SD · 66 Counties
South Dakota Rural Hospitals
66 active hospitals serving 66 counties. 21 counties have no hospital access.
CMS Rural Health Transformation Program
South Dakota Receives $189.5M/year$947.4M total over 5 years (FY2026–2030)
As part of the federal $50 billion Rural Health Transformation Program (CFDA 93.798), South Dakota receives $189,477,607/year for FY2026–2030 to strengthen rural health infrastructure, expand access, and support workforce development.
Source: USAspending.gov, CFDA 93.798. Performance period: 2025-12-29 to 2030-10-30.
Who It's For
Tailored views for every role in South Dakota's rural health ecosystem
County Health Map
Explore South Dakota's 66 counties and 66 hospitals. Click any county or hospital for details.
Counties with vs. without a hospital
Sources: CMS POS, CDC SVI (2022), HRSA HPSA, County Health Rankings, CDC PLACES (2023), AHRF (2024), HRSA FQHCs. Hospital markers sized by bed count, colored by operating margin. FQHC diamonds show safety-net delivery sites.
Hospital Directory
All 66 active hospitals in South Dakota. Search by name, city, or county.
| Hospital ▲ | City | County | Beds | Ownership | Type | |
|---|---|---|---|---|---|---|
| Avera De Smet Memorial Hospital - Cah | De Smet | Kingsbury | 6 | Government | CAHRural | |
| Avera Dells Area Hospital - Cah | Dell Rapids | Minnehaha | 23 | Government | CAH | |
| Avera Flandreau Hospital - Cah | Flandreau | Moody | 18 | Government | CAHRural | |
| Avera Gregory Hospital | Gregory | Gregory | 25 | Government | CAHRural | |
| Avera Hand County Memorial Hospital and Clinic | Miller | Hand | 11 | Government | CAHRural | |
| Avera Heart Hospital of South Dakota | Sioux Falls | Minnehaha | 53 | Not-for-Profit | ||
| Avera Mckennan Hospital & University Health Center | Sioux Falls | Minnehaha | 505 | Government | ||
| Avera Mckennan Transplant Institute | Sioux Falls | Minnehaha | 0 | Government | ||
| Avera Missouri River Health Center | Gettysburg | Potter | 7 | Government | CAHRural | |
| Avera Queen of Peace | Mitchell | Davison | 25 | Government | CAHRural |
66 hospitals shown
Hospital Deserts
21 of 66 counties (32%) have no hospital.
Residents in these counties must travel to neighboring areas for hospital care.
21 counties in South Dakota have no hospital.
Learn how the AHEAD model could transform rural health access.
Critical Access Gaps 5
Counties with no hospital, a primary care shortage designation, and high social vulnerability (SVI > 0.75) represent the most critical access gaps. These communities face a triple burden of absent infrastructure, workforce shortage, and socioeconomic disadvantage.
| County | Population | SVI Score | HPSA Types | Nearest Hospital |
|---|---|---|---|---|
| Buffalo | 1,948 | 0.99 | Primary Care, Dental, Mental Health | 18.8 mi |
| Jackson | 2,806 | 0.98 | Primary Care, Dental, Mental Health | 25.1 mi |
| Ziebach | 2,413 | 0.88 | Primary Care, Dental, Mental Health | 31.1 mi |
| Lyman | 3,718 | 0.87 | Primary Care, Dental, Mental Health | 26.9 mi |
| Mellette | 1,918 | 0.86 | Primary Care, Dental, Mental Health | 26.9 mi |
Source: CMS Provider of Services (hospital presence), HRSA Health Professional Shortage Areas (HPSA designations), CDC/ATSDR Social Vulnerability Index 2022 (SVI scores).
County Health Profiles
All 66 counties in South Dakota. Each county has a dedicated health profile with SVI scores, health metrics, HPSA designations, and hospital access.
County Health Snapshot
Average health indicators across South Dakota's 66 counties
Health Professional Shortage Areas
Sources: County Health Rankings (2025), CDC Social Vulnerability Index (2022), HRSA Bureau of Health Workforce (HPSA designations)
Financial Health
FY2025 hospital financial performance from CMS cost reports
33 hospitals reporting negative margins.
See how your hospital compares.
Federal Rural Health Funding
Federal rural health programs obligated $4.7M to 7 recipients in FY2025
Largest Grant Recipients
Source: USAspending.gov, FY2025 obligations. Includes CFDA 93.241 (Flex), 93.301 (SHIP), 93.912 (Outreach), 93.913 (SORH).
Healthcare Workforce & Access
Provider supply, community health centers, and medically underserved designations
Provider Workforce
Federally Qualified Health Centers
Medically Underserved Areas & Populations
CDC PLACES Health Indicators
Census-tract-level health data aggregated to county averages
Sources: AHRF 2024-2025 (HRSA), HRSA GIS Portal (FQHCs, MUA/MUP), CDC PLACES 2023-2024
Hospital Closures
3 rural hospitals closed since 2005
| Hospital | City | County | Year |
|---|---|---|---|
| Holy Infant Hospital | Hoven | Potter | 2010 |
| Five Counties Hospital - Critical Access Hospital | Lemmon | Perkins | 2007 |
| PHS Indian Hospital at Sisseton | Sisseton | Roberts | 2006 |
Source: UNC Sheps Center for Health Services Research
Hospital Ownership
Breakdown of South Dakota's 66 hospitals by ownership type
See the Analytics Platform
Role-specific dashboards, AI-powered queries, and hospital financial data — live for South Dakota.
Interactive Dashboard·South Dakota: 66 rural hospitals, 39 CAHs, 21 hospital deserts
AI-Powered Q&A·South Dakota: 66 rural hospitals, 39 CAHs, 21 hospital deserts
What's in the South Dakota Dashboard
Interactive tools tailored to your state's rural health landscape
Hospital Scorecard
Compare financials, bed counts, and risk scores across all 66 hospitals. Filter by county, ownership, or CAH status.
Access Maps
Visualize 21 hospital deserts and service area gaps. See which communities are most underserved.
AI-Powered Q&A
Ask questions in plain English about South Dakota's hospitals and get instant, data-backed answers from CMS data.
Have questions about South Dakota's rural hospitals? See the South Dakota FAQ — data-driven answers about hospital access, grants, and health metrics.
See the Full South Dakota Dashboard
Request a personalized demo with interactive dashboards, AI queries, and hospital risk scoring for South Dakota.
Data from CMS Provider of Services, CMS Cost Reports (HCRIS), County Health Rankings, CDC Social Vulnerability Index, Community Benefit Insight, UNC Sheps Center, USAspending.gov, and HRSA Bureau of Health Workforce. Last updated: 2026-10-29.