# Health Centers in South Dakota · Financial Profiles

State rollup · SD · Health Centers  
Page: https://astrelis.co/providers/health_center/state/sd  
This twin: https://astrelis.co/providers/health_center/state/sd.md  
Release: 2321a4fc37a7 (2026-10-22)

South Dakota has 15 current health-center sites on file (plus 1 historical record, listed and labeled below). Where the HRSA UDS organization match is established, profiles carry organization-level patients, visits, payer mix, and clinical quality — each profile states its match status (Verified / Probable / Organization not established). Medicare cost-report figures appear on each profile as a bounded, scoped appendix.

## Counts

- Current health centers: 15
- Historical records (CMS lists the CCN as terminated; listed and labeled below, excluded from counts and medians): 1
- Records listed: 16

## Medians

No margin median or distribution is published for health centers on any surface: the Medicare cost-report margin is not a whole-organization figure (AD-1166). The rollup states counts and identity only.

## Facilities (16 records: 15 current, 1 historical)

Every row is as filed; a cell states its public state ("Not reported in source", "Astrelis calculation unavailable") rather than a dash. Each facility links to its profile and to the profile's twin.

| Facility | City | Latest FY | Patients | Visits | Sites | Medicaid patients |
|---|---|---:|---:|---:|---:|---:|
| [ACCESS HEALTH - MITCHELL](https://astrelis.co/providers/health_center/431855) ([twin](https://astrelis.co/providers/health_center/431855.md)) | Not reported in source | 2022 | Not reported in source | 40,367 | Not reported in source | Not reported in source |
| [BISON COMMUNITY CLINIC](https://astrelis.co/providers/health_center/431827) ([twin](https://astrelis.co/providers/health_center/431827.md)) | Not reported in source | Not reported in source | Not reported in source | Not reported in source | Not reported in source | Not reported in source |
| [CITY OF SIOUX FALLS HEALTH DEPARTMENT](https://astrelis.co/providers/health_center/431822) ([twin](https://astrelis.co/providers/health_center/431822.md)) | Not reported in source | 2024 | 9,394 | 16,377 | 5 | 39% |
| [COMMUNITY HEALTH CENTER OF BLACK HILLS, INC.](https://astrelis.co/providers/health_center/431812) ([twin](https://astrelis.co/providers/health_center/431812.md)) | Not reported in source | 2025 | 9,951 | 16,058 | 2 | 38% |
| [EAGLE BUTTE COMMUNITY CLINIC](https://astrelis.co/providers/health_center/431802) ([twin](https://astrelis.co/providers/health_center/431802.md)) | Not reported in source | Not reported in source | Not reported in source | Not reported in source | Not reported in source | Not reported in source |
| [FAITH COMMUNITY CLINIC](https://astrelis.co/providers/health_center/431813) ([twin](https://astrelis.co/providers/health_center/431813.md)) | Not reported in source | Not reported in source | Not reported in source | Not reported in source | Not reported in source | Not reported in source |
| [HORIZON HEALTH CARE, INC.](https://astrelis.co/providers/health_center/431804) ([twin](https://astrelis.co/providers/health_center/431804.md)) | Not reported in source | 2021 | 26,142 | 2,010 | 26 | 22% |
| [HORIZON HEALTH CARE, INC.](https://astrelis.co/providers/health_center/431805) ([twin](https://astrelis.co/providers/health_center/431805.md)) | Not reported in source | 2021 | 26,142 | 5,661 | 26 | 22% |
| [HORIZON HEALTH CARE, INC.](https://astrelis.co/providers/health_center/431809) ([twin](https://astrelis.co/providers/health_center/431809.md)) | Not reported in source | 2025 | 26,142 | 54,137 | 26 | 22% |
| [HORIZON HEALTH CARE, INC.](https://astrelis.co/providers/health_center/431851) ([twin](https://astrelis.co/providers/health_center/431851.md)) | Not reported in source | 2021 | 26,142 | 3,236 | 26 | 22% |
| [ISABEL COMMUNITY CLINIC](https://astrelis.co/providers/health_center/431803) ([twin](https://astrelis.co/providers/health_center/431803.md)) | Not reported in source | Not reported in source | Not reported in source | Not reported in source | Not reported in source | Not reported in source |
| [MCINTOSH COMMUNITY CLINIC](https://astrelis.co/providers/health_center/431826) ([twin](https://astrelis.co/providers/health_center/431826.md)) · historical | Not reported in source | 2025 | Not reported in source | 139 | Not reported in source | Not reported in source |
| [RURAL HEALTH CARE, INC.](https://astrelis.co/providers/health_center/431814) ([twin](https://astrelis.co/providers/health_center/431814.md)) | Not reported in source | 2025 | 78,946 | 152,412 | 13 | 16% |
| [RURAL HEALTH CARE, INC.](https://astrelis.co/providers/health_center/431818) ([twin](https://astrelis.co/providers/health_center/431818.md)) | Not reported in source | 2025 | 78,946 | Not reported in source | 13 | 16% |
| [RURAL HEALTH CARE, INC.](https://astrelis.co/providers/health_center/431856) ([twin](https://astrelis.co/providers/health_center/431856.md)) | Not reported in source | 2022 | 78,946 | 47,535 | 13 | 16% |
| [TIOSPAYE TOPA SCHOOL](https://astrelis.co/providers/health_center/431848) ([twin](https://astrelis.co/providers/health_center/431848.md)) | Not reported in source | Not reported in source | Not reported in source | Not reported in source | Not reported in source | Not reported in source |

## Sources

Financial figures are compiled from public HCRIS Medicare cost reports and standardized by Astrelis; health-center figures are Medicare cost-report scope, not whole-organization financials. Values are source-reported context, not audited by Astrelis, and not a ranking.

Methodology: https://astrelis.co/methodology · Data sources: https://astrelis.co/data-sources · Data philosophy: https://astrelis.co/data-philosophy

## Cite this page

Astrelis Atlas, "Health Centers in South Dakota · Financial Profiles", https://astrelis.co/providers/health_center/state/sd, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.

Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.