Rural Health Care, Inc.
Rural Health Care, Inc. is a federally qualified health center (FQHC) in South Dakota and a Health Center Program awardee, funded in part by Section 330 of the Public Health Service Act. Its service delivery sites include Brookings, Chamberlain, Fort Pierre, Fulda, and Highmore. In 2025 it served 78,662 patients, down 0.4% from 78,946 in 2024. 6.1% of its patients were uninsured, compared with 12.9% across South Dakota health centers and 17.2% nationally.
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78,662Patients served, 2025
6.1%of patients uninsured
16.3%of patients on Medicaid/CHIP
$898Total accrued cost per patient
$314Cost per visit
Rural Health Care, Inc. compared with South Dakota and the nation, 2025
| Measure | Rural Health Care, Inc. | South Dakota health centers | National |
|---|---|---|---|
| Patients | |||
| Children under 18 | 27.8% | 27.6% | 28.6% |
| Adults 65 and older | 21.0% | 18.9% | 12.8% |
| At or below 200% of the federal poverty guideline | 46.1% | 51.8% | 90.0% |
| Insurance status | |||
| Uninsured | 6.1% | 12.9% | 17.2% |
| Medicaid / CHIP | 16.3% | 22.9% | 47.9% |
| Medicare | 20.7% | 17.9% | 11.6% |
| Private insurance | 56.9% | 46.2% | 23.0% |
| Cost | |||
| Total accrued cost per patient | $898 | $1,054 | $1,672 |
| Cost per visit | $314 | $362 | $438 |
| Clinical quality | |||
| Cervical cancer screening | 68.6% | 64.4% | 57.0% |
| Colorectal cancer screening | 70.5% | 63.8% | 44.9% |
| Breast cancer screening | 77.7% | 70.5% | 56.0% |
| Controlling high blood pressure | 72.4% | 73.0% | 69.1% |
| Diabetes: HbA1c poor control (lower is better) | 15.2% | 17.5% | 26.3% |
| Depression screening and follow-up | 61.4% | 67.5% | 75.3% |
| Early entry into prenatal care | 84.9% | 81.9% | 73.4% |
| Childhood immunization status | 37.8% | 33.0% | 29.5% |
| Tobacco screening and cessation | 96.9% | 93.9% | 84.8% |
| Statin therapy for cardiovascular disease | 76.0% | 76.8% | 79.0% |
Patients by service
| Service | 2025 |
|---|---|
| Medical | 78,115 |
| Mental health | 2,022 |
| Total clinic visits | 224,763 |
Trends, 2016–2025
| Year | Patients | Cost per patient | Uninsured | Medicaid/CHIP |
|---|---|---|---|---|
| 2025 | 78,662 | $898 | 6.1% | 16.3% |
| 2024 | 78,946 | $832 | 6.3% | 16.2% |
| 2023 | 76,478 | $800 | 6.0% | 16.5% |
| 2022 | 75,005 | $759 | 6.2% | 16.6% |
| 2021 | 51,840 | $751 | 6.0% | 13.5% |
| 2020 | 33,240 | – | 5.6% | 15.4% |
| 2019 | 29,707 | – | 4.7% | 16.8% |
| 2018 | 16,012 | – | 9.2% | 20.1% |
| 2017 | 16,666 | – | 6.9% | 21.6% |
| 2016 | 17,271 | – | 9.3% | 19.6% |
Explore Rural Health Care, Inc. in the dashboard. It opens with this health center already
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area on a map and its payer, age, diagnosis and service-line mix.
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