North Dakota community health centers (FQHCs)
North Dakota has 4 community health centers that filed Uniform Data System reports for 2025: 4 Health Center Program awardees. The awardees served 36,924 patients in 2025, up 2.5% from 2024.
4Health centers filing
36,924Patients served by awardees, 2025
16.8%of patients uninsured
37.3%of patients on Medicaid/CHIP
All 4 health centers in North Dakota
| Health center | Program | Patients, 2025 |
|---|---|---|
| Family Healthcare Center | Awardee | 16,237 |
| Coal Country Community Health Center | Awardee | 9,086 |
| Northland Health Partners Community Health Center | Awardee | 5,827 |
| Spectra Health | Awardee | 5,774 |
North Dakota compared with the nation, 2025
| Measure | North Dakota | National |
|---|---|---|
| Patients | ||
| Patients served | 36,924 | 32,746,392 |
| Children under 18 | 30.3% | 28.6% |
| Adults 65 and older | 13.9% | 12.8% |
| At or below 200% of the federal poverty guideline | 68.5% | 90.0% |
| Insurance status | ||
| Uninsured | 16.8% | 17.2% |
| Medicaid / CHIP | 37.3% | 47.9% |
| Medicare | 13.5% | 11.6% |
| Private insurance | 32.4% | 23.0% |
| Cost | ||
| Total accrued cost per patient | $1,672 | $1,672 |
| Cost per visit | $502 | $438 |
| Clinical quality | ||
| Cervical cancer screening | 49.6% | 57.0% |
| Colorectal cancer screening | 51.5% | 44.9% |
| Breast cancer screening | 58.1% | 56.0% |
| Controlling high blood pressure | 64.4% | 69.1% |
| Diabetes: HbA1c poor control (lower is better) | 23.2% | 26.3% |
| Depression screening and follow-up | 79.9% | 75.3% |
| Early entry into prenatal care | 84.8% | 73.4% |
| Childhood immunization status | 26.4% | 29.5% |
| Tobacco screening and cessation | 87.9% | 84.8% |
| Statin therapy for cardiovascular disease | 75.4% | 79.0% |
North Dakota trends, 2016–2025
| Year | Patients (awardees) | Uninsured | Medicaid/CHIP |
|---|---|---|---|
| 2025 | 36,924 | 16.8% | 37.3% |
| 2024 | 36,014 | 20.7% | 37.0% |
| 2023 | 36,376 | 16.2% | 39.5% |
| 2022 | 34,576 | 15.3% | 39.9% |
| 2021 | 36,030 | 19.8% | 37.0% |
| 2020 | 32,613 | 25.7% | 29.6% |
| 2019 | 40,460 | 30.8% | 25.9% |
| 2018 | 40,272 | 27.1% | 29.1% |
| 2017 | 41,075 | 28.0% | 29.1% |
| 2016 | 40,331 | 29.3% | 27.1% |
Go beyond the snapshot. The Threethirty Health dashboard charts any health center's
ten-year trends against state, national and peer-group benchmarks, with service-area maps and roll-ups by payer, age,
diagnosis and service line.
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