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North Carolina Health Center Program Uniform Data System (UDS) Data

Total Number of Reporting Program Awardees: 38

Reporting Period: 2025

Total Patients Served: 732,318

Reporting Source: Uniform Data System (UDS) Report

Community Health Quality Recognition (CHQR) & Compliance 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 outcomes, and health information technology for the most recent UDS reporting period.

National Quality Leader
21.05%
Health Center Quality Leader - Gold
13.16%
Health Center Quality Leader - Silver
10.53%
Health Center Quality Leader - Bronze
7.89%
Improving Health Care Access
13.16%
Advancing Health Information Technology for Quality
65.79%
High Value Care
15.79%
Preventive Health
10.53%
Patient Centered Medical Home (PCMH)
66.67%

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 for 2025 UDS Data Tables

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UDS Data Five-Year Summary

Age and Race / Ethnicity 2021 2022 2023 2024 2025
Total Patients 721,568 696,072 694,057 723,770 732,318
Ages (% of total patients)
% Children (< 18 years) 21.08% 20.47% 21.20% 21.39% 21.50%
Children (< 18 years) 152,114 142,476 147,149 154,813 157,417
% Adults (18 – 64 years) 65.49% 63.85% 61.85% 61.41% 61.59%
Adults (18 – 64 years) 472,566 444,447 429,257 444,460 451,061
% Older Adults (Ages 65 and over) 13.43% 15.68% 16.95% 17.20% 16.91%
Older Adults (Ages 65 and over) 96,888 109,149 117,651 124,497 123,840
Patients By Race & Ethnicity (% known)
% Racial and/or Ethnic Minority Patients 62.84% 61.95% 60.65% 60.39% 59.30%
Number of Racial and/or Ethnic Minority Patients 396,512 392,673 391,018 403,371 394,212
% Hispanic, Latino/a, or Spanish Origin Patients 29.85% 30.95% 31.34% 31.57% 29.44%
Number of Hispanic, Latino/a, or Spanish Origin Ethnicity Patients 192,168 199,374 205,455 214,486 199,522
% Non-Hispanic, Latino/a, or Spanish Origin White Patients 41.39% 42.38% 43.46% 43.93% 44.97%
Number of Non-Hispanic, Latino/a, or Spanish Origin White Patients 234,428 241,154 253,669 264,558 270,577
% Total Asian Patients * 1.39% 1.49% 1.47% 1.50% 1.53%
Number of Total Asian Patients * 7,853 8,459 8,600 9,028 9,212
% Native Hawaiian/Other Pacific Islander Patients * 0.40% 0.38% 0.38% 0.50% 0.45%
Number of Native Hawaiian/Other Pacific Islander Patients * 2,264 2,169 2,190 2,985 2,735
% Black or African American Patients * 32.91% 30.32% 28.37% 27.92% 28.86%
Number of Black or African American Patients * 186,380 172,541 165,591 168,151 173,640
% American Indian/Alaska Native Patients * 2.02% 2.01% 2.13% 1.96% 1.97%
Number of American Indian/Alaska Native Patients * 11,452 11,464 12,408 11,798 11,827
% More than one race Patients * 2.77% 3.06% 2.48% 2.71% 2.95%
Number of Patients with More than one race * 15,691 17,391 14,451 16,306 17,757
Total Patients with Known Race Ethnicity (Denominator) 566,378 569,012 583,691 602,264 601,656
Total Racial and/or Ethnic Minority Patients (Denominator) 630,940 633,827 644,687 667,929 664,789
Total Hispanic, Latino/a, or Spanish Origin & Non-Hispanic, Latino/a, or Spanish Origin Patients (Denominator for Hispanic, Latino/a, or Spanish Origin Ethnicity) 643,872 644,285 655,531 679,454 677,718
Language (% known)
Limited English Proficiency 21.75% 22.83% 25.27% 25.23% 26.10%
Patients with Limited English Proficiency 156,956 158,883 175,400 182,632 191,101
Patient Characteristics 2021 2022 2023 2024 2025
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 423,621 444,077 468,436 473,207 508,372
% Patients at or Below 200% of Federal Poverty Guideline 90.96% 90.68% 90.90% 90.40% 90.07%
Patients at or Below 200% of Federal Poverty Guideline 385,346 402,670 425,831 427,780 457,883
% Patients at or Below 100% of Federal Poverty Guideline (included in above) 71.38% 69.64% 71.10% 67.44% 67.12%
Patients at or Below 100% of Federal Poverty Guideline (included in above) 302,386 309,261 333,065 319,112 341,196
Insurance Status (% of total patients)
% None/Uninsured Patients 36.58% 35.63% 32.91% 29.95% 29.46%
None/Uninsured Patients 263,937 247,990 228,407 216,734 215,745
% None/Uninsured Children (<18 years) 24.58% 25.80% 24.10% 24.63% 24.07%
None/Uninsured Children (<18 years) 37,383 36,760 35,467 38,138 37,883
% Medicaid/CHIP Patients * 21.26% 22.68% 26.25% 28.82% 30.65%
Medicaid/CHIP Patients * 153,395 157,895 182,219 208,625 224,429
% Medicare Patients 12.34% 14.42% 16.39% 16.49% 16.08%
Medicare Patients 89,068 100,342 113,743 119,334 117,780
% Dually Eligible (Medicare and Medicaid) 3.29% 3.81% 4.45% 4.38% 4.43%
Dually Eligible (Medicare and Medicaid) 23,768 26,514 30,886 31,721 32,406
% Other Third-Party Patients 29.82% 27.27% 24.45% 24.74% 23.81%
Other Third-Party Patients 215,168 189,845 169,688 179,077 174,364
Total Patients 721,568 696,072 694,057 723,770 732,318
Children (< 18 years) 152,114 142,476 147,149 154,813 157,417
Special Medically Underserved Populations
% Homeless Patients 1.88% 1.98% 2.27% 2.36% 3.34%
Total Homeless Patients 13,563 13,807 15,754 17,055 24,464
% Total Migratory and Seasonal Agricultural Workers or Their Family Members 5.24% 6.04% 5.76% 5.29% 4.72%
Total Migratory and Seasonal Agricultural Workers or Their Family Members (All health centers report this line) 37,811 42,041 40,002 38,252 34,567
% Public Housing Patients 28.73% 32.70% 27.85% 30.75% 33.39%
Total Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 207,280 227,611 193,327 222,536 244,549
% School-Based Service Site Patients 0.88% 3.54% 1.74% 1.96% 2.85%
School-Based Service Site Patients 6,351 24,656 12,068 14,181 20,891
% Veterans Patients 1.28% 1.57% 1.51% 1.68% 1.64%
Veterans Patients 9,251 10,935 10,486 12,173 12,007
Number of Female Patients (ages 15-44) 165,755 151,498 148,103 153,782 159,119
% Patients Under 15 Who are Female 15.08% 14.76% 14.91% 15.10% 15.10%
Number of Patients Under 15 Who are Female 60,763 57,281 58,159 61,315 62,098
Patients 15-64 Who are Female 70.70% 68.86% 67.39% 67.00% 67.41%
Number of Patients 15-64 Who are Female 284,927 267,310 262,821 272,042 277,216
Patients 65 and Over Who are Female 14.23% 16.38% 17.69% 17.90% 17.49%
Number of Patients 65 and Over Who are Female 57,334 63,597 69,000 72,694 71,949
Total Female Patients (Denominator) 403,024 388,188 389,980 406,051 411,263
Services (% of patients) 2021 2022 2023 2024 2025
% Medical Patients 86.00% 84.58% 83.75% 83.72% 80.67%
Medical Patients 620,534 588,718 581,279 605,945 590,748
% Dental Patients 13.78% 14.71% 15.20% 14.91% 15.37%
Dental Patients 99,412 102,358 105,481 107,880 112,591
% Mental Health Patients 7.25% 7.86% 8.68% 9.33% 10.21%
Mental Health Patients 52,324 54,712 60,267 67,555 74,739
% Substance Use Disorder Patients 1.06% 1.03% 1.33% 1.31% 1.41%
Substance Use Disorder Patients 7,662 7,147 9,252 9,486 10,298
% Vision Patients 0.12% 0.14% 0.16% 0.32% 0.32%
Vision Patients 865 952 1,102 2,296 2,332
% Patient Support Services 8.16% 10.27% 11.33% 10.24% 10.57%
Patient Support Services 58,916 71,496 78,619 74,127 77,442
Total Patients 721,568 696,072 694,057 723,770 732,318
Clinical Data 2021 2022 2023 2024 2025
Patients
Medical Conditions (% of Patients with Medical Conditions)
% Hypertension Patients * 33.90% 37.75% 38.32% 39.47% 39.40%
Number of Hypertension Patients * 163,896 173,952 172,576 184,815 179,580
% Diabetes Patients * 16.89% 20.09% 21.24% 21.95% 23.22%
Number of Diabetes Patients * 78,161 87,584 89,780 96,213 99,136
% Asthma 3.99% 4.57% 4.99% 5.26% 5.53%
Number of Asthma Patients 24,771 26,896 28,980 31,899 32,695
% Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 0.63% 0.68% 0.69% 0.72% 0.75%
Number of Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 3,912 4,014 4,033 4,345 4,435
Prenatal
Number of Prenatal Care Patients 3,894 4,238 4,129 4,144 4,543
Number of Prenatal Care Patients who Delivered 2,275 2,447 2,359 2,263 2,513
Quality of Care Measures
Perinatal Health
Early Entry into Prenatal Care (first visit in first trimester) 72.14% 73.34% 71.25% 68.75% 73.15%
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 2,809 3,108 2,942 2,849 3,323
% Low and Very Low Birth Weight 8.97% 8.03% 9.84% 8.70% 8.37%
Number of Newborns with Low Birth Weight 204 196 234 199 209
Preventive Health Screening & Services
Cervical Cancer Screening * 41.76% 47.12% 52.07% 53.28% 55.06%
Number of Patients Screened for Cervical Cancer * 78,633 82,798 88,252 94,046 99,157
Breast Cancer Screening 41.32% 45.48% 53.94% 56.70% 59.43%
Number of Patients Screened for Breast Cancer 42,207 46,755 54,592 59,671 61,477
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents * 55.02% 56.89% 60.82% 61.11% 65.03%
Number of Children Age 3-17 with Weight Assessment and Counseling for Nutrition and Physical Activity * 43,730 48,759 53,848 57,982 56,413
Body Mass Index (BMI) Screening and Follow-Up Plan * 51.98% 55.23% 67.23% 68.27% 70.18%
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up * 227,661 235,284 291,035 312,935 325,046
Percent Adults Screened for Tobacco Use and Receiving Cessation Intervention * 62.63% 81.03% 85.10% 84.26% 85.51%
Number of Adult Medical Patients Age 12 and Older Screened for Tobacco Use and Received Cessation Counseling * 222,852 245,198 283,264 318,526 356,673
Colorectal Cancer Screening * 35.55% 41.70% 44.64% 48.13% 49.94%
Number of Patients Screened for Colorectal Cancer * 68,356 81,518 101,331 115,716 120,441
Childhood Immunization Status * 33.62% 31.17% 32.34% 26.68% 27.00%
Number of Children Under Age 3 Who Received Appropriate Childhood Immunizations * 1,616 1,423 1,459 1,296 1,361
Screening for Depression and Follow-Up Plan * 50.76% 61.23% 72.04% 71.40% 71.73%
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented * 221,638 249,313 277,333 348,706 359,518
Dental Sealants for Children between 6-9 Years * 44.65% 57.52% 55.96% 51.24% 46.51%
Number of Children Age 6-9 Who Received Dental Sealants 1,139 2,068 2,624 2,252 2,227
HIV Screening * 34.84% 38.24% 45.55% 50.32% 53.40%
Number of Patients 15 through 65 years of age who were tested for HIV when within age range 126,583 148,180 171,113 196,489 211,289
Chronic Disease Management
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease * 75.12% 77.06% 79.28% 79.64% 80.61%
Number of Patients at High Risk of Cardiovascular Events who were Prescribed or were on Statin Therapy * 67,045 86,751 98,278 107,118 107,617
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet * 78.78% 77.06% 74.97% 74.15% 73.08%
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic * 13,973 17,669 18,766 20,516 20,150
Controlling High Blood Pressure * 61.20% 62.34% 66.02% 68.48% 70.93%
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) * 100,304 108,437 113,931 126,556 127,381
Diabetes: Hemoglobin A1c Poor Control * 28.12% 28.09% 26.74% 26.03% 23.15%
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year * 21,981 24,599 24,011 25,046 22,954
% of Patients seen for follow-up within 30 days of first ever HIV diagnosis 80.00% 73.05% 81.18% 65.94% 73.33%
Number of HIV Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 100 103 138 91 121
Initiation of Substance Use Disorder (SUD) Treatment 27.25%
Number of Patients with a New SUD Episode Who Initiated Treatment 11,631
Engagement of Substance Use Disorder (SUD) Treatment 9.64%
Number of Patients with a New SUD Episode Who Engaged in Ongoing Treatment 11,631
Depression Remission at Twelve Months 12.85% 14.23% 13.92% 15.02% 15.09%
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 1,409 1,406 1,469 2,138 2,290
Cost Data 2021 2022 2023 2024 2025
Total Health Center Cluster $146,078,891 $143,659,836 $143,425,651 $146,985,031 $153,596,282
Total Cost $626,503,401 $699,059,197 $824,068,469 $947,755,360 $1,058,878,005
Total Accrued Cost per Patient $868.25 $1,004.29 $1,187.32 $1,309.47 $1,445.93

Footnotes

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

'**' Patient Support Services are listed as Enabling Services in the 2025 UDS Manual.

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

View Detailed UDS Footnotes

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