High Country Community Health
High Country Community Health is a federally qualified community health center based in Boone, NC, with 4 clinic locations in 3 cities. It served 17,319 patients in 2025. Fees are on a sliding scale by income and insurance, and every patient is seen regardless of ability to pay.
- 17,319patients in 2025
- 28%uninsured patients
- 52%at or below the poverty line
- 204full-time-equivalent staff
Care offered: primary care, dental care, mental health care, substance use treatment, children’s checkups, women’s health, and telehealth.
Who High Country Community Health serves
52% of patients live at or below the poverty line and 95% are at or below twice that level. 28% have no insurance, 28% have Medicaid or CHIP, 19% have Medicare and 26% have private insurance. 125 patients were experiencing homelessness. 555 were veterans.
| Measure | This center | NC median | U.S. median | vs NC |
|---|---|---|---|---|
| Patients at or below the poverty line | 52% | 59% | 65% | −7 pts |
| Patients at or below 200% of the poverty line | 95% | 92% | 92% | +4 pts |
| Measure | This center | NC median | U.S. median | vs NC |
|---|---|---|---|---|
| Uninsured patients | 28% | 24% | 14% | +5 pts |
| Medicaid or CHIP patients | 28% | 28% | 42% | In line |
| Medicare patients | 19% | 15% | 11% | +3 pts |
| Privately insured patients | 26% | 25% | 24% | In line |
Care and screenings
| Service | Patients | What it counts |
|---|---|---|
| Dental care | 3,779 | patients had dental exams |
| Mental health care | 7,128 | patients treated for depression or anxiety |
| Substance use treatment | 1,234 | patients in treatment |
| Well-child visits | 1,256 | children had checkups |
| Flu shots | 1,815 | patients vaccinated |
| Cervical cancer screening | 611 | patients tested |
| Breast cancer screening | 1,199 | patients screened |
| Family planning | 809 | patients served |
| Diabetes care | 2,121 | patients with diabetes |
| Blood pressure care | 4,919 | patients with hypertension |
| Asthma care | 912 | patients with asthma |
| HIV testing | 648 | patients tested |
| Hepatitis C testing | 206 | patients tested |
Quality of care
High Country Community Health is at or above the North Carolina median on 1 of 7 preventive-care measures. Higher is better on every line.
| Measure | This center | NC median | U.S. median | vs NC |
|---|---|---|---|---|
| Adults with high blood pressure under control | 66% | 70% | 68% | −4 pts |
| Women 52–74 screened for breast cancer | 61% | 59% | 54% | +2 pts |
| Women 24–64 screened for cervical cancer | 46% | 54% | 54% | −8 pts |
| Adults 46–75 screened for colorectal cancer | 40% | 49% | 44% | −9 pts |
| Patients 12+ screened for depression | 58% | 76% | 77% | −18 pts |
| Adults assessed for tobacco use | 71% | 87% | 86% | −15 pts |
| High-risk adults on statin therapy | 75% | 80% | 79% | −5 pts |
Staffing
204 full-time-equivalent staff work at High Country Community Health, including 25 physicians, nurse practitioners, physician assistants and midwives. That is 699 patients per clinical provider, against the North Carolina median of 807 and the U.S. median of 930.
Where High Country Community Health patients live
| ZIP code | Patients | Uninsured |
|---|---|---|
| 28607 | 3,205 | 28% |
| 28655 | 2,329 | 36% |
| 28657 | 1,435 | 44% |
| 28604 | 628 | 38% |
| 28692 | 575 | 25% |
| 28690 | 566 | 15% |
| 28612 | 534 | 16% |
| 28645 | 487 | 23% |
High Country Community Health locations
Morganton Office 301 E Meeting Street
Other health centers in North Carolina
- Appalachian Mountain Community Health Centers
- Roanoke Chowan Community Health Center Inc.
- Robeson Health Care Corporation
- The C.W. Williams Community Health Center, Inc.
- Cabarrus Rowan Community Health Centers, Inc.
- Triad Adult and Pediatric Medicine, Inc.
How fees work: the sliding-fee guide.