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H H S Department of Health and Human Services
Health Resources and Services Administration
Primary Care: The Health Center Program

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Financial Costs

National Summary for 2008

1080 Grantees  

 Accrued Cost
(a)		Allocation of Facility and Administration
(b)		Total Cost After Allocation of Facility and Administration
(c)
Financial Costs for Medical Care
1.Medical Staff3,302,993,774 1,771,460,987 5,074,454,761 
2.Lab and X-ray295,073,029 139,205,417 434,278,446 
3.Medical/Other Direct655,096,960 294,730,581 949,827,541 
4.Total Medical Care Services (Sum lines 1-3)4,253,163,763 2,205,396,985 6,458,560,748 
Financial Costs for Other Clinical Services
5.Dental737,963,040 362,525,914 1,100,488,954 
6.Mental Health275,764,883 133,805,605 409,570,488 
7.Substance Abuse63,034,792 29,718,902 92,753,694 
8a.Pharmacy not including pharmaceuticals197,270,367 126,678,398 323,948,765 
8b.Pharmaceuticals384,016,786  384,016,786 
9.Other Professional94,768,290 44,360,499 139,128,789 
10.Total Other Clinical Services (Sum lines 5-9)1,752,818,158 697,089,318 2,449,907,476 
Financial Costs of Enabling and Other Program Related Services
11a.Case Management183,847,040  183,847,040 
11b.Transportation28,346,362  28,346,362 
11c.Outreach87,858,647  87,858,647 
11d.Patient and Community Education111,578,054  111,578,054 
11e.Eligibility Assistance67,796,781  67,796,781 
11f.Interpretation Services29,958,928  29,958,928 
11g.Other Enabling Services40,160,321  40,160,321 
11.Total Enabling Services Cost (Sum lines 11a-11g)549,546,133 266,561,066 816,107,199 
12.Other Related Services252,200,426 88,157,698 340,358,124 
13.Total Enabling and Other Services (Sum lines 11-12)801,746,559 354,718,764 1,156,465,323 
Overhead and Totals
14.Facility743,377,814   
15.Administration2,513,827,253   
16.Total Overhead (Sum lines 14-15)3,257,205,067   
17.Total Accrued Costs (Sum lines 4+10+13+16)10,064,933,547  10,064,933,547 
18.Value of Donated Facilities, Services and Supplies  328,064,998 
19.Grand Total including Donations (Sum lines 17-18)  10,392,998,545 

ServicesDirect Accrued Cost (a)Loaded Cost (c)
Includes Overhead
% of Category% of Total% of Total
Financial Costs for Medical Care
1.Medical Staff77.7% 32.8% 50.4% 
2.Lab and X-ray6.9% 2.9% 4.3% 
3.Medical/Other Direct15.4% 6.5% 9.4% 
4.Total Medical Care Services (Sum lines 1-3)100.0% 42.3% 64.2% 
Financial Costs for Other Clinical Services
5.Dental42.1% 7.3% 10.9% 
6.Mental Health15.7% 2.7% 4.1% 
7.Substance Abuse3.6% 0.6% 0.9% 
8a.Pharmacy not including pharmaceuticals11.3% 2.0% 3.2% 
8b.Pharmaceuticals21.9% 3.8% 3.8% 
9.Other Professional5.4% 0.9% 1.4% 
10.Total Other Clinical Services (Sum lines 5-9)100.0% 17.4% 24.3% 
Financial Costs of Enabling and Other Program Related Services
11a.Case Management22.9% 1.8% 1.8% 
11b.Transportation3.5% 0.3% 0.3% 
11c.Outreach11.0% 0.9% 0.9% 
11d.Patient and Community Education13.9% 1.1% 1.1% 
11e.Eligibility Assistance8.5% 0.7% 0.7% 
11f.Interpretation Services3.7% 0.3% 0.3% 
11g.Other Enabling Services5.0% 0.4% 0.4% 
11.Total Enabling Services Cost (Sum lines 11a-11g)68.5% 5.5% 8.1% 
12.Other Related Services31.5% 2.5% 3.4% 
13.Total Enabling and Other Services (Sum lines 11-12)100.0% 8.0% 11.5% 
Overhead and Totals
14.Facility22.8% 7.4%  
15.Administration77.2% 25.0%  
16.Total Overhead (Sum lines 14-15)100.0% 32.4%  
17.Total Accrued Costs (Sum lines 4+10+13+16)100.0% 100.0% 100.0% 
18.Value of Donated Facilities, Services and Supplies (as % of direct costs – line 17)  3.3% 

Percents may not equal 100% due to rounding