Top 25 Federally Qualified Health Centers by Visits and Compensation

Federally Qualified Health Centers (FQHCs) have been important sources of treatment for underserved and low-income communities for years.  

Following the passage of the Affordable Care Act (ACA) in 2010, these clinics experienced an influx in demand from a wave of newly insured patients. Increased federal funding and new incentives also encouraged physicians to practice in FQHCs. As a result, the positive impact FQHCs have on their communities grew increasingly important in states which expanded Medicaid. The Kaiser Family Foundation reported that an estimated 26 million children and adults visited an FQHC in 2016.  

Below, we’ve ranked the top 25 federally qualified health centers by both visits and total compensation. 

Top 25 FQHCs by number of visits

FQHC Name 

State 

Definitive ID 

Total Visits 

Total Compensation 

Omni Family Health 

CA 

19264 

6,281,024 

$864,935,187  

Golden Valley Health Centers 

CA 

18976 

2,335,663 

$370,976,782  

WellSpace Health 

CA 

963305 

2,322,795 

$452,580,193  

Borrego Community Health Foundation 

CA 

18720 

1,418,047 

$365,334,733  

Family Healthcare Network 

CA 

19648 

1,130,088 

$161,001,660  

Sun River Health (FKA Hudson River Healthcare Inc) 

NY 

18855 

651,284 

$192,507,771  

Community Health Centers of the Central Coast Inc 

CA 

18628 

611,747 

$59,306,443  

United Health Centers of the San Joaquin Valley 

CA 

19779 

599,891 

$63,679,162  

Ventura County Health Care Agency 

CA 

19169 

582,822 

$66,652,601  

County of Santa Clara FQHC 

CA 

19226 

532,093 

$129,292,761  

Clinica Sierra Vista 

CA 

19516 

517,373 

$126,149,110  

Community Health Center Incorporated 

CT 

19798 

463,632 

$84,649,877  

MCR Health (AKA Manatee County Rural Health Services Inc) 

FL 

18837 

435,025 

$54,368,013  

AltaMed Health Services Corporation 

CA 

19016 

430,911 

$39,042,429  

Family Health Centers of San Diego Inc 

CA 

19331 

417,259 

$445,472,263  

Yakima Valley Farm Workers Clinic 

WA 

19399 

407,844 

$1,309,995,831  

Sea Mar Community Health Centers 

WA 

19207 

401,455 

$155,541,432  

Cumberland Family Medical Center Inc 

KY 

963272 

380,832 

$42,354,090  

Access Community Health Network 

IL 

19521 

356,176 

$71,161,887  

Riverside County Health System 

CA 

18641 

350,660 

$51,392,262  

San Ysidro Health 

CA 

19635 

345,201 

$63,869,816  

Hudson Headwaters Health Network 

NY 

18586 

316,500 

$56,947,635  

Southern Illinois Health Care Foundation Inc 

IL 

18495 

313,240 

$40,040,499  

Rural Health Care Incorporated (AKA Aza Health) 

FL 

18999 

308,107 

$51,423,781  

El Rio Santa Cruz Neighborhood Health Center Inc 

AZ 

19360 

305,061 

$258,796,694 

Fig 1. Data is sourced from the ClinicView product based on the 2022 Medicare Cost Report.  

FQHCs generally operate in urban and rural settings, often functioning as safety-net providers or expanding healthcare access in sparsely populated areas. Unsurprisingly, the FQHCs with the highest visits are generally found in or near large cities.  

Omni Family Health has the highest number of visits at 6,281,024. This FQHC has a network of clinics located outside Los Angeles and Bakersfield. A disproportionate number of high-volume FQHCs operate in California, likely due to the state’s high population and significant enrollment in Medi-Cal, the state’s version of Medicaid. The top 25 centers also had wide variations in total compensation. 

Of the centers with the greatest number of patient visits, total compensation ranged from $42 million to $864 million. This isn’t necessarily a strong indicator of volume as some locations may be in rural areas, and many can be staffed by physician assistants or nurses rather than physicians. 

Top 25 FQHCs by total compensation 

FQHC Name 

State 

Definitive ID 

Total Compensation 

Total Visits 

Yakima Valley Farm Workers Clinic 

WA 

19399 

$1,309,995,831  

407,844 

Omni Family Health 

CA 

19264 

$864,935,187  

6,281,024 

WellSpace Health 

CA 

963305 

$452,580,193  

2,322,795 

Family Health Centers of San Diego Inc 

CA 

19331 

$445,472,263  

417,259 

Golden Valley Health Centers 

CA 

18976 

$370,976,782  

2,335,663 

Borrego Community Health Foundation 

CA 

18720 

$365,334,733  

1,418,047 

El Rio Santa Cruz Neighborhood Health Center Inc 

AZ 

19360 

$258,796,694  

305,061 

Sun River Health (FKA Hudson River Healthcare Inc) 

NY 

18855 

$192,507,771  

651,284 

Family Healthcare Network 

CA 

19648 

$161,001,660  

1,130,088 

Sea Mar Community Health Centers 

WA 

19207 

$155,541,432  

401,455 

County of Santa Clara FQHC 

CA 

19226 

$129,292,761  

532,093 

Clinica Sierra Vista 

CA 

19516 

$126,149,110  

517,373 

Multnomah County 

OR 

19261 

$122,366,510  

129,856 

Santa Rosa Community Health Centers 

CA 

18700 

$113,698,950  

154,287 

OneWorld Community Health Centers Inc 

NE 

19417 

$111,103,839  

159,021 

Jordan Valley Community Health Center (AKA Advocates for A Healthy Community Inc) 

MO 

19085 

$90,904,965  

140,771 

Shasta Community Health Center 

CA 

19452 

$87,091,641  

92,415 

Community Health Center Incorporated 

CT 

19798 

$84,649,877  

463,632 

Swope Health Services 

MO 

19745 

$75,878,585  

16,145 

Northeast Valley Health Corporation 

CA 

19465 

$75,122,693  

264,127 

Ingham County Health Department 

MI 

19570 

$74,355,242  

21,652 

Access Community Health Network 

IL 

19521 

$71,161,887  

356,176 

Blue Ridge Community Health Services Inc 

NC 

19475 

$70,147,126  

132,930 

Neighborhood Healthcare 

CA 

19164 

$69,360,804  

303,722 

Travis County Healthcare District (AKA Central Health) 

TX 

18833 

$68,937,115  

210,813 

Fig 2. Data is sourced from the ClinicView product based on the 2022 Medicare Cost Report

The Yakima Valley Farm Workers Clinic in Washington ranks at the top of our list with a total compensation of $1,309,995,831. This is one of the largest health centers in the Northwest and serves the Yakima Indian Reservation and communities across Washington state.  

Again, the disproportionate number of California-based FQHCs is likely attributed to its population size and high number of people enrolled in Medicaid.  

Among the top 25 FQHCs, total compensation ranged from about $68 million to over $1.3 billion. Total visits ranged from about 16,000 to 6.2 million.  

What is an FQHC? 

Federally Qualified Health Centers are community-driven nonprofit healthcare providers that serve patients and communities with limited access to medical care. These clinics use a sliding fee scale, which makes them accessible to all regardless of their ability to pay. FQHCs provide comprehensive primary and preventive care.  

How many FQHCs are there in the U.S.? 

According to data from ClinicView, there are over 1,400 official FQHC clinics across the U.S. However, FQHC Service Sites and Look-Alikes bring that total to 17,890. 

FQHC Look-Alikes provide similar care services to members of the community with lower incomes. These facilities, however, differ from true FQHCs regarding federal support. Look-Alikes are not eligible for federal loan guarantees and malpractice coverage and do not receive HCP federal grant funding under the Section 330 Public Health Service Act.  

What’s the difference between an FQHC and a community health center? 

From a functional perspective, community health centers provide the same primary medical, dental and mental healthcare services to underserved communities that FQHCs deliver. However, a community health center specifically refers to a health facility that identifies as a nonprofit 501(c)(3) corporation and may not necessarily receive federal funding.   

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