 [derived, p.8] |
| TOTAL REVENUE AND SUPPORT (Statement of activities) | 11,343,316 [extracted, p.8] | 12,584,549 [extracted, p.8] | 13,649,204 [extracted, p.8] |
| 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) | 12,870,366 [extracted, p.8] | 13,131,084 [extracted, p.8] | 12,825,305 [extracted, p.8] |
| 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) | -1,527,050 [extracted, p.8] | -546,535 [extracted, p.8] | 823,899 [extracted, p.8] |
| net assets, beginning (Statement of activities) | 10,360,647 [extracted, p.8] | 10,907,182 [extracted, p.8] | 10,122,827 [extracted, p.8] |
| net assets, end (Statement of activities) | 8,833,597 [extracted, p.8] | 10,360,647 [extracted, p.8] | 10,946,726 [extracted, p.8] |

| Ratio | FY ending 2025-05-31 | FY ending 2024-05-31 | FY ending 2023-05-31 |
|---|---:|---:|---:|
| Days cash on hand | absent [not computed] | absent [not computed] | absent [not computed] |
| Current ratio | 3.88x [plausible] | 5.23x [plausible] | 5.88x [plausible] |
| Operating margin | absent [not computed] | absent [not computed] | absent [not computed] |
| Total margin | -13.5% [plausible] | -4.3% [plausible] | 6.0% [plausible] |
| Patient revenue share | 34.2% [plausible] | 52.7% [plausible] | 44.5% [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 | 69 days [plausible] | 29 days [plausible] | 42 days [plausible] |
| Debt to net assets | absent [not computed] | 0.34x [plausible] | 0.33x [plausible] |
| Health center award share | absent [not computed] | absent [not computed] | absent [not computed] |

## Sources

HRSA Uniform Data System (awardee level; organization match Verified). CMS HCRIS cost reports, form CMS-224-14, as filed (the Medicare cost-report appendix). Federal Audit Clearinghouse single audits as filed (Downriver Community Services, INC. D/B/A Community First Health Center; 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, "Downriver Community Services, Inc.", https://astrelis.co/providers/health_center/231820, 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.