For a national comparison, please see an overview of the United States.
South Dakota covers 75,885 square miles, with a 2021
estimated population of 895,376 people – 445,958 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 2021 data from the U.S. Census Bureau, an estimated 84.2%
of the state's population is White, 2.5% is
African-American, 1.7% is Asian, 9.0% is American Indian
or Alaska Native, 0.1% is Native Hawaiian or Other
Pacific Islander, and 4.6% is of Hispanic or Latino
South Dakota Rural Healthcare Facilities
Critical Access Hospitals
Rural Health Clinics
Federally Qualified Health Centers*
Short Term/PPS Hospitals*
*Sites located outside of Urbanized Areas according to data.HRSA.gov
Selected Social Determinants of Health for Rural South
9.0% of South Dakota residents lack health insurance
(Kaiser, 2020). According to the USDA Economic Research
Service, the average per capita income for South Dakotans
in 2020 was $48,021, with the rural per capita income at
$40,315. The ERS reports, based on 2020 ACS data, that
the poverty rate in rural South Dakota is 14.5%, compared
with 8.6% in urban areas of the state. 9.2% of the rural
population has not completed high school, while 6.4% of
the urban population lacks a high school diploma
according to 2016-2020 ACS data reported by ERS. The
unemployment rate in rural South Dakota is 3.3%, while
the urban rate is 2.9% (USDA-ERS, 2021).
Foundation State Health Facts;
U.S. Census Bureau QuickFacts;
USDA Economic Research Service: State Fact Sheets
South Dakota Office of Rural Health
Works to improve access and delivery of healthcare services
to rural and medically underserved communities in South
Dakota. Activities include recruiting health professionals,
assisting hospitals and rural health clinics, and helping
organizations develop and use technology.
There are more organizations related to South Dakota
in the organizations section.