| A.S. Grant, MD | Bath | 1880-81 |
| S.B. McGlumphey, MD | Yankton | 1881-83 |
| J.B. Van Veslor, MD | Yankton | 1883-85 |
| George W. Moody, MD | Huron | 1885-86 |
| J.C. Morgan, MD | Sioux Falls | 1886-87 |
| Frank Etter, MD | Yankton | 1887-88 |
| F. Andros, MD | Mitchell | 1888-89 |
| F.W. Bullard, MD | Forest City | 1889-90 |
| J.W. Freeman, MD | Central City | 1890-91 |
| M. Ware, MD | Salem | 1891-92 |
| A.L. Peterman, MD | Parker | 1892-94 |
| R.T. Dott, MD | Parker | 1894-95 |
| G.E. Martin, MD | Carthage | 1895-96 |
| W.E. Edwards, MD | Bowdle | 1896-97 |
| W.E. Moore, MD | Tyndall | 1897-98 |
| F.A. Spafford, MD | Flandreau | 1898-99 |
| D.W. Rudgers, MD | Yankton | 1899-1900 |
| C.M. Keeling, MD | Springfield | 1900-01 |
| C.C. Gross, MD | Yankton | 1901-02 |
| J.O. Dugid, MD | Springfield | 1902-03 |
| B.A. Bobb, MD | Mitchell | 1903-04 |
| C.B. Mallory, MD | Aberdeen | 1904-05 |
| A.H. Bowman, MD | Deadwood | 1905-06 |
| E.T. Ramsey, MD | Clark | 1906-07 |
| L.C. Mead, MD | Yankton | 1907-08 |
| S.A. Brown, MD | Sioux Falls | 1908-09 |
| T.B. Smiley, MD | Mt. Vernon | 1909-10 |
| H.M. Finnerud, MD | Watertown | 1910-11 |
| W.G. Smith, MD | Sturgis | 1911-12 |
| C.E. McCauley, MD | Aberdeen | 1912-13 |
| F.A. Spafford, MD | Flandreau | 1913-14 |
| Fred Treon, MD | Chamberlain | 1914-15 |
| J.B. Vaughn, MD | Castlewood | 1915-16 |
| F.M. Crain, MD | Redfield | 1916-17 |
| H.D.J. Koobs, MD | Scotland | 1917-18 |
| D.S. Scanlon, MD | Volga | 1918-19 |
| R.D. Alway, MD | Aberdeen | 1919-20 |
| H.T. Kenney, MD | Pierre | 1920-21 |
| G.S. Adams, MD | Yankton | 1921-22 |
| G.S. Cottam, MD | Sioux Falls | 1922-23 |
| F.E. Clough, MD | Lead | 1923-24 |
| R.L. Murdy, MD | Aberdeen | 1924-25 |
| W.R. Ball, MD | Mitchell | 1925-26 |
| T.F. Riggs, MD | Pierre | 1926-27 |
| S.M. Hohf, MD | Yankton | 1927-28 |
| N.K. Hopkins, MD | Arlington | 1928-29 |
| L.N. Grosvenor, MD | Huron | 1929-30 |
| Percy D. Peabody, MD | Webster | 1930-31 |
| W.A. Bates, MD | Aberdeen | 1931-32 |
| J.R. Westaby, MD | Madison | 1932-33 |
| E.W. Jones, MD | Mitchell | 1933-34 |
| W.G. Magee, MD | Watertown | 1934-35 |
| A.S. Rider, MD | Flandreau | 1935-36 |
| J.L. Stewart, MD | Nemo | 1936-37 |
| E.A. Pittenger, MD | Aberdeen | 1937-38 |
| J.F.D. Cook, MD | Pierre | 1938-39 |
| J.C. Shirley, MD | Huron | 1939-40 |
| O.J. Mabee, MD | Mitchell | 1940-41 |
| B.M. Hart, MD | Onida | 1941-42 |
| N.J. Nessa, MD | Sioux Falls | 1942-43 |
| J.C. Ohlmacher, MD | Vermillion | 1943-44 |
| D.S. Baughman, MD | Madison | 1944-45 |
| William Duncan, MD | Webster | 1945-46 |
| F.S. Howe, MD | Deadwood | 1946-47 |
| H. Russell Brown, MD | Watertown | 1947-48 |
| John L. Calene, MD | Aberdeen | 1948-49 |
| W.H. Saxton, MD | Huron | 1949-50 |
| C.E. Robbins, MD | Pierre | 1950 |
| L.J. Pankow, MD | Sioux Falls | 1950-51 |
| D.A. Gregory, MD | Milbank | 1951-52 |
| R.E. Jernstrom, MD | Rapid City | 1952-53 |
| R.G. Mayer, MD | Aberdeen | 1953-54 |
| A.W. Spiry, MD | Mobridge | 1954-55 |
| F.D. Gillis, MD | Mitchell | 1955-56 |
| A.P. Peeke, MD | Volga | 1956-57 |
| M.M. Morrissey, MD | Pierre | 1957-58 |
| A.A. Lampert, MD | Rapid City | 1958-59 |
| R.A. Buchanan, MD | Huron | 1959-60 |
| C. Rodney Stoltz, MD | Watertown | 1960-61 |
| C.J. McDonald, MD | Sioux Falls | 1961-62 |
| Magni Davidson, MD | Brookings | 1962-63 |
| R.H. Hayes, MD | Winner | 1963-64 |
| James P. Steele, MD | Yankton | 1964-65 |
| Paul Hohm, MD | Huron | 1965-66 |
| Preston Brodgon, MD | Mitchell | 1966-67 |
| J.J. Stransky, MD | Watertown | 1967-68 |
| J.T. Elston, MD | Rapid City | 1968-69 |
| Robert H. Quinn, MD | Sioux Falls | 1969-70 |
| J.A. Muggly, MD | Madison | 1970-71 |
| G.R. Bartron, MD | Watertown | 1971-72 |
| W.R. Taylor, MD | Aberdeen | 1972-73 |
| T.H. Sattler, MD | Yankton | 1973-74 |
| R.E. Van Demark, Sr., MD | Sioux Falls | 1974-75 |
| G.E. Tracy, MD | Watertown | 1975-76 |
| F.D. Leigh, MD | Huron | 1976-77 |
| James Ryan, MD | Mobridge | 1977-78 |
| Russell Harris, MD | Rapid City | 1978-79 |
| Duane Reaney, MD | Yankton | 1979-80 |
| Winston B. Odland, MD | Aberdeen | 1980-81 |
| Bruce C. Lushbough, MD | Brookings | 1981-82 |
| Durward Lang, MD | Sioux Falls | 1982-83 |
| Joseph Hamm, MD | Sturgis | 1983-84 |
| Howard Saylor, Jr., MD | Huron | 1984-85 |
| Richard Gere, MD | Mitchell | 1985-86 |
| W.O. Rossing, MD | Sioux Falls | 1986-87 |
| Robert L. Ferrell, MD | Rapid City | 1987-88 |
| Frank Messner, MD | Yankton | 1988-89 |
| Michael Pekas, MD | Sioux Falls | 1989-90 |
| Jerome Eckrich, Jr., MD | Aberdeen | 1990-91 |
| Richard I. Porter, MD | Yankton | 1991-92 |
| M. George Thompson, DO | Watertown | 1992-93 |
| Thomas L. Krafka, MD | Rapid City | 1993-94 |
| James R. Reynolds, MD | Sioux Falls | 1994-95 |
| Mary Carpenter, MD | Winner | 1995-96 |
| James Engelbrecht, MD | Rapid City | 1996-97 |
| Stephan Schroeder, MD | Miller | 1997-98 |
| Rodney Parry, MD | Sioux Falls | 1998-99 |
| K. Gene Koob, MD | Sioux Falls | 1999-00 |
| Stephen Gehring, MD | Watertown | 2000-01 |
| Richard P. Holm, MD | Brookings | 2001-02 |
| Robert Raszkowski, MD, PhD | Sioux Falls | 2002-03 |
| Steven Feeney, MD | Watertown | 2003-04 |
| Herbert Saloum, MD | Tyndall | 2004-05 |
| P. Kenneth Aspaas, MD | Sioux Falls | 2006-07 |
| Tony Berg, MD | Winner | 2007-08 |
| Cynthia A. Weaver, MD | Rapid City | 2008-09 |
| Thomas J. Huber, MD | Pierre | 2009-11 |
| Karla K. Murphy, MD | Sioux Falls | 2011-12 |
| Robert L. Allison, MD | Pierre | 2012-13 |
| Daniel J. Heinemann, MD | Sioux Falls | 2013-14 |
| Mary J. Milroy, MD | Yankton | 2014-15 |
| Tim Ridgway, MD | Brandon | 2015-16 |
| H. Thomas Hermann, MD | Sturgis | 2016-17 |
| Robert E. VanDemark, Jr., MD | Sioux Falls | 2017-18 |
| Christopher T. Dietrich, MD | Rapid City | 2018-19 |
| Robert J. Summerer, DO | Madison | 2019-20 |
| Benjamin C. Aaker, MD | Brandon | 2020-21 |
| Kara Dahl, MD | Aberdeen | 2021-22 |
| Lucio Margallo, MD | Mitchell | 2022-23 |
| Denise Hanisch, MD | Centerville | 2023-24 |
| Jennifer J. Tinguely, MD, MPH | Sioux Falls | 2024-25 |
| Keith A. Hansen, MD | Sioux Falls | 2025-26 |
| Benjamin D. Meyerink, MD | Sioux Falls | 2026-27 |