# Western Sierra Medical Clinic

Health Center, CA
Page: https://astrelis.co/providers/health_center/921082  
This twin: https://astrelis.co/providers/health_center/921082.md  
CMS Certification Number (CCN): 921082  
Release: 2321a4fc37a7 (2026-10-22)

## Headline figures (fiscal years on file: 2019 to 2021)

- **Operating margin (FY2020):** -115.9%. Astrelis calculation. Definition: https://astrelis.co/methodology#health-center
- **Total operating revenue (FY2021):** $0.0M. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Total margin (including nonoperating) (FY2021):** -259.5%. 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

### WESTERN SIERRA MEDICAL CLINIC, INC., CA

Match to this profile: matched by name (method: name and state).

- FY ending 2025-12-31 (audit year 2025): ties in full; audit as filed https://app.fac.gov/dissemination/summary/2025-12-GSAFAC-0000424221
- FY ending 2024-12-31 (audit year 2024): ties in full; audit as filed https://app.fac.gov/dissemination/summary/2024-12-GSAFAC-0000359019
- FY ending 2023-12-31 (audit year 2023): each statement foots, not linked; audit as filed https://app.fac.gov/dissemination/summary/2023-12-GSAFAC-0000046150

| Line | FY ending 2025-12-31 | FY ending 2024-12-31 | FY ending 2023-12-31 |
|---|---:|---:|---:|
| cash and investments (current) (Statement of financial position) | 12,355,373 [derived, p.5] | 9,521,374 [derived, p.5] | 7,264,364 [derived, p.7] |
| patient receivables, net (Statement of financial position) | 3,425,316 [derived, p.5] | 2,954,500 [derived, p.5] | 2,267,692 [derived, p.7] |
| grants and other receivables (Statement of financial position) | 1,682,844 [derived, p.5] | 549,875 [derived, p.5] | 595,856 [derived, p.7] |
| other current assets (Statement of financial position) | 338,851 [derived, p.5] | 176,610 [derived, p.5] | 190,712 [derived, p.7] |
| TOTAL CURRENT ASSETS (Statement of financial position) | 17,802,384 [extracted, p.5] | 13,202,359 [extracted, p.5] | 10,318,624 [extracted, p.7] |
| property and equipment, net (Statement of financial position) | 7,763,602 [derived, p.5] | 7,127,348 [derived, p.5] | 7,203,209 [derived, p.7] |
| other long-term assets (Statement of financial position) | 1,177,355 [derived, p.5] | absent (not printed, or not read) | 406,243 [derived, p.7] |
| TOTAL ASSETS (Statement of financial position) | 26,743,341 [extracted, p.5] | 20,329,707 [extracted, p.5] | 17,928,076 [extracted, p.7] |
| payables and accrued expenses (Statement of financial position) | 2,288,116 [derived, p.5] | 1,944,531 [derived, p.5] | 1,176,730 [derived, p.8] |
| deferred revenue (Statement of financial position) | 27,196 [derived, p.5] | 54,341 [derived, p.5] | absent (not printed, or not read) |
| current debt and leases (Statement of financial position) | 1,839,050 [derived, p.5] | 1,168,102 [derived, p.5] | 450,754 [derived, p.8] |
| other current liabilities (Statement of financial position) | 1,716,322 [derived, p.5] | 1,657,308 [derived, p.5] | 235,170 [derived, p.8] |
| TOTAL CURRENT LIABILITIES (Statement of financial position) | 5,870,684 [extracted, p.5] | 4,824,282 [extracted, p.5] | 1,862,654 [extracted, p.8] |
| long-term debt and leases (Statement of financial position) | 6,083,997 [derived, p.5] | 5,385,414 [derived, p.5] | 5,975,760 [derived, p.8] |
| other long-term liabilities (Statement of financial position) | 2,855,477 [derived, p.5] | absent (not printed, or not read) | absent (not printed, or not read) |
| TOTAL LIABILITIES (Statement of financial position) | 14,810,158 [extracted, p.5] | 10,209,696 [extracted, p.5] | 7,838,414 [extracted, p.8] |
| net assets without donor restrictions (Statement of financial position) | 11,933,183 [derived, p.5] | 10,120,011 [derived, p.5] | 10,089,662 [derived, p.8] |
| net assets with donor restrictions (Statement of financial position) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| TOTAL NET ASSETS (Statement of financial position) | 11,933,183 [extracted, p.5] | 10,120,011 [extracted, p.5] | absent (not printed, or not read) |
| patient service revenue, net (Statement of activities) | 21,301,550 [derived, p.6] | 15,796,955 [derived, p.6] | 12,700,971 [derived, p.9] |
| pharmacy and 340B revenue (Statement of activities) | 1,227,458 [derived, p.6] | 1,050,942 [derived, p.6] | 1,780,815 [derived, p.9] |
| 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) | 4,310,329 [derived, p.6] | 2,955,580 [derived, p.6] | 3,718,609 [derived, p.9] |
| contributions (Statement of activities) | 1,074,807 [derived, p.6] | 638,057 [derived, p.6] | 135,447 [derived, p.9] |
| other revenue (Statement of activities) | 1,739,817 [derived, p.6] | 1,067,715 [derived, p.6] | 826,823 [derived, p.9] |
| TOTAL REVENUE AND SUPPORT (Statement of activities) | 29,653,961 [extracted, p.6] | 21,509,249 [extracted, p.6] | 19,162,665 [extracted, p.9] |
| salaries and benefits (Statement of activities) | 20,268,745 [derived, p.6] | 14,998,522 [derived, p.6] | absent (not printed, or not read) |
| supplies and pharmaceuticals (Statement of activities) | 1,066,986 [derived, p.6] | 1,413,935 [derived, p.6] | absent (not printed, or not read) |
| purchased and professional services (Statement of activities) | 3,683,326 [derived, p.6] | 2,873,805 [derived, p.6] | absent (not printed, or not read) |
| occupancy (Statement of activities) | 1,019,448 [derived, p.6] | 779,859 [derived, p.6] | absent (not printed, or not read) |
| depreciation and amortization (Statement of activities) | 478,288 [derived, p.6] | 399,857 [derived, p.6] | absent (not printed, or not read) |
| interest (Statement of activities) | 381,340 [derived, p.6] | 356,442 [derived, p.6] | absent (not printed, or not read) |
| other expenses (Statement of activities) | 942,656 [derived, p.6] | 656,480 [derived, p.6] | absent (not printed, or not read) |
| TOTAL EXPENSES (Statement of activities) | 27,840,789 [extracted, p.6] | 21,478,900 [extracted, p.6] | 18,947,856 [extracted, p.9] |
| OPERATING RESULT (Statement of activities) | 1,813,172 [extracted, p.6] | absent (not printed, or not read) | absent (not printed, or not read) |
| non-operating and other changes (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| CHANGE IN NET ASSETS (Statement of activities) | 1,813,172 [extracted, p.6] | 30,349 [extracted, p.6] | 214,809 [extracted, p.9] |
| net assets, beginning (Statement of activities) | 10,120,011 [extracted, p.6] | 10,089,662 [extracted, p.6] | 9,874,853 [extracted, p.9] |
| net assets, end (Statement of activities) | 11,933,183 [extracted, p.6] | 10,120,011 [extracted, p.6] | 10,089,662 [extracted, p.9] |

| Ratio | FY ending 2025-12-31 | FY ending 2024-12-31 | FY ending 2023-12-31 |
|---|---:|---:|---:|
| Days cash on hand | 165 days [plausible] | 165 days [plausible] | absent [not computed] |
| Current ratio | 3.03x [plausible] | 2.74x [plausible] | 5.54x [plausible] |
| Operating margin | 6.1% [plausible] | absent [not computed] | absent [not computed] |
| Total margin | 6.1% [plausible] | 0.1% [plausible] | 1.1% [plausible] |
| Patient revenue share | 71.8% [plausible] | 73.4% [plausible] | 66.3% [plausible] |
| Grant dependency | absent [not computed] | absent [not computed] | absent [not computed] |
| Salaries share | 72.8% [plausible] | 69.8% [plausible] | absent [not computed] |
| Days in patient receivables | 59 days [plausible] | 68 days [plausible] | 65 days [plausible] |
| Debt to net assets | 0.66x [plausible] | 0.65x [plausible] | absent [not computed] |
| Health center award share | absent [not computed] | absent [not computed] | absent [not computed] |

## Sources

HRSA Uniform Data System (awardee level; organization match Probable). CMS HCRIS cost reports, form CMS-224-14, as filed (the Medicare cost-report appendix). Federal Audit Clearinghouse single audits as filed (WESTERN SIERRA MEDICAL CLINIC, INC.; FAC-11 template snapshot, SRC-FAC-001); the organization match is matched by name.

Methodology: https://astrelis.co/methodology · Data sources: https://astrelis.co/data-sources · Data philosophy: https://astrelis.co/data-philosophy

## Cite this page

Astrelis Atlas, "Western Sierra Medical Clinic", https://astrelis.co/providers/health_center/921082, 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.