# Change, Inc.

Health Center, WV
Page: https://astrelis.co/providers/health_center/511922  
This twin: https://astrelis.co/providers/health_center/511922.md  
CMS Certification Number (CCN): 511922  
Release: 2321a4fc37a7 (2026-10-22)

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

- **Operating margin (FY2025):** -33.6%. Astrelis calculation. Definition: https://astrelis.co/methodology#health-center
- **Total operating revenue (FY2025):** $18.0M. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Total margin (including nonoperating) (FY2025):** -0.5%. 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

### CHANGE INC, WV

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-0000431080
- FY ending 2024-12-31 (audit year 2024): ties in full; audit as filed https://app.fac.gov/dissemination/summary/2024-12-GSAFAC-0000384156
- FY ending 2023-12-31 (audit year 2023): ties in full; audit as filed https://app.fac.gov/dissemination/summary/2023-12-GSAFAC-0000059492

| Line | FY ending 2025-12-31 | FY ending 2024-12-31 | FY ending 2023-12-31 |
|---|---:|---:|---:|
| cash and investments (current) (Statement of financial position) | 1,735,768 [derived, p.6] | 1,569,615 [derived, p.6] | 1,593,522 [derived, p.6] |
| patient receivables, net (Statement of financial position) | 3,345,134 [derived, p.6] | 2,422,711 [derived, p.6] | 2,303,677 [derived, p.6] |
| grants and other receivables (Statement of financial position) | 439,011 [derived, p.6] | 820,819 [derived, p.6] | 1,207,036 [derived, p.6] |
| other current assets (Statement of financial position) | 257,246 [derived, p.6] | 235,521 [derived, p.6] | 211,219 [derived, p.6] |
| TOTAL CURRENT ASSETS (Statement of financial position) | 5,777,159 [extracted, p.6] | 5,048,666 [extracted, p.6] | 5,315,454 [extracted, p.6] |
| property and equipment, net (Statement of financial position) | 5,372,977 [derived, p.6] | 5,900,856 [derived, p.6] | 6,292,517 [derived, p.6] |
| other long-term assets (Statement of financial position) | absent (not printed, or not read) | absent (not printed, or not read) | 29,915 [derived, p.6] |
| TOTAL ASSETS (Statement of financial position) | 11,150,136 [extracted, p.6] | 10,949,522 [extracted, p.6] | 11,637,886 [extracted, p.6] |
| payables and accrued expenses (Statement of financial position) | 2,180,525 [derived, p.6] | 1,750,236 [derived, p.6] | 1,482,025 [derived, p.6] |
| deferred revenue (Statement of financial position) | 68,870 [derived, p.6] | 48,710 [derived, p.6] | 26,277 [derived, p.6] |
| current debt and leases (Statement of financial position) | 158,617 [derived, p.6] | 152,049 [derived, p.6] | 146,261 [derived, p.6] |
| 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) | 2,408,012 [extracted, p.6] | 1,950,995 [extracted, p.6] | 1,654,563 [extracted, p.6] |
| long-term debt and leases (Statement of financial position) | 2,489,940 [derived, p.6] | 2,648,131 [derived, p.6] | 2,799,634 [derived, p.6] |
| 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) | 4,897,952 [extracted, p.6] | 4,599,126 [extracted, p.6] | 4,454,197 [extracted, p.6] |
| net assets without donor restrictions (Statement of financial position) | 6,228,188 [derived, p.6] | 6,337,052 [derived, p.6] | 7,134,693 [derived, p.6] |
| net assets with donor restrictions (Statement of financial position) | 23,996 [derived, p.6] | 13,344 [derived, p.6] | 48,996 [derived, p.6] |
| TOTAL NET ASSETS (Statement of financial position) | 6,252,184 [extracted, p.6] | 6,350,396 [extracted, p.6] | 7,183,689 [extracted, p.6] |
| patient service revenue, net (Statement of activities) | 18,386,867 [derived, p.7] | 17,328,638 [derived, p.7] | 16,334,264 [derived, p.7] |
| pharmacy and 340B revenue (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| federal grants (Statement of activities) | 4,964,233 [derived, p.7] | 5,431,398 [derived, p.7] | 5,849,115 [derived, p.7] |
| other grants and contracts (Statement of activities) | 353,745 [derived, p.7] | 350,998 [derived, p.7] | 499,825 [derived, p.7] |
| contributions (Statement of activities) | 61,241 [derived, p.7] | 130,631 [derived, p.7] | 126,292 [derived, p.7] |
| other revenue (Statement of activities) | 140,202 [derived, p.7] | 108,291 [derived, p.7] | 165,868 [derived, p.7] |
| TOTAL REVENUE AND SUPPORT (Statement of activities) | 23,906,288 [extracted, p.7] | 23,349,956 [extracted, p.7] | 22,975,364 [extracted, p.7] |
| 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) | 24,015,152 [extracted, p.7] | 24,147,597 [extracted, p.7] | 23,594,202 [extracted, p.7] |
| OPERATING RESULT (Statement of activities) | -108,864 [extracted, p.7] | -797,641 [extracted, p.7] | -618,838 [extracted, p.7] |
| non-operating and other changes (Statement of activities) | 10,652 [derived, p.7] | -35,652 [derived, p.7] | -5,000 [derived, p.7] |
| CHANGE IN NET ASSETS (Statement of activities) | -98,212 [extracted, p.7] | -833,293 [extracted, p.7] | -623,838 [extracted, p.7] |
| net assets, beginning (Statement of activities) | 6,350,396 [extracted, p.7] | 7,183,689 [extracted, p.7] | 7,807,527 [extracted, p.7] |
| net assets, end (Statement of activities) | 6,252,184 [extracted, p.7] | 6,350,396 [extracted, p.7] | 7,183,689 [extracted, p.7] |

| 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 | 2.40x [plausible] | 2.59x [plausible] | 3.21x [plausible] |
| Operating margin | -0.5% [plausible] | -3.4% [plausible] | -2.7% [plausible] |
| Total margin | -0.4% [plausible] | -3.6% [plausible] | -2.7% [plausible] |
| Patient revenue share | 76.9% [plausible] | 74.2% [plausible] | 71.1% [plausible] |
| Grant dependency | 22.2% [plausible] | 24.8% [plausible] | 27.6% [plausible] |
| Salaries share | absent [not computed] | absent [not computed] | absent [not computed] |
| Days in patient receivables | 66 days [plausible] | 51 days [plausible] | 51 days [plausible] |
| Debt to net assets | 0.42x [plausible] | 0.44x [plausible] | 0.41x [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 (CHANGE INC; 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, "Change, Inc.", https://astrelis.co/providers/health_center/511922, 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.