Healthcare Insights
Top Federally Qualified Health Centers (FQHC) by total costs
Federally Qualified Health Centers (FQHCs) are community-based healthcare providers that receive funds from the Health Resources & Services Administration (HRSA) to provide primary care services in underserved communities.
The following list highlights the top 20 Federally Qualified Health Centers (FQHC) by total costs. The data depicted comes from the most recent 12-month interval tracked in our database.
Top 20 FQHCs by total costs
| Rank | FQHC name | Definitive ID | City | State | Total costs | Total cost per visit | Explore dataset |
|---|---|---|---|---|---|---|---|
| 1 | Yakima Valley Farm Workers Clinic | 19399 | Toppenish | WA | $2,959,884,405 | $151 | Explore |
| 2 | Omni Family Health | 19264 | Bakersfield | CA | $2,317,622,270 | $206 | Explore |
| 3 | Golden Valley Health Centers | 18976 | Merced | CA | $1,411,458,866 | $259 | Explore |
| 4 | Borrego Community Health Foundation | 18720 | Riverside | CA | $976,922,810 | $297 | Explore |
| 5 | United Health Centers of the San Joaquin Valley | 19779 | Fresno | CA | $934,801,197 | $163 | Explore |
| 6 | WellSpace Health | 963305 | Sacramento | CA | $882,381,289 | $265 | Explore |
| 7 | Family Health Centers of San Diego Inc | 19331 | San Diego | CA | $830,860,441 | $461 | Explore |
| 8 | El Rio Santa Cruz Neighborhood Health Center Inc | 19360 | Tucson | AZ | $508,426,357 | $300 | Explore |
| 9 | Sun River Health | 18855 | Peekskill | NY | $485,664,065 | $231 | Explore |
| 10 | Clinica Sierra Vista | 19516 | Bakersfield | CA | $417,436,628 | $239 | Explore |
| 11 | Multnomah County | 19261 | Portland | OR | $370,032,199 | $679 | Explore |
| 12 | North Portland Health Center | 16129 | Portland | OR | $370,032,199 | $679 | Explore |
| 13 | Peekskill Area Health Center | 15030 | Peekskill | NY | $340,757,710 | $257 | Explore |
| 14 | Borrego Medical Clinic | 17554 | Borrego Springs | CA | $307,455,580 | $324 | Explore |
| 15 | Family Healthcare Network | 19648 | Visalia | CA | $303,012,769 | $176 | Explore |
| 16 | Barrio Comprehensive Family Health Care Center Inc | 19556 | San Antonio | TX | $302,373,589 | $230 | Explore |
| 17 | Sea Mar Community Health Centers | 19207 | Seattle | WA | $284,043,778 | $277 | Explore |
| 18 | Beach Area Family Health Center | 11906 | San Diego | CA | $275,999,597 | $351 | Explore |
| 19 | Sea Mar CHC - Seattle Clinic | 17269 | Seattle | WA | $274,827,920 | $386 | Explore |
| 20 | OneWorld Community Health Centers Inc | 19417 | Omaha | NE | $242,494,936 | $198 | Explore |
Fig. 1 Data is from Definitive Healthcare’s ClinicView product. Data on total cost is from the January 2023 Medicare Cost Report release and represents the most recent 12-month interval tracked in our database. Data is accurate as of February 2023.
Which FQHC has the highest total costs?
The included FQHCs account for over $14 billion in combined total cost with an average cost per visit of $306. The FQHC with the highest total costs is Yakima Valley Farm Workers Clinic, headquartered in Toppenish, Washington. This FQHC has a total cost of nearly $3 billion and a total cost per visit of $151, the lowest out of any on this list. Since its founding in 1978, Yakima Valley Farm Workers Clinic has slowly become one of the largest community health centers in the Northwest, now having over 40 locations across Washington and Oregon. This FQHC accounts for 20% of the combined costs represented on this list.
The FQHC with the second highest total costs is Omni Family Health, headquartered in Bakersfield, California. This FQHC has a total cost of $2,317,622,270 and a total cost per visit of $206. This health center was also founded in 1978 and also has nearly 40 locations across California. Omni Family Health accounts for more than 15% of the combined costs represented on this list.
The FQHC with the third highest total costs is Golden Valley Health Centers, headquartered in Merced, California. This FQHC has a total cost of $1,411,458,866, nearly half the total cost of both FQHC in the top two spots. Golden Valley Health Centers has 45 locations across central California, including four school-based health centers, and two freestanding women’s health centers. They account for nearly 10% of the combined costs represented on this list.
Where are the FQHCs with the highest costs located?
California is the most frequently represented state on the list appearing 10 times — including two of top three spots and four out of the top five. The only other states to appear more than once are Washington and Oregon with two and three spots respectively. These three states account for 75% of the FQHCs on this list.
Why are FQHCs important to healthcare?
FQHCs are important because they provide preventative care, including health, oral and mental health/substance abuse services to medically underserved and vulnerable groups of people.
Patients who seek care at FQHCs may be uninsured or living below the poverty line and FQHCs provide care they may not be able to afford elsewhere. According to the HRSA, 1 in 11 people rely on an FQHC for care.
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