# Cowlitz Family Health Center

Health Center, WA
Page: https://astrelis.co/providers/health_center/501852  
This twin: https://astrelis.co/providers/health_center/501852.md  
CMS Certification Number (CCN): 501852  
Release: 2321a4fc37a7 (2026-10-22)

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

- **Total patients (UDS) (FY2024):** 18,845. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Total visits (all service types) (FY2024):** 57,051. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Service sites (FY2024):** 11. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Uninsured patient share (FY2024):** 18.3%. Illustrative estimate. Definition: https://astrelis.co/methodology#health-center
- **Operating margin (FY2025):** -25.2%. Astrelis calculation. Definition: https://astrelis.co/methodology#health-center
- **Total operating revenue (FY2025):** $21.3M. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Total margin (including nonoperating) (FY2025):** +1.2%. 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

### COWLITZ FAMILY HEALTH CENTER, OR

Match to this profile: identifier verified: the EIN the dataset carries for this CCN agrees with the filed EIN (method: exact name and state, narrowed by address (FACLAND tier 1+3)).

- FY ending 2025-12-31 (audit year 2025): ties in full; audit as filed https://app.fac.gov/dissemination/summary/2025-12-GSAFAC-0000423924
- FY ending 2024-12-31 (audit year 2024): ties in full; audit as filed https://app.fac.gov/dissemination/summary/2024-12-GSAFAC-0000371995
- FY ending 2023-12-31 (audit year 2023): ties in full; audit as filed https://app.fac.gov/dissemination/summary/2023-12-GSAFAC-0000050419

| Line | FY ending 2025-12-31 | FY ending 2024-12-31 | FY ending 2023-12-31 |
|---|---:|---:|---:|
| cash and investments (current) (Statement of financial position) | 3,516,249 [derived, p.21] | 3,575,903 [derived, p.6] | 4,333,225 [derived, p.18] |
| patient receivables, net (Statement of financial position) | 909,664 [derived, p.21] | 813,726 [derived, p.6] | 1,252,780 [derived, p.18] |
| grants and other receivables (Statement of financial position) | 313,439 [derived, p.21] | 362,840 [derived, p.6] | 388,581 [derived, p.18] |
| other current assets (Statement of financial position) | 385,167 [derived, p.21] | 423,530 [derived, p.6] | 360,081 [derived, p.18] |
| TOTAL CURRENT ASSETS (Statement of financial position) | absent (not printed, or not read) | absent (not printed, or not read) | 6,334,667 [extracted, p.18] |
| property and equipment, net (Statement of financial position) | 6,516,883 [derived, p.21] | 6,860,185 [derived, p.6] | 7,076,021 [derived, p.18] |
| other long-term assets (Statement of financial position) | 7,207,482 [derived, p.21] | 7,875,876 [derived, p.6] | 8,253,437 [derived, p.18] |
| TOTAL ASSETS (Statement of financial position) | 18,848,884 [extracted, p.21] | 19,912,060 [extracted, p.6] | 21,664,125 [extracted, p.18] |
| payables and accrued expenses (Statement of financial position) | 4,648,850 [derived, p.21] | 5,062,540 [derived, p.6] | 4,808,946 [derived, p.18] |
| 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) | absent (not printed, or not read) | absent (not printed, or not read) | 596,697 [derived, p.18] |
| 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) | absent (not printed, or not read) | absent (not printed, or not read) | 5,405,643 [extracted, p.18] |
| long-term debt and leases (Statement of financial position) | 8,979,433 [derived, p.21] | 9,580,577 [derived, p.6] | 9,232,907 [derived, p.18] |
| 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) | 13,628,283 [extracted, p.21] | 14,643,117 [extracted, p.6] | 14,638,550 [extracted, p.18] |
| net assets without donor restrictions (Statement of financial position) | 5,220,601 [derived, p.21] | 5,244,311 [derived, p.6] | 7,000,689 [derived, p.18] |
| net assets with donor restrictions (Statement of financial position) | absent (not printed, or not read) | 24,632 [derived, p.6] | 24,886 [derived, p.18] |
| TOTAL NET ASSETS (Statement of financial position) | 5,220,601 [extracted, p.21] | 5,268,943 [extracted, p.6] | 7,025,575 [extracted, p.18] |
| patient service revenue, net (Statement of activities) | 21,486,823 [derived, p.22] | 18,189,552 [derived, p.7] | 13,821,308 [derived, p.19] |
| pharmacy and 340B revenue (Statement of activities) | 17,815 [derived, p.22] | -39,131 [derived, p.7] | 807,516 [derived, p.19] |
| 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) | 4,884,070 [derived, p.22] | 5,031,754 [derived, p.7] | 6,151,204 [derived, p.19] |
| 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) | 88,008 [derived, p.22] | 88,989 [derived, p.7] | 100,194 [derived, p.19] |
| TOTAL REVENUE AND SUPPORT (Statement of activities) | 26,476,716 [extracted, p.22] | 23,271,164 [extracted, p.7] | 20,880,222 [extracted, p.19] |
| 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) | 26,534,094 [extracted, p.22] | 25,033,059 [extracted, p.7] | 25,812,079 [extracted, p.19] |
| OPERATING RESULT (Statement of activities) | -57,378 [extracted, p.22] | -1,761,895 [extracted, p.7] | -4,931,857 [extracted, p.19] |
| non-operating and other changes (Statement of activities) | 9,036 [derived, p.22] | 5,263 [derived, p.7] | -6,728 [derived, p.19] |
| CHANGE IN NET ASSETS (Statement of activities) | -48,342 [extracted, p.22] | -1,756,632 [extracted, p.7] | -4,938,585 [extracted, p.19] |
| net assets, beginning (Statement of activities) | 5,268,943 [extracted, p.22] | 7,025,575 [extracted, p.7] | 11,964,160 [extracted, p.19] |
| net assets, end (Statement of activities) | 5,220,601 [extracted, p.22] | 5,268,943 [extracted, p.7] | 7,025,575 [extracted, p.19] |

| Ratio | FY ending 2025-12-31 | FY ending 2024-12-31 | FY ending 2023-12-31 |
|---|---:|---:|---:|
| Days cash on hand | absent [not computed] | absent [not computed] | absent [not computed] |
| Current ratio | absent [not computed] | absent [not computed] | 1.17x [plausible] |
| Operating margin | -0.2% [plausible] | -7.6% [plausible] | -23.6% [plausible] |
| Total margin | -0.2% [plausible] | -7.5% [plausible] | -23.7% [plausible] |
| Patient revenue share | 81.2% [plausible] | 78.2% [plausible] | 66.2% [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 | 15 days [plausible] | 16 days [plausible] | 33 days [plausible] |
| Debt to net assets | absent [not computed] | absent [not computed] | 1.40x [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 (COWLITZ FAMILY 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, "Cowlitz Family Health Center", https://astrelis.co/providers/health_center/501852, 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.