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Regional dashboard covering 16 Federally Qualified Health Centers across 257 sites in the Central Valley region.
16
FQHCs
6.0K
Staff
1.1M
Patients
63/100
Avg Resilience
150
Job Openings
16
across 257 sites
6,034
avg 377 per FQHC
None
No layoffs tracked
3.3/5
4 of 16 rated
Average resilience score: 63/100. Distribution of grades across 16 FQHCs.
Sorted by resilience score (highest first).
| Organization | City | Staff | Grade | Glassdoor | Programs |
|---|---|---|---|---|---|
| Adventist Health - Central Valley | Turlock | 180 | B | -- | 3 |
| Family HealthCare Network | Visalia | 920 | B | -- | 9 |
| Omni Family Health | Bakersfield | 520 | B | -- | 4 |
| Clinica Sierra Vista | Bakersfield | 1,050 | B | -- | 5 |
| United Health Centers | Parlier | 630 | B | -- | 4 |
| Golden Valley Health Centers | Merced | 395 | B | -- | 4 |
| Community Medical Centers | Stockton | 1,227 | B | 3.2 | 11 |
| Camarena Health | Madera | 240 | B | -- | 3 |
| Salud Para La Gente - Central Valley | Delano | 220 | C | -- | 3 |
| Livingston Community Health | Livingston | 95 | C | -- | 2 |
| Altura Centers for Health | Tulare | 63 | C | 3.4 | 14 |
| Greater Fresno Health Organization | Fresno | NaN | C | -- | 5 |
| Valley Health Team | San Joaquin | 94 | C | -- | 9 |
| Tulare, County of | Visalia | NaN | C | 3.6 | 7 |
| San Joaquin County Health Services Employees Guild | French Camp | NaN | C | -- | 6 |
| County of Stanislaus | Modesto | 400 | D | 2.9 | 4 |
15 intelligence items relevant to this region.
FQHC Prospective Payment System rates — averaging $200-400/visit — will be replaced by lower Medi-Cal Fee Schedule rates for services to undocumented individuals. This represents a 50-70% per-encounter revenue cut for these patients. FQHCs with large undocumented populations face severe revenue shortfalls.
Dental benefits for undocumented Medi-Cal enrollees will be eliminated, saving $308M in 2026-27 and $336M annually thereafter. FQHCs with dental programs serving undocumented patients will lose dental encounter revenue for these patients entirely.
California Sen. Maria Elena Durazo (D-Los Angeles) introduced SB 1422 to restore full Medi-Cal eligibility for all income-qualifying adults regardless of immigration status — reversing the January 2026 enrollment freeze that blocked new undocumented applicants. Nearly 1.7M undocumented immigrants are currently enrolled in Medi-Cal. The freeze eliminated PPS payments to FQHCs for UIS patients, forcing health centers to absorb care costs or turn patients away.
Buried within H.R. 1's massive Medicaid cuts is a $50 billion Rural Health Transformation Program ($10B/year for 5 years, FY 2026–2030) funding grants for rural FQHCs, hospitals, and behavioral health providers. California's likely allocation: ~$500M/year via competitive grants. Eligible applicants include FQHCs in rural shortage areas — targeting North State, North Coast, and Central Valley regions. While it does not offset the far larger Medicaid losses, it represents the first new federal FQHC investment channel since the ACA.
Starting July 1, 2026, California's budget eliminates use of the Prospective Payment System for FQHC services to state-only-funded individuals with unsatisfactory immigration status (UIS). FQHCs will instead be paid at the regular Medi-Cal fee-for-service rate or negotiated managed care plan rates — roughly 50–70% less per encounter than the PPS rate ($200–400/visit). The CA LAO scores this as $1 billion in annual General Fund savings, meaning $1 billion in annual FQHC revenue loss beginning 2026–27. FQHCs with large undocumented patient panels — concentrated in LA, San Diego, and Central Valley — face the most severe financial exposure. Dental benefits for undocumented Medi-Cal enrollees also eliminated: $308M savings in 2026–27.
Beginning July 1, 2027, Medi-Cal members ages 19–59 who are undocumented or have unsatisfactory immigration status (UIS) and remain in full-coverage Medi-Cal will be required to pay a $30 monthly premium to maintain coverage. Dental benefits for UIS members were already eliminated effective July 1, 2026. Combined with the January 2026 enrollment freeze and eliminated FQHC PPS reimbursement for UIS services, this represents a compounding disinvestment in California's 1.6 million undocumented Medi-Cal enrollees — raising coverage loss and FQHC revenue risk.
FQHCs with Ryan White funding can layer CalAIM Enhanced Care Management (ECM) revenue on top of existing HIV/AIDS grants — but with a critical exclusion: members enrolled in the HIV/AIDS HCBS Waiver (MCWP) cannot simultaneously receive ECM. The playbook: (1) Identify Ryan White clients who are Medi-Cal eligible but NOT on the MCWP waiver — they can be referred to ECM. (2) Use ECM for HIV+ patients with complex social needs (housing instability, reentry, SUD). (3) Build CHW/care coordinator capacity funded by ECM PMPM to supplement Ryan White case management. (4) Ryan White remains payer of last resort — ECM captures Medi-Cal revenue first. Golden Valley Health Centers (Merced County) is modeling this with ECM + HIV focus.
Health Net (Centene) announced $31.25M in grants to develop 10 housing projects in LA, Sacramento, San Joaquin, and Stanislaus counties, providing 900+ affordable housing units. Since 2020, Health Net has dedicated $93M to housing/homelessness initiatives. This investment intersects directly with CalAIM Community Supports — FQHCs delivering housing navigation and transitional rent services in these counties could benefit from increased housing stock for ECM patients.