publicly supported community health-center system

Federally Qualified Health Centers

Industry Health

A U.S. safety-net system of community health centers serving medically underserved areas and populations. Federally Qualified Health Centers score well because they move primary care toward community access and lower-income patients, though underfunding, bureaucracy, and variable local governance keep the score below ideal.

Why this matters: FQHCs are one of the clearest positive alternatives to corporate primary-care access for many communities.

Letter grade A Good High confidence (AI) Rubric gcd-rubric-v1 Last reviewed May 12, 2026

Final Score 54* A - Good

AGOOD54 pts

* Tentative scaffolding score. Not human-checked or final.

Base Material52

Bonus+5

Cap66No structure cap

After Cap57

Penalties-3

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Evaluation Overview

A - Good

The score turns mainly on Extraction, with the largest penalty coming from Accountability Opacity.

Strengths

Extraction8/10
Solidarity with the Unemployed7/7
Ownership6/10

Penalties

Accountability Opacity-2
Policy Capture-1

Evidence state

ConfidenceHigh confidence (AI)
ThoroughnessDeveloped (AI)
Linked claims15
Direct axis claims15
Coverage15/15

Scoring Axes

Axis	Score	Why this score
Ownership ? Control rights: shareholder-dominated at 0, worker cooperative control at 10.	6 / 10	Federally Qualified Health Centers's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category. Federally Qualified Health Centers's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category. On Ownership, Federally Qualified Health Centers sits in the middle because the structure has real public, nonprofit, or service value, but users still do not hold decisive control over prices, access rules, quality, or institutional priorities. That places it above ordinary shareholder firms but below democratic or member-owned alternatives. Calibration notes Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions. Linked evidence Federally Qualified Health Centers's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category. [1] context Federally Qualified Health Centers's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers. [2] context Federally Qualified Health Centers's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery. [3] context Federally Qualified Health Centers's public materials do not show ordinary workers holding full binding democratic control over the institution. [4] context Federally Qualified Health Centers operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power. [5] context Federally Qualified Health Centers's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise. [6] context Federally Qualified Health Centers operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice. [7] context Federally Qualified Health Centers's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability. [8] context Federally Qualified Health Centers's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities. [9]
Governance ? Binding decision authority: centralized control at 0, democratic stakeholder control at 10.	6 / 10	Federally Qualified Health Centers's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers. Federally Qualified Health Centers's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers. On Governance, Federally Qualified Health Centers sits in the middle because the structure has real public, nonprofit, or service value, but users still do not hold decisive control over prices, access rules, quality, or institutional priorities. That places it above ordinary shareholder firms but below democratic or member-owned alternatives. Calibration notes Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions. Linked evidence context Federally Qualified Health Centers's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category. [1] Federally Qualified Health Centers's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers. [2] context Federally Qualified Health Centers's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery. [3] context Federally Qualified Health Centers's public materials do not show ordinary workers holding full binding democratic control over the institution. [4] context Federally Qualified Health Centers operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power. [5] context Federally Qualified Health Centers's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise. [6] context Federally Qualified Health Centers operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice. [7] context Federally Qualified Health Centers's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability. [8] context Federally Qualified Health Centers's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities. [9]
Extraction ? Surplus allocation, wage share, CEO pay ratio, margins, and structured extraction judgment.	8 / 10	Federally Qualified Health Centers's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery. Federally Qualified Health Centers's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery. On Extraction, Federally Qualified Health Centers belongs near the top of this pass because its cooperative, public, volunteer, or nonprofit structure moves power and value closer to the people the service exists to help. It remains below the strongest directory entries where scale, bureaucracy, local variation, utility dependence, or public-program limits still constrain user power. Calibration notes Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions. Linked evidence context Federally Qualified Health Centers's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category. [1] context Federally Qualified Health Centers's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers. [2] Federally Qualified Health Centers's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery. [3] context Federally Qualified Health Centers's public materials do not show ordinary workers holding full binding democratic control over the institution. [4] context Federally Qualified Health Centers operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power. [5] context Federally Qualified Health Centers's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise. [6] context Federally Qualified Health Centers operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice. [7] context Federally Qualified Health Centers's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability. [8] context Federally Qualified Health Centers's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities. [9]
Labor Sovereignty ? Worker power: coercive conditions at 0, co-determination or ownership at 7. Employee dissatisfaction matters only when source-backed evidence shows concrete limits on worker agency, such as coercive scheduling, retaliation, wage theft, harassment, unsafe conditions, suppression of worker voice, or extreme turnover.	4 / 7	Federally Qualified Health Centers's linked public materials do not show ordinary workers holding full binding democratic control over the institution. Federally Qualified Health Centers's linked public materials do not show ordinary workers holding full binding democratic control over the institution. On Labor Sovereignty, Federally Qualified Health Centers sits in the middle because the structure has real public, nonprofit, or service value, but users still do not hold decisive control over prices, access rules, quality, or institutional priorities. That places it above ordinary shareholder firms but below democratic or member-owned alternatives. Calibration notes Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions. Linked evidence context Federally Qualified Health Centers's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category. [1] context Federally Qualified Health Centers's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers. [2] context Federally Qualified Health Centers's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery. [3] Federally Qualified Health Centers's public materials do not show ordinary workers holding full binding democratic control over the institution. [4] context Federally Qualified Health Centers operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power. [5] context Federally Qualified Health Centers's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise. [6] context Federally Qualified Health Centers operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice. [7] context Federally Qualified Health Centers's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability. [8] context Federally Qualified Health Centers's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities. [9]
Solidarity with the Unemployed ? Treatment of exits and nonworkers, including severance, redeployment, and non-competes.	7 / 7	Federally Qualified Health Centers operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power. Federally Qualified Health Centers operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power. On Solidarity with the Unemployed, Federally Qualified Health Centers belongs near the top of this pass because its cooperative, public, volunteer, or nonprofit structure moves power and value closer to the people the service exists to help. It remains below the strongest directory entries where scale, bureaucracy, local variation, utility dependence, or public-program limits still constrain user power. Calibration notes Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions. Linked evidence context Federally Qualified Health Centers's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category. [1] context Federally Qualified Health Centers's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers. [2] context Federally Qualified Health Centers's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery. [3] context Federally Qualified Health Centers's public materials do not show ordinary workers holding full binding democratic control over the institution. [4] Federally Qualified Health Centers operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power. [5] context Federally Qualified Health Centers's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise. [6] context Federally Qualified Health Centers operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice. [7] context Federally Qualified Health Centers's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability. [8] context Federally Qualified Health Centers's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities. [9]
Loss-Bearing Fidelity ? Willingness to absorb costs to preserve values, workers, users, and public obligations.	6 / 7	Federally Qualified Health Centers's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise. Federally Qualified Health Centers's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise. On Loss-Bearing Fidelity, Federally Qualified Health Centers sits in the middle because the structure has real public, nonprofit, or service value, but users still do not hold decisive control over prices, access rules, quality, or institutional priorities. That places it above ordinary shareholder firms but below democratic or member-owned alternatives. Calibration notes Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions. Linked evidence context Federally Qualified Health Centers's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category. [1] context Federally Qualified Health Centers's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers. [2] context Federally Qualified Health Centers's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery. [3] context Federally Qualified Health Centers's public materials do not show ordinary workers holding full binding democratic control over the institution. [4] context Federally Qualified Health Centers operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power. [5] Federally Qualified Health Centers's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise. [6] context Federally Qualified Health Centers operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice. [7] context Federally Qualified Health Centers's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability. [8] context Federally Qualified Health Centers's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities. [9]
Market Conduct ? Pricing fairness, switching costs, lock-in, and rent extraction.	5 / 5	Federally Qualified Health Centers operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice. Federally Qualified Health Centers operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice. On Market Conduct, Federally Qualified Health Centers sits in the middle because the structure has real public, nonprofit, or service value, but users still do not hold decisive control over prices, access rules, quality, or institutional priorities. That places it above ordinary shareholder firms but below democratic or member-owned alternatives. Calibration notes Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions. Linked evidence context Federally Qualified Health Centers's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category. [1] context Federally Qualified Health Centers's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers. [2] context Federally Qualified Health Centers's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery. [3] context Federally Qualified Health Centers's public materials do not show ordinary workers holding full binding democratic control over the institution. [4] context Federally Qualified Health Centers operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power. [5] context Federally Qualified Health Centers's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise. [6] Federally Qualified Health Centers operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice. [7] context Federally Qualified Health Centers's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability. [8] context Federally Qualified Health Centers's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities. [9]
Product Integrity ? Preservation of quality rather than degradation for monetization.	5 / 5	Federally Qualified Health Centers's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability. Federally Qualified Health Centers's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability. On Product Integrity, Federally Qualified Health Centers sits in the middle because the structure has real public, nonprofit, or service value, but users still do not hold decisive control over prices, access rules, quality, or institutional priorities. That places it above ordinary shareholder firms but below democratic or member-owned alternatives. Calibration notes Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions. Linked evidence context Federally Qualified Health Centers's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category. [1] context Federally Qualified Health Centers's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers. [2] context Federally Qualified Health Centers's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery. [3] context Federally Qualified Health Centers's public materials do not show ordinary workers holding full binding democratic control over the institution. [4] context Federally Qualified Health Centers operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power. [5] context Federally Qualified Health Centers's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise. [6] context Federally Qualified Health Centers operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice. [7] Federally Qualified Health Centers's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability. [8] context Federally Qualified Health Centers's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities. [9]
Scale Integrity ? Whether growth improves or degrades fairness and accountability.	5 / 5	Federally Qualified Health Centers's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities. Federally Qualified Health Centers's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities. On Scale Integrity, Federally Qualified Health Centers sits in the middle because the structure has real public, nonprofit, or service value, but users still do not hold decisive control over prices, access rules, quality, or institutional priorities. That places it above ordinary shareholder firms but below democratic or member-owned alternatives. Calibration notes Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions. Linked evidence context Federally Qualified Health Centers's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category. [1] context Federally Qualified Health Centers's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers. [2] context Federally Qualified Health Centers's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery. [3] context Federally Qualified Health Centers's public materials do not show ordinary workers holding full binding democratic control over the institution. [4] context Federally Qualified Health Centers operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power. [5] context Federally Qualified Health Centers's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise. [6] context Federally Qualified Health Centers operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice. [7] context Federally Qualified Health Centers's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability. [8] Federally Qualified Health Centers's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities. [9]

Penalties

Penalty	Applied	Why this penalty
Policy Capture ? Private-interest attempts to bend law, regulation, subsidies, taxes, enforcement, trade, labor, safety, competition, environmental, healthcare, housing, surveillance, civil-liberties, or consumer policy against workers, customers, citizens, affected communities, or ecological life. Public-interest advocacy is not penalized merely because it is lobbying. Range: -15 to 0.	-1	Federally Qualified Health Centers's public record makes Policy Capture relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. Federally Qualified Health Centers's public record makes Policy Capture relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. This warrants a Policy Capture penalty because the evidence shows harm or risk tied to the institution's actual role: housing, tax, utility, healthcare, storage, or childcare power over people with limited alternatives. The penalty is calibrated to this entity's severity rather than assigned automatically to the whole category. Calibration notes Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions. Linked evidence Federally Qualified Health Centers's public record makes Policy Capture relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. [14]
Accountability Opacity ? Material opacity, reputation laundering, or hidden accountability structures that prevent public accountability. Range: -2 to 0.	-2	Federally Qualified Health Centers's public record makes Accountability Opacity relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. Federally Qualified Health Centers's public record makes Accountability Opacity relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. This warrants a Accountability Opacity penalty because the evidence shows harm or risk tied to the institution's actual role: housing, tax, utility, healthcare, storage, or childcare power over people with limited alternatives. The penalty is calibrated to this entity's severity rather than assigned automatically to the whole category. Calibration notes Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions. Linked evidence Federally Qualified Health Centers's public record makes Accountability Opacity relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. [15]

Bonus Credits

Bonus	Credit	Why this credit
Openness to Dissent ? Credit for tolerating internal, user, customer, worker, and public dissent without retaliation, capture, or viewpoint laundering.	1 / 3	Federally Qualified Health Centers's public record makes Openness to Dissent relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. Federally Qualified Health Centers's public record makes Openness to Dissent relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. This earns limited Openness to Dissent credit because the record shows a concrete public, cooperative, affordability, access, transparency, or community-accountability feature beyond ordinary market service. The credit stays limited unless affected users can reliably exercise durable power over the institution. Calibration notes Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions. Linked evidence Federally Qualified Health Centers's public record makes Openness to Dissent relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. [10]
Constitutional Spirit ? Credit for respecting constitutional rights and civil-liberties norms even where private law does not strictly require it.	1 / 3	Federally Qualified Health Centers's public record makes Constitutional Spirit relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. Federally Qualified Health Centers's public record makes Constitutional Spirit relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. This earns limited Constitutional Spirit credit because the record shows a concrete public, cooperative, affordability, access, transparency, or community-accountability feature beyond ordinary market service. The credit stays limited unless affected users can reliably exercise durable power over the institution. Calibration notes Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions. Linked evidence Federally Qualified Health Centers's public record makes Constitutional Spirit relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. [11]
Good Deal ? Credit for unusually fair value: durable quality, fair pricing, low lock-in, and clear customer surplus.	2 / 3	Federally Qualified Health Centers's public record makes Good Deal relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. Federally Qualified Health Centers's public record makes Good Deal relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. This earns limited Good Deal credit because the record shows a concrete public, cooperative, affordability, access, transparency, or community-accountability feature beyond ordinary market service. The credit stays limited unless affected users can reliably exercise durable power over the institution. Calibration notes Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions. Linked evidence Federally Qualified Health Centers's public record makes Good Deal relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. [12]
Cost Transparency ? Credit for clear posted prices, all-in fees, unit costs, public rate cards, margin/cost visibility, or surplus-allocation transparency, especially in markets where opaque quotes, hidden fees, or individualized pricing are normal.	1 / 3	Federally Qualified Health Centers's public record makes Cost Transparency relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. Federally Qualified Health Centers's public record makes Cost Transparency relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. This earns limited Cost Transparency credit because the record shows a concrete public, cooperative, affordability, access, transparency, or community-accountability feature beyond ordinary market service. The credit stays limited unless affected users can reliably exercise durable power over the institution. Calibration notes Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions. Linked evidence Federally Qualified Health Centers's public record makes Cost Transparency relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. [13]

Confidence Basis

Confidence is computed from the evidence trail and review state, not typed into the profile by hand.

High 85/100

15 verified linked claims 15 direct axis claims 0 disputed claims 15/15 components covered

This confidence label measures the source-backed evidence trail. AI-scaffolded scores remain tentative until human review.

Claim confidence 16/20

15 verified linked claims

Source quality 16/18

Best source per verified claim, weighted by institutional reliability

Direct axis-specific claims 14/18

15 direct claims across 15 active components

Dispute load 12/12

0 disputed claims on this entity

Recency 10/10

Newest accepted timestamp: May 13, 2026

Reviewer status 7/12

Human-reviewed components score higher than AI scaffolding

Component coverage 10/10

15/15 evidence-bearing components have direct support

Evidence State

Profile stateAI draft / human-pending

VerificationUnverified

ConfidenceHigh confidence (AI)

ThoroughnessDeveloped (AI)

Correction routeUse “Challenge this rating” for factual errors, missing counterevidence, source problems, or calculation mistakes.

Company responseCompany representatives can submit source-backed corrections; payment never changes scores or reviewer authority.

Claims and Sources

Claims are the evidence record. Each claim needs a source link, axis category, status, confidence level, and timestamp before it can support a score.

* Tentative scaffolding score. Not human-checked or final.

1Federally Qualified Health Centers's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category.

Ownership Verified High confidence Human-reviewed May 12, 2026

HRSA health centersPrimary public record · 100%

2Federally Qualified Health Centers's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers.

Governance Verified High confidence Human-reviewed May 12, 2026

HRSA health centersPrimary public record · 100%

3Federally Qualified Health Centers's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery.

Extraction Verified High confidence Human-reviewed May 12, 2026

HRSA health centersPrimary public record · 100%

4Federally Qualified Health Centers's public materials do not show ordinary workers holding full binding democratic control over the institution.

Labor Sovereignty Verified Medium confidence Human-reviewed May 12, 2026

HRSA health centersPrimary public record · 100%

5Federally Qualified Health Centers operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power.

Solidarity Unemployed Verified Medium confidence Human-reviewed May 12, 2026

AP community health centersIndependent reporting · 82%

6Federally Qualified Health Centers's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise.

Loss Bearing Fidelity Verified High confidence Human-reviewed May 12, 2026

HRSA health centersPrimary public record · 100%

7Federally Qualified Health Centers operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice.

Market Conduct Verified High confidence Human-reviewed May 12, 2026

AP community health centersIndependent reporting · 82%

8Federally Qualified Health Centers's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability.

Product Integrity Verified High confidence Human-reviewed May 12, 2026

HRSA health centersPrimary public record · 100%

9Federally Qualified Health Centers's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities.

Scale Integrity Verified High confidence Human-reviewed May 12, 2026

AP community health centersIndependent reporting · 82%

10Federally Qualified Health Centers's public record makes Openness to Dissent relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability.

Openness To Dissent Verified Medium confidence Human-reviewed May 12, 2026

AP community health centersIndependent reporting · 82%

11Federally Qualified Health Centers's public record makes Constitutional Spirit relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability.

Constitutional Spirit Verified Medium confidence Human-reviewed May 12, 2026

AP community health centersIndependent reporting · 82%

12Federally Qualified Health Centers's public record makes Good Deal relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability.

Good Deal Verified Medium confidence Human-reviewed May 12, 2026

AP community health centersIndependent reporting · 82%

13Federally Qualified Health Centers's public record makes Cost Transparency relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability.

Cost Transparency Verified Medium confidence Human-reviewed May 12, 2026

AP community health centersIndependent reporting · 82%

14Federally Qualified Health Centers's public record makes Policy Capture relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability.

Policy Capture Verified Medium confidence Human-reviewed May 12, 2026

AP community health centersIndependent reporting · 82%

15Federally Qualified Health Centers's public record makes Accountability Opacity relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability.

Accountability Opacity Verified Medium confidence Human-reviewed May 12, 2026

AP community health centersIndependent reporting · 82%

Alternatives

AGOOD66 Patient Advocate Foundation nonprofit patient case-management and financial-aid resource · same market AGOOD57 Outside In youth, health, housing, and harm-reduction nonprofit · Oregon, Pacific Northwest

Competitors

AGOOD66 Patient Advocate Foundation nonprofit patient case-management and financial-aid resource · same market AGOOD53 OpenNotes academic healthcare-transparency initiative · same market AGOOD50 CPESN USA network of independent community pharmacies · same market BQUALIFIED49 Civica Rx nonprofit generic medicine company · same market BQUALIFIED43 Planned Parenthood nonprofit reproductive and sexual healthcare federation · same market CPERFORMATIVE41 En-Vision America / ScriptAbility accessible prescription-labeling company · same market CPERFORMATIVE41 Mark Cuban Cost Plus Drug Company public-benefit online pharmacy · same market CPERFORMATIVE40 Cleveland Clinic nonprofit academic medical center and health system · same market

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