2018 National Health Center Data

UDS Data Comparisons

Expand the tables below to view UDS data comparisons from 2016 to 2018

  2016 2017 2018
Total Patients 25,860,296 27,174,372 28,379,680
Age (% of total patients)
Percentage of Children (< 18 years old) 30.96% 30.89% 30.78%
Number of Children (< 18 years old) 8,005,982 8,395,134 8,736,509
Percentage of Adults (18 to 64) 60.73% 60.41% 60.05%
Number of Adults (18 to 64) 15,705,993 16,416,970 17,041,599
Percentage of Older Adults (Age 65 and over) 8.31% 8.69% 9.17%
Number of Older Adults (Age 65 and over) 2,148,321 2,362,268 2,601,572
Patients By Race & Ethnicity (% known)
Percentage of Racial and/or Ethnic Minority Patients 62.27% 62.72% 62.89%
Number of Racial and/or Ethnic Minority Patients 15,228,089 16,157,234 16,825,443
Percentage of Hispanic/Latino Ethnicity Patients 35.42% 35.76% 36.27%
Number of Hispanic/Latino Ethnicity Patients 8,856,531 9,400,723 9,906,024
Percentage of Non-Hispanic White Patients 41.46% 41.07% 41.09%
Number of Non-Hispanic White Patients 9,225,540 9,603,574 9,928,725
Percentage of Asian Patients 1 3.98% 4.12% 4.20%
Number of Asian Patients1 886,362 962,844 1,015,820
Percentage of Native Hawaiian / Other Pacific Islander Patients 1 1.13% 1.13% 1.11%
Number of Native Hawaiian/Other Pacific Islander Patients 1 252,282 264,289 267,477
Percentage of Black/African American Patients1 22.63% 22.41% 22.16%
Number of Black/African American1 5,035,016 5,240,402 5,352,933
Percentage of American Indian/Alaska Native Patients 1 1.37% 1.36% 1.38%
Number of American Indian/Alaska Native Patients1 304,832 317,352 333,246
Percentage of Patients with More than one race 1 3.20% 3.49% 3.30%
Number of Patients with More than one race 1 712,395 815,025 796,788
Total Patients with Known Race Ethnicity (Denominator) 22,252,804 23,385,766 24,160,943
Total Racial and/or Ethnic Minority Patients (Denominator) 24,453,629 25,760,808 26,754,168
Total Hispanic/Latino & Non-Hispanic Latino Patients (Denominator for Hispanic/Latino Ethnicity) 25,001,720 26,291,661 27,314,966
Language (% known)
Percentage of Patients Best Served in a Language Other Than English 23.55% 23.72% 23.63%
Number of Patients Best Served in a Language Other Than English 6,090,644 6,446,929 6,706,410
  2016 2017 2018
Income Status (% of patients with known income)
Total Patients with Known Income (Denominator) 18,684,693 19,498,453 20,373,081
Percentage of Patients at or below 200% of Federal Poverty Guideline 91.95% 91.48% 91.33%
Number of Patients at or below 200% of Poverty 17,180,779 17,836,567 18,607,652
Percentage of Patients at or below 100% of Federal Poverty Guideline (included in above) 70.02% 69.15% 68.23%
Number of Patients at or Below 100% of Federal Poverty Guideline (included in above) 13,083,637 13,483,840 13,899,913
Insurance Status (% of total patients)
Percentage of Uninsured Patients 23.43% 22.88% 22.62%
Number of Uninsured Patients 6,059,126 6,216,811 6,419,472
Percentage of Children Uninsured (age 0-17 years) 13.04% 12.70% 12.52%
Number of Children Uninsured (age 0-17 years) 1,044,251 1,066,596 1,093,990
Percentage of Medicaid/CHIP Patients2 49.69% 49.64% 49.00%
Number of Medicaid/CHIP Patients 2 12,850,861 13,490,591 13,905,805
Percentage of Medicare Patients 9.22% 9.40% 9.66%
Number of Medicare Patients 2,384,323 2,555,311 2,741,037
Percentage of Dually Eligible (Medicare and Medicaid) Patients 3.63% 3.82% 3.74%
Number of Dually Eligible (Medicare and Medicaid) Patients (included in above) 939,492 1,038,609 1,062,522
Percentage of Patients with Other Third Party Payer 17.66% 18.07% 18.72%
Number of Patients with Other Third Party Payer 4,565,986 4,911,659 5,313,366
Total Insurance Source Patients (Denominator) 25,860,296 27,174,372 28,379,680
Total Insurance Source Patients Aged 0 - 17 (Denominator) 8,005,982 8,395,134 8,736,509
Special Populations
Percentage of Homeless Patients 4.88% 5.01% 4.98%
Number of Homeless Patients 1,262,961 1,361,675 1,413,256
Percentage of Agricultural Worker or Dependent Patients 3.70% 3.58% 3.51%
Number of Agricultural Worker Patients 957,529 972,251 995,232
Percentage of Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 10.41% 12.75% 15.55%
Number of Patients Served at a Health Center Located In or Immediately Accessible to a Public Housing Site 2,691,329 3,466,074 4,414,064
Percentage of School-Based Health Center Patients 2.92% 2.95% 2.89%
Number of School-Based Health Center Patients 755,423 802,630 819,177
Percentage of Veterans Patients 1.28% 1.31% 1.36%
Number of Veteran Patients 330,271 355,648 385,222
Gender of Patients by Age (% Female)
Percentage of Female Patients (ages 15-44) 44.97% 44.71% 44.39%
Number of Female Patients (ages 15-44) 6,718,116 7,014,487 7,262,983
Percentage of Patients Under 15 Who are Female 22.29% 22.20% 22.14%
Number of Patients Under 15 Who are Female 3,329,917 3,483,223 3,623,192
Percentage of Patients 15-64 Who are Female 69.15% 68.86% 68.46%
Number of Patients 15-64 Who are Female 10,329,419 10,802,779 11,201,800
Percentage of Patients 65 and Over Who are Female 8.56% 8.94% 9.39%
Number of Patients 65 and Over Who are Female 1,278,257 1,401,777 1,536,363
Total Female Patients (Denominator) 14,937,593 15,687,779 16,361,355
Services (% of patients) 2016 2017 2018
Percentage of Medical Patients 84.61% 84.15% 83.96%
Number of Medical Patients 21,880,295 22,866,468 23,827,122
Percentage of Dental Patients 21.87% 22.51% 22.57%
Number of Dental Patients 5,656,190 6,116,732 6,406,667
Percentage of Mental Health Patients 6.92% 7.54% 7.93%
Number of Mental Health Patients 1,788,577 2,049,194 2,249,876
Percentage of Substance Use Disorder Patients 0.55% 0.62% 0.79%
Number of Substance Use Disorder Patients 141,569 168,508 223,390
Percentage of Vision Patients 2.32% 2.47% 2.63%
Number of Vision Patients 599,314 670,973 746,087
Percentage of Enabling Patients 9.60% 9.38% 9.14%
Number of Enabling Services Patients 2,482,751 2,549,897 2,593,393
Total Patients (Denominator) 25,860,296 27,174,372 28,379,680
  2016 2017 2018
Patients
Medical Conditions (% of Patients with Medical Conditions)
Percentage of Hypertension Patients4 26.22% 27.12% 27.57%
Number of Hypertension Patients4 3,920,129 4,240,467 4,497,051
Percentage of Diabetes Patients5 14.30% 14.98% 15.14%
Number of Diabetes Patients5 2,071,326 2,266,902 2,385,969
Percentage of Asthma Patients 5.47% 5.57% 5.50%
Number of Asthma Patients 1,196,242 1,272,531 1,309,728
Percentage of Symptomatic/Asymptomatic HIV Patients 0.72% 0.72% 0.80%
Number of Symptomatic/Asymptomatic HIV Patients 158,323 165,745 191,717
Prenatal
Number of Prenatal Patients 6 559,848 573,026 563,740
Number of Prenatal Patients who Delivered 295,913 299,373 300,095
Quality of Care Measures
Perinatal Health
Percentage of Prenatal Patients with Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 74.06% 73.97% 73.82%
Number of Access to Prenatal Care (First Prenatal Visit in 1st Trimester) 414,605 423,872 416,147
Percentage of Newborns with Low and Very Low Birth Weight 7.80% 8.03% 8.00%
Number of Newborns with Low Birth Weight 22,989 24,023 23,951
Preventive Health Screening & Services
Percentage of Patients Screened for Cervical Cancer 54.36% 55.67% 55.95%
Number of Patients Screened for Cervical Cancer 3,655,375 3,894,117 3,996,179
Percentage of Children Age 3-17 for Weight Screening and Counseling on Nutrition and Physical Activity 62.92% 65.85% 69.16%
Number of Children Age 3-17 with Weight Assessment and Counseling for Nutrition and Physical Activity 3,035,019 3,288,504 3,549,030
Percentage of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 62.46% 63.85% 70.15%
Number of Adult Medical Patients Age 18 and Older with Body Mass Index (BMI) Screening and Follow-Up 8,992,118 9,527,334 10,860,741
Percentage of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling 85.19% 87.50% 88.09%
Number of Adult Medical Patients Age 18 and Older Screened for Tobacco Use and Received Cessation Counseling 9,778,996 10,309,070 10,576,939
Percentage of Patients Screened for Colorectal Cancer 39.89% 42.02% 44.11%
Number of Patients Screened for Colorectal Cancer 2,047,900 2,271,055 2,491,769
Percentage of Children 2 Years of Age Who Received Age Appropriate Vaccines by Their 2nd Birthday 8 42.80% 40.24% 39.44%
Number of Children 2 Years of Age Who Received Age Appropriate Vaccines by Their 2nd Birthday 8 155,375 154,557 156,116
Percentage of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 60.34% 66.15% 70.57%
Number of Patients Screened for Clinical Depression and if Positive had a Follow-Up Plan Documented 8,791,303 9,904,540 10,836,660
Percentage of Children 6 through 9 Years of Age at Moderate to High Risk of Caries Who Received a Sealant on a First Permanent Molar 48.71% 50.71% 52.80%
Number of Children 6 through 9 Years of Age at Moderate to High Risk of Caries Who Received a Sealant on a First Permanent Molar 134,294 135,142 142,158
Chronic Disease Management
Percentage of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention 87.38% 86.62% 86.58%
Number of Persistent Asthmatic Patients Treated with Appropriate Pharmacological Intervention 326,052 334,805 373,701
Percentage of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 79.46% 80.72% 80.63%
Number of Patients Aged 18 and Older Diagnosed with Coronary Artery Disease (CAD) and Prescribed a Lipid Lowering Therapy 233,693 242,500 230,469
Percentage of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 78.40% 79.27% 80.86%
Number of Patients Age 18 and Older Diagnosed with Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 423,148 431,614 433,242
Percentage of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) 62.39% 62.71% 63.26%
Number of Patients with Hypertension (HTN) Whose Blood Pressure (BP) was Controlled (< 140/90 mmHg) 2,445,898 2,659,309 2,844,723
Percentage of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year 32.10% 32.95% 32.83%
Number of Diabetic Patients with Poorly Controlled Hemoglobin A1c (HbA1c > 9%) or No Test During Year 664,855 746,932 783,354
Percentage of Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 83.17% 84.52% 85.55%
Number of HIV Patients Who were Newly Diagnosed HIV and Received Follow-up Treatment 6,796 6,812 6,729
  2016 2017 2018
Cost Data
Health Center Service Grant Expenditures $4,318,331,539 $4,599,152,286 $4,718,449,705
Total Accrued Costs (Excluding Donations) $23,011,860,613 $25,597,401,177 $28,100,675,861
Total Accrued Cost per Total Patient $889.85 $941.97 $990.17

Footnotes

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

  1. Includes Hispanic/Latino and Non-Hispanic/Latino.
  2. Includes Medicaid, Medicaid CHIP, and Other Public Insurance CHIP.
  3. Measure revised in 2014 UDS to include patients served in health centers with and without Public Housing Primary Care funding.
  4. Hypertensive adults as a percent of estimated adult medical patients of ages 18-85.
  5. Diabetic adults as a percent of estimated adult medical patients of ages 18-75.
  6. All health centers who provide prenatal care directly or by referral are included in the prenatal care calculations, effective 2014.
  7. Adjusted Quartile Rankings: Provides a health center's adjusted quartile ranking compared to health centers nationally for each of the clinical performance measures. Clinical performance for each measure is ranked from quartile 1 (highest 25% of reporting health center) to quartile 4 (lowest 25% of reporting health centers). Adjusted quartile ranking is not calculated when there are fewer than 30 patients in the universe count. To learn more about the Health Center Adjusted Quartile Ranking please refer to https://bphc.hrsa.gov/datareporting/reporting/ranking.html and for FAQ's please refer to https://bphc.hrsa.gov/datareporting/reporting/rankingfaq.html.
  8. Program conditions are based on non-compliance with Health Center Program requirements and are updated daily. To learn more about the Health Center Program requirements, please visit https://bphc.hrsa.gov/programrequirements/compliancemanual/index.html.

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