North Custer Hospital Dis
North Custer Hospital Dis is a federally qualified health center (FQHC) in Idaho and a Health Center Program awardee, funded in part by Section 330 of the Public Health Service Act. Its service delivery sites include Challis. In 2025 it served 1,896 patients, down 3.9% from 1,972 in 2024. 9.7% of its patients were uninsured, compared with 20.4% across Idaho health centers and 17.2% nationally.
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1,896Patients served, 2025
9.7%of patients uninsured
17.9%of patients on Medicaid/CHIP
$1,711Total accrued cost per patient
$517Cost per visit
North Custer Hospital Dis compared with Idaho and the nation, 2025
| Measure | North Custer Hospital Dis | Idaho health centers | National |
|---|---|---|---|
| Patients | |||
| Children under 18 | 1.7% | 20.9% | 28.6% |
| Adults 65 and older | 33.9% | 16.4% | 12.8% |
| At or below 200% of the federal poverty guideline | 76.2% | 83.2% | 90.0% |
| Insurance status | |||
| Uninsured | 9.7% | 20.4% | 17.2% |
| Medicaid / CHIP | 17.9% | 31.8% | 47.9% |
| Medicare | 32.3% | 16.3% | 11.6% |
| Private insurance | 40.1% | 31.5% | 23.0% |
| Cost | |||
| Total accrued cost per patient | $1,711 | $2,029 | $1,672 |
| Cost per visit | $517 | $493 | $438 |
| Clinical quality | |||
| Cervical cancer screening | 39.0% | 54.9% | 57.0% |
| Colorectal cancer screening | 47.8% | 50.4% | 44.9% |
| Breast cancer screening | 44.8% | 55.8% | 56.0% |
| Controlling high blood pressure | 69.6% | 70.7% | 69.1% |
| Diabetes: HbA1c poor control (lower is better) | 14.8% | 20.6% | 26.3% |
| Childhood immunization status | 0.0% | 26.2% | 29.5% |
| Tobacco screening and cessation | 80.2% | 86.1% | 84.8% |
| Statin therapy for cardiovascular disease | 74.9% | 78.4% | 79.0% |
Patients by service
| Service | 2025 |
|---|---|
| Medical | 1,871 |
| Dental | 0 |
| Mental health | 114 |
| Total clinic visits | 6,274 |
Trends, 2016–2025
| Year | Patients | Cost per patient | Uninsured | Medicaid/CHIP |
|---|---|---|---|---|
| 2025 | 1,896 | $1,711 | 9.7% | 17.9% |
| 2024 | 1,972 | $1,524 | 13.2% | 18.7% |
| 2023 | 1,848 | $1,528 | 10.8% | 21.3% |
| 2022 | 1,852 | $1,386 | 6.7% | 20.0% |
| 2021 | 1,868 | $1,218 | 7.7% | 19.4% |
| 2020 | 1,778 | – | 8.0% | 17.9% |
| 2019 | 1,826 | – | – | 14.0% |
| 2018 | 1,821 | – | 11.3% | 13.9% |
| 2017 | 1,709 | – | 11.5% | 14.2% |
| 2016 | 1,617 | – | – | 15.5% |
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