East Texas Community Health Service
East Texas Community Health Service 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 Nacogdoches and Lufkin. In 2025 it served 13,933 patients, up 19.1% from 11,703 in 2024. 36.8% of its patients were uninsured, compared with 32.2% across Texas health centers and 17.2% nationally.
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13,933Patients served, 2025
36.8%of patients uninsured
37.0%of patients on Medicaid/CHIP
$789Total accrued cost per patient
$266Cost per visit
East Texas Community Health Service compared with Texas and the nation, 2025
| Measure | East Texas Community Health Service | Texas health centers | National |
|---|---|---|---|
| Patients | |||
| Children under 18 | 42.0% | 37.3% | 28.6% |
| Adults 65 and older | 6.5% | 9.3% | 12.8% |
| At or below 200% of the federal poverty guideline | 93.7% | 92.7% | 90.0% |
| Insurance status | |||
| Uninsured | 36.8% | 32.2% | 17.2% |
| Medicaid / CHIP | 37.0% | 31.8% | 47.9% |
| Medicare | 4.9% | 7.7% | 11.6% |
| Private insurance | 20.0% | 27.9% | 23.0% |
| Cost | |||
| Total accrued cost per patient | $789 | $1,509 | $1,672 |
| Cost per visit | $266 | $441 | $438 |
| Clinical quality | |||
| Cervical cancer screening | 71.7% | 59.1% | 57.0% |
| Colorectal cancer screening | 31.0% | 35.5% | 44.9% |
| Breast cancer screening | 57.3% | 47.3% | 56.0% |
| Controlling high blood pressure | 71.2% | 66.8% | 69.1% |
| Diabetes: HbA1c poor control (lower is better) | 30.6% | 28.9% | 26.3% |
| Depression screening and follow-up | 91.0% | 77.6% | 75.3% |
| Early entry into prenatal care | 66.4% | 64.7% | 73.4% |
| Tobacco screening and cessation | 95.0% | 88.2% | 84.8% |
| Statin therapy for cardiovascular disease | 76.5% | 81.1% | 79.0% |
Patients by service
| Service | 2025 |
|---|---|
| Medical | 13,110 |
| Dental | 1,518 |
| Mental health | 351 |
| Total clinic visits | 41,298 |
Trends, 2016–2025
| Year | Patients | Cost per patient | Uninsured | Medicaid/CHIP |
|---|---|---|---|---|
| 2025 | 13,933 | $789 | 36.8% | 37.0% |
| 2024 | 11,703 | $794 | 43.0% | 30.5% |
| 2023 | 9,467 | $860 | 50.4% | 24.9% |
| 2022 | 9,915 | $781 | 52.0% | 28.1% |
| 2021 | 10,165 | $817 | 61.0% | 25.3% |
| 2020 | 10,294 | – | 60.6% | 21.8% |
| 2019 | 8,922 | – | 60.9% | 24.5% |
| 2018 | 8,544 | – | 54.9% | 30.0% |
| 2017 | 8,103 | – | 56.1% | 31.1% |
| 2016 | 8,762 | – | 56.4% | 31.3% |
Explore East Texas Community Health Service in the dashboard. It opens with this health center already
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area on a map and its payer, age, diagnosis and service-line mix.
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