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HRSA Health Resources & Services Administration

National Health Center Program Uniform Data System (UDS) Awardee Data

Explore national Health Center Program awardee aggregated data on patient characteristics, services provided, clinical processes and health outcomes, patients' use of services, staffing, costs, and revenues by viewing expanded summaries of UDS tables and a summary of key UDS data measures over the last five years. Also see national Health Center Program look-alike UDS data.

Total Number of Reporting Program Awardees: 1,373

Reporting Period: 2021

Total Patients Served: 30,193,278

Reporting Source: Uniform Data System (UDS) Report

Community Health Center Quality Recognition (CHQR) Badges

The CHQR badges recognize Health Center Program awardees and LALs that have made notable quality improvement achievements in the areas of access, quality, health equity, and health information technology for the most recent UDS reporting period. Additionally, COVID-19 badges were introduced to recognize health centers’ contributions to the public health emergency response in the areas of data collection, testing, and vaccinations. Learn more.

National Quality Leader
2.84 %
Health Center Quality Leader - Gold
10.34 %
Health Center Quality Leader - Silver
9.61 %
Health Center Quality Leader - Bronze
9.54 %
Access Enhancer
38.16 %
Health Disparities Reducer
32.77 %
Advancing Health Information Technology (HIT) for Quality
66.86 %
COVID-19 Public Health Champion Badge
16.10 %
Social Risk Factors
24.84 %
Patient Centered Medical Home (PCMH)
77.00 %

Note that percentages represent the number of health center awardees that met the criteria for each CHQR badge from a denominator of health centers that reported UDS data.

Expanded Summaries of 2021 UDS Data Tables

The UDS includes tables that provide consistent demographic, clinical, operational, and financial data. View national aggregated summaries of UDS health center awardee data. For more detailed descriptions of UDS tables, visit the UDS Resources page to access UDS manuals and other reporting documentation.


Go to the HRSA Electronic Reading Room to download publicly available UDS data. Visit the Data Downloads page to download a list of federally-funded Health Center Service Delivery and Look–Alike Sites that provide health services.

UDS Data Five-Year Summary

Select five-year national summaries of awardee data: Age and Race/Ethnicity, Patient Characteristics, Services, Clinical, and Cost.

Age and Race / Ethnicity 2017 2018 2019 2020 2021
Total Patients 27,174,372 28,379,680 29,836,613 28,590,897 30,193,278
Age (% of total patients)
% Children (< 18 years) 30.89 % 30.78 % 30.85 % 27.53 % 28.60 %
Children (< 18 years) 8,395,134 8,736,509 9,204,942 7,872,249 8,635,363
% Adults (18 – 64 years) 60.41 % 60.05 % 59.55 % 62.21 % 60.51 %
Adults (18 – 64 years) 16,416,970 17,041,599 17,767,170 17,786,985 18,268,669
% Older Adults (Age 65 and over) 8.69 % 9.17 % 9.60 % 10.25 % 10.89 %
Older Adults (Age 65 and over) 2,362,268 2,601,572 2,864,501 2,931,663 3,289,246
Patients By Race & Ethnicity (% known)
% Racial and/or Ethnic Minority Patients 62.72 % 62.89 % 62.99 % 62.24 % 62.70 %
Number of Racial and/or Ethnic Minority Patients 16,157,234 16,825,443 17,642,962 16,563,363 17,638,232
% Hispanic/Latino Patients 35.76 % 36.27 % 36.84 % 36.78 % 37.14 %
Number of Hispanic/Latino Ethnicity Patients 9,400,723 9,906,024 10,533,244 10,002,076 10,673,102
% Non-Hispanic White Patients 41.07 % 41.09 % 40.99 % 41.72 % 41.35 %
Number of Non-Hispanic White Patients 9,603,574 9,928,725 10,365,550 10,049,171 10,494,843
% Asian Patients * 4.12 % 4.20 % 4.22 % 4.05 % 4.13 %
Number of Asian Patients * 962,844 1,015,820 1,067,956 974,555 1,047,142
% Native Hawaiian/Other Pacific Islander Patients * 1.13 % 1.11 % 1.12 % 1.03 % 1.00 %
Number of Native Hawaiian/Other Pacific Islander Patients * 264,289 267,477 283,177 247,872 253,768
% Black/African American Patients * 22.41 % 22.16 % 21.69 % 21.26 % 21.39 %
Number of Black/African American * 5,240,402 5,352,933 5,483,698 5,119,601 5,428,755
% American Indian/Alaska Native Patients * 1.36 % 1.38 % 1.45 % 1.46 % 1.53 %
Number of American Indian/Alaska Native Patients * 317,352 333,246 366,768 350,744 388,878
% More than one race Patients * 3.49 % 3.30 % 3.45 % 3.08 % 3.35 %
Number of Patients with More than one race * 815,025 796,788 872,436 742,472 849,793
Total Patients with Known Race Ethnicity (Denominator) 23,385,766 24,160,943 25,285,566 24,084,895 25,377,466
Total Racial and/or Ethnic Minority Patients (Denominator) 25,760,808 26,754,168 28,008,512 26,612,534 28,133,075
Total Hispanic/Latino & Non-Hispanic Latino Patients (Denominator for Hispanic/Latino Ethnicity) 26,291,661 27,314,966 28,593,716 27,192,147 28,737,125
Language (% known)
% Best Served in a Language other than English 23.72 % 23.63 % 24.66 % 24.37 % 24.48 %
Number of Patients Best Served in a Language Other than English 6,446,929 6,706,410 7,356,355 6,968,664 7,392,089
Patient Characteristics 2017 2018 2019 2020 2021
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 19,498,453 20,373,081 21,353,559 19,379,321 20,132,819
% Patients at or Below 200% of Federal Poverty Guideline 91.48 % 91.33 % 91.06 % 90.62 % 89.65 %
Patients at or Below 200% of Federal Poverty Guideline 17,836,567 18,607,652 19,445,538 17,562,189 18,049,520
% Patients at or Below 100% of Federal Poverty Guideline (included in above) 69.15 % 68.23 % 67.97 % 67.95 % 66.71 %
Patients at or Below 100% of Federal Poverty Guideline (included in above) 13,483,840 13,899,913 14,514,557 13,167,692 13,430,748
Insurance Status (% of total patients)
% None/Uninsured Patients 22.88 % 22.62 % 22.74 % 21.82 % 20.33 %
None/Uninsured Patients 6,216,811 6,419,472 6,783,710 6,239,691 6,137,142
% None/Uninsured Children (<18 years) 12.70 % 12.52 % 12.98 % 11.26 % 11.08 %
None/Uninsured Children (<18 years) 1,066,596 1,093,990 1,194,385 886,242 956,681
% Medicaid/CHIP Patients * 49.64 % 49.00 % 48.20 % 46.87 % 48.37 %
Medicaid/CHIP Patients * 13,490,591 13,905,805 14,380,852 13,399,492 14,603,362
% Medicare Patients 9.40 % 9.66 % 9.81 % 10.40 % 10.64 %
Medicare Patients 2,555,311 2,741,037 2,927,781 2,973,398 3,213,948
% Dually Eligible (Medicare and Medicaid) 3.82 % 3.74 % 3.77 % 3.92 % 4.02 %
Dually Eligible (Medicare and Medicaid) 1,038,609 1,062,522 1,125,689 1,120,141 1,213,383
% Other Third-Party Patients 18.07 % 18.72 % 19.25 % 20.91 % 20.66 %
Other Third-Party Patients 4,911,659 5,313,366 5,744,270 5,978,316 6,238,826
Total Patients 27,174,372 28,379,680 29,836,613 28,590,897 30,193,278
Children (< 18 years) 8,395,134 8,736,509 9,204,942 7,872,249 8,635,363
Special Populations
% Homeless Patients 5.01 % 4.98 % 4.89 % 4.50 % 4.29 %
Total Homeless Patients 1,361,675 1,413,256 1,459,446 1,287,854 1,294,327
% Total Agricultural Workers or Dependents 3.58 % 3.51 % 3.46 % 3.42 % 3.36 %
Total Agricultural Workers or Dependents 972,251 995,232 1,031,049 977,744 1,015,162
% Public Housing Patients 12.75 % 15.56 % 17.31 % 18.14 % 18.93 %
Total Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 3,466,074 4,415,160 5,165,074 5,187,617 5,714,900
% School-Based Health Center Patients 2.95 % 2.89 % 2.97 % 2.30 % 2.54 %
School-Based Health Center Patients 802,630 819,177 885,553 658,551 767,053
% Veterans Patients 1.31 % 1.36 % 1.34 % 1.32 % 1.29 %
Veterans Patients 355,648 385,222 398,788 376,634 388,939
Number of Female Patients (ages 15-44) 7,014,487 7,262,983 7,560,990 7,406,262 7,643,391
% Patients Under 15 Who are Female 22.20 % 22.14 % 22.21 % 19.72 % 20.40 %
Number of Patients Under 15 Who are Female 3,483,223 3,623,192 3,809,299 3,243,739 3,532,072
Patients 15-64 Who are Female 68.86 % 68.46 % 67.98 % 69.89 % 68.54 %
Number of Patients 15-64 Who are Female 10,802,779 11,201,800 11,661,973 11,496,767 11,866,774
Patients 65 and Over Who are Female 8.94 % 9.39 % 9.81 % 10.39 % 11.06 %
Number of Patients 65 and Over Who are Female 1,401,777 1,536,363 1,682,905 1,709,071 1,915,154
Total Female Patients (Denominator) 15,687,779 16,361,355 17,154,177 16,449,577 17,314,000
% Transgender Man/Transgender Male/Transgender Masculine (% of known) 0.24 % 0.23 % 0.16 % 0.17 % 0.19 %
% Transgender Woman/Transgender Female/Transgender Feminine (% of known) 0.20 % 0.17 % 0.14 % 0.17 % 0.19 %
Services (% of patients) 2017 2018 2019 2020 2021
% Medical Patients 84.15 % 83.96 % 83.89 % 85.79 % 85.31 %
Medical Patients 22,866,468 23,827,122 25,029,835 24,529,374 25,759,024
% Dental Patients 22.51 % 22.57 % 22.50 % 18.03 % 18.88 %
Dental Patients 6,116,732 6,406,667 6,712,204 5,155,619 5,701,053
% Mental Health Patients 7.54 % 7.93 % 8.65 % 8.79 % 8.81 %
Mental Health Patients 2,049,194 2,249,876 2,581,706 2,512,287 2,659,308
% Substance Use Disorder Patients 0.62 % 0.79 % 1.09 % 1.03 % 0.95 %
Substance Use Disorder Patients 168,508 223,390 325,732 294,645 285,666
% Vision Patients 2.47 % 2.63 % 2.78 % 2.14 % 2.55 %
Vision Patients 670,973 746,087 828,977 612,163 769,234
% Enabling Services Patients 9.38 % 9.14 % 8.74 % 7.30 % 7.42 %
Enabling Services Patients 2,549,897 2,593,393 2,608,861 2,085,916 2,241,480
Total Patients 27,174,372 28,379,680 29,836,613 28,590,897 30,193,278
Clinical Data 2017 2018 2019 2020 2021
Patients
Medical Conditions (% of Patients with Medical Conditions)
% Hypertension Patients * 27.12 % 27.57 % 28.17 % 28.89 % 30.45 %
Number of Hypertension Patients * 4,240,467 4,497,046 4,820,688 5,079,953 5,534,358
% Diabetes Patients * 14.98 % 15.20 % 15.28 % 14.70 % 15.28 %
Number of Diabetes Patients * 2,266,902 2,395,226 2,521,656 2,492,981 2,670,931
% Asthma 5.57 % 5.50 % 5.41 % 5.27 % 5.01 %
Number of Asthma Patients 1,272,531 1,309,728 1,353,710 1,292,512 1,289,444
% Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 0.72 % 0.80 % 0.78 % 0.77 % 0.78 %
Number of Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 165,745 191,717 196,218 189,970 200,006
Prenatal
Number of Prenatal Care Patients 573,026 563,740 583,328 551,990 544,611
Number of Prenatal Care Patients who Delivered 299,373 300,100 312,956 299,442 284,198
Quality of Care Measures
Perinatal Health
Early Entry into Prenatal Care (first visit in first trimester) 73.97 % 73.82 % 73.81 % 73.48 % 74.08 %
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 423,872 416,147 430,566 405,628 403,427
% Low and Very Low Birth Weight 8.03 % 8.00 % 8.05 % 8.18 % 8.57 %
Number of Newborns with Low Birth Weight 24,023 23,951 25,011 24,403 24,332
Preventive Health Screening & Services
Cervical Cancer Screening * 55.67 % 55.95 % 56.53 % 51.00 % 52.95 %
Number of Cervical Cancer Screening Patients * 3,894,117 3,996,179 4,184,135 3,807,992 4,025,004
Breast Cancer Screening 45.34 % 46.29 %
Number of Female Patients Aged 51 through 73 who had a mammogram to screen for breast cancer 1,438,426 1,557,112
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents * 65.85 % 69.16 % 71.21 % 65.13 % 68.72 %
Number of Children Age 3-16 with Weight Assessment and Counseling for Nutrition and Physical Activity * 3,288,504 3,549,030 3,870,784 3,032,670 3,602,381
Body Mass Index (BMI) Screening and Follow-Up Plan * 63.85 % 70.15 % 72.43 % 65.72 % 61.32 %
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up * 9,527,334 10,860,741 11,763,627 10,118,632 9,823,612
Percent Adults Screened for Tobacco Use and Receiving Cessation Intervention * 87.50 % 88.09 % 87.17 % 83.43 % 82.34 %
Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling * 10,309,070 10,576,939 11,060,418 10,085,837 10,747,935
Colorectal Cancer Screening * 42.02 % 44.11 % 45.56 % 40.09 % 41.93 %
Number of Patients Screened for Colorectal Cancer * 2,271,055 2,491,769 2,741,612 2,448,976 2,680,583
Childhood Immunization Status * 40.24 % 39.44 % 39.75 % 40.42 % 38.06 %
Number of Children Under Age 3 Who Received Appropriate Childhood Immunizations * 154,557 156,116 163,156 147,992 145,398
Screening for Depression and Follow-Up Plan * 66.15 % 70.57 % 71.61 % 64.21 % 67.42 %
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented * 9,904,540 10,836,660 11,569,790 10,280,203 10,949,757
Depression Remission at Twelve Months 13.69 % 13.84 %
Number of Patients 12 years of age and older with major depression or dysthymia who reached remission 12 months (+/- 60 days) after an index event 69,303 59,994
Dental Sealants for Children between 6-9 Years 50.71 % 52.80 % 56.80 % 48.68 % 55.91 %
Number of Children Age 6-9 Who Received Dental Sealants 135,142 142,158 143,565 81,624 123,262
HIV Screening 32.29 % 38.09 %
Number of Patients 15 through 65 years of age who were tested for HIV when within age range 4,911,370 6,186,945
Chronic Disease Management
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease * 70.09 % 71.92 % 73.10 %
Number of Patients Aged 21 and Older at High Risk of Cardiovascular Events who were Prescribed or were on Statin Therapy * 1,923,784 2,050,240 2,342,484
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet * 79.27 % 80.86 % 80.78 % 78.80 % 78.25 %
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic * 431,614 433,242 460,054 450,603 467,672
Controlling High Blood Pressure * 62.71 % 63.26 % 64.62 % 57.98 % 60.15 %
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) * 2,659,309 2,844,723 3,115,128 2,945,580 3,329,017
Diabetes: Hemoglobin A1c Poor Control * 32.95 % 32.79 % 31.95 % 35.60 % 32.29 %
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year * 746,932 785,346 805,728 887,573 862,510
% of Patients seen for follow-up within 30 days of first ever HIV diagnosis 84.52 % 85.55 % 87.21 % 81.41 % 82.70 %
Number of HIV Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 6,812 6,729 6,248 5,132 6,042
Cost Data 2017 2018 2019 2020 2021
Total Health Center Cluster $4,599,152,286 $4,718,365,832 $4,929,883,133 $4,734,433,643 $5,181,329,158
Total Cost $25,597,401,177 $28,100,675,862 $31,161,368,639 $33,074,410,001 $36,793,239,742
Total Accrued Cost per Patient $941.97 $990.17 $1,044.40 $1,156.82 $1,218.59

Footnotes

'-' Data cannot be calculated or has been suppressed for confidentiality purposes.

Cells that are shaded blue represent data that was not reported or null values.

View Detailed UDS Footnotes

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