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

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FQHC NameDefinitive IDCityStateTotal CostsTotal Cost Per VisitExplore This Dataset
1Borrego Community Health Foundation18720RiversideCA$929,285,933$298Explore This Profile
2Family Health Centers of San Diego Inc19331San DiegoCA$749,758,603$467Explore This Profile
3Omni Family Health19264BakersfieldCA$580,671,282$177Explore This Profile
4Yakima Valley Farm Workers Clinic19399YakimaWA$539,717,151$155Explore This Profile
5Golden Valley Health Centers18976MercedCA$425,093,426$213Explore This Profile
6Multnomah County19261PortlandOR$306,599,988$500Explore This Profile
7Hudson River Healthcare Inc18855PeekskillNY$298,463,327$195Explore This Profile
8El Rio Santa Cruz Neighborhood Health Center Inc19360TucsonAZ$287,467,008$239Explore This Profile
9Santa Rosa Community Health Centers18700Santa RosaCA$275,150,665$221Explore This Profile
10WellSpace Health963305SacramentoCA$255,099,696$262Explore This Profile
11Sea Mar Community Health Centers19207SeattleWA$228,785,296$281Explore This Profile
12OneWorld Community Health Centers Inc19417OmahaNE$225,900,479$184Explore This Profile
13Family Healthcare Network19648VisaliaCA$225,869,715$205Explore This Profile
14Advocates for A Healthy Community Inc (AKA Jordan Valley Community Health Center - Marshfield Clinic)19085MarshfieldMO$213,548,686$182Explore This Profile
15San Ysidro Health19635El CajonCA$174,768,370$281Explore This Profile
16County of Santa Clara FQHC19226San JoseCA$170,730,391$428Explore This Profile
17Community Health Centers of the Central Coast Inc18628Santa MariaCA$155,063,864$182Explore This Profile
18Ingham County Health Department19570LansingMI$149,683,027$244Explore This Profile
19Ventura County Health Care Agency19169VenturaCA$138,361,171$209Explore This Profile
20Access Community Health Network19521ChicagoIL$138,231,760$126Explore This Profile

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