U.S. State / FIPS 46
South Dakota
South Dakota has 66 counties, 763 public schools and 61 Medicare-certified hospitals reporting to CMS — the 18 carrying an overall star rating average 3.89 out of 5.
At a glance
Counts come from the current release; nothing here is estimated.
Public schools
763
School districts
188
Hospitals
61
Counties
66
Federal money
Obligations recorded against a place of performance in South Dakota. An obligation is a legal commitment to pay, not cash out the door — outlays follow later, sometimes by years.
Obligations, FY2025
$11.5B
Per resident
$12,965
Change since FY2017
+67%
Fiscal years covered
9
▸ View as table
| Period | Obligations |
|---|---|
| 2017 | $7B |
| 2018 | $7B |
| 2019 | $8B |
| 2020 | $13B |
| 2021 | $14B |
| 2022 | $11B |
| 2023 | $10B |
| 2024 | $11B |
| 2025 | $11B |
Figures are nominal — not adjusted for inflation — because USAspending publishes them that way and adjusting them here would mean this site had edited a government figure. The per-resident figure divides by the 2020 decennial count, which is the population USAspending carries; a 2020 denominator against 2025 spending overstates per-head figures wherever a place has grown since. South Dakota ranks 50th of 56 on this measure in FY2025.
Most complete reporters
Hospitals reporting the most quality measures to CMS. More measures means a fuller public record, not necessarily better care — the two are easy to confuse and are kept separate here.
- 1Sanford Usd Medical Center51 measures
- 2Monument Health Rapid City Hospital49 measures
- 3Avera Mckennan Hospital & University Health Center47 measures
- 4Avera St Lukes44 measures
- 5Prairie Lakes Healthcare System, Inc42 measures
- 6Avera St Mary'S Hospital41 measures
- 7Brookings Health System38 measures
- 8Avera Queen of Peace37 measures
- 9Avera Sacred Heart Hospital37 measures
- 10Sanford Medical Center Aberdeen37 measures
Hospitals in South Dakota
40 of 61 shown, ordered by how complete their public record is.
School districts in South Dakota
The 40 largest of 188 by enrollment. The full list, and every school in each district, is on the districts page.
Counties
All 66 counties, each with its own page.
South Dakota counties
- Aurora
- Beadle
- Bennett
- Bon Homme
- Brookings
- Brown
- Brule
- Buffalo
- Butte
- Campbell
- Charles Mix
- Clark
- Clay
- Codington
- Corson
- Custer
- Davison
- Day
- Deuel
- Dewey
- Douglas
- Edmunds
- Fall River
- Faulk
- Grant
- Gregory
- Haakon
- Hamlin
- Hand
- Hanson
- Harding
- Hughes
- Hutchinson
- Hyde
- Jackson
- Jerauld
- Jones
- Kingsbury
- Lake
- Lawrence
- Lincoln
- Lyman
- Marshall
- McCook
- McPherson
- Meade
- Mellette
- Miner
- Minnehaha
- Moody
- Oglala Lakota
- Pennington
- Perkins
- Potter
- Roberts
- Sanborn
- Spink
- Stanley
- Sully
- Todd
- Tripp
- Turner
- Union
- Walworth
- Yankton
- Ziebach
Rankings covering this state
Every rankable metric can be filtered to one state.