Community Health Association of Spokane
Community Health Association of Spokane is a federally qualified health center (FQHC) in Washington and a Health Center Program awardee, funded in part by Section 330 of the Public Health Service Act. Its service delivery sites include Spokane, Spokane Valley, Lewiston, Cheney, and Clarkston. In 2025 it served 126,349 patients, up 3.1% from 122,517 in 2024. 11.5% of its patients were uninsured, compared with 12.8% across Washington health centers and 17.2% nationally.
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126,349Patients served, 2025
11.5%of patients uninsured
51.0%of patients on Medicaid/CHIP
$2,574Total accrued cost per patient
Community Health Association of Spokane compared with Washington and the nation, 2025
| Measure | Community Health Association of Spokane | Washington health centers | National |
|---|---|---|---|
| Patients | |||
| Children under 18 | 20.8% | 29.0% | 28.6% |
| Adults 65 and older | 12.2% | 11.6% | 12.8% |
| At or below 200% of the federal poverty guideline | 80.5% | 86.3% | 90.0% |
| Insurance status | |||
| Uninsured | 11.5% | 12.8% | 17.2% |
| Medicaid / CHIP | 51.0% | 54.4% | 47.9% |
| Medicare | 11.6% | 10.4% | 11.6% |
| Private insurance | 25.9% | 22.3% | 23.0% |
| Cost | |||
| Total accrued cost per patient | $2,574 | $1,820 | $1,672 |
| Clinical quality | |||
| Cervical cancer screening | 35.3% | 56.0% | 57.0% |
| Colorectal cancer screening | 44.1% | 45.4% | 44.9% |
| Breast cancer screening | 46.6% | 53.7% | 56.0% |
| Controlling high blood pressure | 72.2% | 72.2% | 69.1% |
| Diabetes: HbA1c poor control (lower is better) | 25.2% | 24.9% | 26.3% |
| Depression screening and follow-up | 69.8% | 71.7% | 75.3% |
| Early entry into prenatal care | 80.3% | 81.7% | 73.4% |
| Childhood immunization status | 23.9% | 31.0% | 29.5% |
| Tobacco screening and cessation | 81.0% | 86.1% | 84.8% |
| Statin therapy for cardiovascular disease | 80.8% | 78.6% | 79.0% |
Patients by service
| Service | 2025 |
|---|---|
| Medical | 97,755 |
| Dental | 47,151 |
| Mental health | 11,520 |
Trends, 2016–2025
| Year | Patients | Cost per patient | Uninsured | Medicaid/CHIP |
|---|---|---|---|---|
| 2025 | 126,349 | $2,574 | 11.5% | 51.0% |
| 2024 | 122,517 | $2,460 | 10.9% | 51.8% |
| 2023 | 111,752 | $2,241 | 10.0% | 55.9% |
| 2022 | 102,271 | $2,062 | 9.1% | 59.3% |
| 2021 | 99,244 | $1,693 | 10.1% | 58.5% |
| 2020 | 90,461 | – | 12.7% | 56.0% |
| 2019 | 96,221 | – | 14.6% | 54.9% |
| 2018 | 84,133 | – | 14.1% | 56.9% |
| 2017 | 73,717 | – | 13.1% | 60.0% |
| 2016 | 65,280 | – | 11.6% | 61.9% |
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