Rural Health Care, Inc.
Rural Health Care, Inc. is a federally qualified community health center based in Fort Pierre, SD, with 13 clinic locations in 13 cities. It served 78,662 patients in 2025. Fees are on a sliding scale by income and insurance, and every patient is seen regardless of ability to pay.
- 78,662patients in 2025
- 6%uninsured patients
- 17%at or below the poverty line
- 458full-time-equivalent staff
Care offered: primary care, mental health care, children’s checkups, women’s health, and telehealth.
Who Rural Health Care, Inc. serves
17% of patients live at or below the poverty line and 46% are at or below twice that level. 6% have no insurance, 16% have Medicaid or CHIP, 21% have Medicare and 57% have private insurance. 2,869 were veterans.
| Measure | This center | SD median | U.S. median | vs SD |
|---|---|---|---|---|
| Patients at or below the poverty line | 17% | 42% | 65% | −25 pts |
| Patients at or below 200% of the poverty line | 46% | 64% | 92% | −18 pts |
| Measure | This center | SD median | U.S. median | vs SD |
|---|---|---|---|---|
| Uninsured patients | 6% | 25% | 14% | −19 pts |
| Medicaid or CHIP patients | 16% | 33% | 42% | −17 pts |
| Medicare patients | 21% | 13% | 11% | +7 pts |
| Privately insured patients | 57% | 28% | 24% | +28 pts |
Care and screenings
| Service | Patients | What it counts |
|---|---|---|
| Mental health care | 17,930 | patients treated for depression or anxiety |
| Well-child visits | 10,621 | children had checkups |
| Flu shots | 10,122 | patients vaccinated |
| Cervical cancer screening | 3,134 | patients tested |
| Breast cancer screening | 9,399 | patients screened |
| Family planning | 2,105 | patients served |
| Diabetes care | 7,757 | patients with diabetes |
| Blood pressure care | 17,612 | patients with hypertension |
| Asthma care | 4,052 | patients with asthma |
| HIV testing | 2,462 | patients tested |
| Hepatitis C testing | 2,157 | patients tested |
| Childhood lead tests | 1,584 | children tested |
Quality of care
Rural Health Care, Inc. is at or above the South Dakota median on 4 of 7 preventive-care measures. Higher is better on every line.
| Measure | This center | SD median | U.S. median | vs SD |
|---|---|---|---|---|
| Adults with high blood pressure under control | 72% | 74% | 68% | −2 pts |
| Women 52–74 screened for breast cancer | 78% | 53% | 54% | +25 pts |
| Women 24–64 screened for cervical cancer | 69% | 58% | 54% | +10 pts |
| Adults 46–75 screened for colorectal cancer | 71% | 47% | 44% | +23 pts |
| Patients 12+ screened for depression | 61% | 73% | 77% | −11 pts |
| Adults assessed for tobacco use | 97% | 88% | 86% | +9 pts |
| High-risk adults on statin therapy | 76% | 78% | 79% | −2 pts |
Staffing
458 full-time-equivalent staff work at Rural Health Care, Inc., including 96 physicians, nurse practitioners, physician assistants and midwives. That is 816 patients per clinical provider, against the South Dakota median of 783 and the U.S. median of 930.
Where Rural Health Care, Inc. patients live
| ZIP code | Patients | Uninsured |
|---|---|---|
| 56258 | 11,547 | 6% |
| 57006 | 10,878 | 6% |
| 57301 | 10,162 | 7% |
| 56187 | 4,896 | 8% |
| 56101 | 2,006 | 4% |
| 57071 | 1,598 | 5% |
| 56264 | 1,295 | 3% |
| 56229 | 1,170 | 3% |
Rural Health Care, Inc. locations
Access Health - Fort Pierre
Access Health - Worthington
Other health centers in South Dakota
- Horizon Health Care, Inc.
- City of Sioux Falls Health Department
- Community Health Center of Black Hills, Inc.
How fees work: the sliding-fee guide.