South Dakota: births, delivery capacity and legal capacity
South Dakota recorded 11,311 births in 2024 across 66 counties, served by 14 hospitals confirmed to provide inpatient labour and delivery, with 34 more whose status CMS does not report. There are 322 Offices of Lawyers establishments statewide, across all practice areas.
- Births, 2024
- 11,311+2.2% since 2021
- Delivering hospitals
- 1434 more not reported
- Offices of Lawyers
- 322CBP 2023, NAICS 541110, all practice areas
- Births per lawyer office
- 35.1national median for 500+ birth counties: 34.3
Births by county
Figure 1. Hover any county for births, lawyer offices and delivering hospitals. Projected at build time; no mapping library on this page.
Every county
| County | Population 2024 | Births 2024 | Lawyer offices | Births per office | Delivering hospitals | Status unknown |
|---|---|---|---|---|---|---|
| Minnehaha County | 208,639 | 2,723 | 83 | 32.8 | 2 | 2 |
| Pennington County | 115,979 | 1,366 | 68 | 20.1 | 1 | 0 |
| Lincoln County | 75,244 | 564 | 25 | 22.6 | 0 | 1 |
| Brown County | 37,495 | 383 | 18 | 21.3 | 2 | 0 |
| Brookings County | 36,359 | 372 | 6 | 62.0 | 1 | 0 |
| Codington County | 29,278 | 334 | 16 | 20.9 | 1 | 0 |
| Meade County | 30,918 | 313 | 7 | 44.7 | 1 | 0 |
| Dewey County | 5,322 | 297 | 0 | undefined | 0 | 1 |
| Beadle County | 19,459 | 271 | 5 | 54.2 | 1 | 0 |
| Oglala Lakota County | 13,360 | 250 | 0 | undefined | 1 | 0 |
| Union County | 17,402 | 245 | 8 | 30.6 | 0 | 0 |
| Yankton County | 23,509 | 239 | 10 | 23.9 | 1 | 0 |
| Lawrence County | 28,809 | 236 | 11 | 21.5 | 1 | 0 |
| Davison County | 19,907 | 227 | 8 | 28.4 | 1 | 0 |
| Hughes County | 17,526 | 212 | 14 | 15.1 | 1 | 0 |
| Turner County | 9,087 | 153 | 0 | undefined | 0 | 0 |
| Charles Mix County | 9,343 | 149 | 0 | undefined | 0 | 2 |
| Roberts County | 10,283 | 142 | 3 | 47.3 | 0 | 1 |
| Tripp County | 5,717 | 140 | 0 | undefined | 0 | 1 |
| Hamlin County | 6,596 | 137 | 0 | undefined | 0 | 0 |
| Clay County | 15,245 | 133 | 3 | 44.3 | 0 | 1 |
| Butte County | 10,891 | 128 | 5 | 25.6 | 0 | 0 |
| Todd County | 9,172 | 120 | 0 | undefined | 0 | 0 |
| Lake County | 11,006 | 113 | 6 | 18.8 | 0 | 1 |
| Grant County | 7,618 | 107 | 3 | 35.7 | 0 | 1 |
| Moody County | 6,529 | 107 | 0 | undefined | 0 | 1 |
| Hutchinson County | 7,416 | 97 | 5 | 19.4 | 0 | 2 |
| Ziebach County | 2,418 | 96 | 0 | undefined | 0 | 0 |
| Walworth County | 5,270 | 82 | 4 | 20.5 | 0 | 1 |
| Corson County | 3,747 | 81 | 0 | undefined | 0 | 0 |
| Custer County | 9,330 | 77 | 3 | 25.7 | 0 | 0 |
| McCook County | 5,771 | 72 | 3 | 24.0 | 0 | 0 |
| Bon Homme County | 7,071 | 70 | 0 | undefined | 0 | 2 |
| Clark County | 3,974 | 68 | 0 | undefined | 0 | 0 |
| Lyman County | 3,721 | 67 | 0 | undefined | 0 | 0 |
| Spink County | 6,108 | 63 | 0 | undefined | 0 | 1 |
| Brule County | 5,261 | 61 | 3 | 20.3 | 0 | 1 |
| Marshall County | 4,395 | 61 | 0 | undefined | 0 | 1 |
| Kingsbury County | 5,261 | 60 | 0 | undefined | 0 | 1 |
| Deuel County | 4,335 | 58 | 0 | undefined | 0 | 1 |
| Day County | 5,408 | 55 | 0 | undefined | 0 | 1 |
| Jackson County | 2,737 | 51 | 0 | undefined | 0 | 0 |
| Jerauld County | 1,689 | 50 | 0 | undefined | 0 | 1 |
| Bennett County | 3,289 | 49 | 0 | undefined | 0 | 1 |
| Gregory County | 4,110 | 49 | 5 | 9.8 | 0 | 2 |
| Fall River County | 7,359 | 44 | 0 | undefined | 0 | 0 |
| Douglas County | 2,849 | 43 | 0 | undefined | 0 | 1 |
| Aurora County | 2,752 | 37 | 0 | undefined | 0 | 0 |
| Hanson County | 3,477 | 37 | 0 | undefined | 0 | 0 |
| Perkins County | 2,832 | 34 | 0 | undefined | 0 | 0 |
| Faulk County | 2,136 | 33 | 0 | undefined | 0 | 1 |
| Hand County | 3,097 | 33 | 0 | undefined | 0 | 1 |
| Sanborn County | 2,392 | 33 | 0 | undefined | 0 | 0 |
| Buffalo County | 1,825 | 32 | 0 | undefined | 0 | 0 |
| Stanley County | 3,015 | 31 | 0 | undefined | 0 | 0 |
| Edmunds County | 4,027 | 29 | 0 | undefined | 0 | 1 |
| Haakon County | 1,834 | 29 | 0 | undefined | 0 | 1 |
| Mellette County | 1,834 | 28 | 0 | undefined | 0 | 0 |
| Campbell County | 1,342 | 27 | 0 | undefined | 0 | 0 |
| Miner County | 2,303 | 27 | 0 | undefined | 0 | 0 |
| Potter County | 2,402 | 20 | 0 | undefined | 0 | 1 |
| McPherson County | 2,307 | 18 | 0 | undefined | 0 | 1 |
| Harding County | 1,325 | 17 | 0 | undefined | 0 | 0 |
| Hyde County | 1,215 | 14 | 0 | undefined | 0 | 0 |
| Sully County | 1,468 | 12 | 0 | undefined | 0 | 0 |
| Jones County | 874 | 5 | 0 | undefined | 0 | 0 |
26 counties record births with no confirmed delivering hospital, covering 1,673 births. As on the national page, this describes where facilities sit relative to where births are recorded by residence — not access to care.
Hospitals with obstetric services
| Hospital | City | County | Ownership | Labour & delivery | Birthing Friendly |
|---|---|---|---|---|---|
| Avera De Smet Memorial Hospital - Cah | De Smet | Kingsbury | Voluntary non-profit - Private | Not reported | — |
| Avera Dells Area Hospital - Cah | Dell Rapids | Minnehaha | Voluntary non-profit - Private | Not reported | — |
| Avera Flandreau Hospital - Cah | Flandreau | Moody | Voluntary non-profit - Private | Not reported | — |
| Avera Gregory Hospital | Gregory | Gregory | Voluntary non-profit - Private | Not reported | — |
| Avera Hand County Memorial Hospital And Clinic | Miller | Hand | Voluntary non-profit - Private | Not reported | — |
| Avera Mckennan Hospital & University Health Center | Sioux Falls | Minnehaha | Voluntary non-profit - Private | Yes | Designated |
| Avera Missouri River Health Center | Gettysburg | Potter | Voluntary non-profit - Private | Not reported | — |
| Avera Queen Of Peace | Mitchell | Davison | Voluntary non-profit - Private | Yes | Designated |
| Avera Sacred Heart Hospital | Yankton | Yankton | Voluntary non-profit - Private | Yes | Designated |
| Avera St Benedict Health Center - Cah | Parkston | Hutchinson | Voluntary non-profit - Private | Not reported | — |
| Avera St Lukes | Aberdeen | Brown | Voluntary non-profit - Church | Yes | Designated |
| Avera St Mary'S Hospital | Pierre | Hughes | Voluntary non-profit - Private | Yes | Designated |
| Avera Weskota Memorial Medical Center - Cah | Wessington Springs | Jerauld | Voluntary non-profit - Private | Not reported | — |
| Bennett County Hospital And Nursing Home - Cah | Martin | Bennett | Voluntary non-profit - Private | Not reported | — |
| Bowdle Hospital - Cah | Bowdle | Edmunds | Government - Local | Not reported | — |
| Brookings Health System | Brookings | Brookings | Government - Local | Yes | Designated |
| Community Memorial Hospital | Burke | Gregory | Voluntary non-profit - Private | Not reported | — |
| Community Memorial Hospital | Redfield | Spink | Government - Local | Not reported | — |
| Coteau Des Prairies Health Care System | Sisseton | Roberts | Voluntary non-profit - Private | Not reported | — |
| Douglas County Memorial Hospital-Cah | Armour | Douglas | Voluntary non-profit - Private | Not reported | — |
| Eagle Butte Indian Health Service Hospital | Eagle Butte | Dewey | Government - Federal | Not reported | — |
| Eureka Community Health Services - Cah | Eureka | Mc Pherson | Voluntary non-profit - Other | Not reported | — |
| Faulkton Area Medical Center | Faulkton | Faulk | Voluntary non-profit - Private | Not reported | — |
| Freeman Medical Center - Cah | Freeman | Hutchinson | Voluntary non-profit - Private | Not reported | — |
| Hans P Peterson Memorial Hospital - Cah | Philip | Haakon | Voluntary non-profit - Private | Not reported | — |
| Huron Regional Medical Center | Huron | Beadle | Voluntary non-profit - Private | Yes | No |
| Landmann Jungman Memorial Hospital Corporation | Scotland | Bon Homme | Voluntary non-profit - Private | Not reported | — |
| Lifescape | Sioux Falls | Minnehaha | Voluntary non-profit - Private | Not reported | — |
| Madison Regional Health System | Madison | Lake | Voluntary non-profit - Private | Not reported | — |
| Marshall County Healthcare Center - Cah | Britton | Marshall | Voluntary non-profit - Private | Not reported | — |
| Milbank Area Hospital/Avera Health | Milbank | Grant | Voluntary non-profit - Private | Not reported | — |
| Mobridge Regional Hospital - Cah | Mobridge | Walworth | Voluntary non-profit - Private | Not reported | — |
| Monument Health Rapid City Hospital | Rapid City | Pennington | Voluntary non-profit - Private | Yes | Designated |
| Monument Health Spearfish Hospital | Spearfish | Lawrence | Voluntary non-profit - Private | Yes | No |
| Monument Health Sturgis Hospital | Sturgis | Meade | Voluntary non-profit - Other | Yes | No |
| Pine Ridge Ihs Hospital | Pine Ridge | Oglala Lakota County | Government - Federal | Yes | Designated |
| Platte Health Center | Platte | Charles Mix | Voluntary non-profit - Private | Not reported | — |
| Prairie Lakes Healthcare System, Inc | Watertown | Codington | Voluntary non-profit - Private | Yes | Designated |
| Sanford Canton-Inwood Medical Center - Cah | Canton | Lincoln | Voluntary non-profit - Private | Not reported | — |
| Sanford Chamberlain Medical Center | Chamberlain | Brule | Voluntary non-profit - Private | Not reported | — |
| Sanford Clear Lake Medical Center | Clear Lake | Deuel | Voluntary non-profit - Private | Not reported | — |
| Sanford Hospital Webster - Cah | Webster | Day | Voluntary non-profit - Private | Not reported | — |
| Sanford Medical Center Aberdeen | Aberdeen | Brown | Voluntary non-profit - Private | Yes | Designated |
| Sanford Usd Medical Center | Sioux Falls | Minnehaha | Voluntary non-profit - Private | Yes | Designated |
| Sanford Vermillion Medical Center | Vermillion | Clay | Voluntary non-profit - Private | Not reported | — |
| St Michael'S Hospital - Cah | Tyndall | Bon Homme | Government - Local | Not reported | — |
| Wagner Community Memorial Hospital - Cah | Wagner | Charles Mix | Voluntary non-profit - Private | Not reported | — |
| Winner Regional Healthcare Center - Cah | Winner | Tripp | Voluntary non-profit - Private | Not reported | — |
Birthing Friendly is a CMS designation reflecting a hospital's attestation to participating in a perinatal quality improvement collaborative and implementing recommended safety practices. It records reported structure and participation. It is not an outcome measure, and CMS published no obstetric outcome scores at all for 2024 — see the blackout.
A limit we will not cross. Nothing on this page links a clinical outcome rate to a legal claim. Adverse-event rates measure medicine. Litigation measures a legal process. They are different quantities, they are collected by different agencies for different reasons, and correlating them would be the fastest way to publish something false. Where we present clinical data and legal data together, it is to describe a market — never to imply that one causes, predicts, or justifies the other.
Sources
- U.S. Census Bureau — County Population Totals and Components of Change, Vintage 2024 — births by county, 2021–2024
- U.S. Census Bureau — County Business Patterns, 2023 — NAICS 541110, Offices of Lawyers; establishment counts by county
- CMS Care Compare — Maternal Health · Hospital — PC-02, PC-07a, PC-07b, SM-7; 2024 reporting period
- CMS Care Compare — Hospital General Information — ownership, facility type, Birthing Friendly designation
- U.S. Census Bureau — Cartographic Boundary Files, 2023 (1:20,000,000) — county and state polygons; projected to Albers equal-area at build time
Cite this analysis
Free to reproduce with attribution, including commercially. Charts may be embedded as published.
Birth Injury Marketing. “South Dakota: births, delivery capacity and legal capacity.” 24 August 2026. https://birthinjurymarketing.com/intelligence/south-dakota/
Journalists and researchers: the underlying data is already published as CSV at /data/, free and without conditions — no form. Need a different cut, by state, county, hospital or year? Ask, and we will also tell you what the data cannot support.
Related
Working in South Dakota? South Dakota is one of the states where this data supports a distinct argument about acquisition, so it has a commercial page: birth injury marketing in South Dakota — including three reasons not to spend money there.
All 51 states → · National legal capacity → · Why there is no outcome data → · Model this market → · Methodology →
Authorship & review
- Author
- Kevin Schwaner, Founder; Chief Marketing Officer. Credentials.
- Last reviewed
- Corrections
- Found an error? Tell us and it goes in the dated corrections log, whether or not it flatters us.