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HRSA Health Resources & Services Administration

California Health Center Program Uniform Data System (UDS) Data

Total Number of Reporting Program Awardees: 172

Reporting Period: 2023

Total Patients Served: 5,457,053

Reporting Source: Uniform Data System (UDS) Report

Expanded Summaries for 2023 UDS Data Tables

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UDS Data Five-Year Summary

Age and Race / Ethnicity 2019 2020 2021 2022 2023
Total Patients 5,337,143 5,162,835 5,239,583 5,312,677 5,457,053
Age (% of total patients)
% Children (< 18 years) 32.42% 28.93% 29.82% 29.71% 29.41%
Children (< 18 years) 1,730,479 1,493,673 1,562,593 1,578,243 1,604,818
% Adults (18 – 64 years) 59.17% 62.19% 60.74% 59.95% 59.78%
Adults (18 – 64 years) 3,157,990 3,210,695 3,182,533 3,185,084 3,261,971
% Older Adults (Age 65 and over) 8.41% 8.88% 9.44% 10.34% 10.82%
Older Adults (Age 65 and over) 448,674 458,467 494,457 549,350 590,264
Patients By Race & Ethnicity (% known)
% Racial and/or Ethnic Minority Patients 78.81% 78.84% 79.71% 80.32% 80.34%
Number of Racial and/or Ethnic Minority Patients 3,956,917 3,784,937 3,851,817 3,930,285 3,956,421
% Hispanic, Latino/a, or Spanish Origin Patients 61.83% 62.38% 62.67% 63.26% 63.26%
Number of Hispanic, Latino/a, or Spanish Origin Ethnicity Patients 3,176,742 3,066,928 3,098,149 3,167,655 3,210,084
% Non-Hispanic, Latino/a, or Spanish Origin White Patients 24.92% 24.91% 24.01% 23.43% 23.90%
Number of Non-Hispanic, Latino/a, or Spanish Origin White Patients 1,063,645 1,015,963 980,624 962,907 968,343
% Total Asian Patients * 9.19% 9.07% 9.52% 9.62% 9.72%
Number of Total Asian Patients * 392,298 370,112 388,614 395,351 393,975
% Native Hawaiian/Other Pacific Islander Patients * 0.73% 0.69% 0.74% 0.77% 0.72%
Number of Native Hawaiian/Other Pacific Islander Patients * 31,272 28,303 30,277 31,702 29,038
% Black/African American Patients * 7.51% 7.14% 7.50% 7.56% 7.53%
Number of Black/African American * 320,590 291,137 306,374 310,751 305,107
% American Indian/Alaska Native Patients * 1.14% 1.13% 1.17% 1.29% 1.60%
Number of American Indian/Alaska Native Patients * 48,853 46,003 47,879 53,052 64,691
% More than one race Patients * 3.49% 2.88% 3.39% 3.56% 3.02%
Number of Patients with More than one race * 148,980 117,579 138,433 146,178 122,360
Total Patients with Known Race Ethnicity (Denominator) 4,267,679 4,079,336 4,083,443 4,109,604 4,051,537
Total Racial and/or Ethnic Minority Patients (Denominator) 5,020,562 4,800,900 4,832,441 4,893,192 4,924,764
Total Hispanic, Latino/a, or Spanish Origin & Non-Hispanic, Latino/a, or Spanish Origin Patients (Denominator for Hispanic, Latino/a, or Spanish Origin Ethnicity) 5,137,922 4,916,443 4,943,818 5,007,665 5,074,762
Language (% known)
% Best Served in a Language other than English 35.52% 36.96% 36.39% 37.16% 38.66%
Number of Patients Best Served in a Language Other than English 1,896,020 1,908,233 1,906,437 1,974,382 2,109,461
Patient Characteristics 2019 2020 2021 2022 2023
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 4,363,725 3,980,174 3,940,744 4,012,118 4,138,624
% Patients at or Below 200% of Federal Poverty Guideline 94.92% 94.73% 93.22% 93.23% 93.34%
Patients at or Below 200% of Federal Poverty Guideline 4,142,004 3,770,393 3,673,391 3,740,387 3,863,009
% Patients at or Below 100% of Federal Poverty Guideline (included in above) 72.60% 72.50% 70.73% 69.96% 71.67%
Patients at or Below 100% of Federal Poverty Guideline (included in above) 3,168,116 2,885,813 2,787,129 2,806,934 2,966,100
Insurance Status (% of total patients)
% None/Uninsured Patients 19.08% 19.40% 18.13% 15.20% 13.40%
None/Uninsured Patients 1,018,342 1,001,376 950,188 807,779 731,044
% None/Uninsured Children (<18 years) 7.74% 7.55% 7.34% 6.77% 6.20%
None/Uninsured Children (<18 years) 133,919 112,783 114,748 106,903 99,452
% Medicaid/CHIP Patients * 65.13% 63.37% 64.28% 67.17% 69.20%
Medicaid/CHIP Patients * 3,475,979 3,271,636 3,368,083 3,568,530 3,776,200
% Medicare Patients 6.98% 7.44% 7.59% 7.88% 8.08%
Medicare Patients 372,424 383,937 397,473 418,685 440,771
% Dually Eligible (Medicare and Medicaid) 4.01% 4.09% 4.31% 4.49% 4.95%
Dually Eligible (Medicare and Medicaid) 214,249 211,343 225,662 238,544 270,359
% Other Third-Party Patients 8.81% 9.80% 10.00% 9.74% 9.33%
Other Third-Party Patients 470,398 505,886 523,839 517,683 509,038
Total Patients 5,337,143 5,162,835 5,239,583 5,312,677 5,457,053
Children (< 18 years) 1,730,479 1,493,673 1,562,593 1,578,243 1,604,818
Special Populations
% Homeless Patients 6.81% 6.39% 6.35% 6.26% 6.39%
Total Homeless Patients 363,485 329,680 332,959 332,375 348,969
% Total Agricultural Workers or Their Family Members 9.96% 10.61% 10.71% 9.73% 9.47%
Total Agricultural Workers or Their Family Members 531,322 547,817 560,993 516,880 516,973
% Public Housing Patients 5.54% 7.32% 7.52% 8.24% 10.16%
Total Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 295,573 378,060 394,208 437,828 554,699
% School-Based Service Site Patients 2.33% 1.77% 1.66% 2.17% 2.51%
School-Based Service Site Patients 124,612 91,199 87,173 115,216 137,107
% Veterans Patients 0.71% 0.69% 0.63% 0.62% 0.61%
Veterans Patients 37,753 35,653 33,227 32,791 33,411
Number of Female Patients (ages 15-44) 1,343,817 1,328,538 1,320,339 1,322,499 1,360,790
% Patients Under 15 Who are Female 23.63% 21.10% 21.58% 21.15% 20.78%
Number of Patients Under 15 Who are Female 720,925 621,669 644,850 641,130 647,309
Patients 15-64 Who are Female 67.89% 69.94% 68.90% 68.41% 68.33%
Number of Patients 15-64 Who are Female 2,071,091 2,061,032 2,058,782 2,073,717 2,128,939
Patients 65 and Over Who are Female 8.48% 8.96% 9.52% 10.43% 10.90%
Number of Patients 65 and Over Who are Female 258,713 263,955 284,456 316,247 339,549
Total Female Patients (Denominator) 3,050,729 2,946,656 2,988,088 3,031,094 3,115,797
Services (% of patients) 2019 2020 2021 2022 2023
% Medical Patients 84.82% 86.73% 88.24% 87.72% 88.26%
Medical Patients 4,526,844 4,477,950 4,623,611 4,660,382 4,816,360
% Dental Patients 24.88% 19.23% 18.78% 19.92% 21.31%
Dental Patients 1,327,895 992,738 984,197 1,058,504 1,162,682
% Mental Health Patients 6.81% 6.56% 6.76% 6.80% 6.99%
Mental Health Patients 363,526 338,617 354,108 361,022 381,304
% Substance Use Disorder Patients 0.91% 0.86% 0.81% 0.80% 0.78%
Substance Use Disorder Patients 48,761 44,152 42,693 42,602 42,713
% Vision Patients 4.93% 3.70% 4.99% 5.57% 6.22%
Vision Patients 263,125 191,175 261,629 296,021 339,597
% Enabling Services Patients 11.28% 9.76% 9.88% 10.45% 10.89%
Enabling Services Patients 602,102 504,093 517,892 554,941 594,005
Total Patients 5,337,143 5,162,835 5,239,583 5,312,677 5,457,053
Clinical Data 2019 2020 2021 2022 2023
Patients
Medical Conditions (% of Patients with Medical Conditions)
% Hypertension Patients * 23.92% 24.53% 26.39% 24.59% 24.30%
Number of Hypertension Patients * 725,083 773,897 848,318 797,058 817,250
% Diabetes Patients * 15.98% 15.28% 16.16% 17.04% 17.47%
Number of Diabetes Patients * 469,730 467,953 503,072 533,125 565,642
% Asthma 4.88% 5.00% 4.39% 4.69% 4.77%
Number of Asthma Patients 220,814 223,966 202,872 218,423 229,525
% Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 0.75% 0.73% 0.71% 0.73% 0.73%
Number of Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 33,958 32,642 32,870 34,144 35,046
Prenatal
Number of Prenatal Care Patients 116,077 114,568 113,180 115,691 119,530
Number of Prenatal Care Patients who Delivered 63,214 61,401 61,091 64,227 63,668
Quality of Care Measures
Perinatal Health
Early Entry into Prenatal Care (first visit in first trimester) 77.71% 76.71% 77.09% 75.77% 75.24%
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 90,200 87,885 87,250 87,654 89,930
% Low and Very Low Birth Weight 6.80% 6.77% 7.34% 7.06% 7.68%
Number of Newborns with Low Birth Weight 4,177 4,126 4,468 4,487 4,806
Preventive Health Screening & Services
Cervical Cancer Screening * 60.40% 52.48% 55.24% 57.51% 59.40%
Number of Cervical Cancer Screening Patients * 834,932 739,006 781,238 814,114 864,184
Breast Cancer Screening 46.55% 48.52% 52.05% 54.94%
Number of Female Patients Aged 52 through 74 who had a mammogram to screen for breast cancer 260,602 283,921 315,719 346,122
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents * 67.62% 59.85% 66.27% 65.09% 68.09%
Number of Children Age 3-17 with Weight Assessment and Counseling for Nutrition and Physical Activity * 698,053 523,700 642,315 651,911 747,361
Body Mass Index (BMI) Screening and Follow-Up Plan * 72.09% 61.27% 58.08% 58.56% 65.11%
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up * 2,081,135 1,652,458 1,554,480 1,642,549 1,969,868
Percent Adults Screened for Tobacco Use and Receiving Cessation Intervention * 87.38% 84.49% 82.68% 85.63% 86.65%
Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling * 2,028,134 1,944,219 1,987,350 2,103,177 2,269,779
Colorectal Cancer Screening * 46.24% 37.14% 39.94% 42.16% 41.74%
Number of Patients Screened for Colorectal Cancer * 483,365 397,618 444,590 484,393 591,502
Childhood Immunization Status * 39.24% 40.07% 38.87% 34.01% 30.56%
Number of Children Under Age 3 Who Received Appropriate Childhood Immunizations * 32,079 29,415 28,439 25,320 22,514
Screening for Depression and Follow-Up Plan * 67.94% 59.34% 65.00% 66.95% 67.37%
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented * 1,971,798 1,755,842 1,905,183 1,982,576 2,069,300
Depression Remission at Twelve Months 11.27% 14.14% 15.18% 16.16%
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 8,674 9,952 11,687 12,409
Dental Sealants for Children between 6-9 Years 57.85% 44.13% 55.03% 56.83% 55.57%
Number of Children Age 6-9 Who Received Dental Sealants 29,835 16,320 21,523 24,410 26,615
HIV Screening 37.89% 44.19% 52.07% 57.10%
Number of Patients 15 through 65 years of age who were tested for HIV when within age range 1,074,589 1,295,339 1,552,137 1,754,146
Chronic Disease Management
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease * 66.11% 69.01% 70.27% 73.44% 74.41%
Number of Patients at High Risk of Cardiovascular Events who were Prescribed or were on Statin Therapy * 322,964 354,352 405,557 498,555 528,145
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet * 79.60% 77.03% 76.42% 73.65% 72.19%
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic * 60,169 57,806 61,414 63,107 65,565
Controlling High Blood Pressure * 66.23% 56.42% 56.92% 61.07% 64.36%
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) * 480,220 436,615 482,855 486,745 526,002
Diabetes: Hemoglobin A1c Poor Control * 34.38% 37.01% 35.06% 32.66% 29.47%
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year * 161,502 173,199 176,380 174,124 166,675
% of Patients seen for follow-up within 30 days of first ever HIV diagnosis 88.19% 80.89% 83.70% 80.38% 73.71%
Number of HIV Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 1,232 944 1,130 1,155 1,267
Cost Data 2019 2020 2021 2022 2023
Total Health Center Cluster $669,820,064 $653,969,032 $704,413,536 $674,381,870 $697,468,674
Total Cost $6,768,628,355 $6,988,794,139 $7,691,372,670 $8,596,276,160 $9,932,262,511
Total Accrued Cost per Patient $1,268.21 $1,353.67 $1,467.94 $1,618.07 $1,820.08

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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