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South Dakota

South Dakota covers 75,885 square miles, with a 2019 estimated population of 884,659 people – 449,416 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 2019 data from the U.S. Census Bureau, 84.6% of the state's population is white, 2.3% 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 4.2% is of Hispanic or Latino origin.

South Dakota Rural Healthcare Facilities

South Dakota Rural Healthcare Facilities map

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According to, as of April 2021 South Dakota had:

  • 38 Critical Access Hospitals
  • 58 Rural Health Clinics
  • 39 Federally Qualified Health Center sites located outside of Urbanized Areas
  • 11 short term hospitals located outside of Urbanized Areas

Selected Social Determinants of Health for Rural South Dakota

9.6% of South Dakota residents lack health insurance (Kaiser, 2019). According to the USDA Economic Research Service, the average per capita income for South Dakotans in 2019 was $53,962, with the rural per capita income at $47,843. The ERS reports, based on 2019 ACS data, that the poverty rate in rural South Dakota is 14.9%, compared with 8.8% in urban areas of the state. 9.6% of the rural population has not completed high school, while 6.8% of the urban population lacks a high school diploma according to 2015-2019 ACS data reported by ERS. The unemployment rate in rural South Dakota is 3.6%, while the urban rate is 3.0% (USDA-ERS, 2019).

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

Data Sources
Kaiser Family Foundation State Health Facts; 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 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.
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There are more organizations related to South Dakota in the organizations section.