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American Samoa Health Center Program Uniform Data System (UDS) Data

Total Number of Reporting Program Awardees: 1

Reporting Period: 2025

Total Patients Served: 26,122

Reporting Source: Uniform Data System (UDS) Report

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 11,117 22,646 25,018 26,056 26,122
Ages (% of total patients)
% Children (< 18 years) 49.87% 23.44% 24.71% 25.22% 17.90%
Children (< 18 years) 5,544 5,309 6,183 6,572 4,676
% Adults (18 – 64 years) 43.75% 70.84% 65.22% 68.06% 74.53%
Adults (18 – 64 years) 4,864 16,042 16,316 17,734 19,470
% Older Adults (Ages 65 and over) 6.38% 5.72% 10.07% 6.72% 7.56%
Older Adults (Ages 65 and over) 709 1,295 2,519 1,750 1,976
Patients By Race & Ethnicity (% known)
% Racial and/or Ethnic Minority Patients 99.63% 99.22% 99.78% 99.85% 99.92%
Number of Racial and/or Ethnic Minority Patients 11,055 17,055 23,209 24,055 25,195
% Hispanic, Latino/a, or Spanish Origin Patients 0.00% 0.00%
Number of Hispanic, Latino/a, or Spanish Origin Ethnicity Patients 0 0
% Non-Hispanic, Latino/a, or Spanish Origin White Patients 0.37% 0.78% 0.22% 0.15% -
Number of Non-Hispanic, Latino/a, or Spanish Origin White Patients 41 134 52 37 -
% Total Asian Patients * 4.22% 0.89% 3.35% 1.82% 2.17%
Number of Total Asian Patients * 468 153 780 439 548
% Native Hawaiian/Other Pacific Islander Patients * 94.99% 98.17% 22.33% 23.58% 4.76%
Number of Native Hawaiian/Other Pacific Islander Patients * 10,540 16,874 5,194 5,681 1,201
% Black or African American Patients * - 0.10% - -
Number of Black or African American Patients * - 17 - -
% American Indian/Alaska Native Patients * - - - 0.00%
Number of American Indian/Alaska Native Patients * - - - 0
% More than one race Patients * 0.27% - 0.80% 0.90% 0.00%
Number of Patients with More than one race * 30 - 186 217 0
Total Patients with Known Race Ethnicity (Denominator) 11,096 17,189 23,261 24,092 25,215
Total Racial and/or Ethnic Minority Patients (Denominator) 11,096 17,189 23,261 24,092 25,215
Total Hispanic, Latino/a, or Spanish Origin & Non-Hispanic, Latino/a, or Spanish Origin Patients (Denominator for Hispanic, Latino/a, or Spanish Origin Ethnicity) 11,117 22,646 25,018 26,056 25,215
Language (% known)
Limited English Proficiency 0.83% 4.14% 5.80% 5.67% 5.80%
Patients with Limited English Proficiency 92 937 1,451 1,478 1,516
Patient Characteristics 2021 2022 2023 2024 2025
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 3,171 4,234 7,023 7,291 6,337
% Patients at or Below 200% of Federal Poverty Guideline 100.00% 100.00% 100.00% 100.00% 100.00%
Patients at or Below 200% of Federal Poverty Guideline 3,171 4,234 7,023 7,291 6,337
% Patients at or Below 100% of Federal Poverty Guideline (included in above) 78.37% 98.63% 93.98% 92.91% 100.00%
Patients at or Below 100% of Federal Poverty Guideline (included in above) 2,485 4,176 6,600 6,774 6,337
Insurance Status (% of total patients)
% None/Uninsured Patients 0.00% 0.00%
None/Uninsured Patients 0 0
% None/Uninsured Children (<18 years) 0.00% 0.00%
None/Uninsured Children (<18 years) 0 0
% Medicaid/CHIP Patients * 100.00% 100.00% 100.00% 100.00% 100.00%
Medicaid/CHIP Patients * 11,117 22,646 25,018 26,056 26,122
% Medicare Patients 0.00%
Medicare Patients 0
% Dually Eligible (Medicare and Medicaid) 0.00%
Dually Eligible (Medicare and Medicaid) 0
% Other Third-Party Patients 0.00%
Other Third-Party Patients 0
Total Patients 11,117 22,646 25,018 26,056 26,122
Children (< 18 years) 5,544 5,309 6,183 6,572 4,676
Special Medically Underserved Populations
% Homeless Patients 0.00% 0.00% 0.00% 0.00%
Total Homeless Patients 0 0 0 0
% Total Migratory and Seasonal Agricultural Workers or Their Family Members 0.00% 0.00% 0.00% 0.00%
Total Migratory and Seasonal Agricultural Workers or Their Family Members (All health centers report this line) 0 0 0 0
% Public Housing Patients 0.00% 0.00% 0.00% 0.00%
Total Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 0 0 0 0
% School-Based Service Site Patients 0.00% 0.00% 0.00% 0.00%
School-Based Service Site Patients 0 0 0 0
% Veterans Patients 0.00% 0.00% 0.00% 0.00%
Veterans Patients 0 0 0 0
Number of Female Patients (ages 15-44) 2,153 5,955 7,285 9,126 9,368
% Patients Under 15 Who are Female 38.02% 18.16% 18.14% 17.33% 11.38%
Number of Patients Under 15 Who are Female 2,278 2,068 2,691 2,811 1,825
Patients 15-64 Who are Female 55.02% 75.83% 72.37% 76.81% 82.59%
Number of Patients 15-64 Who are Female 3,297 8,635 10,733 12,461 13,244
Patients 65 and Over Who are Female 6.96% 6.02% 9.49% 5.87% 6.03%
Number of Patients 65 and Over Who are Female 417 685 1,407 952 967
Total Female Patients (Denominator) 5,992 11,388 14,831 16,224 16,036
Services (% of patients) 2021 2022 2023 2024 2025
% Medical Patients 98.15% 100.00% 83.68% 100.00% 100.00%
Medical Patients 10,911 22,646 20,936 26,056 26,122
% Dental Patients 12.13% 15.79% 19.00% 27.18% 19.50%
Dental Patients 1,348 3,576 4,754 7,082 5,093
% Mental Health Patients - 0.99% 1.43% 3.88% 2.03%
Mental Health Patients - 225 358 1,012 529
% Substance Use Disorder Patients - 0.00% - 0.22% 0.13%
Substance Use Disorder Patients - 0 - 57 34
% Vision Patients 0.00%
Vision Patients 0
% Patient Support Services 0.00% -
Patient Support Services 0 -
Total Patients 11,117 22,646 25,018 26,056 26,122
Clinical Data 2021 2022 2023 2024 2025
Patients
Medical Conditions (% of Patients with Medical Conditions)
% Hypertension Patients * 19.52% 6.42% 5.90% 5.39% 6.73%
Number of Hypertension Patients * 1,063 1,111 925 1,042 1,434
% Diabetes Patients * 12.99% 5.07% 5.94% 3.51% 4.32%
Number of Diabetes Patients * 689 861 901 662 898
% Asthma 0.16% - 0.24% 0.23% 0.52%
Number of Asthma Patients 17 - 51 61 136
% Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 0.00% - 0.00% 0.00% 0.00%
Number of Symptomatic/Asymptomatic human immunodeficiency virus (HIV) 0 - 0 0 0
Prenatal
Number of Prenatal Care Patients 337 415 860 913 725
Number of Prenatal Care Patients who Delivered 154 318 390 609 335
Quality of Care Measures
Perinatal Health
Early Entry into Prenatal Care (first visit in first trimester) 47.77% 25.30% 26.98% 49.40% 27.86%
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 161 105 232 451 202
% Low and Very Low Birth Weight - 8.36% 5.85% 6.52% 5.67%
Number of Newborns with Low Birth Weight - 27 23 42 19
Preventive Health Screening & Services
Cervical Cancer Screening * 15.71% 2.00% 1.67% 1.72% 7.07%
Number of Patients Screened for Cervical Cancer * 377 136 143 153 631
Breast Cancer Screening 38.57% 3.39% 14.52% 8.64% 23.88%
Number of Patients Screened for Breast Cancer 422 76 477 216 631
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents * 20.00% - 21.06% 20.75% 1.03%
Number of Children Age 3-17 with Weight Assessment and Counseling for Nutrition and Physical Activity * 803 - 1,188 1,245 33
Body Mass Index (BMI) Screening and Follow-Up Plan * 27.14% 0.47% 1.88% 6.01% 2.00%
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up * 1,322 63 284 1,170 330
Percent Adults Screened for Tobacco Use and Receiving Cessation Intervention * 4.29% 0.26% 0.27% - -
Number of Adult Medical Patients Age 12 and Older Screened for Tobacco Use and Received Cessation Counseling * 162 31 41 - -
Colorectal Cancer Screening * 10.00% - 0.61% 0.31% -
Number of Patients Screened for Colorectal Cancer * 206 - 49 21 -
Childhood Immunization Status * 75.71% 94.96% 100.00% 100.00% 100.00%
Number of Children Under Age 3 Who Received Appropriate Childhood Immunizations * 242 132 152 121 48
Screening for Depression and Follow-Up Plan * 14.29% - 0.34% 0.60% 0.55%
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented * 996 - 72 132 103
Dental Sealants for Children between 6-9 Years * 31.43% 25.83% - 17.07% 31.40%
Number of Children Age 6-9 Who Received Dental Sealants 34 39 - 21 38
HIV Screening * 10.59% 2.24% 5.66% 8.23% 7.89%
Number of Patients 15 through 65 years of age who were tested for HIV when within age range 633 384 992 1,496 1,304
Chronic Disease Management
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease * 21.43% 57.67% 81.11% 34.18% -
Number of Patients at High Risk of Cardiovascular Events who were Prescribed or were on Statin Therapy * 50 331 498 1,144 -
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet * 17.14% 76.32% 58.54% 35.14% -
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic * 37 232 48 26 -
Controlling High Blood Pressure * 54.19% 39.15% 39.68% 39.35% 19.67%
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) * 576 435 367 410 282
Diabetes: Hemoglobin A1c Poor Control * 48.91% 36.35% 60.27% 39.43% 50.56%
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year * 337 313 543 261 454
% of Patients seen for follow-up within 30 days of first ever HIV diagnosis -
Number of HIV Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment -
Initiation of Substance Use Disorder (SUD) Treatment 73.68%
Number of Patients with a New SUD Episode Who Initiated Treatment 19
Engagement of Substance Use Disorder (SUD) Treatment 57.89%
Number of Patients with a New SUD Episode Who Engaged in Ongoing Treatment 19
Depression Remission at Twelve Months 0.00% 3.23% 0.00% 41.96% 30.53%
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 0 - 0 47 29
Cost Data 2021 2022 2023 2024 2025
Total Health Center Cluster $3,878,178 $2,983,180 $2,328,569 $2,634,776 $2,870,425
Total Cost $9,328,644 $15,590,528 $17,210,233 $17,651,633 $16,143,526
Total Accrued Cost per Patient $839.13 $688.45 $687.91 $677.45 $618

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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