La Maestra Family Clinic, Inc.

La Maestra Family Clinic, Inc., a San Diego-based nonprofit 501(c)(3) federally qualified health center, receives federal grant funding as a prime recipient to deliver integrated primary care, behavioral health, substance use disorder treatment, and dental services to low-income, uninsured, and underinsured populations in central, east, and south San Diego County. The organization does not hold federal contracts and does not operate as a federal contractor; it acts exclusively as a grant recipient, with 74% of recent awards held as prime grants and 26% as sub-awards under other federal grantees.

La Maestra's customer base concentrates entirely within the Department of Health and Human Services ecosystem. The top five funding components account for 75% of recent awards: the Health Resources and Services Administration (HRSA), which awards across three operational lines, the Substance Abuse and Mental Health Services Administration (SAMHSA), and the Administration for Children and Families (ACF). HRSA represents the largest share by award count, reflecting La Maestra's role as a federally qualified health center receiving capacity-building and service-expansion grants. SAMHSA anchors substance use disorder and co-occurring disorder treatment work, while HRSA also funds teaching health center and primary care access initiatives.

La Maestra's federal grant portfolio addresses behavioral health, substance use treatment, homelessness, HIV care, violence prevention, and workforce training. Recent prime grants include a $545,000 five-year SAMHSA project grant (CFDA 93.490, Center for Substance Abuse Treatment Projects of Regional and National Significance) awarded September 2026 for evidence-based substance use disorder and co-occurring disorder treatment services for youth and young adults ages 12–25; a $500,000 five-year HRSA Primary Care Training and Enhancement grant (CFDA 93.884, awarded July 2026) establishing a street medicine training track within La Maestra's Family Medicine Residency Program to equip residents with skills for trauma-informed care of people experiencing homelessness; a $400,000 Department of Justice Office on Violence Against Women grant (CFDA 16.016, awarded October 2023) for culturally specific victim services addressing domestic violence, dating violence, sexual assault, and stalking in Hispanic/Latino and other underserved communities; and a $150,000 HRSA Ryan White Title III HIV Capacity Development grant (awarded September 2025) for dental infrastructure improvements in HIV care clinics. La Maestra also acts as a sub-recipient under UnidosUS vaccination education campaigns (prime grantee UnidosUS, awarded February 2025 and March 2024), the U.S. Committee for Refugees and Immigrants Trafficking Victim Assistance Program (multiple awards from September 2022 forward), and the California Department of Health Care Services family planning services sub-award (April 2023).

Activity has declined over the past five years—from eight awards in 2022 to only two in 2026. Combined dollars obligated across all 53 awards (prime and sub combined) total $232.1 million, with the organization serving thirteen distinct federal agencies. The organization faces a minimal recompete cliff: only two awards with ultimate completion dates in the next twenty-four months. La Maestra's operations span 18 primary care clinics, ten dental suites, three school-based health centers, and two mobile medical and dental units. The organization served approximately 48,882 patients in 2024 and screens roughly 30% of its patient population for HIV, reflecting its integration of infectious disease screening, primary prevention, and care coordination across a "Circle of Care" service model targeting populations living at or below 200% of the federal poverty level.