Health · South Dakota

Healthiest Counties in South Dakota 2026

Ranked by life expectancy, uninsured rates, and health care access.

All South Dakota Counties — Health Rankings

66 counties ranked by health score. Overall Score shown for context.

#CountyHealth ScoreOverall Score
1Lincoln County, SD
92.9
34.4
2Union County, SD
87.5
51.5
3Sully County, SD
86.9
70
4Brookings County, SD
85.3
48.5
5McPherson County, SD
83.3
60.5
6Potter County, SD
83
66.2
7Jerauld County, SD
80.7
65.9
8Lake County, SD
80.1
51
9Meade County, SD
79.3
34.5
10Clark County, SD
78.1
63
11Hanson County, SD
76.7
62.2
12Kingsbury County, SD
76.7
66.5
13Yankton County, SD
76.6
42.9
14Edmunds County, SD
75.8
62.8
15Jones County, SD
75.8
58.8
16Brown County, SD
75.6
42.5
17Hutchinson County, SD
75.5
65.7
18Marshall County, SD
75.4
64.5
19Stanley County, SD
74.9
60.1
20Deuel County, SD
74.5
67.3
21Hand County, SD
74.4
72.3
22Grant County, SD
73.9
68.9
23Haakon County, SD
73.9
65.5
24Lawrence County, SD
73.8
43.9
25Minnehaha County, SD
73.6
49.5
26Custer County, SD
73.4
50.7
27Turner County, SD
73.3
59.3
28Hughes County, SD
73.2
42.3
29Hyde County, SD
73.2
57.4
30Perkins County, SD
72.7
66.3
31Codington County, SD
70.5
40.4
32Miner County, SD
70.4
68
33Douglas County, SD
69.7
61.5
34Campbell County, SD
69.2
62.9
35Sanborn County, SD
68.5
61.6
36Harding County, SD
68
74.8
37Hamlin County, SD
67.8
57.1
38Spink County, SD
67.4
58.6
39Bon Homme County, SD
66.7
61.9
40McCook County, SD
66.6
58.8
41Davison County, SD
65.8
43.3
42Clay County, SD
65.5
37.1
43Day County, SD
64
60.5
44Faulk County, SD
63.1
68.8
45Aurora County, SD
62.9
61.3
46Pennington County, SD
62.7
27.8
47Butte County, SD
62.3
43.5
48Moody County, SD
60.8
50.5
49Walworth County, SD
60.4
50.6
50Brule County, SD
59
46.4
51Beadle County, SD
52.8
43.2
52Fall River County, SD
41.9
46.6
53Gregory County, SD
37.8
61.9
54Tripp County, SD
34.4
50.6
55Charles Mix County, SD
29.7
55.3
56Roberts County, SD
26.5
52.8
57Lyman County, SD
18.4
59.4
58Corson County, SD
17.4
49
59Bennett County, SD
13.8
43
60Ziebach County, SD
12.8
63.9
61Buffalo County, SD
9.6
65.9
62Mellette County, SD
9.4
51.8
63Jackson County, SD
8.9
66.7
64Todd County, SD
8.8
50.4
65Oglala Lakota County, SD
7.5
65.4
66Dewey County, SD
5.7
54.1