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Hawaii has 14 community health centers across 137 sites serving 159,046 patients — the #40 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 14 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 Hawaii's expansion population and FQHC Medicaid revenue.
By patients (HRSA UDS 2024). Tap for the full profile.
| Organization | Patients | Sites | Uninsured | Revenue (990) | District |
|---|---|---|---|---|---|
| West Hawaii Community Health Center Inc. Kailua Kona | 37,299 | 26 | 5.86% | $57M | HI-02 |
| Waianae District Comprehensive Health and Hospital Board, Incorporated Waianae | 36,048 | 25 | 4.43% | $94M | HI-02 |
| Kalihi Palama Health Center Honolulu | 20,177 | 9 | 13.44% | $36M | HI-01 |
| Community Clinic of Maui, Inc. Wailuku | 13,471 | 7 | 15.23% | $21M | HI-02 |
| Waikiki Health Honolulu | 10,105 | 9 | 7.89% | $32M | HI-01 |
| Kokua Kalihi Valley (comprehensive Family Services) Honolulu | 9,487 | 9 | 27.54% | $25M | HI-01 |
| Hamakua Health Center, Inc. Honokaa | 7,955 | 8 | 5.59% | $10M | HI-02 |
| Waimanalo Health Center Waimanalo | 6,484 | 5 | 9.98% | $16M | HI-02 |
| The Wahiawa Center for Community Health Wahiawa · Look-Alike | 4,960 | 8 | 3.69% | $9M | HI-02 |
| Ho-ola Lahui Hawaii Inc. Lihue | 3,685 | 14 | 6.65% | $11M | HI-02 |
1 hospital/university/county-operated: 1 hospital.
| District | Representative | Sites |
|---|---|---|
| HI-02 | Jill N. Tokuda | 105 |
| HI-01 | Ed Case | 32 |
Hawaii ranks #40 by FQHC patients and #35 by organization count among the 57 national-breadth states/territories (excludes California and Texas, which have dedicated dashboards). All 14 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 Hawaii-only. Updated 2026-06-03.