Astrelis
health center · CA

ROADS FOUNDATION INC

CCN 751804Latest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis

Total patients (UDS): 24,108 in FY2024. Total visits (all service types): 104,035 in FY2024. Service sites: 9 in FY2024. Uninsured patient share: 14.1% 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 Roads Foundation Inc (grant H80CS28991). 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
24,108
unduplicated, organization-wide · UDS Table 4
Medical visits
73,234
organization-wide medical clinic visits · HRSA UDS 2024 (the total-visit figure in the headline tiles covers all service types)
Medical staffing
58.3FTE
8.6 physician · 6.9 NP · 3.6 PA
Cost per patient
$1,101
total accrued cost ÷ patients · HRSA UDS 2024 Table 8A
Payer mix (share of patients)
Medicaid 65.9% · Medicare 8.8% · Uninsured 14.1% · Private 11.3% · Other public 0.0%

Audited financial statements

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

THE R.O.A.D.S. FOUNDATION, INC. DBA R.O.A.D.S. COMMUNITY CARE 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.

Filing organization
THE R.O.A.D.S. FOUNDATION, INC. DBA R.O.A.D.S. COMMUNITY CARE CLINIC, CA · 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, narrowed by address (FACLAND tier 1+3); EIN check: agrees
Health center award
a direct health center award (section 330) on file for this organization (grant H80CS28991)
On file
7 years of filings, 5 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 reportno column header printedno column header printedtotal 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 reportno column header printedno column header printedtotal 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 reportno column header printedno column header printedtotal 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)11,413,120derived · p.6 · 2 lines5,378,784derived · p.6 · 2 lines4,714,424derived · p.6 · 1 line
patient receivables, net3,101,978derived · p.6 · 1 line2,336,748derived · p.6 · 1 line1,319,621derived · p.6 · 1 line
grants and other receivables424,345derived · p.6 · 1 line179,463derived · p.6 · 1 line394,873derived · p.6 · 2 lines
other current assets454,306derived · p.6 · 1 line334,672derived · p.6 · 1 lineabsent · not printed, or not read
TOTAL CURRENT ASSETS15,393,749extracted · p.68,229,667extracted · p.66,428,918extracted · p.6
property and equipment, net3,144,512derived · p.6 · 1 line3,000,220derived · p.6 · 1 line3,042,881derived · p.6 · 1 line
other long-term assets11,142,482derived · p.6 · 3 lines4,256,440derived · p.6 · 3 lines3,939,965derived · p.6 · 3 lines
TOTAL ASSETS29,680,743extracted · p.615,486,327extracted · p.613,411,764extracted · p.6
payables and accrued expenses2,370,910derived · p.6 · 3 lines1,429,648derived · p.6 · 3 lines1,502,410derived · p.6 · 3 lines
deferred revenueabsent · not printed, or not read62,500derived · p.6 · 1 lineabsent · not printed, or not read
current debt and leases791,904derived · p.6 · 1 line816,092derived · p.6 · 1 line698,995derived · p.6 · 1 line
other current liabilities7,629,872derived · p.6 · 1 line2,500,000derived · p.6 · 1 line1,315,901derived · p.6 · 1 line
TOTAL CURRENT LIABILITIES10,792,686extracted · p.64,808,240extracted · p.63,517,306extracted · p.6
long-term debt and leases10,641,964derived · p.6 · 1 line3,488,357derived · p.6 · 1 line3,920,422derived · p.6 · 1 line
other long-term liabilitiesabsent · not printed, or not readabsent · not printed, or not readabsent · not printed, or not read
TOTAL LIABILITIES21,434,650extracted · p.68,296,597extracted · p.67,437,728extracted · p.6
net assets without donor restrictions8,246,093derived · p.6 · 1 line7,189,730derived · p.6 · 1 line5,974,036derived · 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 ASSETS8,246,093extracted · p.67,189,730extracted · p.65,974,036extracted · p.6
Statement of activities
patient service revenue, net31,400,098derived · p.7 · 1 line25,717,695derived · p.7 · 1 line18,854,063derived · p.7 · 1 line
pharmacy and 340B revenueabsent · not printed, or not readabsent · not printed, or not readabsent · not printed, or not read
federal grants1,165,502derived · p.7 · 1 line1,472,768derived · p.7 · 1 line1,960,813derived · p.7 · 1 line
other grants and contracts325,424derived · p.7 · 1 line351,677derived · p.7 · 1 line300,161derived · p.7 · 1 line
contributions905,600derived · p.7 · 1 line710,736derived · p.7 · 1 line561,067derived · p.7 · 1 line
other revenue618,974derived · p.7 · 2 lines633,240derived · p.7 · 2 lines543,014derived · p.7 · 2 lines
TOTAL REVENUE AND SUPPORT34,415,598extracted · p.728,886,116extracted · p.722,219,118extracted · 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 expensesabsent · not printed, or not readabsent · not printed, or not readabsent · not printed, or not read
TOTAL EXPENSES33,359,235extracted · p.727,670,422extracted · p.721,883,657extracted · p.7
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 ASSETS1,056,363extracted · p.71,215,694extracted · p.7335,461extracted · p.7
net assets, beginning7,189,730extracted · p.75,974,036extracted · p.75,638,575extracted · p.7
net assets, end8,246,093extracted · p.77,189,730extracted · p.75,974,036extracted · p.7

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 2025-12-31FY 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 amortization89 daysn = 39988 daysn = 35788 daysn = 384
Current ratio1.43xplausible1.71xplausible1.83xplausible3.20xn = 1,1403.16xn = 1,0293.20xn = 1,077
Operating marginabsent · input absent: operating resultabsent · input absent: operating resultabsent · input absent: operating result1.4%n = 7491.6%n = 6891.3%n = 711
Total margin3.1%plausible4.2%plausible1.5%plausible3.6%n = 1,2253.5%n = 1,1093.4%n = 1,144
Patient revenue share91.2%plausible89.0%plausible84.9%plausible56.6%n = 1,15056.5%n = 1,03356.8%n = 1,085
Grant dependency4.3%plausible6.3%plausible10.2%plausible26.6%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 receivables36 daysplausible33 daysplausible26 daysplausible43 daysn = 1,10343 daysn = 99543 daysn = 1,048
Debt to net assets1.39xplausible0.60xplausible0.77xplausible0.24xn = 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 2025-12-31 (2025-12-GSAFAC-0000427527) · FY ending 2024-12-31 (2024-12-GSAFAC-0000387569) · FY ending 2023-12-31 (2023-12-GSAFAC-0000050210).

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)
24,108
Reported value2024
Source: HRSA UDS
Total visits (all service types)
104,035
Reported value2024
Source: HRSA UDS
Service sites
9
Reported value2024
Source: HRSA UDS
Uninsured patient share
14.1%
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
-6.8% (FY25)
Operating income ÷ total operating revenue · Medicare cost-report scope, not the organization's full financials
Astrelis calculation · HCRIS WS G-3
Total margin
+4.3% (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 revenue17,80025,37930,817
Total operating revenue17,80025,37930,817
Total operating expenses21,15927,71932,926
Operating income(3,359)(2,339)(2,110)
Operating margin %-18.9%-9.2%-6.8%
Other non-operating, net3,8333,5073,594
Net income4741,1681,485
Net income %+2.2%+4.0%+4.3%
— = 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.

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)
24,108
Reported value2024
HRSA UDS
Uninsured patient share
14.1%
Reported value2024
HRSA UDS
Medicaid patient share
65.9%
Reported value2024
HRSA UDS
Behavioral health visits
28,494
Reported value2024
HRSA UDS
Dental visits
7,417
Reported value2024
HRSA UDS
Total staff FTE
164.95
Reported value2024
HRSA UDS
Service sites
9
Reported value2024
HRSA UDS
Revenue per patient
$82
Reported value2024
HRSA UDS
Total visits (all service types)
104,035
Reported value2024
HRSA UDS
Cost per visit ($, Medicare scope)
178.41
Reported value2025
HCRIS CMS-224
Total visits (Medicare scope)
65,089
Reported value2025
HCRIS CMS-224

Trajectory

Cost-report basis · 7 reporting years
Operating margin
-14.7%-19.1%-27.8%-18.0%-18.9%-9.2%-6.8%FY19FY20FY21FY22FY23FY24FY25
Days cash on hand
Not available

State context

California
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

24,108 patients across 9 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, "Roads Foundation Inc", https://astrelis.co/providers/health_center/751804, 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/751804.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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