River Hills Community Health Center, Inc.
River Hills Community Health Center, Inc. is a federally qualified health center (FQHC) in Iowa and a Health Center Program awardee, funded in part by Section 330 of the Public Health Service Act. Its service delivery sites include Ottumwa, Fairfield, Centerville, Oskaloosa, and Bloomfield. In 2025 it served 22,264 patients, up 1.9% from 21,850 in 2024. 12.6% of its patients were uninsured, compared with 20.0% across Iowa health centers and 17.2% nationally.
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22,264Patients served, 2025
12.6%of patients uninsured
49.4%of patients on Medicaid/CHIP
$1,453Total accrued cost per patient
$357Cost per visit
River Hills Community Health Center, Inc. compared with Iowa and the nation, 2025
| Measure | River Hills Community Health Center, Inc. | Iowa health centers | National |
|---|---|---|---|
| Patients | |||
| Children under 18 | 34.3% | 33.8% | 28.6% |
| Adults 65 and older | 9.6% | 8.7% | 12.8% |
| At or below 200% of the federal poverty guideline | 89.5% | 91.0% | 90.0% |
| Insurance status | |||
| Uninsured | 12.6% | 20.0% | 17.2% |
| Medicaid / CHIP | 49.4% | 48.7% | 47.9% |
| Medicare | 7.2% | 8.4% | 11.6% |
| Private insurance | 30.9% | 23.0% | 23.0% |
| Cost | |||
| Total accrued cost per patient | $1,453 | $1,405 | $1,672 |
| Cost per visit | $357 | $410 | $438 |
| Clinical quality | |||
| Cervical cancer screening | 37.3% | 61.1% | 57.0% |
| Colorectal cancer screening | 37.0% | 46.5% | 44.9% |
| Breast cancer screening | 38.5% | 57.4% | 56.0% |
| Controlling high blood pressure | 75.3% | 75.1% | 69.1% |
| Diabetes: HbA1c poor control (lower is better) | 32.2% | 24.9% | 26.3% |
| Depression screening and follow-up | 80.3% | 79.7% | 75.3% |
| Early entry into prenatal care | 88.5% | 71.3% | 73.4% |
| Childhood immunization status | 39.4% | 31.3% | 29.5% |
| Tobacco screening and cessation | 83.6% | 91.0% | 84.8% |
| Statin therapy for cardiovascular disease | 77.9% | 85.0% | 79.0% |
Patients by service
| Service | 2025 |
|---|---|
| Medical | 9,592 |
| Dental | 12,871 |
| Mental health | 5,110 |
| Total clinic visits | 90,526 |
Trends, 2016–2025
| Year | Patients | Cost per patient | Uninsured | Medicaid/CHIP |
|---|---|---|---|---|
| 2025 | 22,264 | $1,453 | 12.6% | 49.4% |
| 2024 | 21,850 | $1,342 | 17.2% | 46.1% |
| 2023 | 22,244 | $1,223 | 11.6% | 53.2% |
| 2022 | 22,201 | $1,071 | 9.3% | 54.5% |
| 2021 | 20,681 | $986 | 10.5% | 53.5% |
| 2020 | 18,379 | – | 11.6% | 50.7% |
| 2019 | 19,672 | – | 28.8% | 38.4% |
| 2018 | 19,060 | – | 32.7% | 35.6% |
| 2017 | 17,902 | – | 33.1% | 35.9% |
| 2016 | 16,149 | – | 33.3% | 36.1% |
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