Black Hills Advocate helps a variety of people including people who are aging, people who are caregivers for a loved one or families with aging parents who live in the Black Hills. Black Hills Advocate also assists people who are facing illness; either short term or long term. They also facilitate a culture of transparency between patient and provider. Black Hills Advocate provide services including accompaniment to doctor/hospital visits, coordination of all health care providers, maintain portfolio of medical history, communicate with client's accountants, attorneys & financial planners, process monthly bill paying & bank statement reconciliation, implement financial planning strategies, assist with completion of health insurance & financial assistance applications, research treatment options, assist with advance directives (Health Care or Financial POA, Living Will, etc.), perform wellness visits at home or extended care facilities, coordinate end-of-life requests & after care planning, provide Guardianship & Conservatorship, advocate for patient's rights & medical needs, and assist with level of care choices & placement.

The office of the South Dakota Attorney General Consumer Protection has a page with Fast Facts that includes links to topics generally handled by their office, such as credit reporting, identity theft, Medicaid, Medicare, opt-out, Social Security, unclaimed property, and wills, trusts, & living wills.