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The following list highlights the top 20 Federally Qualified Health Centers (FQHC) by total costs. The included FQHCs account for over $323 million in combined total cost with an average cost per visit of $252.

The FQHC with the highest total cost is Borrego Community Health Foundation with over $929 million — 14.3% of the combined costs represented on the list. The next appearing FQHC on the list is Family Health Centers of San Diego Inc. with nearly $750 million in charges — 21% less than Borrego Community Health Foundation and 25% more than the next appearing FQHC, Omni Family Health.

California is the most commonly represented state on the list appearing 11 times — including a clean sweep of the top three spots. The only other state to appear more than once is Washington state with two FQHCs accounting for nearly 12% of the combined total costs represented in the top 20 list.

Top 20 FQHCs by Total Costs

 

FQHC Name

Definitive ID

City

State

Total Costs

Total Cost Per Visit

1

Borrego Community Health Foundation

18720

Riverside

CA

$929,285,933

$298

2

Family Health Centers of San Diego Inc

19331

San Diego

CA

$749,758,603

$467

3

Omni Family Health

19264

Bakersfield

CA

$580,671,282

$177

4

Yakima Valley Farm Workers Clinic

19399

Yakima

WA

$539,717,151

$155

5

Golden Valley Health Centers

18976

Merced

CA

$425,093,426

$213

6

Multnomah County

19261

Portland

OR

$306,599,988

$500

7

Hudson River Healthcare Inc

18855

Peekskill

NY

$298,463,327

$195

8

El Rio Santa Cruz Neighborhood Health Center Inc

19360

Tucson

AZ

$287,467,008

$239

9

Santa Rosa Community Health Centers

18700

Santa Rosa

CA

$275,150,665

$221

10

WellSpace Health

963305

Sacramento

CA

$255,099,696

$262

11

Sea Mar Community Health Centers

19207

Seattle

WA

$228,785,296

$281

12

OneWorld Community Health Centers Inc

19417

Omaha

NE

$225,900,479

$184

13

Family Healthcare Network

19648

Visalia

CA

$225,869,715

$205

14

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

19085

Marshfield

MO

$213,548,686

$182

15

San Ysidro Health

19635

El Cajon

CA

$174,768,370

$281

16

County of Santa Clara FQHC

19226

San Jose

CA

$170,730,391

$428

17

Community Health Centers of the Central Coast Inc

18628

Santa Maria

CA

$155,063,864

$182

18

Ingham County Health Department

19570

Lansing

MI

$149,683,027

$244

19

Ventura County Health Care Agency

19169

Ventura

CA

$138,361,171

$209

20

Access Community Health Network

19521

Chicago

IL

$138,231,760

$126

Fig 1. Data from Definitive Healthcare; Data is from January 2020 Medicare Cost Report release.