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This strategic report is analysis compiled from public sources (HRSA UDS, CMS, WARN Act filings, news coverage, public Glassdoor reviews). Claims about workforce stability, financial positioning, or operational resilience are informational only and may not reflect current operations. For authoritative information, contact the organization directly.
Resilience
Resilience grade: BSites
31
Staff
828+
Patients
46,000+
Low Risk
(74/100)La Maestra Community Health Centers provides quality, affordable healthcare and social services to diverse communities through a multilingual, multicultural approach.
Overall Score: 74/100
Data completeness: 90%
10 active programs (excellent diversity)
No recent layoffs tracked
Modern EHR: NextGen
Glassdoor rating: 3.5/5 (good)
High funding vulnerability
Regional Comparison: La Maestra Community Health Centers scores 74 vs the San Diego average of 69.
Dental Coverage Eliminated for Undocumented Adults
2026-07-01
PPS Rates Eliminated for FQHCs Serving Undocumented Patients
2026-07-01
Work/Community Engagement Requirements Begin
2026-10-01
ECM Provider
NHSC Approved
EHR System
NextGen
Union Status
Non-Union
Active Openings
8
Glassdoor
Profile Source
CuratedFQHC 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.
OB Rag identifies the three named San Diego County hospitals on Public Citizen's 446-hospital watchlist: Scripps Mercy Hospital (San Diego), Sharp Chula Vista Medical Center, and Tri-City Medical Center (Oceanside). These facilities derive 20%+ of revenue from Medicaid and have run negative margins 2022–2024, making them first in line for service cuts or closure under H.R. 1's $911B/10-year Medicaid reductions. Projected California coverage loss: 1.4M in year one, 3.4M over 10 years.
Effective April 1, 2026, lawfully present noncitizens in San Diego County lost CalFresh eligibility, with an 80-hour monthly work requirement for most CalFresh adults starting June 1 and Medi-Cal work requirements taking effect January 2027. The changes affect approximately 400,000 CalFresh enrollees and 800,000+ Medi-Cal members in San Diego, overwhelming FQHCs with eligibility navigation needs as patients seek to maintain coverage.
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.
La Maestra Community Health Centers operates in California's San Diego region.
Regional FQHCs
13
Avg Resilience
69
Total Staff
7,897
Regional Jobs
177
Regional salary ranges (P25/P50/P75), open positions, and alerts when new openings post.
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