High Country Community Health

What High Country Community Health does

High Country Community Health (HCCH) is a non-profit Federally Qualified Health Center (FQHC) founded in 2013 and headquartered in Boone, North Carolina. The organization operates 11 clinic locations across four western North Carolina counties (Watauga, Avery, Burke, and Surry), providing integrated primary care, pediatric, dental, behavioral health, nutrition, and pharmacy services to patients regardless of ability to pay. HCCH holds a sliding fee scale program, 340B drug pricing access, NCQA Patient-Centered Medical Home recognition, and Federal Public Health Service deemed status with FTCA malpractice coverage, enabling it to serve uninsured, Medicaid, and Medicare populations across rural Appalachian communities.

The organization generates revenue from insured patient service revenue (Medicaid, Medicare, and commercial insurance), income-based discounted fees under the sliding fee scale, and prescription margins under the federal 340B program, supplemented by HHS/HRSA federal grants and NHSC loan repayment subsidies. Its core technology stack is anchored on the Epic electronic health record with a forthcoming migration from Healow to the Epic MyChart patient portal for scheduling, messaging, refills, and records access. Microsoft DAX Copilot (Dragon Ambient Intelligence) has been deployed for AI-assisted clinical documentation, and additional distribution channels include school-based behavioral health services, farmworker health outreach, telehealth appointments, and an outreach clinic at the Hospitality House Watauga Housing & Outreach Center.

HCCH's go-to-market model is direct-to-consumer across its physical clinic footprint plus a constellation of community partnerships with Hospitality House, Alder Springs (accessible care for Deaf and Hard-of-Hearing patients), Carolina Medical Home Network, NCCHCA, and the Boone Area Chamber of Commerce. Specialty programs cover migrant and seasonal farmworkers, individuals with substance use disorders including MOUD/buprenorphine treatment, and school-based pediatric mental health. The organization was operationally impacted by Hurricane Helene in September 2024 and continues to experience clinical workforce turnover, while pursuing successive clinic expansions and digital patient engagement upgrades.

Name

High Country Community Health

Legal name

High Country Community Health

Website

https://highcountrycommunityhealth.com

Company type

Private

Founded year

2013

Operating status

Operating

Headcount range

51–100 employees

Short description

High Country Community Health is a non-profit Federally Qualified Health Center operating 11 clinics across four western North Carolina counties, delivering integrated primary care, dental, behavioral health, nutrition, and pharmacy services to underserved, uninsured, and Medicaid/Medicare patients regardless of ability to pay.

Ownership category

akta.pro rank

Product category

Community Health Services

NAICS

Ambulatory Health Care Services (621), Other Individual and Family Services (624190), Other Individual and Family Services (62419)

SIC

Services-Health Services (8000), Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

Community Mental Health Centers (CMHCs) & Public Behavioral Health Providers (HLAFACAI)

akta.pro secondary industries

Home & Community-Based Services (HCBS) Coordination & Case Management (HSABAIAM), School-Based Health Centers (HLAFAGAG), Rural Health Clinics (RHCs) (HLAFAGAL)

Keywords

• Community health services
• Primary care clinic
• Behavioral health services
• Dental care services
• Federally qualified health center

Headquarters

HQ city

Boone

HQ country

United States

HQ region

North America

Offices11 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Patient Service Revenue: Revenue generated from providing medical, dental, and behavioral health services to patients with Medicaid, Medicare, and commercial insurance coverage.
2. Sliding Fee Scale Program: Income-based discounted services for uninsured and underinsured patients, providing affordable care while generating revenue from patients based on household size and income.
3. 340B Drug Discount Program: Federal program providing discounted prescription medications to qualifying patients, generating revenue through pharmacy operations and 340B pricing margins.
4. HHS/HRSA Funding: Federally Qualified Health Center funding from HHS with Federal Public Health Service deemed status for medical malpractice coverage.

Pricing tiers

Go-to-market motion1 record

Distribution channels6 records

Marketing channels8 records

Core offering

High Country Community Health (HCCH) is a Federally Qualified Health Center operating a multi-site integrated care network across four counties in western North Carolina. It delivers primary care, pediatrics, dental, behavioral health, health/nutrition, and pharmacy services co-located within clinics. The organization serves all patients regardless of insurance status or ability to pay, supported by a sliding fee scale, 340B drug pricing, and specialized outreach programs for migrant farmworkers, school-based mental health, and the Deaf/Hard of Hearing community.

Product overview

High Country Community Health is a Federally Qualified Health Center (FQHC) providing integrated healthcare services through a multi-site, multi-county network. The organization offers a unified portfolio of core clinical services including Medical & Pediatric care, Dental services, Behavioral Health, Health & Nutrition, and Pharmacy. These services are supported by specialized programs such as the 340B Drug Discount Program, Farmworker Health Program, School-Based Mental Health Services, and Sliding Fee Scale financial assistance. The organization operates patient engagement tools including MyChart patient portal and provides case management and patient resource specialist services. The integrated care model serves Watauga, Avery, Burke, and Surry Counties in Western North Carolina, regardless of patients' ability to pay.

Differentiator

Problem solved

Functional benefit

Products and services

• Medical & Pediatric Services Full spectrum primary care clinic serving patients of all ages from newborns to seniors, providing comprehensive medical and pediatric healthcare services at multiple clinic locations.
• Dental Services Comprehensive dental care for all ages including preventative care, restorations, oral surgery, and hygiene services at multiple dental clinic locations.
• Behavioral Health Services In-person and online behavioral healthcare options integrated into primary care settings, including psychiatric care, therapy, medication management, and MOUD/buprenorphine treatment for substance use disorders.
• Health & Nutrition Services Lifestyle and nutrition planning services customized to individual patient goals, including diabetes self-management education and support (DSMES) program.
• Pharmacy Services On-site pharmacy services integrated with clinical care, including the 340B Drug Discount Program providing discounted prescription medications to qualifying patients.
• 340B Drug Discount Program Federal 340B drug discount program providing discounted prescription medications to patients who cannot afford medications and meet income qualifications.
• Farmworker Health Program Healthcare outreach and services specifically designed for migrant and seasonal farmworkers, with flexible evening and weekend hours, mobile outreach to farmworker camps, and transportation assistance.
• School-Based Mental Health Services Mental health services delivered in school settings for children and adolescents, with behavioral health specialists located in elementary and middle schools throughout the service area.
• Sliding Fee Scale Program Income-based discount program for uninsured or underinsured patients, covering medical and dental services with copays varying by household size and income.
• Case Management & Patient Resource Specialist Services Care coordination for patients with chronic conditions, helping uninsured patients achieve health goals, and connecting patients with community resources addressing housing, transportation, food access, medication access, and legal/financial aid barriers.
• Patient Portal (MyChart) Epic MyChart electronic health record portal providing patients access to health records, test results, appointment scheduling, prescription refills, and secure messaging with care teams.

Named customers5 records

Segments6 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature2 records

Partnerships

Six partnerships are on record, tiered core and minor.

• Hospitality House of Northwest North CarolinacoreStrategic or Co-development PartnerPartnership to operate a medical care outpost at the Hospitality House Watauga Housing & Outreach Center as part of HCCH's Integrate Health Initiative. This collaboration provides equitable and accessible healthcare to homeless and underserved individuals regardless of housing status.
• Carolina Medical Home Network and NCCHCAcoreStrategic or Co-development PartnerPartnership to create a community resource network website specific to local communities. The Carolina Medical Home Network and NCCHCA partnered to develop this resource platform for connecting patients with local services.
• Alder Springs CommunitycoreStrategic or Co-development PartnerCollaboration to provide culturally and linguistically accessible healthcare for Deaf, DeafBlind, Blind, and Hard of Hearing community members at the Alder Springs residential community. HCCH provides primary care providers with ASL fluency at this innovative accessible care facility.
• Boone Area Chamber of CommerceminorGTM or Marketing PartnerActive membership and participation in local business community organization. The Chamber hosted ribbon cutting events for HCCH expansions including the Hospitality House partnership.
• National Health Service Corps (NHSC)coreOthersHCCH clinics participate in the NHSC loan repayment program, allowing healthcare providers serving at HCCH sites to receive loan repayment assistance in exchange for service commitments in underserved areas.
• Local Universities and Training ProgramsminorOthersHCCH provides training opportunities for doctoral students from local universities, including clinical supervision for graduate-level trainees in psychology and behavioral health programs.

Scale indicators1 record

Recent moves8 records

Expansion highlights5 records

Direct peers

• Blue Ridge Health: Federally Qualified Health Center serving western North Carolina with integrated medical, dental, and behavioral health services across multiple sites. Operates in the same mountainous western NC geography with the same FQHC reimbursement model and underserved-population mission as HCCH.
• Western North Carolina Community Health Services: Asheville-based FQHC providing primary care, behavioral health, pharmacy, and case management to underserved populations across western North Carolina. Directly comparable in scope, scale, FQHC designation, and integrated services model.
• CommWell Health: Multi-site FQHC in central/southeastern North Carolina operating a comparable integrated primary care, dental, behavioral health, and pharmacy model. Similar patient mix (uninsured, Medicaid, sliding-fee) and same HRSA-governed funding structure as HCCH.
• Piedmont Health Services: North Carolina FQHC with multi-county clinic network offering primary care, dental, behavioral health, and pharmacy services to underserved populations. Comparable FQHC operating model, sliding fee scale, and integrated care delivery approach.
• Kintegra Health: Large North Carolina FQHC (formerly Gaston Family Health Services) operating a multi-site, multi-county integrated care network. Comparable in scale and breadth of services including primary care, dental, behavioral health, and school-based programs.
• Goshen Medical Center: Federally Qualified Health Center serving rural North Carolina with primary care, dental, behavioral health, and pharmacy services. Comparable FQHC model, rural population focus, and HRSA grant-funded structure.

Regional players

• Mountain Area Health Education Center (MAHEC): Asheville-based regional primary care provider and GME training institution serving western North Carolina with similar underserved-population mission. Comparable geographic focus and patient demographic, but distinct as a regional AHEC rather than a community-governed FQHC.

Broad incumbents

• Mission Health (HCA Healthcare): Dominant regional hospital system serving western North Carolina, now part of HCA Healthcare. Represents the larger incumbent healthcare delivery infrastructure in HCCH's geography against which HCCH competes for primary care patients and provider talent.
• Novant Health: Large North Carolina-based nonprofit health system with primary care, specialty, and hospital services across multiple regions. Comparable footprint expansion in NC, but operates a commercial health system model rather than FQHC mission-driven delivery.
• Atrium Health (Advocate Health): Major North Carolina health system with extensive primary care, specialty, and hospital services, now part of Advocate Health following merger. Comparable North Carolina geographic footprint and primary care delivery, but as a broad incumbent rather than a community health center.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/@HighCountryCommunityHealth2013
• Facebookfacebook.com/HighCountryCommunityHealth
• LinkedInlinkedin.com/company/high-country-community-health
• Instagraminstagram.com/myhcch_
• Xx.com/myhcch

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 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 High Country Community Health