Astrelis
health center · TX

EAST TEXAS BORDER HEALTH CLINIC

CCN 451132Latest FY 2021
Cost-report basis
HCRIS · as filed
Not audited by Astrelis

The organization behind this center

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

This site belongs to East Texas Border Health Clinic (grant H80CS08781). 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
40,271
unduplicated, organization-wide · UDS Table 4
Medical visits
119,446
organization-wide medical clinic visits · HRSA UDS 2024 (the total-visit figure in the headline tiles covers all service types)
Medical staffing
105.8FTE
8.9 physician · 24.2 NP · 1.0 PA
Cost per patient
$868
total accrued cost ÷ patients · HRSA UDS 2024 Table 8A
Payer mix (share of patients)
Medicaid 40.0% · Medicare 13.4% · Uninsured 11.5% · Private 35.0% · Other public 0.0%
Clinical quality vs the national UDS median
Blood-pressure control
56.2%
national UDS median 66.6%
HRSA UDS 2024
Diabetes HbA1c > 9% (lower is better)
29.4%
national UDS median 26.1%
HRSA UDS 2024
Cervical cancer screening
37.9%
national UDS median 53.0%
HRSA UDS 2024
Breast cancer screening
34.5%
national UDS median 53.4%
HRSA UDS 2024
Colorectal cancer screening
23.2%
national UDS median 42.0%
HRSA UDS 2024
Depression screening & follow-up
67.9%
national UDS median 75.8%
HRSA UDS 2024
Tobacco cessation intervention
85.9%
national UDS median 86.8%
HRSA UDS 2024
Adult BMI screening & follow-up
92.6%
national UDS median 71.0%
HRSA UDS 2024
Childhood immunization status
7.4%
national UDS median 26.8%
HRSA UDS 2024

Audited financial statements

Federal Audit Clearinghouse · as filed · whole organization · $ as printed · matched by name · direct award

EAST TEXAS BORDER HEALTH CLINIC 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. This profile is matched to its filing organization by name, and says so: a probable match, not an identifier match.

Filing organization
EAST TEXAS BORDER HEALTH CLINIC, TX · the nonprofit entity · nonprofit statements
Match to this profile
matched by name; method: name and state
Health center award
a direct health center award (section 330) on file for this organization
On file
7 years of filings, 0 that tie in full; latest audit year 2025 (balance sheet foots only).

Each report's status, as the template carries it. A report prints its lines whatever its status.

ReportTie statusReconciliationAward on this reportColumn year, balance sheetColumn year, income statementNet assets basisGovernmental unitUnits
FY ending 2025-08-31 · audit year 2025balance sheet foots only (first failing test T2)not arithmetically reconcileddirect award on this reportcolumn year confirmed from the printed headercolumn year confirmed from the printed headertotal net assets read from the printed totalnot applicable (nonprofit statements)dollars
FY ending 2024-08-31 · audit year 2024balance sheet foots only (first failing test T2)not arithmetically reconcileddirect award on this reportcolumn year confirmed from the printed headercolumn year confirmed from the printed headertotal net assets read from the printed totalnot applicable (nonprofit statements)dollars
FY ending 2023-08-31 · audit year 2023balance sheet foots only (first failing test T2)not arithmetically reconcileddirect award on this reportcolumn year confirmed from the printed headercolumn year confirmed from the printed headertotal net assets read from the printed totalnot 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.

LineFY ending 2025-08-31FY ending 2024-08-31FY ending 2023-08-31
Statement of financial position
cash and investments (current)14,319,478derived · p.6 · 2 lines16,317,215derived · p.6 · 1 line17,957,449derived · p.6 · 1 line
patient receivables, net2,085,485derived · p.6 · 2 lines1,964,456derived · p.6 · 2 lines1,866,301derived · p.6 · 2 lines
grants and other receivables1,017,755derived · p.6 · 3 lines856,907derived · p.6 · 3 lines823,453derived · p.6 · 3 lines
other current assets769,691derived · p.6 · 1 line681,742derived · p.6 · 1 line781,764derived · p.6 · 1 line
TOTAL CURRENT ASSETS18,192,409extracted · p.619,820,320extracted · p.621,428,967extracted · p.6
property and equipment, net12,920,443derived · p.6 · 5 lines8,472,730derived · p.6 · 4 lines7,251,805derived · p.6 · 4 lines
other long-term assetsabsent · not printed, or not readabsent · not printed, or not readabsent · not printed, or not read
TOTAL ASSETS31,112,852extracted · p.628,293,050extracted · p.628,680,772extracted · p.6
payables and accrued expenses2,533,332derived · p.7 · 3 lines2,193,688derived · p.7 · 3 lines1,882,156derived · p.7 · 3 lines
deferred revenue2,660derived · p.7 · 1 line2,660derived · p.7 · 1 line76,667derived · p.7 · 1 line
current debt and leasesabsent · not printed, or not readabsent · not printed, or not readabsent · not printed, or not read
other current liabilitiesabsent · not printed, or not readabsent · not printed, or not read1,039,100derived · p.7 · 1 line
TOTAL CURRENT LIABILITIES2,535,992extracted · p.72,196,348extracted · p.72,997,923extracted · p.7
long-term debt and leasesabsent · not printed, or not readabsent · not printed, or not readabsent · not printed, or not read
other long-term liabilitiesabsent · not printed, or not readabsent · not printed, or not readabsent · not printed, or not read
TOTAL LIABILITIESabsent · not printed, or not readabsent · not printed, or not readabsent · not printed, or not read
net assets without donor restrictions27,874,485derived · p.7 · 1 line25,351,077derived · p.7 · 1 line24,872,379derived · p.7 · 1 line
net assets with donor restrictions702,375derived · p.7 · 1 line745,625derived · p.7 · 1 line810,470derived · p.7 · 1 line
TOTAL NET ASSETS28,576,860extracted · p.726,096,702extracted · p.725,682,849extracted · p.7
Statement of activities
patient service revenue, netabsent · not printed, or not readabsent · not printed, or not readabsent · not printed, or not read
pharmacy and 340B revenueabsent · not printed, or not readabsent · not printed, or not readabsent · not printed, or not read
federal grantsabsent · not printed, or not readabsent · not printed, or not readabsent · not printed, or not read
other grants and contractsabsent · not printed, or not readabsent · not printed, or not readabsent · not printed, or not read
contributionsabsent · not printed, or not readabsent · not printed, or not readabsent · not printed, or not read
other revenueabsent · not printed, or not readabsent · not printed, or not readabsent · not printed, or not read
TOTAL REVENUE AND SUPPORTabsent · not printed, or not readabsent · not printed, or not readabsent · not printed, or not read
salaries and benefitsabsent · not printed, or not readabsent · not printed, or not readabsent · not printed, or not read
supplies and pharmaceuticalsabsent · not printed, or not readabsent · not printed, or not readabsent · not printed, or not read
purchased and professional servicesabsent · not printed, or not readabsent · not printed, or not readabsent · not printed, or not read
occupancyabsent · not printed, or not readabsent · not printed, or not readabsent · not printed, or not read
depreciation and amortizationabsent · not printed, or not readabsent · not printed, or not readabsent · not printed, or not read
interestabsent · not printed, or not readabsent · not printed, or not readabsent · not printed, or not read
other expensesabsent · not printed, or not readabsent · not printed, or not readabsent · not printed, or not read
TOTAL EXPENSES36,972,719extracted · p.832,249,249extracted · p.831,871,286extracted · p.8
OPERATING RESULTabsent · not printed, or not readabsent · not printed, or not readabsent · not printed, or not read
non-operating and other changesabsent · not printed, or not readabsent · not printed, or not readabsent · not printed, or not read
CHANGE IN NET ASSETS2,480,158extracted · p.8413,853extracted · p.83,147,337extracted · p.8
net assets, beginning26,096,702extracted · p.825,682,849extracted · p.822,535,512extracted · p.8
net assets, end28,576,860extracted · p.826,096,702extracted · p.825,682,849extracted · p.8

The template's ratios for each report with their plausibility status, beside the cohort medians for nonprofit 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.

RatioFY ending 2025-08-31FY ending 2024-08-31FY ending 2023-08-31Median, all reportsMedian, reports that tie in fullMedian, plausible ratios of direct-award organizations
Days cash on handabsent · input absent: depreciation and amortizationabsent · input absent: depreciation and amortizationabsent · input absent: depreciation and amortization89 daysn = 39988 daysn = 35788 daysn = 384
Current ratio7.17xplausible9.02xplausible7.15xplausible3.20xn = 1,1403.16xn = 1,0293.20xn = 1,077
Operating marginabsent · input absent: operating result; total revenue and supportabsent · input absent: operating result; total revenue and supportabsent · input absent: operating result; total revenue and support1.4%n = 7491.6%n = 6891.3%n = 711
Total marginabsent · input absent: total revenue and supportabsent · input absent: total revenue and supportabsent · input absent: total revenue and support3.6%n = 1,2253.5%n = 1,1093.4%n = 1,144
Patient revenue shareabsent · input absent: patient service revenue, net; total revenue and supportabsent · input absent: patient service revenue, net; total revenue and supportabsent · input absent: patient service revenue, net; total revenue and support56.6%n = 1,15056.5%n = 1,03356.8%n = 1,085
Grant dependencyabsent · input absent: federal grants; other grants and contracts; total revenue and supportabsent · input absent: federal grants; other grants and contracts; total revenue and supportabsent · input absent: federal grants; other grants and contracts; total revenue and support26.6%n = 42826.3%n = 38026.3%n = 411
Salaries shareabsent · input absent: salaries and benefitsabsent · input absent: salaries and benefitsabsent · input absent: salaries and benefits62.6%n = 45462.6%n = 40462.9%n = 438
Days in patient receivablesabsent · input absent: patient service revenue, netabsent · input absent: patient service revenue, netabsent · input absent: patient service revenue, net43 daysn = 1,10343 daysn = 99543 daysn = 1,048
Debt to net assetsabsent · input absent: current debt and leases; long-term debt and leasesabsent · input absent: current debt and leases; long-term debt and leasesabsent · input absent: current debt and leases; long-term debt and leases0.24xn = 1,0080.24xn = 9260.25xn = 957
Health center award shareabsent · the award amount is not a statement-page figureabsent · the award amount is not a statement-page figureabsent · the award amount is not a statement-page figureno eligible valuesno eligible valuesno eligible values

The audits as filed: FY ending 2025-08-31 (2025-08-GSAFAC-0000419850) · FY ending 2024-08-31 (2024-08-GSAFAC-0000357766) · FY ending 2023-08-31 (2023-08-GSAFAC-0000042450).

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.

Operating margin · FY21
-29.5%
Astrelis calculation · as-filed inputs
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY21)
Days cash on hand
Astrelis calculation unavailable
Total operating revenue · FY21
$1.0M
Astrelis calculation · as-filed inputs
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY21)
Total margin · incl. nonoperating · FY21
+18.8%
Astrelis calculation · as-filed inputs
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY21)

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
-29.5% (FY21)
Operating income ÷ total operating revenue · Medicare cost-report scope, not the organization's full financials
Astrelis calculation · HCRIS WS G-3
Total margin
+18.8% (FY21)
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 itemFY21 · 289 days
Patient revenue1,002
Total operating revenue1,002
Total operating expenses1,298
Operating income(296)
Operating margin %-29.5%
Other non-operating, net597
Net income301
Net income %+18.8%
1 of 3 years available for this statement.
— = Not reported in source for that year.
HCRIS CMS-224 cost report · $ thousands · FY21 · 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.

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.

Cost per visit ($, Medicare scope)
69.60
Reported value2021
HCRIS CMS-224
Total visits (Medicare scope)
11,653
Reported value2021
HCRIS CMS-224

Trajectory

Cost-report basis · single reporting year
Operating margin
-29.5%FY21
Days cash on hand
Not available

State context

Texas
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.
Report coverageAstrelis calculation

A facility-specific dollar comparison cannot be calculated because an established UDS organization linkage was not reported. The report still includes all available facility measures, peer benchmarks, and a source-coverage inventory.

The Board Briefing

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

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Cite this page

release 2321a4fc37a7 · 2026-10-22

Astrelis Atlas, "East Texas Border Health Clinic", https://astrelis.co/providers/health_center/451132, 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/451132.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.

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