Family Health Centers Of San Diego Inc.

Family Health Centers of San Diego Inc., a tax-exempt nonprofit Federally Qualified Health Center (FQHC) headquartered in San Diego, California, operates as a federal grant recipient and occasional purchase-order contractor, delivering medical education, clinical training, and primary health care services to underserved populations across 122 prime and sub awards since 1990. The organization competes and performs work on a full-and-open basis with no set-aside designations; it is not a federal contractor in the traditional procurement sense but rather a health care provider and grant recipient receiving federal support for medical residency training, public health initiatives, and clinical service expansion.

FHCSD's federal footprint is heavily concentrated in health professional workforce development and safety-net health center program grants. The Department of Health and Human Services (HHS) Health Resources and Services Administration (HRSA) Bureau of Health Professionals and Bureau of Primary Health Care dominate the award count (61% of 122 awards across multiple funders) and drive the organization's federal revenue. The Centers for Disease Control and Prevention Pittsburgh, a smaller customer by count, holds 99% of the combined potential value through three purchase orders—$341,407 for an online medical education and mentoring program under Executive Order 14389 (awarded September 2026), $268,304 for online medical education services via the ECHO videoconferencing platform (September 2025), and $215,227 for clinical management of post-acute infection syndromes (August 2024). FQHC status and health professional shortage area (HPSA) designations in primary care, dental care, and mental health shape FHCSD's grant eligibility and competitive positioning.

FHCSD's primary capability is operating an ACGME-accredited Family Medicine Residency Program that has trained 48 residents since 2014, with 54% continuing to practice in medically underserved settings. Recent major grants include a $1.236 million five-year Primary Care Training and Enhancement award (CFDA 93.884) from HRSA Bureau of Health Professionals (July 2026) to expand street medicine training for residents serving homeless populations; a $694,232 Teaching Health Center Graduate Medical Education Payment Program award (CFDA 93.530, March 2026) to fund two additional Family Medicine resident FTEs; and a new four-year Psychiatry Residency Program funded under Teaching Health Center GME (November 2024) for six resident positions annually. Beyond graduate medical education, FHCSD serves 159,114 unique patients annually, including 42,523 uninsured patients—more than any other community clinic in the nation—and has received federal grants for behavioral health service expansion, HIV prevention and care integration, sexually transmitted infection clinic infrastructure, mobile harm reduction for homeless individuals with substance use disorder, street medicine, nutrition assistance and food insecurity programs, and cancer screening navigation. The organization operates 24 primary care clinics across San Diego County and has emerged as one of the nation's ten largest FQHCs.

Award activity has declined slightly in the recent period (13 awards in 2024, 7 in 2025, 5 in 2026 year-to-date), with ten awards valued at $341 thousand facing ultimate completion within the next twenty-four months. FHCSD operates predominantly as a prime grant recipient (80% of awards) and performs as a sub-recipient on research studies with academic partners, including San Diego State University Foundation, University of California San Diego, the National Council on the Aging, and the California Department of Public Health. On SCI-reportable federal service contracts, the organization invoiced $367 thousand in FY2024 supporting 1.9 FTEs at median government-paid rates of $35.55 per hour, indicating minimal federal service-contract activity relative to its grant footprint. Across SCI prime contracts, 15% of hours are performed by named subcontractors (four total named subs reported), suggesting primarily in-house delivery of federal work.