Community Health Center of Black Hills, Inc.
Community Health Center of Black Hills, Inc. is a federally qualified health center (FQHC) in South Dakota and a Health Center Program awardee, funded in part by Section 330 of the Public Health Service Act. Its service delivery sites include Rapid City. In 2025 it served 8,488 patients, down 14.7% from 9,951 in 2024. 25.5% of its patients were uninsured, compared with 12.9% across South Dakota health centers and 17.2% nationally.
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8,488Patients served, 2025
25.5%of patients uninsured
35.7%of patients on Medicaid/CHIP
$1,434Total accrued cost per patient
$470Cost per visit
Community Health Center of Black Hills, Inc. compared with South Dakota and the nation, 2025
| Measure | Community Health Center of Black Hills, Inc. | South Dakota health centers | National |
|---|---|---|---|
| Patients | |||
| Children under 18 | 24.2% | 27.6% | 28.6% |
| Adults 65 and older | 13.6% | 18.9% | 12.8% |
| At or below 200% of the federal poverty guideline | 53.5% | 51.8% | 90.0% |
| Insurance status | |||
| Uninsured | 25.5% | 12.9% | 17.2% |
| Medicaid / CHIP | 35.7% | 22.9% | 47.9% |
| Medicare | 13.3% | 17.9% | 11.6% |
| Private insurance | 25.5% | 46.2% | 23.0% |
| Cost | |||
| Total accrued cost per patient | $1,434 | $1,054 | $1,672 |
| Cost per visit | $470 | $362 | $438 |
| Clinical quality | |||
| Cervical cancer screening | 57.6% | 64.4% | 57.0% |
| Colorectal cancer screening | 40.1% | 63.8% | 44.9% |
| Breast cancer screening | 51.7% | 70.5% | 56.0% |
| Controlling high blood pressure | 77.3% | 73.0% | 69.1% |
| Diabetes: HbA1c poor control (lower is better) | 22.6% | 17.5% | 26.3% |
| Depression screening and follow-up | 83.5% | 67.5% | 75.3% |
| Childhood immunization status | 19.8% | 33.0% | 29.5% |
| Tobacco screening and cessation | 71.6% | 93.9% | 84.8% |
| Statin therapy for cardiovascular disease | 80.4% | 76.8% | 79.0% |
Patients by service
| Service | 2025 |
|---|---|
| Medical | 6,933 |
| Dental | 1,873 |
| Mental health | 1,043 |
| Total clinic visits | 25,877 |
Trends, 2016–2025
| Year | Patients | Cost per patient | Uninsured | Medicaid/CHIP |
|---|---|---|---|---|
| 2025 | 8,488 | $1,434 | 25.5% | 35.7% |
| 2024 | 9,951 | $1,193 | 20.4% | 37.9% |
| 2023 | 10,207 | $1,158 | 23.0% | 34.4% |
| 2022 | 10,121 | $1,057 | 22.2% | 31.6% |
| 2021 | 10,546 | $1,088 | 27.4% | 29.6% |
| 2020 | 9,710 | – | 32.8% | 29.3% |
| 2019 | 10,778 | – | 34.7% | 33.8% |
| 2018 | 11,821 | – | 36.1% | 37.9% |
| 2017 | 11,631 | – | 26.8% | 40.4% |
| 2016 | 12,671 | – | 35.9% | 37.8% |
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