1. South Sacramento Data and Maps For The California Endowment 3-5-13

2. Healthy Community Summary Data: South Sacramento Total Population 308,868 Population in Poverty 62,825 % Population in Poverty20.3% Low Income Pop. 2010 (less than 200% FPL) 139,106 % Low Income Population45.0% Total Sect. 330 Patients 7,606 Un-served (by FQHCs) Low Income Residents 131,500 Penetration of Low Income Residents by FQHCs5.5%

3. Overview Map of Healthy Community South Sacramento

4. Percent of Population in Poverty, by Zip Code: This map displays the proportion of residents in poverty within each zip code (those with incomes below 100% of the Federal Poverty Level (FPL)) The Healthy Community is outlined in orange by census tracts. Virtually all of this Healthy Community contains a population in which 20% to 40% of its residents are low-income, considerably higher than the state average of 14.4%. South Sacramento

5. Percent of Low- Income Residents, by Zip Code: This map displays the proportion of low-income residents in each zip code (those with incomes below 200% of the Federal Poverty Level (FPL)) The Healthy Community is outlined in blue by census tracts. Virtually all of this Healthy Community contains a population in which 50% to 75% of its residents are low-income, considerably higher than the state average of 33.9%. South Sacramento

6. Penetration of Low- Income Residents by FQHCs, by Zip Code: This map displays the proportion of low-income residents that are FQHC patients in each zip code (those with incomes below 200% of the Federal Poverty Level (FPL)) The Healthy Community is outlined in orange by census tracts. This map does not consider patients of FQHC Look- Alikes or other primary care providers. South Sacramento

7. Number of Low- Income Residents NOT Seen by an FQHC, by Zip Code: This map displays the number of low-income residents that are NOT yet FQHC patients in each zip code. What is mapped is essentially the FQHC patient base subtracted from the total number of low-income residents. The Healthy Community is outlined in orange by census tracts. This map does not consider patients of FQHC Look- Alikes or other primary care providers. South Sacramento

8. South Sacramento - detailed data by Zip Code ZCTA # of FQHCs Serving ZCTADominant FQHC Total Population Low Income Pop. 2010 Total (nbr) Sect. 330 Patients Un- served (by FQHCs) Low Incomes Penetra tion of Low Income Penetra tion of Total Pop. pct Pop. in Poverty 2010 Pop in Poverty (nbr) 958172THE EFFORT 13,534 7,012 709 6,30310%5%27% 3,701 958183THE EFFORT 19,811 6,326 381 5,9456%2%15% 2,970 958204THE EFFORT 34,480 17,574 1,777 15,79710%5%21% 7,241 958224THE EFFORT 42,347 16,908 753 16,1554%2%17% 7,207 958235THE EFFORT 73,985 36,891 1,645 35,2464%2%23% 16,790 958243THE EFFORT 30,221 19,642 979 18,6635%3%34% 10,344 958263THE EFFORT 36,628 12,932 360 12,5723%1%16% 5,823 958284THE EFFORT 57,862 21,820 1,002 20,8185%2%15% 8,749

9. Health Indicators Uninsured Residents by Zip Code: This map displays the number of uninsured residents (adult and children) in each zip code, based on US Census rates at the county level multiplied by the population of each zip code. The Healthy Community is outlined in orange by census tracts. Note: this data is extrapolated using county uninsured rates; given the high proportion of low- income residents in this service area, it is likely that this map underestimates the uninsured population. South Sacramento

10. Health Indicators Adults with Diabetes by Zip Code: This map displays the estimated number of adults diagnosed with diabetes in each zip code, based diabetes rates at the county level multiplied by the adult population of each zip code. The Healthy Community is outlined in orange by census tracts. Note: this data is extrapolated using county diabetes rates and was not adjusted for age, income or race. It is likely that this map underestimates the adult diabetic population. South Sacramento

11. Health Indicators Adults with no Usual Source of Care, by Zip Code: This map displays the estimated number of adults who self-reported that they do not have a regular medical home in each zip code, based on BRFSS rates reported at the county level multiplied by the adult population of each zip code. Note: this data is extrapolated using county rates; given the high proportion of low-income residents in this service area, it is likely that this map underestimates the population lacking a medical home. South Sacramento

12. Health Indicators Low Birth Weight by Zip Code: This map displays the proportion of births that were reported to have low- birth weight (2500 grams or less) in each zip code, reported by the CA Department of Health at the zip code level. The Healthy Community is outlined in orange by census tracts. Note: This data was available for 70% of all zip codes. Where data was not available the county rate was utilized. South Sacramento

13. Resources and Methodology Poverty and Low-Income Population: Census American Community Survey (ACS) Estimates, 2006 – 2010 data by zip code, “Ratio of Income to Poverty Level” Penetration of Low-Income Population: Census ACS and UDS Mapper (www.udsmapper.org), FQHC patients as a proportion of low-income residents, by zip code.www.udsmapper.org Low-Income Population Not Seen by an FQHC: UDS Mapper; mapped by zip code is FQHC patient base by zip code subtracted from low-income population. Look-Alike and “other” patient data not available at zip code level. Health Indicators: – Uninsured Population: ACS uninsured population by county for 2011. Rate of the uninsured by county was multiplied by zip code population to estimate uninsured population by zip code. – Diabetes and Adults Without a Usual Source of Primary Care: Behavioral Risk Factor Surveillance System (BRFSS) data by County for 2009 was gathered from the California Department of Public Health (CDPH) report “Diabetes in California”. Diabetes and medical home rates at the county level were multiplied by the adult population in each zip code (adult population by zip code obtained from ACS 2007 – 2011 estimates) to estimate the adult population for each indicator. – Note: Given the high proportion of low-income residents in TCE’s Healthy Communities, data extrapolated using county rates applied to zip code data likely underestimates the uninsured and diabetic populations, as well as those lacking a medical home. – Low Birth Weight CDPH, Improved Perinatal Outcome Data Reports by County http://ipodr.org/001/vs/2010objectives.html. Data available at zip-code level for 70% of zip codes in the state; county data utilized where zip code data not available. http://ipodr.org/001/vs/2010objectives.html Other Map Elements: – FQHC, Look-Alike and “Other Community Clinic Sites”: California Office of Statewide Health Planning and Development (OSHPD) Annual Utilization Data, 2011 http://www.oshpd.ca.gov/hid/Products/Hospitals/Utilization/PC_SC_Utilization.html http://www.oshpd.ca.gov/hid/Products/Hospitals/Utilization/PC_SC_Utilization.html – Other Providers: OSHPD California Healthcare Facilities GIS Files: http://www.oshpd.ca.gov/general_info/healthcare_atlas.html http://www.oshpd.ca.gov/general_info/healthcare_atlas.html