Astrelis
health center · WA

N. A. T. I. V. E. PROJECT, THE

CCN 501895Latest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis

Total patients (UDS): 3,750 in FY2024. Total visits (all service types): 15,710 in FY2024. Service sites: 2 in FY2024. Uninsured patient share: 1.5% 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 N. A. T. I. V. E. Project, The (grant H80CS26603). 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
3,750
unduplicated, organization-wide · UDS Table 4
Medical visits
9,578
organization-wide medical clinic visits · HRSA UDS 2024 (the total-visit figure in the headline tiles covers all service types)
Medical staffing
9.2FTE
1.7 physician · 2.2 NP · 0.0 PA
Cost per patient
$3,304
total accrued cost ÷ patients · HRSA UDS 2024 Table 8A
Payer mix (share of patients)
Medicaid 50.0% · Medicare 13.4% · Uninsured 1.6% · Private 34.8% · Other public 0.0%

Audited financial statements

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

The NATIVE Project 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
The NATIVE Project, WA · part of a government · nonprofit template on a statement filed by a government
Match to this profile
matched by name; method: exact name and state (FACLAND tier 1); EIN check: no dataset ein
Health center award
a direct health center award (section 330) on file for this organization
On file
7 years of filings, 7 that tie in full; latest audit year 2025 (ties in full).

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 2025-12-31 · audit year 2025ties in fullarithmetically reconcileddirect award on this reportcolumn year confirmed from the printed headercolumn year confirmed from the printed headertotal net assets read from the without-donor-restrictions column onlynot applicable (nonprofit statements)dollars
FY ending 2024-12-31 · audit year 2024ties in fullarithmetically reconcileddirect award on this reportcolumn year confirmed from the printed headercolumn year confirmed from the printed headertotal net assets read from the without-donor-restrictions column onlynot applicable (nonprofit statements)dollars
FY ending 2023-12-31 · audit year 2023ties in fullarithmetically reconcileddirect award on this reportcolumn year confirmed from the printed headercolumn year confirmed from the printed headertotal net assets read from the without-donor-restrictions column onlynot 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 2025-12-31FY ending 2024-12-31FY ending 2023-12-31
Statement of financial position
cash and investments (current)12,886,870derived · p.6 · 1 line14,588,797derived · p.6 · 1 line17,296,454derived · p.6 · 1 line
patient receivables, net600,154derived · p.6 · 1 line546,550derived · p.6 · 1 line635,277derived · p.6 · 1 line
grants and other receivables1,219,739derived · p.6 · 1 line1,862,443derived · p.6 · 1 line1,561,164derived · p.6 · 1 line
other current assets289,796derived · p.6 · 2 lines406,951derived · p.6 · 2 lines257,015derived · p.6 · 2 lines
TOTAL CURRENT ASSETS14,996,559extracted · p.617,404,741extracted · p.619,749,910extracted · p.6
property and equipment, net17,256,198derived · p.6 · 1 line17,365,234derived · p.6 · 1 line6,227,636derived · p.6 · 1 line
other long-term assets22,229,369derived · p.6 · 2 lines18,039,203derived · p.6 · 2 lines14,234,028derived · p.6 · 2 lines
TOTAL ASSETS54,482,126extracted · p.652,809,178extracted · p.640,211,574extracted · p.6
payables and accrued expenses635,003derived · p.6 · 2 lines900,321derived · p.6 · 2 lines865,320derived · p.6 · 2 lines
deferred revenue896,863derived · p.6 · 1 line617,599derived · p.6 · 1 line751,080derived · p.6 · 1 line
current debt and leasesabsent · not printed, or not readabsent · not printed, or not readabsent · not printed, or not read
other current liabilities253,011derived · p.6 · 1 line1,768,347derived · p.6 · 2 lines834,088derived · p.6 · 1 line
TOTAL CURRENT LIABILITIES1,784,877extracted · p.63,286,267extracted · p.62,450,488extracted · p.6
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 restrictions52,697,249derived · p.6 · 1 line49,522,911derived · p.6 · 1 line37,761,086derived · p.6 · 1 line
net assets with donor restrictionsabsent · not printed, or not readabsent · not printed, or not readabsent · not printed, or not read
TOTAL NET ASSETS52,697,249extracted · p.649,522,911extracted · p.637,761,086extracted · p.6
Statement of activities
patient service revenue, net9,515,438derived · p.7 · 1 line7,725,928derived · p.7 · 1 line8,812,882derived · p.7 · 1 line
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 contracts7,130,876derived · p.7 · 1 line7,034,978derived · p.7 · 1 line7,743,196derived · p.7 · 1 line
contributionsabsent · not printed, or not readabsent · not printed, or not readabsent · not printed, or not read
other revenue1,450,538derived · p.7 · 2 lines1,454,580derived · p.7 · 2 lines1,253,821derived · p.7 · 2 lines
TOTAL REVENUE AND SUPPORT18,096,852extracted · p.716,215,486extracted · p.717,809,899extracted · p.7
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 expenses14,968,278derived · p.7 · 2 lines12,443,687derived · p.7 · 2 lines11,531,088derived · p.7 · 2 lines
TOTAL EXPENSES14,968,278extracted · p.712,443,687extracted · p.711,531,088extracted · p.7
OPERATING RESULT3,128,574extracted · p.73,771,799extracted · p.76,278,811extracted · p.7
non-operating and other changes45,764derived · p.7 · 1 line7,990,026derived · p.7 · 2 lines1,364,145derived · p.7 · 3 lines
CHANGE IN NET ASSETS3,174,338extracted · p.711,761,825extracted · p.77,642,956extracted · p.7
net assets, beginning49,522,911extracted · p.737,761,086extracted · p.730,118,130extracted · p.7
net assets, end52,697,249extracted · p.749,522,911extracted · p.737,761,086extracted · p.7

The template's ratios for each report with their plausibility status, beside the cohort medians for nonprofit template on a statement filed by a government 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 2025-12-31FY ending 2024-12-31FY ending 2023-12-31Median, 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 amortization130 daysn = 11117 daysn = 1072 daysn = 7
Current ratio8.40xplausible5.30xplausible8.06xplausible4.80xn = 144.80xn = 124.47xn = 13
Operating margin17.3%plausible23.3%plausible35.3%plausible0.6%n = 130.0%n = 120.0%n = 10
Total margin17.5%plausible72.5%plausible42.9%plausible7.7%n = 197.4%n = 165.7%n = 14
Patient revenue share52.6%plausible47.6%plausible49.5%plausible54.6%n = 1757.3%n = 1553.6%n = 14
Grant dependencyabsent · input absent: federal grantsabsent · input absent: federal grantsabsent · input absent: federal grants42.8%n = 4 · fewer than five24.7%n = 2 · fewer than five39.8%n = 3 · fewer than five
Salaries shareabsent · input absent: salaries and benefitsabsent · input absent: salaries and benefitsabsent · input absent: salaries and benefits55.6%n = 1155.1%n = 1059.5%n = 7
Days in patient receivables23 daysplausible26 daysplausible26 daysplausible33 daysn = 1733 daysn = 1532 daysn = 14
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 leases0.09xn = 140.12xn = 110.12xn = 13
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 2025-12-31 (2025-12-GSAFAC-0000415249) · FY ending 2024-12-31 (2024-12-GSAFAC-0000379067) · FY ending 2023-12-31 (2023-12-GSAFAC-0000055303).

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)
3,750
Reported value2024
Source: HRSA UDS
Total visits (all service types)
15,710
Reported value2024
Source: HRSA UDS
Service sites
2
Reported value2024
Source: HRSA UDS
Uninsured patient share
1.5%
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
-57.3% (FY25)
Operating income ÷ total operating revenue · Medicare cost-report scope, not the organization's full financials
Astrelis calculation · HCRIS WS G-3
Total margin
+17.5% (FY25)
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 itemFY23FY24FY25
Patient revenue9,0287,7269,515
Total operating revenue9,0287,7269,515
Total operating expenses11,52912,44414,968
Operating income(2,500)(4,718)(5,453)
Operating margin %-27.7%-61.1%-57.3%
Other non-operating, net10,35916,4808,627
Net income7,85911,7623,174
Net income %+40.5%+48.6%+17.5%
— = Not reported in source for that year.
HCRIS CMS-224 cost report · $ thousands · FY19–FY25 · 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. FY20 · Operating margin (Medicare scope): -132.0% — 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)
3,750
Reported value2024
HRSA UDS
Uninsured patient share
1.5%
Reported value2024
HRSA UDS
Medicaid patient share
50.0%
Reported value2024
HRSA UDS
Behavioral health visits
4,238
Reported value2024
HRSA UDS
Dental visits
2,070
Reported value2024
HRSA UDS
Total staff FTE
59.03
Reported value2024
HRSA UDS
Service sites
2
Reported value2024
HRSA UDS
Revenue per patient
$4,294
Reported value2024
HRSA UDS
Total visits (all service types)
15,710
Reported value2024
HRSA UDS
Cost per visit ($, Medicare scope)
609.92
Reported value2025
HCRIS CMS-224
Total visits (Medicare scope)
7,627
Reported value2025
HCRIS CMS-224

Trajectory

Cost-report basis · 7 reporting years
Operating margin
-51.7%-132.0%-53.0%+43.4%-27.7%-61.1%-57.3%FY19FY20FY21FY22FY23FY24FY25
Days cash on hand
Not available

State context

Washington
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

3,750 patients across 2 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. 12 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.

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Cite this page

release 2321a4fc37a7 · 2026-10-22

Astrelis Atlas, "N. A. T. I. V. E. Project, The", https://astrelis.co/providers/health_center/501895, 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/501895.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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