Health clinic gardens (HCGs) are social-ecological systems (SESs) associated with health clinics on government land and are intended to provide fresh vegetables and fruits to patients struggling to keep healthy immune systems. Little is known about their comparability to other garden types with regards to plant distribution and potential utilization, and thus their potential to address some of the challenges limiting ecosystem services (ESs) provision in other garden types. In this study, we report on the floristic composition and presence of utilitarian plant species at 105 HCGs across a district municipality in the North-West Province, South Africa. Different micro-gardens, including vegetable, medicinal, ornamental, natural vegetation, bare soil, orchard, hedge, and lawn micro-gardens, were identified. To understand plant composition, species were classified according to status of origin, invasive characteristics, Raunkiaer’s life-forms, growth forms, and potential usefulness. To determine the frequency of species occurrence we enumerated the number of gardens containing the respective species. Six-hundred and thirty-three species from 404 genera and 116 plant families were encountered. Cynodon dactylon (L.) Pers. and Urochloa mosambicensis (Hack.) Dandy, found in 91 % and 79 % of gardens, respectively, occurred the most. Herbaceous species were the most dominant, with Schkuhria pinnata (Lam.) Kuntze ex Thell. and Conyza bonariensis (L.) Cronquist occurring the most. Plant species richness was greater in the ornamental (282 species) and natural area (naga) (281 species) micro-gardens, while the hedge had the least (8 species). Fifty-five percent of species in the natural vegetation micro-garden were indigenous, compared to 44 % in the ornamental micro-garden. There was greater diversity in fruit-bearing plants, and most medicinal plant species (70 %) are used as a tonic. Health clinic gardens resemble home gardens and are well positioned to enhance ESs provision at the community scale. Future HCGs research should evaluate community usage of the gardens and the extent to which knowledge of useful plants and efficient gardening practices is upscaled to home gardens around HCGs.