City · Lake County, South Dakota
Madison, South Dakota
Madison is a city in Lake County, South Dakota. It has 6,094 residents. Madison, South Dakota has a quality-of-life score of 92 out of 100 (very high), ranking #1,217 of 15,651 US cities and towns. Within South Dakota it ranks #13 of 75 cities and towns. It ranks best on preventable hospital stays (low), average commute time (low) and drug overdose deaths (low). It ranks worst on distance to an Amtrak station (high), mental health care shortage (high) and grocery stores (low).
- Quality-of-life score
- #1,217 of 15,651 cities and towns
- South Dakota
- #13 of 75 in SD
- Population
- 6,094 (2020-2024)
- Land area
- 5 mi²
- Density
- 1,320.3 /mi²
- FIPS code
- 4640220
Percentile-based score (100 is the best in the country) from 70 of 80 indicators, with the default “Explorer” weights.
Scores by category
Each category averages its indicators' percentile scores among US cities and towns.
- Safety96#684/15,637
- Economy48#8,115/15,631
- Housing93#1,098/14,977
- Health72#4,390/15,609
- Healthcare70#4,769/15,650
- Environment98#247/15,453
- Education90#1,629/15,649
- Infrastructure48#8,109/15,650
- Community76#3,731/15,651
- Leisure & amenities85#2,414/15,651
Strengths · Weaknesses
Indicators where Madison, South Dakota ranks highest and lowest among US cities and towns (score = percentile, 100 = best). Values marked “Lake County value” are the county’s: the source publishes no figure for this city or town, and the county holding most of its residents stands in.
Strengths
- Preventable hospital stays · low799 /100k100/100South Dakota 2,787 /100kUnited States 2,769 /100k2023University of Wisconsin Population Health InstituteLake County value
- Average commute time · low11.4 min
- Drug overdose deaths · low0.0 /100k99/100South Dakota 8.0 /100kUnited States 18.4 /100kMar 2025–Feb 2026Centers for Disease Control and PreventionProvisional dataLake County value
- Mammography screening · high60.0%98/100South Dakota 54.0%United States 46.0%2023University of Wisconsin Population Health InstituteLake County value
- Fine particulate matter (PM2.5) · low4.8 µg/m³97/100South Dakota 5.1 µg/m³United States 8.0 µg/m³2022Centers for Disease Control and Prevention · U.S. Environmental Protection AgencyLake County value
- Injury deaths · low46 /100k97/100South Dakota 90 /100kUnited States 87 /100k2019-2023University of Wisconsin Population Health InstituteLake County value
Weaknesses
- Distance to an Amtrak station · high181 mi3/100South Dakota 185 miUnited States 43 mi2026Federal Aviation Administration · Bureau of Transportation Statistics · U.S. Census BureauLake County value
- Mental health care shortage · high19.03/100South Dakota 18.0United States 9.9Oct 2026Health Resources and Services AdministrationLake County value
- Grocery stores · low0.9 /10k10/100South Dakota 2.0 /10kUnited States 1.7 /10k2025U.S. Bureau of Labor StatisticsLake County value
- Public EV charging ports · low0.9 /10k
- Pharmacies · low0.9 /10k11/100South Dakota 1.4 /10kUnited States 1.8 /10k2025U.S. Bureau of Labor StatisticsLake County value
- Broadband subscriptions · low86.0%
Trends
The largest changes over about five years, next to the country's over the same periods.
- PopulationFalling
7,261 (2015-2019) → 6,094 (2020-2024)
−16%5 yearsCensus table B01003US 328,329,953 → 340,003,797
- New homes permittedImproving
3.1 /1k (2021) → 14.9 /1k (Sep 2025–Aug 2026)
+377%5 yearsUS 5.2 /1k → 4.2 /1k
- Poverty rateImproving
19.5% (2015-2019) → 9.5% (2020-2024)
−10 pts5 yearsCensus table B17001US 12.3% → 12.1%
- Child poverty rateImproving
23.4% (2015-2019) → 14.1% (2020-2024)
−9.3 pts5 yearsCensus table B17001US 16.8% → 15.5%
- Home price to income ratioWorsening
2.2× (2015-2019) → 2.9× (2020-2024)
+31%5 yearsCensus table B25077US 3.5× → 4.1×
- High school diploma or higherImproving
87.7% (2015-2019) → 92.8% (2020-2024)
+5.1 pts5 yearsCensus table B15003US 88.0% → 89.6%
What changed in five years
How each measure moved between two periods about five years apart, read against whether more or less is better, the published margin of error and the same change in other places.
Cities and towns like Madison, South Dakota five years ago that improved
The places whose measures looked most like those of Madison, South Dakota in the earlier period, ranked by how many measures improved beyond the margin of error, minus how many declined. A comparison of published data, not a forecast and not advice.
Who lives here
Age, race and education of residents, from the American Community Survey. Shares are of all residents (age), residents of every origin (race) or adults 25 and over (education).
Income
How household income is spread, not just the middle: each bar is the share of households in that income range.
Homes
Who owns and who rents, what homes cost, and what the housing stock looks like.
Getting to work
How workers travel to their job and how long it takes them.
Local businesses
Employer businesses and sole proprietors by industry, per resident and against the state and the nation. Counts of businesses next to counts of people, not a measure of demand.
Federal contracts performed here
Grants and other federal assistance are counted by county here, not split among cities: Madison is mostly in Lake County.
See federal money in Lake CountyRepresentation in Congress
Members serving today, with their record in the current Congress (party-unity votes cast with their caucus, roll calls missed). Not a grade.
County
A city can lie in several counties. Some indicators are published for counties only: the page marks them.
Other cities and towns in Lake County
Largest first.
Similar cities and towns
Closest indicator profiles across the country (no model: score distances).
Data and sources
Latest published value of each indicator; periods differ by source. Values flagged by their publisher are marked.
- PLACES: Local Data for Better HealthCenters for Disease Control and Prevention · release 2025
- Local Area Unemployment StatisticsU.S. Bureau of Labor Statistics · release 2025
- American Community Survey 5-Year EstimatesU.S. Census Bureau · release 2017-2024
- Building Permits SurveyU.S. Census Bureau · release 2026-08
- Population Estimates ProgramU.S. Census Bureau · release 2025
- Small Area Health Insurance EstimatesU.S. Census Bureau · release 2024
- Small Area Income and Poverty EstimatesU.S. Census Bureau · release 2024
- County Health Rankings & RoadmapsUniversity of Wisconsin Population Health Institute · release 2022-2025+2026-03-supplement