1985

• A strategic planning meeting was held to consider a primary care association.

1986

• Initial funding was received and the South Dakota Association of Community Health Centers (SDACHC) was incorporated.
• The first executive director was appointed.

1988

• North Dakota community health centers began having discussions with SDACHC about joining and the association became one of four bi-state primary care associations.
• Due to the addition of the North Dakota sites, the name was changed to the Dakota Association of Community Health Centers (DACHC).
• Scot Graff was hired as the executive director.

1999

• North Dakota staff was added as a dual position with the North Dakota Medical Association who houses the office in Bismarck, ND.

2000

• North Dakota added several staff members and opened an office in Bismarck, ND.
• Since membership was not exclusive to community health centers, the Dakota Association of Community Health Centers became the Community HealthCare Association of the Dakotas (CHAD).

2006

• An office in Fort Pierre was created within the Oahe Valley Community Health Center.
• A branding campaign with a new logo and tagline was launched.

2009

• CHAD is awarded a grant from Delta Dental to provide the services of a mobile dental unit to the Horizon Health Care, Inc., Prairie Community Health, Inc., and Rural Health Care, Inc., clinic sites with a need for access to oral health care. 

2010

• CHAD is awarded a Health Center Controlled Network grant and begins the process to create a CHC network infrastructure.
• The Fort Pierre office is closed and the Bismarck office moves to a larger office space.

2011

• CHAD celebrated its 25th anniversary!
• In celebration of CHAD's 25th anniversary, an award dinner was held during the annual conference in Rapid City, South Dakota. Awards were given to John Mengenhausen and Pam Locken to recognize them as charter members of CHAD's Board of Directors.