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Federally Qualified Health Centers (FQHCs) such as community health centers have been import¬ant sources of treatment for underserved and low-income communities, and these roles expanded even further with the passage of the ACA in 2010. Run by both private and public organizations, community health centers saw an estimated 25.9 million children and adults in 2016 according to the Kaiser Family Foundation, with growth spurred largely by Medicaid expansion.

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 volumes are generally found in or near large cities. Ventura County, whose publicly funded centers had the highest volume, is located just outside Los Angeles. 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 $35 to $151 million. Neither is 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 Number of Visits

  Facility Name Definitive ID Total Visits Total Compensation

1.

Ventura County Health Care Agency

19169

550,557

$63,238,132

2.

Family Healthcare Network

19648

472,555

$64,485,444

3.

Borrego Community Health Foundation

18720

446,778

$96,649,650

4.

County of Santa Clara

19226

424,079

$72,816,444

5.

Valley Health Center at Gilroy

11841

424,079

$72,816,444

6.

Family Healthcare Network Service Site - Ivanhoe

11877

392,784

$54,471,590

7.

Hudson River Healthcare Inc

18855

359,717

$49,390,298

8.

Family Health Centers of San Diego Inc

19331

352,680

$151,720,099

9.

Beach Area Family Health Center

11906

349,622

$80,889,906

10.

Yakima Valley Farm Workers Clinic

19399

345,600

$77,239,453

11.

Toppenish Medical-Dental Clinic

18168

328,287

$75,197,884

12.

Sea Mar CHC - Seattle Clinic

17269

317,619

$85,580,938

13.

Sea Mar Community Health Centers

19207

317,619

$85,580,938

14.

Clinicas Del Camino Real Inc

19240

314,681

$55,035,252

15.

Community Health Center

12134

307,392

$42,006,970

16.

Community Health Center Incorporated

19798

307,392

$42,006,970

17.

Pediatric Diagnostic Center

12607

305,033

$46,553,892

18.

El Nuevo San Juan Health Center

14989

299,101

$55,046,469

19.

Urban Health Plan Inc

19049

299,101

$55,046,469

20.

Peak Vista Community Health Centers

19052

282,715

$35,424,191

21.

Southern Illinois Health Care Foundation Inc

18495

282,131

$39,013,452

22.

Peekskill Area Health Center

15030

271,748

$45,357,178

23.

Clinica Sierra Vista

19516

264,478

$36,827,954

24.

Hudson Headwaters Health Network

18586

261,987

$36,598,369

25.

Schroon Lake Health Center

15582

261,987

$36,598,369

Fig 1. Data from Definitive Healthcare based on January 2018 Medicare Cost Report. Next Scheduled release is April 2018.

 

Top 25 FQHCs by Total Compensation

  Facility Name Definitive ID Total Visits Total Compensation

1.

Family Health Centers of San Diego Inc

19331

352,680

$151,720,099

2.

Borrego Community Health Foundation

18720

446,778

$96,649,650

3.

Sea Mar Community Health Centers

19207

317,619

$85,580,938

4.

Sea Mar CHC - Seattle Clinic

17269

317,619

$85,580,938

5.

Compass Health Inc

18744

51,845

$84,989,355

6.

OneWorld Community Health Centers Inc

19417

58,391

$83,602,236

7.

Beach Area Family Health Center

11906

349,622

$80,889,906

8.

Yakima Valley Farm Workers Clinic

19399

345,600

$77,239,453

9.

Toppenish Medical-Dental Clinic

18168

328,287

$75,197,884

10.

North Portland Health Center

16129

161,758

$73,168,983

11.

Multnomah County

19261

161,758

$73,168,983

12.

Valley Health Center at Gilroy

11841

424,079

$72,816,444

13.

County of Santa Clara

19226

424,079

$72,816,444

14.

Elm Street Family Health Center

17610

3,058

$70,830,193

15.

Family Healthcare Network

19648

472,555

$64,485,444

16.

Ventura County Health Care Agency

19169

550,557

$63,238,132

17.

Compass Health Wellness - Clinton

14721

7,561

$60,524,512

18.

Santa Rosa Community Health Centers

18700

191,260

$59,771,226

19.

Penobscot Community Health Center Service Site

14502

260,839

$58,571,333

20.

Penobscot Community Health Center

19163

260,839

$58,571,333

21.

El Rio Santa Cruz Neighborhood Health Center Inc

19360

165,564

$56,500,160

22.

El Rio Santa Cruz Neighborhood Health Center Inc Service Site

11828

165,564

$56,500,160

23.

Urban Health Plan Inc

19049

299,101

$55,046,469

24.

El Nuevo San Juan Health Center

14989

299,101

$55,046,469

25.

Clinicas Del Camino Real Inc

19240

314,681

$55,035,252

Fig 2. Data is from July 2019 Medicare Cost Report release; the next scheduled Medicare Cost Report release is October 2019.