Astrelis
health center · TX

ELLIS COUNTY COALITION FOR HEALTH OPTIONS

CCN 671908Latest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis

Total patients (UDS): 7,499 in FY2024. Total visits (all service types): 23,553 in FY2024. Service sites: 3 in FY2024. Uninsured patient share: 40.6% in FY2024. Figures as filed; not audited by Astrelis.

The organization behind this center

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

This site belongs to Ellis County Coalition For Health Options (grant H80CS12874). 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. Site-to-organization mapping here is by the nearest HRSA site only: no address or Medicare billing number on the HRSA site record confirms it.

Patients
7,499
unduplicated, organization-wide · UDS Table 4
Medical visits
17,965
organization-wide medical clinic visits · HRSA UDS 2024 (the total-visit figure in the headline tiles covers all service types)
Medical staffing
22.0FTE
1.0 physician · 3.3 NP · 1.6 PA
Cost per patient
$1,525
total accrued cost ÷ patients · HRSA UDS 2024 Table 8A
Payer mix (share of patients)
Medicaid 35.3% · Medicare 5.8% · Uninsured 40.5% · Private 16.6% · Other public 1.6%

Audited financial statements

Federal Audit Clearinghouse · as filed · whole organization · $ as printed · identifier verified · direct award

Ellis County Coalition for Health Options 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.

Filing organization
Ellis County Coalition for Health Options, TX · the nonprofit entity · nonprofit statements
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); EIN check: agrees
Health center award
a direct health center award (section 330) on file for this organization
On file
6 years of filings, 0 that tie in full; latest audit year 2024 (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 2024-12-31 · audit year 2024balance sheet foots only (first failing test T2)not arithmetically reconcileddirect award on this reportno column header printedno column header printedtotal net assets read from the printed totalnot applicable (nonprofit statements)dollars
FY ending 2023-12-31 · audit year 2023balance sheet foots only (first failing test T2)not arithmetically reconcileddirect award on this reportno column header printedno column header printedtotal net assets read from the printed totalnot applicable (nonprofit statements)dollars
FY ending 2022-12-31 · audit year 2022does not tie (first failing test T1)not arithmetically reconcileddirect award on this reportno column header printedcolumn header printed without a yeartotal net assets absentnot 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 2024-12-31FY ending 2023-12-31FY ending 2022-12-31
Statement of financial position
cash and investments (current)2,634,927derived · p.6 · 1 line1,340,734derived · p.6 · 1 line3,430,143derived · p.6 · 1 line
patient receivables, net546,053derived · p.6 · 1 line667,909derived · p.6 · 1 line245,577derived · p.6 · 1 line
grants and other receivables3,248derived · p.6 · 1 line1,159,631derived · p.6 · 1 lineabsent · not printed, or not read
other current assets32,913derived · p.6 · 1 line15,962derived · p.6 · 1 line15,516derived · p.6 · 1 line
TOTAL CURRENT ASSETS3,217,141extracted · p.63,184,236extracted · p.63,691,236extracted · p.6
property and equipment, net12,358,052derived · p.6 · 1 line3,714,693derived · p.6 · 1 line707,309derived · p.6 · 1 line
other long-term assets564,889derived · p.6 · 2 lines1,090,119derived · p.6 · 5 lines1,375,608derived · p.6 · 3 lines
TOTAL ASSETS16,140,082extracted · p.67,989,048extracted · p.6absent · not printed, or not read
payables and accrued expenses2,065,740derived · p.6 · 2 lines1,004,765derived · p.6 · 2 lines462,298derived · p.6 · 2 lines
deferred revenueabsent · not printed, or not readabsent · not printed, or not readabsent · not printed, or not read
current debt and leases6,591,222derived · p.6 · 2 lines17,359derived · p.6 · 1 line59,060derived · p.6 · 1 line
other current liabilitiesabsent · not printed, or not readabsent · not printed, or not readabsent · not printed, or not read
TOTAL CURRENT LIABILITIES8,656,962extracted · p.61,022,124extracted · p.6absent · not printed, or not read
long-term debt and leases43,445derived · p.6 · 1 line13,114derived · p.6 · 2 lines29,473derived · p.6 · 2 lines
other long-term liabilitiesabsent · not printed, or not readabsent · not printed, or not readabsent · not printed, or not read
TOTAL LIABILITIES8,700,407extracted · p.61,035,238extracted · p.6550,831extracted · p.6
net assets without donor restrictions7,439,675derived · p.6 · 1 line5,896,214derived · p.6 · 1 lineabsent · not printed, or not read
net assets with donor restrictionsabsent · not printed, or not read1,057,596derived · p.6 · 1 line1,372,064derived · p.6 · 1 line
TOTAL NET ASSETS7,439,675extracted · p.66,953,810extracted · p.6absent · not printed, or not read
Statement of activities
patient service revenue, net3,101,971derived · p.7 · 1 line3,862,472derived · p.7 · 1 lineabsent · 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 grants5,538,489derived · p.7 · 8 lines4,197,495derived · p.7 · 6 lines199,269derived · p.7 · 2 lines
other grants and contracts588,454derived · p.7 · 2 lines618,564derived · p.7 · 2 lines76,915derived · p.7 · 1 line
contributions280,265derived · p.7 · 1 line763,636derived · p.7 · 2 linesabsent · not printed, or not read
other revenue23,786derived · p.7 · 2 lines2,448derived · p.7 · 2 lines10,088derived · p.7 · 1 line
TOTAL REVENUE AND SUPPORT9,532,965extracted · p.79,444,615extracted · p.77,715,039extracted · p.7
salaries and benefits5,643,366derived · p.7 · 2 lines4,521,935derived · p.7 · 2 linesabsent · not printed, or not read
supplies and pharmaceuticals38,017derived · p.7 · 1 line39,480derived · p.7 · 1 lineabsent · not printed, or not read
purchased and professional services407,060derived · p.7 · 2 lines282,229derived · p.7 · 2 linesabsent · not printed, or not read
occupancy1,606,226derived · p.7 · 3 lines568,268derived · p.7 · 3 linesabsent · not printed, or not read
depreciation and amortization113,396derived · p.7 · 1 line64,951derived · p.7 · 1 lineabsent · not printed, or not read
interest81,275derived · p.7 · 1 line1,280derived · p.7 · 1 lineabsent · not printed, or not read
other expenses2,126,402derived · p.7 · 15 lines2,248,413derived · p.7 · 15 linesabsent · not printed, or not read
TOTAL EXPENSES8,984,196extracted · p.77,607,216extracted · p.7absent · not printed, or not read
OPERATING RESULTabsent · not printed, or not readabsent · not printed, or not readabsent · not printed, or not read
non-operating and other changes449,011derived · p.7 · 4 lines1,642,271derived · p.7 · 4 linesabsent · not printed, or not read
CHANGE IN NET ASSETS485,865extracted · p.71,642,271extracted · p.7absent · not printed, or not read
net assets, beginning6,953,810extracted · p.75,311,539extracted · p.7absent · not printed, or not read
net assets, end7,439,675extracted · p.76,953,810extracted · p.7absent · not printed, or not read

The template's ratios for each report with their plausibility status, beside the cohort medians for nonprofit statements in audit year 2024 (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 2024-12-31FY ending 2023-12-31FY ending 2022-12-31Median, all reportsMedian, reports that tie in fullMedian, plausible ratios of direct-award organizations
Days cash on hand109 daysplausible65 daysplausibleabsent · input absent: total expenses; depreciation and amortization90 daysn = 43190 daysn = 37189 daysn = 416
Current ratio0.37xplausible3.12xplausibleabsent · input absent: total current liabilities3.24xn = 1,2273.28xn = 1,0813.27xn = 1,152
Operating marginabsent · input absent: operating resultabsent · input absent: operating resultabsent · input absent: operating result0.4%n = 7830.4%n = 7010.1%n = 740
Total margin5.1%plausible17.4%plausibleabsent · input absent: change in net assets2.8%n = 1,3292.8%n = 1,1762.3%n = 1,234
Patient revenue share32.5%plausible40.9%plausibleabsent · input absent: patient service revenue, net55.1%n = 1,23655.1%n = 1,08855.7%n = 1,172
Grant dependency64.3%plausible51.0%plausible3.6%plausible29.6%n = 45329.3%n = 39228.8%n = 430
Salaries share62.8%plausible59.4%plausibleabsent · input absent: salaries and benefits; total expenses63.4%n = 48363.4%n = 41563.6%n = 467
Days in patient receivables64 daysplausible63 daysplausibleabsent · input absent: patient service revenue, net47 daysn = 1,18146 daysn = 1,04846 daysn = 1,118
Debt to net assets0.89xplausible0.00xplausibleabsent · input absent: total net assets0.25xn = 1,0900.25xn = 9800.25xn = 1,029
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 2024-12-31 (2024-12-GSAFAC-0000383722) · FY ending 2023-12-31 (2023-12-GSAFAC-0000057763) · FY ending 2022-12-31 (2022-12-CENSUS-0000230579).

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)
7,499
Reported value2024
Source: HRSA UDS
Total visits (all service types)
23,553
Reported value2024
Source: HRSA UDS
Service sites
3
Reported value2024
Source: HRSA UDS
Uninsured patient share
40.6%
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
-165.0% (FY25)
Operating income ÷ total operating revenue · Medicare cost-report scope, not the organization's full financials
Astrelis calculation · HCRIS WS G-3
Total margin
-46.4% (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 revenue3,1592,4733,704
Total operating revenue3,1592,4733,704
Total operating expenses7,1829,0019,817
Operating income(4,023)(6,528)(6,112)
Operating margin %-127.3%-263.9%-165.0%
Other non-operating, net3,5877,0223,000
Net income(436)494(3,112)
Net income %-6.5%+5.2%-46.4%
— = 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. FY25 · Operating margin (Medicare scope): -165.0% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100%)FY24 · Operating margin (Medicare scope): -263.9% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100%)FY23 · Operating margin (Medicare scope): -127.3% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100%)FY22 · Operating margin (Medicare scope): -114.0% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100%)FY21 · Operating margin (Medicare scope): -152.9% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100%)FY20 · Operating margin (Medicare scope): -150.2% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100%)FY19 · Operating margin (Medicare scope): -104.4% — 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)
7,499
Reported value2024
HRSA UDS
Uninsured patient share
40.6%
Reported value2024
HRSA UDS
Medicaid patient share
35.3%
Reported value2024
HRSA UDS
Behavioral health visits
2,107
Reported value2024
HRSA UDS
Dental visits
3,482
Reported value2024
HRSA UDS
Total staff FTE
69.44
Reported value2024
HRSA UDS
Service sites
3
Reported value2024
HRSA UDS
Revenue per patient
$820
Reported value2024
HRSA UDS
Total visits (all service types)
23,553
Reported value2024
HRSA UDS
Cost per visit ($, Medicare scope)
204.25
Reported value2025
HCRIS CMS-224
Total visits (Medicare scope)
25,601
Reported value2025
HCRIS CMS-224

Trajectory

Cost-report basis · 7 reporting years
Operating margin
-104.4%-150.2%-152.9%-114.0%-127.3%-263.9%-165.0%FY19FY20FY21FY22FY23FY24FY25
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.
UDS organization profileAstrelis calculation

7,499 patients across 3 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: Probable. 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, "Ellis County Coalition For Health Options", https://astrelis.co/providers/health_center/671908, 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/671908.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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