East-Central District Health Department
East-Central District Health Department is a federally qualified health center (FQHC) in Nebraska and a Health Center Program awardee, funded in part by Section 330 of the Public Health Service Act. Its service delivery sites include Schuyler, Columbus, and Fremont. In 2025 it served 9,371 patients, down 11.9% from 10,638 in 2024. 27.7% of its patients were uninsured, compared with 30.0% across Nebraska health centers and 17.2% nationally.
See East-Central District Health Department in the dashboard →
9,371Patients served, 2025
27.7%of patients uninsured
30.5%of patients on Medicaid/CHIP
$1,349Total accrued cost per patient
$442Cost per visit
East-Central District Health Department compared with Nebraska and the nation, 2025
| Measure | East-Central District Health Department | Nebraska health centers | National |
|---|---|---|---|
| Patients | |||
| Children under 18 | 22.7% | 34.1% | 28.6% |
| Adults 65 and older | 8.7% | 8.6% | 12.8% |
| At or below 200% of the federal poverty guideline | 82.9% | 87.2% | 90.0% |
| Insurance status | |||
| Uninsured | 27.7% | 30.0% | 17.2% |
| Medicaid / CHIP | 30.5% | 39.0% | 47.9% |
| Medicare | 7.0% | 6.2% | 11.6% |
| Private insurance | 34.7% | 24.8% | 23.0% |
| Cost | |||
| Total accrued cost per patient | $1,349 | $1,418 | $1,672 |
| Cost per visit | $442 | $439 | $438 |
| Clinical quality | |||
| Cervical cancer screening | 39.6% | 60.2% | 57.0% |
| Colorectal cancer screening | 25.8% | 44.2% | 44.9% |
| Breast cancer screening | 52.1% | 50.1% | 56.0% |
| Controlling high blood pressure | 65.3% | 70.3% | 69.1% |
| Diabetes: HbA1c poor control (lower is better) | 33.8% | 23.7% | 26.3% |
| Depression screening and follow-up | 96.0% | 95.4% | 75.3% |
| Childhood immunization status | 35.1% | 47.5% | 29.5% |
| Tobacco screening and cessation | 95.8% | 95.8% | 84.8% |
| Statin therapy for cardiovascular disease | 87.7% | 87.4% | 79.0% |
Patients by service
| Service | 2025 |
|---|---|
| Medical | 7,128 |
| Dental | 2,162 |
| Mental health | 1,453 |
| Total clinic visits | 28,585 |
Trends, 2016–2025
| Year | Patients | Cost per patient | Uninsured | Medicaid/CHIP |
|---|---|---|---|---|
| 2025 | 9,371 | $1,349 | 27.7% | 30.5% |
| 2024 | 10,638 | $1,154 | 30.4% | 33.0% |
| 2023 | 9,946 | $1,107 | 41.5% | 28.8% |
| 2022 | 10,054 | $901 | 30.5% | 15.6% |
| 2021 | 10,399 | $871 | 31.2% | 14.1% |
| 2020 | 10,978 | – | 36.8% | 14.9% |
| 2019 | 11,606 | – | 43.1% | 13.2% |
| 2018 | 10,475 | – | 46.9% | 13.3% |
| 2017 | 9,436 | – | 47.5% | 17.4% |
| 2016 | 8,707 | – | 43.0% | 23.4% |
Explore East-Central District Health Department in the dashboard. It opens with this health center already
selected, so you can chart its ten-year trends against state, national and peer-group benchmarks, and see its service
area on a map and its payer, age, diagnosis and service-line mix.
Open East-Central District Health Department in the dashboard
Open East-Central District Health Department in the dashboard