A new survey from the Commonwealth Fund documents the challenges Community Health Centers face as they continue to provide high quality care to a record 32.5 million people. The survey of 737 heath center leaders described persistent workforce shortages, lack of financial resources, and Medicaid redeterminations. Yet, despite these multiple challenges, the survey shows that health centers are doing more than ever – increasing the use of telehealth services, providing more substance use treatment, and screening for social needs.