Community Health Service

What Community Health Service does

Community Health Service Inc. (CHSI) is a private, nonprofit federally qualified health center (FQHC) founded in 1973 in rural Minnesota (originally as Migrant Health Service Inc.) and headquartered in Moorhead, MN. It operates an integrated care network spanning four fixed clinics — Moorhead, Rochester, and Willmar in Minnesota, plus Grafton in North Dakota — alongside a Victim Advocacy Program office in Crookston, MN, and two mobile health units that extend service delivery into rural communities, schools, fairs, and workplaces across both states.

The organization's core service lines are primary medical care, dental care, behavioral health (including therapy modalities such as CBT, EMDR, and DBT), substance use disorder treatment and medication-assisted treatment (Suboxone, Naltrexone, Vivitrol), victim advocacy services for domestic and sexual violence survivors, and outreach and enrollment services that help patients secure coverage through MNSure, Medicaid, Medical Assistance, MinnesotaCare, and related programs. Supporting offerings include a Sliding Fee Program with income-based discounts, the 340B prescription drug discount program, telehealth-based behavioral health, and an OCHIN MyChart patient portal that enables online scheduling, health-record access, and online bill payment. The underlying technology stack is built on commodity platforms — OCHIN/MyChart, a telehealth layer, Google Analytics, and the UserWay accessibility widget — rather than proprietary systems.

CHSI is funded through a hybrid model that combines patient services revenue (Medicaid, Medicare, commercial insurance, sliding-fee self-pay), the 340B drug pricing differential, and recurring federal HHS funding received via HRSA's Bureau of Primary Health Care, supported by Federal Tort Claims Act (FTCA) deemed status for malpractice coverage. It accepts Delta Dental plans and works with MNSure, state departments of health in MN and ND, HRSA, and associations including NACHC, MNACHC, CHAD, the National Center for Farmworker Health, Migrant Clinicians Network, and Migrant Health Promotion. Patient-majority Board governance (51% patient seats) and a Patient Advisory Committee institutionalize community voice in operational direction.

Name

Community Health Service

Legal name

Community Health Service Inc.

Website

https://chsiclinics.org

Company type

Private

Founded year

1973

Operating status

Operating

Headcount range

101–250 employees

Short description

Community Health Service Inc. is a nonprofit federally qualified health center operating four clinics and two mobile units in Minnesota and North Dakota, delivering integrated medical, dental, behavioral health, substance abuse, victim advocacy, and enrollment services to uninsured, underinsured, and rural communities.

Ownership category

akta.pro rank

Headquarters

HQ city

Moorhead

HQ country

United States

HQ region

North America

Offices6 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Patient Services Revenue: Revenue from medical, dental, and behavioral health services provided to patients with Medicaid, Medicare, private insurance, or self-pay (sliding fee scale)
2. 340B Drug Pricing: Pharmacy assistance program providing discounted prescription drugs; revenue generated through 340B drug pricing differential
3. HHS/Federal Funding: Federally qualified health center receives HHS funding with Federal Public Health Service deemed status for malpractice coverage
4. Enrollment and Navigation Services: Outreach and enrollment specialists assist with public insurance (Medical Assistance, MinnesotaCare, Medicaid) and financial assistance programs

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels7 records

Core offering

Community Health Service Inc. is a federally qualified health center network that delivers integrated primary medical, dental, behavioral health, substance abuse treatment (MAT), victim advocacy, and insurance outreach/enrollment services to patients across Minnesota and North Dakota. Services are delivered through four fixed clinics (Moorhead, Rochester, Willmar MN; Grafton ND), a Crookston advocacy office, and two mobile units, supported by a sliding-fee program, 340B prescription discounts, telehealth, and the OCHIN/MyChart patient portal.

Product overview

Community Health Service Inc. (CHSI) is a federally qualified health center network operating as a single unified healthcare delivery platform rather than a modular software product. The organization provides integrated primary healthcare services through four fixed clinic locations (Moorhead, Rochester, Willmar in Minnesota; Grafton in North Dakota) plus two mobile unit clinics and a victim advocacy office. The core service portfolio includes Medical Services, Dental Services, Behavioral Health Services, Substance Abuse Treatment/MAT Services, Victim Advocacy Program, and Outreach & Enrollment Services. Supporting offerings include a 340B Prescription Drug Discount Program, a Sliding Fee Program for income-eligible patients, and an OCHIN MyChart Patient Portal for online health management. All services are designed to reduce barriers to healthcare access in rural communities.

Differentiator

Problem solved

Functional benefit

Products and services

• Medical Services Primary care services including acute care, chronic disease management, immunizations, women's health, prenatal care, sports physicals, and same-day/walk-in appointments delivered at four clinic locations by physicians, nurse practitioners, and physician assistants. Intended for community members across Minnesota and North Dakota.
• Dental Services Comprehensive dental care including exams, cleanings, fluoride treatments, sealants, x-rays, fillings, extractions, and emergency care. Services are available at the Moorhead clinic and on select dates at other locations through the Mobile Dental Unit. Delivered by CHSI dentists and dental staff.
• Behavioral Health Services Therapy, counseling, and mental health services using evidence-based approaches including CBT, EMDR, DBT, and motivational interviewing. Available at Moorhead and Rochester clinics and via telehealth across Minnesota and North Dakota.
• Substance Abuse Treatment / MAT Services Substance Use Disorder (SUD) treatment and Medication-Assisted Treatment (MAT) including Suboxone (buprenorphine/naltrexone), Naltrexone, and Vivitrol for opioid and alcohol use disorders, integrated with behavioral health and psychiatric services.
• Victim Advocacy Program Crisis intervention and supportive services for domestic and sexual violence survivors including safety plans, 24/7 crisis intervention, bilingual advocates, safe housing, orders for protection, and court coordination. Free and confidential.
• Outreach & Enrollment Services Insurance navigation and enrollment assistance including MNSure, Medicaid, Medical Assistance, MinnesotaCare, SNAP, WIC, and rental assistance. Staff are certified MNSure Navigators and Community Health Workers.
• Mobile Unit Clinics Mobile medical and dental units traveling to schools, fairs, festivals, workplaces, and rural communities. North Mobile Unit operates June–September from the Grafton clinic; South Mobile Unit covers central and southern Minnesota from the Rochester clinic base.
• Sliding Fee Program Income-based discount program for uninsured or underinsured patients. Fees are discounted based on household size and income with proof of income documentation required (e.g., 1040 tax form, W-2s, Social Security statements, pay stubs).
• 340B Prescription Drug Discount Program Pharmacy assistance program offering reduced-cost prescriptions through participation in the federal 340B drug pricing program for eligible patients.

Quantifiable outcome

• 51% patient-majority Board governance ensures community voice

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Feature4 records

Partnerships

Twelve partnerships are on record, tiered core and minor.

• Delta DentalcoreChannel Partner/ Reseller/ DistributorCHSI's dental program is part of the Delta Dental network, accepting Delta Dental insurance plans. Delta Dental provides financial support for the dental program as a sponsor.
• OCHIN/MyChartcoreTechnology or IntegrationOCHIN provides the MyChart patient portal platform enabling online scheduling, health records access, appointment management, and bill payment for CHSI patients.
• MNSurecoreGTM or Marketing PartnerCHSI has certified MNSure Navigators on staff who assist patients with enrollment in Minnesota's health insurance marketplace and public programs.
• HRSA (Health Resource and Services Administration)coreOthersAs a federally qualified health center, CHSI receives HHS funding through HRSA's Bureau of Primary Health Care. HRSA provides federal grant funding and FTCA coverage.
• National Association of Community Health Centers (NACHC)minorStrategic or Co-development PartnerCHSI is affiliated with NACHC, the national organization representing community health centers, providing advocacy and resources.
• Minnesota Association of Community Health Centers (MNACHC)minorStrategic or Co-development PartnerState-level affiliation with Minnesota's community health center association for advocacy and peer support.
• Community Healthcare Association of the Dakotas (CHAD)minorStrategic or Co-development PartnerRegional affiliation serving community health centers in North Dakota and South Dakota.
• Minnesota Department of HealthminorOthersState health agency partnerships for programs including SAGE screening program and WIC nutrition assistance.
• North Dakota Department of HealthminorOthersState health agency partnership for Women's Way screening program and other ND health initiatives.
• National Center for Farmworker HealthminorStrategic or Co-development PartnerResource partner for farmworker health services providing educational materials and support for agricultural worker population.
• Migrant Clinicians NetworkminorStrategic or Co-development PartnerPartner supporting migrant and seasonal farmworker health through clinical resources and support.
• Migrant Health PromotionminorStrategic or Co-development PartnerOrganization supporting migrant and seasonal farmworker health through promotion and community health initiatives.

Scale indicators4 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• Neighborhood HealthSource: Minneapolis-based FQHC serving uninsured and underinsured residents with primary medical, behavioral health, and enabling services. Direct peer to CHSI as a Minnesota community health center operating under the federal Section 330 program.
• NorthPoint Health & Wellness Center: Minnesota FQHC providing integrated medical, dental, behavioral health, and pharmacy services. Comparable to CHSI as a community-based safety-net provider with similar FQHC funding model and multi-service offerings.
• HealthSource of Ohio: Multi-site FQHC network in Ohio providing primary care, dental, behavioral health, and pharmacy services to underserved communities. Comparable to CHSI as a multi-clinic FQHC with integrated services and sliding-fee programs.
• Crescent Community Health Center: Dubuque, Iowa-based FQHC where CHSI's CMO previously served as a staff physician. Comparable mid-sized FQHC providing medical, dental, and behavioral health services to underserved populations under the same federal funding framework.
• Open Cities Health Center: St. Paul, MN-based FQHC where CHSI's CMO previously held a leadership role. Delivers comparable primary care, dental, and behavioral health services to diverse, underserved populations under the same FQHC regulatory framework.
• Valley Community Health Centers: North Dakota FQHC operating clinics in Grafton-area communities. Comparable to CHSI's Grafton clinic as a regional safety-net provider offering sliding-fee primary care in rural ND.
• Community Health Centers of Central Minnesota: Minnesota FQHC network providing primary medical, dental, and behavioral health services across central Minnesota. Comparable to CHSI in scope, geography, and integrated service delivery model.
• Family HealthCare: Federally qualified health center headquartered in Fargo, ND, providing medical, dental, and behavioral health services to underserved populations in the Fargo-Moorhead region. Directly comparable to CHSI as a nearby FQHC with overlapping service mix and patient base.
• Spectra Health: North Dakota FQHC (formerly Northland Health Centers) operating multiple clinic locations serving rural communities across the state. Directly comparable to CHSI as a rural-serving FQHC with similar mobile health unit operations.

Others

• National Association of Community Health Centers (NACHC): National membership organization representing community health centers including CHSI, which is an NACHC affiliate. Relevant as an industry association and policy advocate rather than a direct service competitor.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/chsiclinics
• Facebookfacebook.com/CHSIclinics

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles18 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 Community Health Service