South Dakota community health centers (FQHCs)
South Dakota has 4 community health centers that filed Uniform Data System reports for 2025: 4 Health Center Program awardees. The awardees served 123,557 patients in 2025, down 0.7% from 2024.
4Health centers filing
123,557Patients served by awardees, 2025
12.9%of patients uninsured
22.9%of patients on Medicaid/CHIP
All 4 health centers in South Dakota
| Health center | Program | Patients, 2025 |
|---|---|---|
| Rural Health Care, Inc. | Awardee | 78,662 |
| Horizon Health Care, Inc. | Awardee | 26,641 |
| City of Sioux Falls Health Department | Awardee | 9,766 |
| Community Health Center of Black Hills, Inc. | Awardee | 8,488 |
South Dakota compared with the nation, 2025
| Measure | South Dakota | National |
|---|---|---|
| Patients | ||
| Patients served | 123,557 | 32,746,392 |
| Children under 18 | 27.6% | 28.6% |
| Adults 65 and older | 18.9% | 12.8% |
| At or below 200% of the federal poverty guideline | 51.8% | 90.0% |
| Insurance status | ||
| Uninsured | 12.9% | 17.2% |
| Medicaid / CHIP | 22.9% | 47.9% |
| Medicare | 17.9% | 11.6% |
| Private insurance | 46.2% | 23.0% |
| Cost | ||
| Total accrued cost per patient | $1,054 | $1,672 |
| Cost per visit | $362 | $438 |
| Clinical quality | ||
| Cervical cancer screening | 64.4% | 57.0% |
| Colorectal cancer screening | 63.8% | 44.9% |
| Breast cancer screening | 70.5% | 56.0% |
| Controlling high blood pressure | 73.0% | 69.1% |
| Diabetes: HbA1c poor control (lower is better) | 17.5% | 26.3% |
| Depression screening and follow-up | 67.5% | 75.3% |
| Early entry into prenatal care | 81.9% | 73.4% |
| Childhood immunization status | 33.0% | 29.5% |
| Tobacco screening and cessation | 93.9% | 84.8% |
| Statin therapy for cardiovascular disease | 76.8% | 79.0% |
South Dakota trends, 2016–2025
| Year | Patients (awardees) | Uninsured | Medicaid/CHIP |
|---|---|---|---|
| 2025 | 123,557 | 12.9% | 22.9% |
| 2024 | 124,433 | 15.9% | 20.9% |
| 2023 | 124,541 | 17.8% | 20.1% |
| 2022 | 123,982 | 18.4% | 20.1% |
| 2021 | 100,692 | 20.3% | 18.9% |
| 2020 | 80,455 | 21.1% | 21.3% |
| 2019 | 79,460 | 19.2% | 24.0% |
| 2018 | 67,861 | 24.0% | 27.4% |
| 2017 | 68,601 | 22.6% | 28.8% |
| 2016 | 69,137 | 25.4% | 26.4% |
Go beyond the snapshot. The Threethirty Health dashboard charts any health center's
ten-year trends against state, national and peer-group benchmarks, with service-area maps and roll-ups by payer, age,
diagnosis and service line.
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