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Delaware has 3 community health centers across 16 sites serving 40,768 patients — the #48 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 3 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 Delaware's expansion population and FQHC Medicaid revenue.
By patients (HRSA UDS 2024). Tap for the full profile.
| Organization | Patients | Sites | Uninsured | Revenue (990) | District |
|---|---|---|---|---|---|
| Westside Family Healthcare Inc. Wilmington | 23,463 | 10 | 30.01% | $32M | DE-00 |
| La Red Health Center, Inc. Georgetown | 13,248 | 4 | 38.28% | $15M | DE-00 |
| Southbridge Medical Advisory Council, Inc. Wilmington | 4,057 | 2 | 36.85% | — | DE-00 |
| District | Representative | Sites |
|---|---|---|
| DE-00 | Sarah McBride | 16 |
Delaware ranks #48 by FQHC patients and #51 by organization count among the 57 national-breadth states/territories (excludes California and Texas, which have dedicated dashboards). All 3 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 Delaware-only. Updated 2026-06-03.