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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: 1,363

Reporting Period: 2023

Total Patients Served: 31,277,341

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. Learn more.

National Quality Leader
4.48%
Health Center Quality Leader - Gold
10.64%
Health Center Quality Leader - Silver
11.74%
Health Center Quality Leader - Bronze
9.10%
Access Enhancer
25.02%
Health Disparities Reducer
21.94%
Advancing Health Information Technology (HIT) for Quality
70.14%
Social Risk Factors
28.61%
Patient Centered Medical Home (PCMH)
77.87%
UDS+ Early Adopter
19.44%

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 2023 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 2019 2020 2021 2022 2023
Total Patients 29,836,613 28,590,897 30,193,278 30,517,276 31,277,341
Age (% of total patients)
% Children (< 18 years) 30.85% 27.53% 28.60% 28.92% 29.13%
Children (< 18 years) 9,204,942 7,872,249 8,635,363 8,824,109 9,110,850
% Adults (18 – 64 years) 59.55% 62.21% 60.51% 59.43% 59.02%
Adults (18 – 64 years) 17,767,170 17,786,985 18,268,669 18,137,909 18,458,338
% Older Adults (Age 65 and over) 9.60% 10.25% 10.89% 11.65% 11.86%
Older Adults (Age 65 and over) 2,864,501 2,931,663 3,289,246 3,555,258 3,708,153
Patients By Race & Ethnicity (% known)
% Racial and/or Ethnic Minority Patients 62.99% 62.24% 62.70% 63.24% 63.46%
Number of Racial and/or Ethnic Minority Patients 17,642,962 16,563,363 17,638,232 17,932,289 18,373,207
% Hispanic, Latino/a, or Spanish Origin Patients 36.84% 36.78% 37.14% 38.07% 38.68%
Number of Hispanic, Latino/a, or Spanish Origin Ethnicity Patients 10,533,244 10,002,076 10,673,102 11,038,543 11,467,937
% Non-Hispanic, Latino/a, or Spanish Origin White Patients 40.99% 41.72% 41.35% 40.99% 41.01%
Number of Non-Hispanic, Latino/a, or Spanish Origin White Patients 10,365,550 10,049,171 10,494,843 10,423,737 10,578,566
% Total Asian Patients * 4.22% 4.05% 4.13% 4.21% 4.19%
Number of Total Asian Patients * 1,067,956 974,555 1,047,142 1,071,145 1,081,359
% Native Hawaiian/Other Pacific Islander Patients * 1.12% 1.03% 1.00% 1.06% 0.94%
Number of Native Hawaiian/Other Pacific Islander Patients * 283,177 247,872 253,768 270,622 241,195
% Black/African American Patients * 21.69% 21.26% 21.39% 21.05% 20.94%
Number of Black/African American * 5,483,698 5,119,601 5,428,755 5,352,221 5,400,856
% American Indian/Alaska Native Patients * 1.45% 1.46% 1.53% 1.62% 1.71%
Number of American Indian/Alaska Native Patients * 366,768 350,744 388,878 411,582 440,161
% More than one race Patients * 3.45% 3.08% 3.35% 3.23% 3.08%
Number of Patients with More than one race * 872,436 742,472 849,793 820,753 795,284
Total Patients with Known Race Ethnicity (Denominator) 25,285,566 24,084,895 25,377,466 25,432,218 25,791,946
Total Racial and/or Ethnic Minority Patients (Denominator) 28,008,512 26,612,534 28,133,075 28,356,026 28,951,773
Total Hispanic, Latino/a, or Spanish Origin & Non-Hispanic, Latino/a, or Spanish Origin Patients (Denominator for Hispanic, Latino/a, or Spanish Origin Ethnicity) 28,593,716 27,192,147 28,737,125 28,998,574 29,648,462
Language (% known)
% Best Served in a Language other than English 24.66% 24.37% 24.48% 25.75% 26.75%
Number of Patients Best Served in a Language Other than English 7,356,355 6,968,664 7,392,089 7,858,862 8,367,665
Patient Characteristics 2019 2020 2021 2022 2023
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 21,353,559 19,379,321 20,132,819 20,550,797 21,420,050
% Patients at or Below 200% of Federal Poverty Guideline 91.06% 90.62% 89.65% 89.66% 89.89%
Patients at or Below 200% of Federal Poverty Guideline 19,445,538 17,562,189 18,049,520 18,425,208 19,254,933
% Patients at or Below 100% of Federal Poverty Guideline (included in above) 67.97% 67.95% 66.71% 66.32% 67.26%
Patients at or Below 100% of Federal Poverty Guideline (included in above) 14,514,557 13,167,692 13,430,748 13,628,736 14,407,697
Insurance Status (% of total patients)
% None/Uninsured Patients 22.74% 21.82% 20.33% 18.62% 17.91%
None/Uninsured Patients 6,783,710 6,239,691 6,137,142 5,681,091 5,601,394
% None/Uninsured Children (<18 years) 12.98% 11.26% 11.08% 11.07% 11.16%
None/Uninsured Children (<18 years) 1,194,385 886,242 956,681 976,997 1,016,341
% Medicaid/CHIP Patients * 48.20% 46.87% 48.37% 50.24% 50.44%
Medicaid/CHIP Patients * 14,380,852 13,399,492 14,603,362 15,331,626 15,777,227
% Medicare Patients 9.81% 10.40% 10.64% 10.91% 10.98%
Medicare Patients 2,927,781 2,973,398 3,213,948 3,330,422 3,434,008
% Dually Eligible (Medicare and Medicaid) 3.77% 3.92% 4.02% 4.20% 4.32%
Dually Eligible (Medicare and Medicaid) 1,125,689 1,120,141 1,213,383 1,280,837 1,351,298
% Other Third-Party Patients 19.25% 20.91% 20.66% 20.23% 20.67%
Other Third-Party Patients 5,744,270 5,978,316 6,238,826 6,174,137 6,464,712
Total Patients 29,836,613 28,590,897 30,193,278 30,517,276 31,277,341
Children (< 18 years) 9,204,942 7,872,249 8,635,363 8,824,109 9,110,850
Special Populations
% Homeless Patients 4.89% 4.50% 4.29% 4.45% 4.63%
Total Homeless Patients 1,459,446 1,287,854 1,294,327 1,357,683 1,447,033
% Total Agricultural Workers or Their Family Members 3.46% 3.42% 3.36% 3.25% 3.24%
Total Agricultural Workers or Their Family Members 1,031,049 977,744 1,015,162 991,558 1,014,726
% Public Housing Patients 17.31% 18.14% 18.93% 20.07% 20.61%
Total Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 5,165,074 5,187,617 5,714,900 6,125,721 6,447,050
% School-Based Service Site Patients 2.97% 2.30% 2.54% 3.12% 3.56%
School-Based Service Site Patients 885,553 658,551 767,053 952,390 1,112,671
% Veterans Patients 1.34% 1.32% 1.29% 1.30% 1.29%
Veterans Patients 398,788 376,634 388,939 395,216 404,837
Number of Female Patients (ages 15-44) 7,560,990 7,406,262 7,643,391 7,679,392 7,879,043
% Patients Under 15 Who are Female 22.21% 19.72% 20.40% 20.35% 20.41%
Number of Patients Under 15 Who are Female 3,809,299 3,243,739 3,532,072 3,568,131 3,671,080
Patients 15-64 Who are Female 67.98% 69.89% 68.54% 67.86% 67.62%
Number of Patients 15-64 Who are Female 11,661,973 11,496,767 11,866,774 11,900,625 12,159,535
Patients 65 and Over Who are Female 9.81% 10.39% 11.06% 11.79% 11.97%
Number of Patients 65 and Over Who are Female 1,682,905 1,709,071 1,915,154 2,067,828 2,152,167
Total Female Patients (Denominator) 17,154,177 16,449,577 17,314,000 17,536,584 17,982,782
Patients by Sexual Orientation
% Lesbian or Gay (% of known) 2.00% 1.98% 1.97% 1.94% 1.91%
% Heterosexual or Straight (% of known) 96.05% 96.01% 95.75% 95.42% 95.36%
% Bisexual (% of known) 1.29% 1.44% 1.60% 1.75% 1.81%
% Other (% of known) 0.65% 0.57% 0.69% 0.88% 0.92%
% Don't know (% of total) 36.63% 4.07% 3.78% 3.60% 3.69%
% Chose Not to Disclose (% of total) 9.00% 8.87% 7.98% 8.38% 8.54%
% Unknown (% of total) 30.58% 28.92% 26.41% 23.81%
Patients by Gender Identity
% Male (% of known) 29.80% 39.83% 40.92% 40.92% 41.03%
% Female (% of known) 42.73% 57.26% 58.69% 58.64% 58.52%
% Transgender Man/Transgender Male/Transmasculine (% of known) 0.16% 0.17% 0.19% 0.22% 0.22%
% Transgender Woman/Transgender Female/Transfeminine (% of known) 0.14% 0.17% 0.20% 0.23% 0.23%
% Other (% of total) 26.11% 1.84% 0.87% 0.66% 0.44%
% Chose Not to Disclose (% of total) 3.91% 3.47% 3.04% 2.80% 2.19%
% Unknown (% of total) 25.05% 23.81% 21.22% 18.98%
Services (% of patients) 2019 2020 2021 2022 2023
% Medical Patients 83.89% 85.79% 85.31% 84.92% 84.99%
Medical Patients 25,029,835 24,529,374 25,759,024 25,915,807 26,581,300
% Dental Patients 22.50% 18.03% 18.88% 19.73% 20.41%
Dental Patients 6,712,204 5,155,619 5,701,053 6,019,824 6,382,939
% Mental Health Patients 8.65% 8.79% 8.81% 8.94% 8.92%
Mental Health Patients 2,581,706 2,512,287 2,659,308 2,729,598 2,790,257
% Substance Use Disorder Patients 1.09% 1.03% 0.95% 0.98% 0.94%
Substance Use Disorder Patients 325,732 294,645 285,666 298,661 294,241
% Vision Patients 2.78% 2.14% 2.55% 2.71% 2.94%
Vision Patients 828,977 612,163 769,234 828,014 920,558
% Enabling Services Patients 8.74% 7.30% 7.42% 7.79% 8.17%
Enabling Services Patients 2,608,861 2,085,916 2,241,480 2,377,210 2,555,236
Total Patients 29,836,613 28,590,897 30,193,278 30,517,276 31,277,341
Clinical Data 2019 2020 2021 2022 2023
Patients
Medical Conditions (% of Patients with Medical Conditions)
% Hypertension Patients * 28.17% 28.89% 30.45% 28.21% 28.27%
Number of Hypertension Patients * 4,820,688 5,079,953 5,534,358 5,129,914 5,258,849
% Diabetes Patients * 15.28% 14.70% 15.28% 16.02% 16.55%
Number of Diabetes Patients * 2,521,656 2,492,981 2,670,931 2,788,994 2,942,975
% Asthma 5.41% 5.27% 5.01% 5.22% 5.35%
Number of Asthma Patients 1,353,710 1,292,512 1,289,444 1,352,798 1,421,084
% Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 0.78% 0.77% 0.78% 0.77% 0.78%
Number of Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 196,218 189,970 200,006 199,442 207,970
Prenatal
Number of Prenatal Care Patients 583,328 551,990 544,611 559,559 585,135
Number of Prenatal Care Patients who Delivered 312,956 299,442 284,198 304,853 310,657
Quality of Care Measures
Perinatal Health
Early Entry into Prenatal Care (first visit in first trimester) 73.81% 73.48% 74.08% 71.99% 70.98%
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 430,566 405,628 403,427 402,837 415,333
% Low and Very Low Birth Weight 8.05% 8.18% 8.57% 8.43% 8.59%
Number of Newborns with Low Birth Weight 25,011 24,403 24,332 25,532 26,450
Preventive Health Screening & Services
Cervical Cancer Screening * 56.53% 51.00% 52.95% 53.99% 54.96%
Number of Cervical Cancer Screening Patients * 4,184,135 3,807,992 4,025,004 4,084,322 4,278,162
Breast Cancer Screening 45.34% 46.29% 50.28% 52.40%
Number of Female Patients Aged 52 through 74 who had a mammogram to screen for breast cancer 1,438,426 1,557,112 1,719,755 1,851,976
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents * 71.21% 65.13% 68.72% 69.81% 71.50%
Number of Children Age 3-17 with Weight Assessment and Counseling for Nutrition and Physical Activity * 3,870,784 3,032,670 3,602,381 3,824,381 4,351,097
Body Mass Index (BMI) Screening and Follow-Up Plan * 72.43% 65.72% 61.32% 61.04% 67.13%
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up * 11,763,627 10,118,632 9,823,612 9,960,541 11,734,256
Percent Adults Screened for Tobacco Use and Receiving Cessation Intervention * 87.17% 83.43% 82.34% 84.60% 84.90%
Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling * 11,060,418 10,085,837 10,747,935 11,228,127 12,172,683
Colorectal Cancer Screening * 45.56% 40.09% 41.93% 42.82% 41.10%
Number of Patients Screened for Colorectal Cancer * 2,741,612 2,448,976 2,680,583 2,769,337 3,306,873
Childhood Immunization Status * 39.75% 40.42% 38.06% 33.23% 30.23%
Number of Children Under Age 3 Who Received Appropriate Childhood Immunizations * 163,156 147,992 145,398 128,032 116,832
Screening for Depression and Follow-Up Plan * 71.61% 64.21% 67.42% 70.02% 71.60%
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented * 11,569,790 10,280,203 10,949,757 11,200,559 11,636,325
Depression Remission at Twelve Months 13.69% 13.84% 13.64% 13.60%
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 63,348 71,766
Dental Sealants for Children between 6-9 Years 56.80% 48.68% 55.91% 58.39% 58.80%
Number of Children Age 6-9 Who Received Dental Sealants 143,565 81,624 123,262 141,407 155,731
HIV Screening 32.29% 38.09% 43.82% 48.45%
Number of Patients 15 through 65 years of age who were tested for HIV when within age range 4,911,370 6,186,945 7,156,718 8,137,284
Chronic Disease Management
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease * 70.09% 71.92% 73.10% 76.07% 77.31%
Number of Patients at High Risk of Cardiovascular Events who were Prescribed or were on Statin Therapy * 1,923,784 2,050,240 2,342,484 2,790,147 2,990,303
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet * 80.78% 78.80% 78.25% 76.83% 75.78%
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic * 460,054 450,603 467,672 484,807 510,980
Controlling High Blood Pressure * 64.62% 57.98% 60.15% 63.40% 65.68%
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) * 3,115,128 2,945,580 3,329,017 3,252,248 3,454,116
Diabetes: Hemoglobin A1c Poor Control * 31.95% 35.60% 32.29% 30.42% 28.81%
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year * 805,728 887,573 862,510 848,339 847,847
% of Patients seen for follow-up within 30 days of first ever HIV diagnosis 87.21% 81.41% 82.70% 82.20% 79.65%
Number of HIV Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 6,248 5,132 6,042 5,936 6,616
Cost Data 2019 2020 2021 2022 2023
Total Health Center Cluster $4,929,883,133 $4,734,433,643 $5,181,329,158 $5,042,113,995 $5,078,647,217
Total Cost $31,161,368,639 $33,074,410,001 $36,793,239,742 $40,863,346,675 $46,011,772,825
Total Accrued Cost per Patient $1,044.40 $1,156.82 $1,218.59 $1,339.02 $1,471.09

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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