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Regional dashboard covering 13 Federally Qualified Health Centers across 220 sites in the San Diego region.
13
FQHCs
7.9K
Staff
740K
Patients
69/100
Avg Resilience
177
Job Openings
13
across 220 sites
7,897
avg 607 per FQHC
75
1 event tracked
3.2/5
6 of 13 rated
Average resilience score: 69/100. Distribution of grades across 13 FQHCs.
Sorted by resilience score (highest first).
| Organization | City | Staff | Grade | Glassdoor | Programs |
|---|---|---|---|---|---|
| Vista Community Clinic | Vista | 340 | B | 3.4 | 5 |
| Neighborhood Healthcare | Escondido | 480 | B | -- | 4 |
| TrueCare | San Marcos | 956 | B | 3.1 | 14 |
| Imperial Beach Health Center | Imperial Beach | 65 | B | -- | 2 |
| Family Health Centers of San Diego | San Diego | 1,200 | B | -- | 5 |
| La Maestra Community Health Centers | San Diego | 828 | B | 3.5 | 10 |
| Mountain Health and Community Services | Lake Cuyamaca | 50 | B | -- | 2 |
| Planned Parenthood of the Pacific Southwest | San Diego | 150 | B | -- | 2 |
| Borrego Health - San Diego | El Cajon | 180 | B | -- | 4 |
| San Ysidro Health | San Ysidro | 3,300 | B | 3.6 | 12 |
| Imperial Beach Community Clinic | San Diego | 280 | C | -- | 13 |
| Operation Samahan (OpSam Health) | National City | 68 | C | 1.9 | 6 |
| St. Vincent de Paul Village | San Diego | NaN | C | 3.4 | 6 |
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.
A Peterson Health Technology Institute report finds ambient AI scribes are becoming one of the fastest-adopted technologies in healthcare history. For FQHCs, the technology addresses critical clinician burnout — Neighborhood Healthcare (CA FQHC, 500K+ visits, 30 facilities) successfully piloted Nabla AI scribes. However, rural FQHCs face connectivity and cost barriers, as North Country Healthcare (AZ) discovered.
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.
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.
Neighborhood Healthcare's Director of External Affairs warned that hundreds of California FQHCs face closure within a year as H.R. 1 cuts take effect. Palomar Health, Sharp HealthCare, and other San Diego institutions are bracing for impact. 75,000 noncitizens in San Diego County will lose Medi-Cal access by October 2026. Healthcare leaders predict hospitals will be 'overrun' as clinics close.
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.
San Diego County supervisors approved overhauling the County Medical Services program, which served fewer than 40 people last year despite 327,000 Medi-Cal recipients at risk from H.R. 1. Supervisor Montgomery Steppe proposed 'Safety Net Bridge' primary care clinics for anyone losing coverage. A half-cent sales tax ballot measure could generate $360M/year for safety-net programs. The county faces $200-300M/year in additional costs by 2028.