Critical access hospital in Vermillion serving Clay County South Dakota and adjacent northeast Nebraska communities. Emergency services, inpatient care, surgical services, and specialty clinics. Part of Sanford Health.
Regional transit serving Burt, Cedar, Dakota, Dixon, Dodge, Douglas, Madison, Thurston, and Wayne counties in Nebraska, plus Iowa and South Dakota service areas.
Tri-City Roadrunner (Scotts Bluff County Transit) is run by Scotts Bluff County: fixed bus routes serving Scottsbluff, Terrytown and Gering plus curb-to-curb demand-response rides countywide, open to anyone.
Full-service regional hospital in downtown Sioux City; formerly MercyOne Siouxland Medical Center, acquired by UnityPoint Health September 2025. 464 licensed beds serving the tri-state Siouxland area. Emergency services, specialty care, trauma center.
Regional hospital serving the tri-state Siouxland area of Iowa, Nebraska, and South Dakota. Comprehensive services including emergency, heart care, cancer care, surgical, and birth center. One of the largest employers in the region.
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