Community Health Centers Posted 2% Program-Wide Financial Loss in 2025 — Structural Strain Before H.R. 1 Cuts

The community health center program posted a 2% program-wide financial loss for 2025 — signaling structural strain even before H.R. 1 Medicaid cuts take full effect. With $4.6B in CHCF funding only authorized through December 2026, and Medicaid accounting for 43% of health center revenue nationally, even modest shifts in productivity, payer mix, or workforce costs can destabilize organizations. The negative margin came despite the largest CHCF funding increase in a decade, underscoring that grant funding alone cannot offset structural revenue erosion.