Offers group exercise, senior classes, strength and cardio equipment, swimming, after school child care and a variety of youth programming (including preschool and summer camps) with the goal of making accessible the support and opportunities that empower people and communities to learn, grow and thrive.

Fitness equipment, classes, indoor pool, weight training, personal fitness trainers, and therapy services (physical, occupational, and speech).

An ambulatory care center with outpatient services. Services include dental care, mental health services, public health nurse, environmental health care, optometry, laboratory, radiology, pharmacy (Prescription Assistance - Enrolled members of a Native American tribe can get free prescriptions by visiting their local IHS), podiatry, HIV Clinic, SANE services, and Fitness Center.

Custer YMCA offers programs for adults and children. Programs include childcare, adult sports, archery, aquatics (swim lessons, lap swim, aquatic group exercise), CPR and First Aid instruction, fitness center, soccer, basketball, baseball, pickleball, tumbling, tennis, martial arts, senior walking, and summer day camps.