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South Carolina has 25 community health centers across 339 sites serving 450,123 patients — the #21 FQHC state by patients outside California and Texas. As a non-expansion state, the uninsured are the biggest exposure, and the ACA premium-credit expiry is the dominant federal risk.
Patient-weighted across the 25 centers with UDS 2024 data.
Expiry of the enhanced ACA premium tax credits (end of 2025) is the dominant federal risk in this non-expansion state — it widens the coverage gap and raises uninsured/self-pay volume at FQHCs; Medicaid community-engagement (work) requirements (CMS-2454-IFC, full implementation Jan 1, 2027) compound the redetermination burden.
By patients (HRSA UDS 2024). Tap for the full profile.
| Organization | Patients | Sites | Uninsured | Revenue (990) | District |
|---|---|---|---|---|---|
| Hopehealth Inc. Florence | 59,287 | 24 | 10.72% | $185M | SC-07 |
| Eau Claire Cooperative Health Center Columbia | 56,339 | 21 | 31.82% | $85M | SC-06 |
| Caresouth Carolina Inc. Hartsville | 37,617 | 21 | 10.35% | $68M | SC-07 |
| Little River Medical Center Inc. Little River | 34,611 | 16 | 38.1% | $42M | SC-07 |
| Carolina Health Centers Inc. Greenwood | 25,998 | 22 | 19.14% | $34M | SC-03 |
| Regenesis Health Care Inc. Spartanburg | 21,564 | 43 | 27.08% | — | SC-04 |
| New Horizon Family Health Services Inc. Greenville | 20,017 | 10 | 53.72% | $30M | SC-04 |
| Low Country Health Care System, Inc. Fairfax | 19,270 | 13 | 17.17% | $27M | SC-06 |
| Fetter Health Care Network, Inc. Charleston | 18,791 | 31 | 35.64% | $22M | SC-06 |
| Beaufort-jasper-hampton Comprehensive Health Services, Incorporated Okatie | 18,210 | 24 | 26.3% | $30M | SC-01 |
| District | Representative | Sites |
|---|---|---|
| SC-07 | Russell Fry | 83 |
| SC-06 | James E. Clyburn | 81 |
| SC-05 | Ralph Norman | 46 |
| SC-04 | William R. Timmons, IV | 41 |
| SC-03 | Sheri Biggs | 34 |
| SC-01 | Nancy Mace | 28 |
South Carolina ranks #21 by FQHC patients and #21 by organization count among the 57 national-breadth states/territories (excludes California and Texas, which have dedicated dashboards). All 25 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 South Carolina-only. Updated 2026-06-03.