Private insurance accounted for 36% of community health center revenue in Arkansas in 2025, the largest share of any state, according to an October KFF analysis.
Nationwide, private insurance brought in $8.2 billion, or 14.8%, of the $55.4 billion community health centers collected in 2025. Medicaid was the only larger source (45.8%), while Medicare made up 12%.
In each of the top five states, private insurance outpaced Medicaid as a revenue source. California sat at the bottom of the ranking at 5.2%, with Medicaid accounting for 65.4% of its health centers’ revenue.
The figures come from KFF’s analysis of the Health Resources and Services Administration’s 2025 Uniform Data System. Private insurance includes employer-sponsored coverage and plans bought on the individual market. The data covers FQHCs that receive Section 330 grants and excludes look-alike centers.
The share of community health center revenue that came from private insurance in each state in 2025:
- Arkansas, 36.4%
- Georgia, 34.1%
- South Carolina, 32.8%
- Texas, 32.5%
- South Dakota, 31.3%
- West Virginia, 28.7%
- Wyoming, 27.7%
- Idaho, 27.1%
- Oklahoma, 27%
- Florida, 26.2%
- New Hampshire, 23.8%
- North Carolina, 23.4%
- Kansas, 23.4%
- Alabama, 22.7%
- Maine, 22.4%
- Nebraska, 22.3%
- Mississippi, 22.2%
- Nevada, 22.2%
- Kentucky, 21.7%
- Vermont, 21.3%
- Maryland, 19.7%
- Tennessee, 19.1%
- Louisiana, 18.4%
- North Dakota, 17.8%
- Iowa, 17.7%
- Illinois, 16.9%
- Rhode Island, 16.9%
- Virginia, 16.3%
- Montana, 16.2%
- Massachusetts, 15.3%
- Michigan, 15.2%
- Utah, 15%
- Missouri, 14.6%
- Pennsylvania, 13.7%
- Connecticut, 13.4%
- Ohio, 12.7%
- New York, 12.5%
- Wisconsin, 11.9%
- Arizona, 11.9%
- Washington, D.C., 11.8%
- Indiana, 11.7%
- Colorado, 10.8%
- Washington, 10.8%
- New Mexico, 10.4%
- Hawaii, 10.2%
- Alaska, 9.9%
- Minnesota, 7.3%
- Oregon, 7.1%
- Delaware, 7.1%
- New Jersey, 5.8%
- California, 5.2%
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