Community health centers in South Dakota
South Dakota has 34 community health center clinics in 30 cities, run by 4 health centers that served 123,557 patients in 2025. Fees are on a sliding scale by income and insurance, and every patient is seen regardless of ability to pay.
- The median clinic in South Dakota is open 44.5 hours a week.
- Half of South Dakota health centers have 25% or more uninsured patients (U.S. median: 14%).
- Most clinics in one city: Alcester with 2.
How South Dakota health centers compare
| Median across South Dakota health centers | South Dakota | U.S. |
|---|---|---|
| Uninsured patients | 25% | 14% |
| Patients at or below the poverty line | 42% | 65% |
| Medicaid or CHIP patients | 33% | 42% |
| Adults with blood pressure under control | 74% | 68% |
| Women 52–74 screened for breast cancer | 53% | 54% |
| Adults 46–75 screened for colorectal cancer | 47% | 44% |
Largest health centers in South Dakota
| Health center | Based in | Patients | Uninsured | Clinics |
|---|---|---|---|---|
| Rural Health Care, Inc. | Fort Pierre | 78,662 | 6% | 13 |
| Horizon Health Care, Inc. | Howard | 26,641 | 24% | 22 |
| City of Sioux Falls Health Department | Sioux Falls | 9,766 | 27% | 1 |
| Community Health Center of Black Hills, Inc. | Rapid City | 8,488 | 25% | 2 |
All South Dakota cities with a community health center
- Aberdeen
- Alcester (2)
- Bison
- Brookings
- Chamberlain
- De Smet
- Eagle Butte
- Elk Point
- Faith
- Fort Pierre
- Fort Thompson
- Highmore
- Howard (2)
- Huron
- Isabel
- Kennebec
- Lake Preston
- Martin (2)
- Mission
- Mitchell
- Murdo
- Onida
- Plankinton
- Presho
- Rapid City (2)
- Sioux Falls
- Wessington Springs
- White River
- Woonsocket
- Yankton
New here? Read how sliding-fee pricing works.