Coal Country Community Health Center

What Coal Country Community Health Center does

Coal Country Community Health Center (CCCHC) is a private, not-for-profit Federally Qualified Health Center (FQHC) established in December 2003 and headquartered in Beulah, North Dakota. The organization delivers primary care, behavioral health, chronic disease management, and preventive services to a 2023 patient panel of 9,188 across four comprehensive clinic sites (Beulah, Hazen, Center, Killdeer) and five school-based health centers, covering 4,500+ square miles of Dunn, Mercer, Oliver, southern McKenzie, and greater Morton counties. Its technology stack is built on commodity healthcare IT: the MyChart patient portal for records, scheduling, and online bill pay (added January 2023), video/audio telehealth launched in September 2023, and remote patient monitoring components funded by a five-year Northern Great Plains Next Generation Telebehavioral Health Network grant (2024-2029). Operational product lines include Primary Care, Behavioral Health (including EMDR and substance use disorder treatment), the I.M.P.A.C.T. school-based program, Diabetes Prevention and Management, the 340B drug pricing program, the Sliding Fee Scale, Community Care home services, and a recently launched Cash Labs direct-pay testing service.

CCCHC's revenue model is a hybrid mix typical of rural FQHCs: patient service revenue from insurance, Medicare, Medicaid, and self-pay under a sliding-fee scale; recurring HRSA Community Health Center Program grant funding under 24 U.S.C. § 254b with FTCA deemed-status liability protection; 340B pharmacy program economics; and supplemental grant funding such as the ~$100,000/year telebehavioral grant and small foundation grants (e.g., $10,000 from Offutt Family Foundation). Customer segments span the general public across all ages, school-aged children in four partner school districts, behavioral health patients, and Medicare-eligible seniors served through the Community Care program. The go-to-market is direct-to-patient through physical clinics, school-based sites, community health fairs, and an emerging virtual care channel. The organization is governed as a community-based nonprofit with a joint CEO leadership model shared with Sakakawea Medical Center, signaling a structurally integrated rural care delivery model.

Name

Coal Country Community Health Center

Legal name

Coal Country Community Health Center

Website

https://coalcountryhealth.com

Company type

Private

Founded year

2003

Operating status

Operating

Headcount range

101–250 employees

Short description

Coal Country Community Health Center is a Federally Qualified Health Center operating four clinics and five school-based sites across rural west-central North Dakota, delivering primary care, behavioral health, chronic disease management, and telehealth services to a 2023 patient panel of approximately 9,188.

Ownership category

akta.pro rank

Product category

Community Health Services

NAICS

Ambulatory Health Care Services (621), Outpatient Mental Health and Substance Abuse Centers (621420), Offices of Mental Health Practitioners (except Physicians) (621330), Health Care and Social Assistance (62)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Health Services (8000), Services-Social Services (8300)

akta.pro primary industry

Rural Health Clinics (RHCs) (HLAFAGAL)

akta.pro secondary industries

Community Mental Health Centers (CMHCs) & Public Behavioral Health Providers (HLAFACAI), Public Health & Health Equity Organizations (BPAGACAL)

Keywords

• Community health services
• Primary care services
• Behavioral health services
• Rural healthcare
• Telehealth services

Headquarters

HQ city

Beulah

HQ country

United States

HQ region

North America

Offices9 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Supply Chain, Technology or R&D, Marketing or Sales

Revenue model

1. Patient Services Revenue: Revenue from patient visits covered by insurance, Medicare, Medicaid, and self-pay based on sliding fee scale
2. HRSA Community Health Center Funding: Federal grant funding under 24 U.S.C. § 254b as a Federally Qualified Health Center with FTCA deemed status
3. 340B Drug Program: Program allowing purchase of pharmaceuticals at reduced prices for eligible patients
4. Telehealth Grant Funding: Northern Great Plains Next Generation Telebehavioral Health Network grant providing approximately $100,000 per year for five years (2024-2029)
5. Foundation Grants: Grant funding from organizations such as Offutt Family Foundation and R.D. Offutt Company ($10,000 for I.M.P.A.C.T. program)

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels7 records

Core offering

Coal Country Community Health Center is a Federally Qualified Health Center providing comprehensive primary care, behavioral health (mental health counseling, EMDR therapy, substance use disorder treatment), chronic disease management, diabetes prevention, occupational health, wellness visits, telehealth/virtual care, and school-based health services through the I.M.P.A.C.T. Program. Services are delivered across four rural North Dakota clinic locations and five school-based clinics to over 9,000 patients annually, supported by a Sliding Fee Scale, the 340B drug pricing program, and a Community Care home-based services program.

Product overview

Coal Country Community Health Center is a Federally Qualified Health Center (FQHC) offering a comprehensive network of healthcare services across four main clinic locations (Beulah, Hazen, Center, and Killdeer) plus five school-based clinics. The organization operates as a primary care-focused health center with integrated behavioral health services. Core offerings include Primary Care and Behavioral Health as the main service lines, supplemented by the I.M.P.A.C.T. Program (school-based mental health), Virtual Care telehealth services, Cash Labs (self-pay testing), and various community programs including the 340B drug program, Sliding Fee Scale, Community Care, Diabetes Prevention Program, and Health Insurance Marketplace enrollment assistance. Digital services are delivered through the MyChart patient portal with integrated online bill pay. The CCCHC Foundation provides scholarship programs for students pursuing medical careers.

Differentiator

Problem solved

Functional benefit

Products and services

• Primary Care Comprehensive primary care services providing access to high quality, affordable, and compassionate healthcare for patients of all ages across the four CCCHC clinic locations.
• Behavioral Health Services Mental health counseling, EMDR therapy, substance use disorder treatment, and behavioral health services integrated into primary care and school-based settings for patients across rural North Dakota.
• I.M.P.A.C.T. Program Integrating Mental Health, Physical Health, and Continuity of Care Together - school-based program providing mental health services, counseling, prevention awareness education, case management, and substance abuse and tobacco cessation services directly to PreK-12 students across Beulah, Hazen, Center-Stanton, and Killdeer school districts.
• Virtual Care Telehealth service connecting patients with CCCHC providers through video and audio technology for virtual house calls, available Monday through Friday.
• Cash Labs Self-pay laboratory testing service offering common lab tests without insurance, provider order, or appointment required, providing transparent pricing for patients.
• Chronic Disease Management Ongoing care and management programs for patients with chronic health conditions such as diabetes, hypertension, and other long-term illnesses.
• Diabetes Prevention Program Year-long program with 26 one-hour virtual sessions offering a trained lifestyle coach for weight loss, physical activity, and lifestyle changes to prevent diabetes development.
• Occupational Health Healthcare services for work-related injuries and occupational health needs for employers and workers in west-central North Dakota.
• Wellness Visit

Quantifiable outcome

• Served 9,188 patients in 2023
• +2 more outcomes

Named customers4 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Seven partnerships are on record, tiered core and minor.

• University of MinnesotacoreStrategic or Co-development Partner · 1 September 2024Northern Great Plains Next Generation Telebehavioral Health Network grant partnership. CCCHC is a sub-awardee expected to receive $100,000 per year for five years (2024-2029) to expand telebehavioral health services and add behavioral health staff.
• Sakakawea Medical CentercoreStrategic or Co-development PartnerUnique collaborative relationship with Sakakawea Medical Center creating an innovative and award-winning approach to rural healthcare. CCCHC providers deliver care in partnership with SMC facilities.
• Beulah School DistrictcoreStrategic or Co-development PartnerI.M.P.A.C.T. Program partnership providing mental health and physical health services to students PreK-12th grade. CCCHC providers offer primary care and counseling services at school-based sites.
• Hazen School DistrictcoreStrategic or Co-development PartnerI.M.P.A.C.T. Program partnership providing nursing services and mental health counseling to Hazen Public School students and staff.
• UND Center for Rural HealthcoreStrategic or Co-development PartnerCollaboration for Community Health Needs Assessment surveys to gather information about communities served and learn about local healthcare service usage patterns.
• North Dakota Housing AgencyminorOthersGrant program providing home modification assistance (walk-in showers, furnace replacement) through Community Care program for eligible Medicare patients.
• Community Action (Bismarck)minorOthersContractor partner for Community Care program providing home modification services including walk-in shower installations.

Scale indicators5 records

Recent moves10 records

Expansion highlights6 records

Direct peers

• Family HealthCare: Federally Qualified Health Center based in Fargo, North Dakota, providing primary care, behavioral health, and pharmacy services with sliding fee scale. Directly comparable as a North Dakota FQHC with a similar service mix to CCCHC.
• North Country HealthCare: Federally Qualified Health Center serving rural communities across northern Arizona. Comparable as a community health center operating a multi-site rural primary care and behavioral health model with school-based and telehealth components similar to CCCHC.
• HealthPoint: Federally Qualified Health Center operating across rural and suburban communities in Washington state with primary care, behavioral health, dental, and pharmacy services. Comparable as a multi-site FQHC with integrated behavioral health and school/community-based programs serving rural populations.
• Spectra Health: Federally Qualified Health Center serving northeastern North Dakota with a multi-site community health and behavioral health model. Directly comparable as an FQHC operating rural clinics with primary care, behavioral health, and sliding fee scale programs in the same state.
• Sakakawea Medical Center: Critical access hospital in Hazen, North Dakota, sharing a joint CEO with CCCHC in a unique collaborative rural healthcare model. Directly comparable as a co-located rural healthcare provider in the same service area.

Broad incumbents

• Sanford Health: Major nonprofit rural-rooted health system with extensive presence across North Dakota and the upper Midwest. Comparable as a broad incumbent operating primary care, behavioral health, and community health services in rural communities adjacent to CCCHC's footprint.
• CHI St. Alexius Health: Large regional Catholic health system serving central and western North Dakota, including a Bismarck hospital historically affiliated with CCCHC's leadership pipeline. Comparable as a broad regional incumbent providing primary care, behavioral health, and specialty services in the same geographic region.
• Trinity Health (Minot): Regional health system serving north central and western North Dakota. Comparable as a larger established player providing overlapping primary care and behavioral health capabilities across rural North Dakota communities.

Regional players

• Altru Health System: Regional health system based in Grand Forks, North Dakota serving northeastern North Dakota and northwestern Minnesota. Comparable as a regional provider offering primary care and behavioral health across rural communities in the same state.
• West River Health Services: Rural health system serving western North Dakota including Hettinger and Lemmon. Comparable as a regional rural provider with overlapping geography in the Dakotas, though operating as a health system rather than an FQHC.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/coalcountrychc
• Facebookfacebook.com/CoalCountryCHC
• LinkedInlinkedin.com/company/ccchc
• Instagraminstagram.com/coalcountrychc

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Coal Country Community Health Center