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South Dakota

South Dakota covers 75,885 square miles, with a 2017 estimated population of 869,666 people – 448,693 living in rural South Dakota (USDA-ERS). Pierre, the capital, is located in the central region of the state. The state’s largest cities are Sioux Falls, Rapid City, and Aberdeen. According to 2017 data from the U.S. Census Bureau, 84.9% of the state’s population is white, 2.1% is African-American, 1.5% is Asian, 9.0% is American Indian or Alaska Native, 0.1% is Native Hawaiian or Other Pacific Islander, and 3.8% is of Hispanic or Latino origin.

South Dakota Rural Healthcare Facilities

South Dakota Rural Healthcare Facilities map

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There are 53 hospitals in South Dakota (Kaiser, 2016). The state has 38 hospitals identified as Critical Access Hospitals (Flex Team, 7/2018). There are 60 Rural Health Clinics in South Dakota (CMS, 2017), and 4 Federally Qualified Health Centers provide services at 47 sites in the state (NACHC, 2017).

Selected Social Determinants of Health for Rural South Dakota

8% of South Dakota residents lack health insurance (Kaiser, 2016). According to the USDA Economic Research Service, the average per capita income for South Dakotans in 2016 was $47,834, although rural per capita income lagged at $43,266. The ERS reports, based on 2016 ACS data, that the poverty rate in rural South Dakota is 15.3%, compared with 11.0% in urban areas of the state. 9.9% of the rural population has not completed high school, while 7.6% of the urban population lacks a high school diploma according to 2012-2016 ACS data reported by ERS. The unemployment rate in rural South Dakota is 3.6%, while the urban rate is 3.0% (USDA-ERS, 2017).

For a national comparison, please see an overview of the United States.

Data Sources
Centers for Medicare and Medicaid Services: Rural Health Clinic List; Flex Monitoring Team: Critical Access Hospital List; Kaiser Family Foundation State Health Facts; National Association of Community Health Centers: Key Health Center Data By State; U.S. Census Bureau QuickFacts; USDA Economic Research Service: State Fact Sheets


South Dakota Office of Rural Health
Phone: 605.773.3361
Works to improve access and delivery of health services to rural and medically underserved communities by recruiting health professionals, assisting hospitals and rural health clinics, and helping organizations develop and use technology.
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There are more organizations related to South Dakota in the organizations section.

Last Reviewed: 11/1/2016