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Colorado has 21 community health centers across 293 sites serving 654,757 patients — the #16 FQHC state by patients outside California and Texas. As an expansion state, Medicaid anchors the safety net, and H.R. 1 work requirements plus the December 2026 funding cliff are the key risks.
Patient-weighted across the 20 centers with UDS 2024 data.
Medicaid community-engagement (work) requirements under CMS-2454-IFC (80 hrs/month, full implementation Jan 1, 2027) plus expiry of the enhanced ACA premium tax credits (end of 2025) threaten Colorado's expansion population and FQHC Medicaid revenue.
By patients (HRSA UDS 2024). Tap for the full profile.
| Organization | Patients | Sites | Uninsured | Revenue (990) | District |
|---|---|---|---|---|---|
| Denver Health and Hospital Authority Denver | 203,271 | 43 | 21.45% | — | CO-01 |
| Peak Vista Community Health Centers Colorado Springs | 74,378 | 25 | 21.29% | $112M | CO-05 |
| Salud Family Health, Inc. Fort Lupton | 60,522 | 24 | 20.56% | $121M | CO-08 |
| Clinica Campesina/family Health Services Lafayette | 53,516 | 24 | 37.99% | $68M | CO-02 |
| Metro Community Provider Network Inc. Wheat Ridge | 47,581 | 13 | 28.31% | $71M | CO-07 |
| Sunrise Community Health Evans | 43,450 | 14 | 29.7% | $57M | CO-08 |
| Valley-wide Health Systems Alamosa | 35,907 | 38 | 10.63% | $61M | CO-03 |
| Pueblo Community Health Center Pueblo | 25,398 | 14 | 14.56% | $44M | CO-03 |
| Mountain Family Health Centers Glenwood Springs | 16,724 | 9 | 47.76% | $23M | CO-03 |
| Marillac Clinic, Inc. Grand Junction | 16,426 | 7 | 19.6% | $13M | CO-03 |
2 hospital/university/county-operated: 1 hospital, 1 university.
| District | Representative | Sites |
|---|---|---|
| CO-03 | Jeff Hurd | 73 |
| CO-01 | Diana DeGette | 69 |
| CO-02 | Joe Neguse | 45 |
| CO-04 | Lauren Boebert | 28 |
| CO-08 | Gabe Evans | 24 |
| CO-05 | Jeff Crank | 22 |
Colorado ranks #16 by FQHC patients and #25 by organization count among the 57 national-breadth states/territories (excludes California and Texas, which have dedicated dashboards). All 21 centers depend on the federal Community Health Center Fund, authorized only through December 31, 2026.
FQHC data from the HRSA bulk-sites file + UDS 2024 + IRS 990. State policy profile via NACHC/KFF/AANP. Federal items apply to all states; state items are Colorado-only. Updated 2026-06-03.