Community Health Service Agency, Inc.
Community Health Service Agency, Inc. is a federally qualified health center (FQHC) in Texas and a Health Center Program awardee, funded in part by Section 330 of the Public Health Service Act. Its service delivery sites include Greenville, Commerce, Cooper, Farmersville, and Kaufman. In 2025 it served 27,771 patients, down 2.4% from 28,448 in 2024. 35.5% of its patients were uninsured, compared with 32.2% across Texas health centers and 17.2% nationally.
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27,771Patients served, 2025
35.5%of patients uninsured
32.8%of patients on Medicaid/CHIP
$776Total accrued cost per patient
$281Cost per visit
Community Health Service Agency, Inc. compared with Texas and the nation, 2025
| Measure | Community Health Service Agency, Inc. | Texas health centers | National |
|---|---|---|---|
| Patients | |||
| Children under 18 | 38.2% | 37.3% | 28.6% |
| Adults 65 and older | 8.4% | 9.3% | 12.8% |
| At or below 200% of the federal poverty guideline | 95.9% | 92.7% | 90.0% |
| Insurance status | |||
| Uninsured | 35.5% | 32.2% | 17.2% |
| Medicaid / CHIP | 32.8% | 31.8% | 47.9% |
| Medicare | 7.7% | 7.7% | 11.6% |
| Private insurance | 22.6% | 27.9% | 23.0% |
| Cost | |||
| Total accrued cost per patient | $776 | $1,509 | $1,672 |
| Cost per visit | $281 | $441 | $438 |
| Clinical quality | |||
| Cervical cancer screening | 61.1% | 59.1% | 57.0% |
| Colorectal cancer screening | 43.9% | 35.5% | 44.9% |
| Breast cancer screening | 59.2% | 47.3% | 56.0% |
| Controlling high blood pressure | 74.5% | 66.8% | 69.1% |
| Diabetes: HbA1c poor control (lower is better) | 25.1% | 28.9% | 26.3% |
| Depression screening and follow-up | 88.7% | 77.6% | 75.3% |
| Early entry into prenatal care | 69.6% | 64.7% | 73.4% |
| Childhood immunization status | 28.6% | 29.7% | 29.5% |
| Tobacco screening and cessation | 90.9% | 88.2% | 84.8% |
| Statin therapy for cardiovascular disease | 88.2% | 81.1% | 79.0% |
Patients by service
| Service | 2025 |
|---|---|
| Medical | 27,448 |
| Dental | 1,455 |
| Mental health | 1,090 |
| Total clinic visits | 76,767 |
Trends, 2016–2025
| Year | Patients | Cost per patient | Uninsured | Medicaid/CHIP |
|---|---|---|---|---|
| 2025 | 27,771 | $776 | 35.5% | 32.8% |
| 2024 | 28,448 | $741 | 37.4% | 32.3% |
| 2023 | 28,795 | $670 | 37.9% | 36.7% |
| 2022 | 30,967 | $612 | 38.3% | 37.6% |
| 2021 | 30,913 | $565 | 39.9% | 33.7% |
| 2020 | 29,487 | – | 45.3% | 29.6% |
| 2019 | 26,450 | – | 45.1% | 27.0% |
| 2018 | 25,221 | – | 53.2% | 24.3% |
| 2017 | 26,477 | – | 50.9% | 24.4% |
| 2016 | 25,372 | – | 50.0% | 24.7% |
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