N. A. T. I. V. E. Project, the
N. A. T. I. V. E. Project, the 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. In 2025 it served 3,553 patients, down 5.3% from 3,750 in 2024. 9.4% of its patients were uninsured, compared with 12.8% across Washington health centers and 17.2% nationally.
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3,553Patients served, 2025
9.4%of patients uninsured
42.6%of patients on Medicaid/CHIP
$4,232Total accrued cost per patient
$1,118Cost per visit
N. A. T. I. V. E. Project, the compared with Washington and the nation, 2025
| Measure | N. A. T. I. V. E. Project, the | Washington health centers | National |
|---|---|---|---|
| Patients | |||
| Children under 18 | 19.0% | 29.0% | 28.6% |
| Adults 65 and older | 13.2% | 11.6% | 12.8% |
| At or below 200% of the federal poverty guideline | 82.1% | 86.3% | 90.0% |
| Insurance status | |||
| Uninsured | 9.4% | 12.8% | 17.2% |
| Medicaid / CHIP | 42.6% | 54.4% | 47.9% |
| Medicare | 15.1% | 10.4% | 11.6% |
| Private insurance | 32.9% | 22.3% | 23.0% |
| Cost | |||
| Total accrued cost per patient | $4,232 | $1,820 | $1,672 |
| Cost per visit | $1,118 | $469 | $438 |
| Clinical quality | |||
| Cervical cancer screening | 42.8% | 56.0% | 57.0% |
| Colorectal cancer screening | 39.5% | 45.4% | 44.9% |
| Breast cancer screening | 43.9% | 53.7% | 56.0% |
| Controlling high blood pressure | 61.0% | 72.2% | 69.1% |
| Diabetes: HbA1c poor control (lower is better) | 17.5% | 24.9% | 26.3% |
| Depression screening and follow-up | 61.9% | 71.7% | 75.3% |
| Early entry into prenatal care | 91.7% | 81.7% | 73.4% |
| Tobacco screening and cessation | 80.6% | 86.1% | 84.8% |
| Statin therapy for cardiovascular disease | 81.5% | 78.6% | 79.0% |
Patients by service
| Service | 2025 |
|---|---|
| Medical | 3,077 |
| Dental | 999 |
| Mental health | 277 |
| Total clinic visits | 13,449 |
Trends, 2016–2025
| Year | Patients | Cost per patient | Uninsured | Medicaid/CHIP |
|---|---|---|---|---|
| 2025 | 3,553 | $4,232 | 9.4% | 42.6% |
| 2024 | 3,750 | $3,304 | – | 50.0% |
| 2023 | 3,727 | $3,099 | – | 55.6% |
| 2022 | 3,352 | $3,069 | – | 58.7% |
| 2021 | 3,197 | $3,003 | – | 55.2% |
| 2020 | 2,959 | – | – | 60.7% |
| 2019 | 3,185 | – | – | 61.6% |
| 2018 | 3,258 | – | – | 65.7% |
| 2017 | 3,168 | – | – | 65.8% |
| 2016 | 3,046 | – | 4.9% | 66.3% |
Explore N. A. T. I. V. E. Project, the 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 N. A. T. I. V. E. Project, the in the dashboard
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