U.S. OnlyFans Spending by State, City & County

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OnlyGuider forecasts that U.S. fans will spend $5.256 billion on OnlyFans in FY2026. That is 8.9% growth and 61% of the entire worldwide platform. This report ranks all 50 states, 167 cities and 3,091 counties.

Last updated: September 2, 2026 · Financial year: December 2025 – November 2026
Source: OnlyGuider analysis of Fenix International accounts and Google Ads API search data. FY2026 forecast produced by OnlyGuider using Google TimesFM 3.0.
Companion report: OnlyFans Wrapped 2026 (global).

The United States is Fenix International’s own reported geography. OnlyFans spend is the total amount fans spend, before the platform takes its cut.

U.S. OnlyFans spend was $3.731 billion in FY2022. It rose 17.4% to $4.380 billion in FY2023, then slowed to 6.0% in FY2024 ($4.642 billion) and 3.9% in FY2025 ($4.825 billion). OnlyGuider forecasts FY2026 at $5.256 billion, up 8.9%.

Big states still write the biggest cheques. Intensity lives somewhere else. North Dakota, Nevada, Colorado, West Virginia and Arizona spend more per adult than California does. Mississippi sits at the bottom of the per-person list.

Washington, D.C. is not modelled as a 51st state in this edition. It appears as a city: $16.77 million in FY2026, or $304,363 per 10,000 adults (national city rank #55 on intensity). That is a change from the 2025 USA report, which treated D.C. as a state.

State Rankings: The Per-Capita OnlyFans Leaders

To compare North Dakota with California, this report uses spend per 10,000 adults. OnlyFans is 18+. Using adults stops us from pretending children are in the market.

North Dakota is first at $278,815 per 10,000 adults. Nevada is second. Then Colorado, West Virginia and Arizona. These are not the states people name first when they talk about the creator economy. They are the states where the modelled spend is heaviest relative to the adult population.

Illinois is the surprise large-state dense market: $243.5 million total, $242,215 per 10,000 adults, and +13.4% growth — one of the fastest climbs among big states.

Top 10 States by Per-Capita OnlyFans Spend (2026)

Rank	State	Spend / 10k adults	Total FY2026 spend	Change
1	North Dakota	$278,815	$17.04 million	+11.3%
2	Nevada	$272,126	$66.29 million	+11.5%
3	Colorado	$247,984	$110.8 million	+8.7%
4	West Virginia	$246,565	$26.95 million	+14.2%
5	Arizona	$245,779	$138.3 million	+9.2%
6	Illinois	$242,215	$243.5 million	+13.4%
7	Washington	$237,938	$144.3 million	+10.3%
8	Iowa	$237,042	$58.68 million	+15.0%
9	New Hampshire	$236,802	$25.59 million	+12.1%
10	New Mexico	$233,474	$38.85 million	+8.6%

State Rankings: The Biggest Cheques

California is still first by cash, at $675.0 million. Texas is second, New York third, Florida fourth. Together those four states are about 35% of U.S. OnlyFans spending. That is concentration. It is not a monopoly. Illinois, Ohio, Pennsylvania and Georgia are all nine-figure markets on their own.

Top 10 States by Total OnlyFans Spend (2026)

Rank	State	Total FY2026 spend	% of U.S.	Spend / 10k adults	Change
1	California	$675.0 million	12.8%	$217,492	+7.2%
2	Texas	$497.5 million	9.5%	$214,430	+9.7%
3	New York	$341.9 million	6.5%	$215,729	+12.3%
4	Florida	$325.4 million	6.2%	$192,576	+11.2%
5	Illinois	$243.5 million	4.6%	$242,215	+13.4%
6	Ohio	$199.5 million	3.8%	$215,711	+10.1%
7	Pennsylvania	$195.8 million	3.7%	$189,538	+8.1%
8	Georgia	$177.5 million	3.4%	$211,180	+10.7%
9	Michigan	$164.2 million	3.1%	$207,616	+10.8%
10	North Carolina	$145.9 million	2.8%	$178,077	+1.6%

The Lower Percentile

The bottom of the per-person list is a Southern and Appalachian band. Mississippi is last at $116,454 per 10,000 adults. Arkansas, Tennessee, Louisiana and Alabama follow. Alabama is also one of the few states forecast slightly down, -2.5%.

Low per-person spend is not the same as no market. These states still add up. They just add up more slowly than the Mountain West and the Plains.

Rank	State	Spend / 10k adults	Total FY2026 spend	Change
1	Idaho	$174,779	$26.06 million	+12.2%
2	Maryland	$172,515	$83.53 million	+6.4%
3	Missouri	$171,283	$82.69 million	-0.8%
4	Alaska	$164,382	$9.51 million	+2.0%
5	Kentucky	$155,776	$54.60 million	+0.2%
6	Alabama	$138,015	$52.93 million	-2.5%
7	Louisiana	$132,023	$47.55 million	+0.3%
8	Tennessee	$130,123	$70.58 million	+2.1%
9	Arkansas	$126,445	$29.90 million	-1.1%
10	Mississippi	$116,454	$27.06 million	+9.3%

The fastest state-level forecast gains are in South Dakota (+15.3%), Iowa, Wyoming and West Virginia. The slowest are Alabama, Arkansas and Missouri.

Metropolitan Analysis: High Spending Cities

City rows are supplemental. The 167 cities are not every U.S. city, and they do not add up to the national $5.256 billion. They are the urban nodes where OnlyGuider can publish a stable city estimate. New York City is the largest city market at $164.3 million. Los Angeles is second at $115.9 million. Chicago is third at $82.12 million.

Intensity is a different list. Atlanta, Georgia leads the 167-city file at $1,091,381 per 10,000 adults. Salt Lake City and Orlando follow. Atlanta remains a Sun Belt density marker at $1,091,381. Miami is $740,575.

Top 10 Cities by Spending Density

Rank	City	State	Spend / 10k adults	Total spend	Change
1	Atlanta	Georgia	$1,091,381	$42.65 million	+5.8%
2	Salt Lake City	Utah	$952,303	$14.93 million	-2.3%
3	Orlando	Florida	$940,796	$22.70 million	+0.5%
4	Miami	Florida	$740,575	$27.19 million	-0.3%
5	Seattle	Washington	$716,891	$41.63 million	+9.8%
6	Minneapolis	Minnesota	$693,323	$23.14 million	-2.0%
7	Cleveland	Ohio	$691,958	$20.23 million	-1.9%
8	Las Vegas	Nevada	$671,692	$35.75 million	+8.3%
9	Denver	Colorado	$642,842	$36.28 million	-1.4%
10	Pittsburgh	Pennsylvania	$642,436	$15.25 million	+7.8%

Top 10 Cities by Total Spend

Rank	City	State	Total FY2026 spend	Spend / 10k adults	Change
1	New York City	New York	$164.3 million	$237,805	+11.2%
2	Los Angeles	California	$115.9 million	$369,431	+6.0%
3	Chicago	Illinois	$82.12 million	$381,090	+6.4%
4	Houston	Texas	$56.08 million	$310,172	-1.9%
5	Atlanta	Georgia	$42.65 million	$1,091,381	+5.8%
6	Phoenix	Arizona	$41.80 million	$320,853	-1.2%
7	Seattle	Washington	$41.63 million	$716,891	+9.8%
8	Dallas	Texas	$41.19 million	$403,755	+1.4%
9	Denver	Colorado	$36.28 million	$642,842	-1.4%
10	Las Vegas	Nevada	$35.75 million	$671,692	+8.3%

The Biggest Declines

Most of the country is still growing. The interesting story is where it is not. Change below is spend per 10,000 adults, FY2026 vs FY2025.

States

Only three states are forecast down: Alabama (−2.5%), Arkansas (−1.1%) and Missouri (−0.8%). The rest of this table is the slowest growth, not a collapse.

Rank	State	Spend / 10k adults	Total FY2026 spend	Change
1	Alabama	$138,015	$52.93 million	-2.5%
2	Arkansas	$126,445	$29.90 million	-1.1%
3	Missouri	$171,283	$82.69 million	-0.8%
4	Kentucky	$155,776	$54.60 million	+0.2%
5	Louisiana	$132,023	$47.55 million	+0.3%
6	Wisconsin	$181,514	$82.92 million	+0.7%
7	North Carolina	$178,077	$145.9 million	+1.6%
8	Alaska	$164,382	$9.51 million	+2.0%
9	Nebraska	$193,899	$29.43 million	+2.1%
10	Tennessee	$130,123	$70.58 million	+2.1%

Cities

80 of the 167 U.S. cities in the file are forecast down on a per-person basis. Sandy, Utah is the steepest drop. Several Sun Belt and midsize cities sit behind it. Total spend is shown so a small city cannot hide inside a large percentage.

Rank	City	State	Spend / 10k adults	Total spend	Change
1	Sandy	Utah	$60,505	$514,595	-21.1%
2	Paradise	Nevada	$73,651	$1.40 million	-7.6%
3	New Haven	Connecticut	$256,750	$2.70 million	-6.0%
4	Las Cruces	New Mexico	$262,389	$2.31 million	-4.5%
5	Nampa	Idaho	$235,085	$1.97 million	-4.5%
6	Birmingham	Alabama	$544,135	$8.44 million	-4.3%
7	Springfield	Massachusetts	$176,083	$2.11 million	-4.3%
8	Virginia Beach	Virginia	$277,271	$9.88 million	-4.2%
9	Kansas City	Missouri	$330,810	$13.20 million	-3.8%
10	Jackson	Mississippi	$214,753	$2.49 million	-3.6%
11	Oklahoma City	Oklahoma	$241,264	$12.89 million	-3.3%
12	West Valley City	Utah	$253,772	$2.77 million	-3.2%
13	New Orleans	Louisiana	$288,113	$8.68 million	-3.1%
14	Columbus	Ohio	$293,481	$20.17 million	-3.1%
15	Shreveport	Louisiana	$123,780	$1.82 million	-3.1%
16	Little Rock	Arkansas	$228,463	$3.63 million	-3.1%
17	Olathe	Kansas	$71,522	$1.03 million	-2.9%
18	San Jose	California	$239,866	$19.39 million	-2.8%
19	Tampa	Florida	$516,688	$15.61 million	-2.8%
20	Buffalo	New York	$542,982	$11.86 million	-2.7%

Counties

386 of 3,091 counties are forecast down. Davidson County, Tennessee — Nashville — is the biggest-name fall. Lubbock County, Texas is the other large market near the top. Smaller counties can move more in percentage terms; read the total spend column before treating a rural drop as a national headline.

Rank	County	State	Spend / 10k adults	Total spend	Change
1	Anderson County	Tennessee	$72,179	$328,014	-23.7%
2	Elmore County	Alabama	$78,720	$431,393	-20.5%
3	Davidson County	Tennessee	$205,160	$12.22 million	-16.9%
4	Lubbock County	Texas	$131,997	$3.23 million	-15.6%
5	Sharp County	Arkansas	$90,542	$45,341	-15.6%
6	Bullitt County	Kentucky	$103,359	$576,001	-15.3%
7	Colbert County	Alabama	$101,894	$402,024	-15.0%
8	Maury County	Tennessee	$101,779	$884,221	-14.7%
9	Franklin County	Missouri	$143,560	$1.13 million	-14.7%
10	Lincoln Parish	Louisiana	$87,581	$217,884	-14.6%
11	Russell County	Alabama	$109,957	$455,816	-13.8%
12	Bartholomew County	Indiana	$234,302	$1.65 million	-13.8%
13	White County	Tennessee	$92,218	$130,065	-13.3%
14	Southeast Fairbanks Census Area	Alaska	$138,947	$12,272	-13.2%
15	Sullivan County	Tennessee	$84,304	$978,236	-12.1%
16	Ouachita Parish	Louisiana	$90,161	$1.01 million	-12.0%
17	Polk County	Arkansas	$98,919	$89,803	-11.5%
18	Carroll County	Mississippi	$91,480	$0	-11.4%
19	Fond du Lac County	Wisconsin	$139,439	$1.05 million	-11.4%
20	Winnebago County	Iowa	$178,751	$3,062	-11.1%

Regional Market Share

Census divisions show how the $5.256 billion is spread across broader U.S. geography. The Pacific division is pulled up by California. South Atlantic is pulled up by Florida and Georgia. East North Central is the Midwest industrial belt — Illinois, Ohio, Michigan, Indiana, Wisconsin — and it is a bigger OnlyFans market than a coastal stereotype would suggest.

Census Division Market Summary (2026)

Rank	Census division	FY2026 spend	% of U.S.	Spend / 10k adults	Change
1	South Atlantic	$973.8 million	18.5%	$191,308	+9.0%
2	Pacific	$925.5 million	17.6%	$219,589	+8.0%
3	East North Central	$803.3 million	15.3%	$216,503	+10.3%
4	Middle Atlantic	$677.8 million	12.9%	$204,458	+11.3%
5	West South Central	$632.6 million	12.0%	$196,031	+8.3%
6	Mountain	$451.3 million	8.6%	$230,907	+9.2%
7	West North Central	$345.3 million	6.6%	$204,172	+8.3%
8	New England	$240.8 million	4.6%	$203,663	+10.5%
9	East South Central	$205.2 million	3.9%	$135,984	+1.2%

All States Spend: The Full 2026 Rankings

FY2026 is an OnlyGuider forecast. FY2025 is the last completed year. The 3-year total is FY2023 + FY2024 + FY2025 only — no forecast in that sum.

All 50 states, first by spend per 10,000 adults, then by total spend. There is no D.C. state row in this edition.

All 50 states by spend per 10,000 adults

Rank	State	FY2026 spend	% of U.S.	FY2026 / 10k	YoY	FY2025 spend	FY2025 / 10k	3-year total FY23–25
1	North Dakota	$17.04 million	0.3%	$278,815	+11.3%	$15.31 million	$250,431	$41.92 million
2	Nevada	$66.29 million	1.3%	$272,126	+11.5%	$59.45 million	$244,076	$170.3 million
3	Colorado	$110.8 million	2.1%	$247,984	+8.7%	$102.0 million	$228,176	$292.7 million
4	West Virginia	$26.95 million	0.5%	$246,565	+14.2%	$23.61 million	$215,924	$66.14 million
5	Arizona	$138.3 million	2.6%	$245,779	+9.2%	$126.6 million	$224,985	$356.2 million
6	Illinois	$243.5 million	4.6%	$242,215	+13.4%	$214.6 million	$213,513	$601.4 million
7	Washington	$144.3 million	2.7%	$237,938	+10.3%	$130.8 million	$215,668	$366.6 million
8	Iowa	$58.68 million	1.1%	$237,042	+15.0%	$51.03 million	$206,125	$142.8 million
9	New Hampshire	$25.59 million	0.5%	$236,802	+12.1%	$22.84 million	$211,289	$63.57 million
10	New Mexico	$38.85 million	0.7%	$233,474	+8.6%	$35.76 million	$214,936	$101.3 million
11	Wyoming	$10.57 million	0.2%	$232,806	+14.8%	$9.21 million	$202,724	$26.47 million
12	Oregon	$72.32 million	1.4%	$217,525	+10.8%	$65.26 million	$196,306	$184.8 million
13	California	$675.0 million	12.8%	$217,492	+7.2%	$629.8 million	$202,938	$1.763 billion
14	New York	$341.9 million	6.5%	$215,729	+12.3%	$304.6 million	$192,170	$850.8 million
15	Ohio	$199.5 million	3.8%	$215,711	+10.1%	$181.2 million	$195,904	$513.7 million
16	Maine	$22.93 million	0.4%	$214,547	+11.5%	$20.56 million	$192,335	$59.32 million
17	Texas	$497.5 million	9.5%	$214,430	+9.7%	$453.3 million	$195,392	$1.329 billion
18	Minnesota	$95.97 million	1.8%	$214,339	+11.7%	$85.91 million	$191,870	$238.2 million
19	South Dakota	$14.90 million	0.3%	$214,141	+15.3%	$12.92 million	$185,659	$36.38 million
20	Hawaii	$24.33 million	0.5%	$213,075	+11.1%	$21.90 million	$191,772	$60.24 million
21	Indiana	$113.2 million	2.2%	$212,554	+11.0%	$102.0 million	$191,524	$301.6 million
22	Georgia	$177.5 million	3.4%	$211,180	+10.7%	$160.4 million	$190,843	$453.9 million
23	Michigan	$164.2 million	3.1%	$207,616	+10.8%	$148.2 million	$187,447	$415.6 million
24	Massachusetts	$111.6 million	2.1%	$203,127	+9.4%	$102.0 million	$185,590	$285.3 million
25	Vermont	$9.92 million	0.2%	$202,609	+10.7%	$8.96 million	$182,993	$24.93 million
26	Kansas	$46.55 million	0.9%	$201,967	+12.6%	$41.34 million	$179,364	$115.2 million
27	New Jersey	$140.0 million	2.7%	$200,942	+13.7%	$123.1 million	$176,670	$336.8 million
28	Connecticut	$55.50 million	1.1%	$196,164	+11.3%	$49.86 million	$176,226	$141.4 million
29	Nebraska	$29.43 million	0.6%	$193,899	+2.1%	$28.83 million	$189,955	$86.28 million
30	Florida	$325.4 million	6.2%	$192,576	+11.2%	$292.5 million	$173,114	$852.3 million
31	Pennsylvania	$195.8 million	3.7%	$189,538	+8.1%	$181.2 million	$175,401	$521.8 million
32	Virginia	$126.9 million	2.4%	$189,418	+8.1%	$117.4 million	$175,302	$339.8 million
33	Oklahoma	$57.72 million	1.1%	$185,798	+8.0%	$53.45 million	$172,045	$153.7 million
34	South Carolina	$74.08 million	1.4%	$184,519	+13.5%	$65.26 million	$162,565	$180.8 million
35	Wisconsin	$82.92 million	1.6%	$181,514	+0.7%	$82.32 million	$180,197	$241.0 million
36	Montana	$15.15 million	0.3%	$180,701	+11.8%	$13.55 million	$161,562	$39.48 million
37	Delaware	$13.56 million	0.3%	$178,689	+10.8%	$12.24 million	$161,275	$36.10 million
38	North Carolina	$145.9 million	2.8%	$178,077	+1.6%	$143.5 million	$175,236	$426.4 million
39	Rhode Island	$15.26 million	0.3%	$177,221	+11.2%	$13.72 million	$159,335	$40.52 million
40	Utah	$45.30 million	0.9%	$176,458	+3.6%	$43.72 million	$170,330	$130.3 million
41	Idaho	$26.06 million	0.5%	$174,779	+12.2%	$23.22 million	$155,760	$65.39 million
42	Maryland	$83.53 million	1.6%	$172,515	+6.4%	$78.47 million	$162,073	$227.2 million
43	Missouri	$82.69 million	1.6%	$171,283	-0.8%	$83.34 million	$172,633	$250.7 million
44	Alaska	$9.51 million	0.2%	$164,382	+2.0%	$9.32 million	$161,122	$27.61 million
45	Kentucky	$54.60 million	1.0%	$155,776	+0.2%	$54.47 million	$155,395	$162.0 million
46	Alabama	$52.93 million	1.0%	$138,015	-2.5%	$54.30 million	$141,590	$168.9 million
47	Louisiana	$47.55 million	0.9%	$132,023	+0.3%	$47.41 million	$131,645	$141.3 million
48	Tennessee	$70.58 million	1.3%	$130,123	+2.1%	$69.14 million	$127,467	$251.0 million
49	Arkansas	$29.90 million	0.6%	$126,445	-1.1%	$30.24 million	$127,881	$94.13 million
50	Mississippi	$27.06 million	0.5%	$116,454	+9.3%	$24.76 million	$106,560	$70.93 million

All 50 states by total FY2026 spend

Rank	State	FY2026 spend	% of U.S.	FY2026 / 10k	YoY	FY2025 spend	FY2025 / 10k	3-year total FY23–25
1	California	$675.0 million	12.8%	$217,492	+7.2%	$629.8 million	$202,938	$1.763 billion
2	Texas	$497.5 million	9.5%	$214,430	+9.7%	$453.3 million	$195,392	$1.329 billion
3	New York	$341.9 million	6.5%	$215,729	+12.3%	$304.6 million	$192,170	$850.8 million
4	Florida	$325.4 million	6.2%	$192,576	+11.2%	$292.5 million	$173,114	$852.3 million
5	Illinois	$243.5 million	4.6%	$242,215	+13.4%	$214.6 million	$213,513	$601.4 million
6	Ohio	$199.5 million	3.8%	$215,711	+10.1%	$181.2 million	$195,904	$513.7 million
7	Pennsylvania	$195.8 million	3.7%	$189,538	+8.1%	$181.2 million	$175,401	$521.8 million
8	Georgia	$177.5 million	3.4%	$211,180	+10.7%	$160.4 million	$190,843	$453.9 million
9	Michigan	$164.2 million	3.1%	$207,616	+10.8%	$148.2 million	$187,447	$415.6 million
10	North Carolina	$145.9 million	2.8%	$178,077	+1.6%	$143.5 million	$175,236	$426.4 million
11	Washington	$144.3 million	2.7%	$237,938	+10.3%	$130.8 million	$215,668	$366.6 million
12	New Jersey	$140.0 million	2.7%	$200,942	+13.7%	$123.1 million	$176,670	$336.8 million
13	Arizona	$138.3 million	2.6%	$245,779	+9.2%	$126.6 million	$224,985	$356.2 million
14	Virginia	$126.9 million	2.4%	$189,418	+8.1%	$117.4 million	$175,302	$339.8 million
15	Indiana	$113.2 million	2.2%	$212,554	+11.0%	$102.0 million	$191,524	$301.6 million
16	Massachusetts	$111.6 million	2.1%	$203,127	+9.4%	$102.0 million	$185,590	$285.3 million
17	Colorado	$110.8 million	2.1%	$247,984	+8.7%	$102.0 million	$228,176	$292.7 million
18	Minnesota	$95.97 million	1.8%	$214,339	+11.7%	$85.91 million	$191,870	$238.2 million
19	Maryland	$83.53 million	1.6%	$172,515	+6.4%	$78.47 million	$162,073	$227.2 million
20	Wisconsin	$82.92 million	1.6%	$181,514	+0.7%	$82.32 million	$180,197	$241.0 million
21	Missouri	$82.69 million	1.6%	$171,283	-0.8%	$83.34 million	$172,633	$250.7 million
22	South Carolina	$74.08 million	1.4%	$184,519	+13.5%	$65.26 million	$162,565	$180.8 million
23	Oregon	$72.32 million	1.4%	$217,525	+10.8%	$65.26 million	$196,306	$184.8 million
24	Tennessee	$70.58 million	1.3%	$130,123	+2.1%	$69.14 million	$127,467	$251.0 million
25	Nevada	$66.29 million	1.3%	$272,126	+11.5%	$59.45 million	$244,076	$170.3 million
26	Iowa	$58.68 million	1.1%	$237,042	+15.0%	$51.03 million	$206,125	$142.8 million
27	Oklahoma	$57.72 million	1.1%	$185,798	+8.0%	$53.45 million	$172,045	$153.7 million
28	Connecticut	$55.50 million	1.1%	$196,164	+11.3%	$49.86 million	$176,226	$141.4 million
29	Kentucky	$54.60 million	1.0%	$155,776	+0.2%	$54.47 million	$155,395	$162.0 million
30	Alabama	$52.93 million	1.0%	$138,015	-2.5%	$54.30 million	$141,590	$168.9 million
31	Louisiana	$47.55 million	0.9%	$132,023	+0.3%	$47.41 million	$131,645	$141.3 million
32	Kansas	$46.55 million	0.9%	$201,967	+12.6%	$41.34 million	$179,364	$115.2 million
33	Utah	$45.30 million	0.9%	$176,458	+3.6%	$43.72 million	$170,330	$130.3 million
34	New Mexico	$38.85 million	0.7%	$233,474	+8.6%	$35.76 million	$214,936	$101.3 million
35	Arkansas	$29.90 million	0.6%	$126,445	-1.1%	$30.24 million	$127,881	$94.13 million
36	Nebraska	$29.43 million	0.6%	$193,899	+2.1%	$28.83 million	$189,955	$86.28 million
37	Mississippi	$27.06 million	0.5%	$116,454	+9.3%	$24.76 million	$106,560	$70.93 million
38	West Virginia	$26.95 million	0.5%	$246,565	+14.2%	$23.61 million	$215,924	$66.14 million
39	Idaho	$26.06 million	0.5%	$174,779	+12.2%	$23.22 million	$155,760	$65.39 million
40	New Hampshire	$25.59 million	0.5%	$236,802	+12.1%	$22.84 million	$211,289	$63.57 million
41	Hawaii	$24.33 million	0.5%	$213,075	+11.1%	$21.90 million	$191,772	$60.24 million
42	Maine	$22.93 million	0.4%	$214,547	+11.5%	$20.56 million	$192,335	$59.32 million
43	North Dakota	$17.04 million	0.3%	$278,815	+11.3%	$15.31 million	$250,431	$41.92 million
44	Rhode Island	$15.26 million	0.3%	$177,221	+11.2%	$13.72 million	$159,335	$40.52 million
45	Montana	$15.15 million	0.3%	$180,701	+11.8%	$13.55 million	$161,562	$39.48 million
46	South Dakota	$14.90 million	0.3%	$214,141	+15.3%	$12.92 million	$185,659	$36.38 million
47	Delaware	$13.56 million	0.3%	$178,689	+10.8%	$12.24 million	$161,275	$36.10 million
48	Wyoming	$10.57 million	0.2%	$232,806	+14.8%	$9.21 million	$202,724	$26.47 million
49	Vermont	$9.92 million	0.2%	$202,609	+10.7%	$8.96 million	$182,993	$24.93 million
50	Alaska	$9.51 million	0.2%	$164,382	+2.0%	$9.32 million	$161,122	$27.61 million

All Cities Spend: The Full 2026 Rankings

Every urban centre in the 167-city file, ranked by spending density and by total spend.

All 167 cities by spend per 10,000 adults

Rank	City	State	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	FY2025 / 10k	3-year total FY23–25
1	Atlanta	Georgia	$42.65 million	$1,091,381	+5.8%	$40.32 million	$1,031,767	$116.6 million
2	Salt Lake City	Utah	$14.93 million	$952,303	-2.3%	$15.28 million	$974,727	$45.05 million
3	Orlando	Florida	$22.70 million	$940,796	+0.5%	$22.59 million	$936,270	$70.12 million
4	Miami	Florida	$27.19 million	$740,575	-0.3%	$27.28 million	$742,944	$84.55 million
5	Seattle	Washington	$41.63 million	$716,891	+9.8%	$37.90 million	$652,706	$105.0 million
6	Minneapolis	Minnesota	$23.14 million	$693,323	-2.0%	$23.61 million	$707,289	$70.62 million
7	Cleveland	Ohio	$20.23 million	$691,958	-1.9%	$20.63 million	$705,623	$60.36 million
8	Las Vegas	Nevada	$35.75 million	$671,692	+8.3%	$33.00 million	$619,978	$92.31 million
9	Denver	Colorado	$36.28 million	$642,842	-1.4%	$36.79 million	$651,917	$113.2 million
10	Pittsburgh	Pennsylvania	$15.25 million	$642,436	+7.8%	$14.14 million	$595,821	$41.03 million
11	St. Louis	Missouri	$14.74 million	$622,981	+0.4%	$14.69 million	$620,714	$44.89 million
12	Cincinnati	Ohio	$14.60 million	$601,520	-2.3%	$14.94 million	$615,690	$44.94 million
13	Kansas City	Kansas	$6.95 million	$565,440	+14.7%	$6.06 million	$493,131	$15.10 million
14	Birmingham	Alabama	$8.44 million	$544,135	-4.3%	$8.82 million	$568,870	$30.30 million
15	Saint Paul	Minnesota	$13.30 million	$544,029	+13.9%	$11.67 million	$477,480	$29.53 million
16	Buffalo	New York	$11.86 million	$542,982	-2.7%	$12.19 million	$558,289	$36.67 million
17	Charleston	South Carolina	$5.82 million	$539,456	+18.6%	$4.91 million	$454,898	$11.48 million
18	Tampa	Florida	$15.61 million	$516,688	-2.8%	$16.05 million	$531,323	$48.09 million
19	Savannah	Georgia	$5.68 million	$491,325	+17.5%	$4.83 million	$418,060	$11.89 million
20	Detroit	Michigan	$23.31 million	$464,851	+13.7%	$20.50 million	$408,845	$53.95 million
21	Fargo	North Dakota	$4.38 million	$443,918	+22.1%	$3.59 million	$363,434	$9.69 million
22	Baltimore	Maryland	$20.61 million	$442,630	-2.3%	$21.10 million	$453,247	$64.37 million
23	Scottsdale	Arizona	$8.56 million	$427,190	+21.3%	$7.05 million	$352,096	$16.38 million
24	Grand Rapids	Michigan	$6.57 million	$421,279	+0.3%	$6.56 million	$420,170	$22.40 million
25	Manchester	New Hampshire	$3.73 million	$413,752	+14.5%	$3.26 million	$361,239	$8.19 million
26	Hartford	Connecticut	$3.91 million	$412,148	+9.6%	$3.57 million	$375,942	$9.88 million
27	Boston	Massachusetts	$21.82 million	$411,606	+2.0%	$21.40 million	$403,694	$63.73 million
28	Richmond	Virginia	$7.32 million	$411,539	+8.5%	$6.74 million	$379,243	$19.31 million
29	Portland	Oregon	$20.74 million	$405,148	+4.1%	$19.93 million	$389,330	$55.91 million
30	Austin	Texas	$31.08 million	$404,653	+0.9%	$30.79 million	$400,949	$97.45 million
31	Dallas	Texas	$41.19 million	$403,755	+1.4%	$40.63 million	$398,339	$136.1 million
32	Chicago	Illinois	$82.12 million	$381,090	+6.4%	$77.19 million	$358,237	$215.3 million
33	Honolulu	Hawaii	$10.38 million	$377,722	+9.0%	$9.52 million	$346,654	$26.41 million
34	Syracuse	New York	$4.23 million	$371,149	-0.3%	$4.24 million	$372,239	$15.36 million
35	Los Angeles	California	$115.9 million	$369,431	+6.0%	$109.3 million	$348,572	$312.2 million
36	Rochester	New York	$5.84 million	$353,352	-2.5%	$5.99 million	$362,457	$17.60 million
37	Tacoma	Washington	$6.07 million	$352,805	-1.7%	$6.18 million	$358,866	$18.61 million
38	Raleigh	North Carolina	$14.02 million	$351,208	-0.1%	$14.03 million	$351,496	$43.70 million
39	Mobile	Alabama	$5.14 million	$350,294	+11.9%	$4.60 million	$313,163	$13.34 million
40	Rio Rancho	New Mexico	$2.46 million	$345,204	+18.0%	$2.08 million	$292,498	$5.49 million
41	Cambridge	Massachusetts	$3.20 million	$344,457	+16.7%	$2.74 million	$295,166	$6.63 million
42	Kansas City	Missouri	$13.20 million	$330,810	-3.8%	$13.72 million	$343,804	$42.21 million
43	Sandy Springs	Georgia	$2.81 million	$330,771	-1.4%	$2.85 million	$335,471	$9.12 million
44	Erie	Pennsylvania	$2.49 million	$325,489	-2.0%	$2.54 million	$332,026	$7.53 million
45	Knoxville	Tennessee	$4.71 million	$325,183	+0.2%	$4.70 million	$324,481	$16.37 million
46	Phoenix	Arizona	$41.80 million	$320,853	-1.2%	$42.30 million	$324,710	$124.5 million
47	Charlotte	North Carolina	$21.97 million	$320,205	-1.1%	$22.21 million	$323,667	$68.38 million
48	San Francisco	California	$22.09 million	$318,381	+1.2%	$21.83 million	$314,605	$67.78 million
49	Green Bay	Wisconsin	$2.56 million	$313,413	-0.8%	$2.58 million	$315,980	$7.67 million
50	Carmel	Indiana	$2.45 million	$312,502	+21.4%	$2.02 million	$257,490	$4.71 million
51	Houston	Texas	$56.08 million	$310,172	-1.9%	$57.15 million	$316,052	$174.7 million
52	Waterbury	Connecticut	$2.75 million	$306,315	+20.6%	$2.28 million	$254,095	$6.10 million
53	Albuquerque	New Mexico	$13.46 million	$306,045	-1.0%	$13.59 million	$309,101	$41.57 million
54	San Diego	California	$34.22 million	$305,897	-1.2%	$34.65 million	$309,728	$102.4 million
55	Washington	District of Columbia	$16.77 million	$304,363	-2.5%	$17.20 million	$312,191	$49.55 million
56	Omaha	Nebraska	$11.51 million	$303,357	-0.1%	$11.51 million	$303,603	$36.97 million
57	Columbia	South Carolina	$3.18 million	$301,154	-1.8%	$3.23 million	$306,760	$10.15 million
58	Milwaukee	Wisconsin	$13.76 million	$294,731	+1.5%	$13.55 million	$290,290	$39.90 million
59	Columbus	Ohio	$20.17 million	$293,481	-3.1%	$20.81 million	$302,932	$59.66 million
60	Fort Worth	Texas	$21.15 million	$293,309	+12.9%	$18.74 million	$259,868	$50.10 million
61	Springfield	Missouri	$3.90 million	$292,767	-2.1%	$3.99 million	$299,083	$11.67 million
62	Lakewood	Colorado	$3.55 million	$288,794	-2.4%	$3.64 million	$296,027	$11.32 million
63	New Orleans	Louisiana	$8.68 million	$288,113	-3.1%	$8.96 million	$297,397	$27.24 million
64	Lafayette	Louisiana	$3.38 million	$283,758	+20.5%	$2.80 million	$235,389	$7.87 million
65	Providence	Rhode Island	$4.23 million	$282,995	+10.9%	$3.81 million	$255,165	$10.83 million
66	Kenosha	Wisconsin	$2.19 million	$280,995	+5.2%	$2.08 million	$266,985	$5.91 million
67	Fort Wayne	Indiana	$5.82 million	$280,883	+10.7%	$5.26 million	$253,835	$15.51 million
68	Nashville	Tennessee	$15.25 million	$280,714	+8.2%	$14.10 million	$259,515	$58.17 million
69	Newark	New Jersey	$6.21 million	$279,006	+23.8%	$5.02 million	$225,414	$12.86 million
70	Virginia Beach	Virginia	$9.88 million	$277,271	-4.2%	$10.31 million	$289,469	$29.88 million
71	Louisville	Kentucky	$13.67 million	$275,183	+10.9%	$12.32 million	$248,038	$34.92 million
72	San Antonio	Texas	$32.84 million	$270,537	+3.8%	$31.65 million	$260,706	$89.88 million
73	Akron	Ohio	$3.98 million	$265,619	+8.9%	$3.65 million	$243,913	$10.04 million
74	Colorado Springs	Colorado	$10.01 million	$263,712	+8.7%	$9.21 million	$242,503	$25.57 million
75	Las Cruces	New Mexico	$2.31 million	$262,389	-4.5%	$2.42 million	$274,805	$6.78 million
76	Philadelphia	Pennsylvania	$32.80 million	$260,696	+6.5%	$30.79 million	$244,730	$90.54 million
77	Des Moines	Iowa	$5.03 million	$258,682	+11.3%	$4.52 million	$232,339	$12.95 million
78	Salem	Oregon	$3.54 million	$257,003	-2.3%	$3.62 million	$262,980	$10.88 million
79	New Haven	Connecticut	$2.70 million	$256,750	-6.0%	$2.87 million	$273,222	$8.92 million
80	Warren	Michigan	$2.69 million	$255,452	+12.9%	$2.38 million	$226,321	$6.17 million
81	West Valley City	Utah	$2.77 million	$253,772	-3.2%	$2.86 million	$262,027	$8.23 million
82	Tucson	Arizona	$10.83 million	$252,800	-0.7%	$10.91 million	$254,649	$33.81 million
83	Boise	Idaho	$4.66 million	$251,889	+12.0%	$4.16 million	$224,815	$12.16 million
84	Indianapolis	Indiana	$19.20 million	$251,417	-0.5%	$19.31 million	$252,786	$58.31 million
85	Rockford	Illinois	$2.75 million	$249,999	+7.6%	$2.55 million	$232,263	$7.09 million
86	Jersey City	New Jersey	$5.33 million	$249,430	+10.4%	$4.83 million	$225,868	$11.69 million
87	Overland Park	Kansas	$3.70 million	$246,381	+6.3%	$3.48 million	$231,672	$9.55 million
88	Vancouver	Washington	$3.62 million	$245,975	+0.9%	$3.59 million	$243,755	$11.14 million
89	Jacksonville	Florida	$18.28 million	$245,376	+7.1%	$17.07 million	$229,149	$47.51 million
90	Oklahoma City	Oklahoma	$12.89 million	$241,264	-3.3%	$13.34 million	$249,594	$41.26 million
91	Evansville	Indiana	$2.24 million	$241,099	-2.0%	$2.29 million	$246,080	$7.11 million
92	San Jose	California	$19.39 million	$239,866	-2.8%	$19.95 million	$246,788	$58.00 million
93	New York City	New York	$164.3 million	$237,805	+11.2%	$147.8 million	$213,930	$394.0 million
94	Spokane	Washington	$4.26 million	$237,208	-0.9%	$4.30 million	$239,312	$13.24 million
95	Nampa	Idaho	$1.97 million	$235,085	-4.5%	$2.06 million	$246,154	$6.38 million
96	Fayetteville	Arkansas	$1.71 million	$231,720	+0.1%	$1.71 million	$231,387	$5.57 million
97	Little Rock	Arkansas	$3.63 million	$228,463	-3.1%	$3.75 million	$235,743	$12.96 million
98	Joliet	Illinois	$2.64 million	$228,252	-2.5%	$2.71 million	$234,083	$8.31 million
99	Chesapeake	Virginia	$4.32 million	$226,957	+12.0%	$3.86 million	$202,626	$9.54 million
100	Lansing	Michigan	$2.03 million	$226,121	-2.2%	$2.07 million	$231,154	$6.50 million
101	Mesa	Arizona	$9.01 million	$225,521	+7.7%	$8.36 million	$209,352	$22.82 million
102	Reno	Nevada	$4.47 million	$223,624	-1.0%	$4.52 million	$225,982	$13.76 million
103	Bridgeport	Connecticut	$2.61 million	$223,607	+22.4%	$2.13 million	$182,611	$5.85 million
104	Gresham	Oregon	$1.91 million	$220,647	+11.1%	$1.72 million	$198,600	$4.45 million
105	Lexington	Kentucky	$5.55 million	$219,104	+9.5%	$5.06 million	$200,037	$13.65 million
106	Bellevue	Washington	$2.48 million	$217,088	+10.3%	$2.25 million	$196,770	$5.83 million
107	Billings	Montana	$1.98 million	$214,967	+5.4%	$1.87 million	$203,916	$5.36 million
108	Jackson	Mississippi	$2.49 million	$214,753	-3.6%	$2.58 million	$222,706	$7.83 million
109	Aurora	Colorado	$6.30 million	$214,564	-0.4%	$6.32 million	$215,450	$19.51 million
110	Norfolk	Virginia	$3.93 million	$210,484	-0.5%	$3.95 million	$211,644	$12.06 million
111	Fort Collins	Colorado	$2.75 million	$208,979	-1.5%	$2.79 million	$212,131	$8.15 million
112	Lawton	Oklahoma	$1.48 million	$208,627	-1.2%	$1.50 million	$211,113	$4.38 million
113	Fresno	California	$8.64 million	$207,748	+5.4%	$8.20 million	$197,103	$24.16 million
114	Baton Rouge	Louisiana	$3.55 million	$205,387	-0.4%	$3.56 million	$206,210	$10.82 million
115	South Bend	Indiana	$1.64 million	$202,425	-0.2%	$1.64 million	$202,861	$5.21 million
116	Cedar Rapids	Iowa	$2.16 million	$202,202	+1.1%	$2.14 million	$200,039	$6.01 million
117	Henderson	Nevada	$5.07 million	$201,990	+5.7%	$4.80 million	$191,052	$13.67 million
118	Wichita	Kansas	$6.23 million	$199,498	+6.1%	$5.87 million	$188,075	$16.56 million
119	Columbia	Missouri	$1.91 million	$197,904	-2.1%	$1.95 million	$202,222	$5.69 million
120	Woodbridge	New Jersey	$1.54 million	$197,671	+13.7%	$1.36 million	$173,832	$3.84 million
121	Worcester	Massachusetts	$2.83 million	$194,879	+9.7%	$2.58 million	$177,686	$7.16 million
122	Chattanooga	Tennessee	$2.74 million	$192,748	+3.6%	$2.64 million	$185,981	$9.60 million
123	Toledo	Ohio	$3.97 million	$186,900	-0.4%	$3.99 million	$187,572	$11.92 million
124	Sioux Falls	South Dakota	$2.89 million	$184,470	-0.2%	$2.89 million	$184,858	$8.69 million
125	Independence	Missouri	$1.68 million	$184,407	-2.1%	$1.71 million	$188,388	$5.04 million
126	Aurora	Illinois	$3.00 million	$183,124	+8.8%	$2.76 million	$168,275	$7.69 million
127	Allentown	Pennsylvania	$1.79 million	$182,696	-1.9%	$1.83 million	$186,261	$5.79 million
128	Madison	Wisconsin	$3.84 million	$181,176	-0.7%	$3.86 million	$182,371	$12.46 million
129	Chandler	Arizona	$3.65 million	$181,132	-1.1%	$3.70 million	$183,174	$10.89 million
130	Broken Arrow	Oklahoma	$1.60 million	$180,479	+8.7%	$1.47 million	$165,973	$4.23 million
131	North Charleston	South Carolina	$1.47 million	$178,157	-2.6%	$1.51 million	$182,879	$4.54 million
132	North Las Vegas	Nevada	$3.38 million	$177,787	-0.8%	$3.41 million	$179,207	$10.54 million
133	Norman	Oklahoma	$1.70 million	$177,497	+1.1%	$1.69 million	$175,583	$5.73 million
134	Eugene	Oregon	$2.62 million	$176,373	-0.0%	$2.62 million	$176,387	$8.07 million
135	Springfield	Massachusetts	$2.11 million	$176,083	-4.3%	$2.21 million	$183,993	$7.21 million
136	Newport News	Virginia	$2.48 million	$175,376	-0.0%	$2.48 million	$175,433	$7.46 million
137	Topeka	Kansas	$1.72 million	$170,702	-0.6%	$1.73 million	$171,650	$5.46 million
138	Lincoln	Nebraska	$3.89 million	$170,332	-2.5%	$3.99 million	$174,773	$11.67 million
139	St. Petersburg	Florida	$3.40 million	$167,800	+0.0%	$3.40 million	$167,753	$10.60 million
140	Anchorage	Alaska	$3.84 million	$167,755	-0.3%	$3.85 million	$168,300	$11.47 million
141	Greensboro	North Carolina	$3.87 million	$165,088	+6.4%	$3.64 million	$155,221	$10.72 million
142	Paterson	New Jersey	$2.06 million	$164,290	+5.4%	$1.95 million	$155,855	$5.76 million
143	Rochester	Minnesota	$1.41 million	$162,180	-2.0%	$1.44 million	$165,429	$4.37 million
144	Stamford	Connecticut	$1.72 million	$161,408	+9.3%	$1.57 million	$147,608	$4.12 million
145	Lowell	Massachusetts	$1.41 million	$160,871	+0.1%	$1.40 million	$160,663	$4.19 million
146	Orem	Utah	$1.13 million	$159,784	+1.0%	$1.12 million	$158,136	$3.64 million
147	Augusta	Georgia	$2.51 million	$159,315	-2.5%	$2.58 million	$163,467	$7.86 million
148	Sterling Heights	Michigan	$1.60 million	$154,937	+4.9%	$1.52 million	$147,662	$4.45 million
149	Columbus	Georgia	$2.43 million	$154,708	-0.4%	$2.44 million	$155,271	$7.58 million
150	Naperville	Illinois	$1.82 million	$154,464	+7.3%	$1.70 million	$143,924	$4.61 million
151	Durham	North Carolina	$3.41 million	$153,306	-0.1%	$3.41 million	$153,483	$9.85 million
152	Clarksville	Tennessee	$1.95 million	$153,054	+3.7%	$1.88 million	$147,572	$7.76 million
153	Winston-Salem	North Carolina	$2.91 million	$148,718	-0.6%	$2.93 million	$149,607	$9.03 million
154	Tuscaloosa	Alabama	$1.11 million	$142,075	+0.2%	$1.11 million	$141,740	$3.52 million
155	Meridian	Idaho	$1.28 million	$141,739	+5.2%	$1.22 million	$134,744	$3.50 million
156	Tulsa	Oklahoma	$5.21 million	$141,716	-1.3%	$5.28 million	$143,540	$15.70 million
157	Huntsville	Alabama	$2.33 million	$138,408	+2.4%	$2.28 million	$135,202	$7.56 million
158	Yonkers	New York	$2.17 million	$138,028	+0.0%	$2.17 million	$137,980	$6.48 million
159	Montgomery	Alabama	$2.11 million	$133,987	+6.1%	$1.99 million	$126,276	$5.75 million
160	Memphis	Tennessee	$6.52 million	$131,342	+7.7%	$6.06 million	$121,926	$23.16 million
161	Edison	New Jersey	$1.06 million	$125,594	-1.7%	$1.08 million	$127,746	$3.41 million
162	Shreveport	Louisiana	$1.82 million	$123,780	-3.1%	$1.88 million	$127,741	$5.95 million
163	Columbia	Maryland	$963,990	$117,965	+6.8%	$902,631	$110,457	$2.59 million
164	Provo	Utah	$923,179	$102,269	-1.5%	$936,800	$103,778	$2.85 million
165	Paradise	Nevada	$1.40 million	$73,651	-7.6%	$1.51 million	$79,679	$8.03 million
166	Olathe	Kansas	$1.03 million	$71,522	-2.9%	$1.06 million	$73,643	$3.08 million
167	Sandy	Utah	$514,595	$60,505	-21.1%	$652,058	$76,668	$2.37 million

All 167 cities by total FY2026 spend

Rank	City	State	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	FY2025 / 10k	3-year total FY23–25
1	New York City	New York	$164.3 million	$237,805	+11.2%	$147.8 million	$213,930	$394.0 million
2	Los Angeles	California	$115.9 million	$369,431	+6.0%	$109.3 million	$348,572	$312.2 million
3	Chicago	Illinois	$82.12 million	$381,090	+6.4%	$77.19 million	$358,237	$215.3 million
4	Houston	Texas	$56.08 million	$310,172	-1.9%	$57.15 million	$316,052	$174.7 million
5	Atlanta	Georgia	$42.65 million	$1,091,381	+5.8%	$40.32 million	$1,031,767	$116.6 million
6	Phoenix	Arizona	$41.80 million	$320,853	-1.2%	$42.30 million	$324,710	$124.5 million
7	Seattle	Washington	$41.63 million	$716,891	+9.8%	$37.90 million	$652,706	$105.0 million
8	Dallas	Texas	$41.19 million	$403,755	+1.4%	$40.63 million	$398,339	$136.1 million
9	Denver	Colorado	$36.28 million	$642,842	-1.4%	$36.79 million	$651,917	$113.2 million
10	Las Vegas	Nevada	$35.75 million	$671,692	+8.3%	$33.00 million	$619,978	$92.31 million
11	San Diego	California	$34.22 million	$305,897	-1.2%	$34.65 million	$309,728	$102.4 million
12	San Antonio	Texas	$32.84 million	$270,537	+3.8%	$31.65 million	$260,706	$89.88 million
13	Philadelphia	Pennsylvania	$32.80 million	$260,696	+6.5%	$30.79 million	$244,730	$90.54 million
14	Austin	Texas	$31.08 million	$404,653	+0.9%	$30.79 million	$400,949	$97.45 million
15	Miami	Florida	$27.19 million	$740,575	-0.3%	$27.28 million	$742,944	$84.55 million
16	Detroit	Michigan	$23.31 million	$464,851	+13.7%	$20.50 million	$408,845	$53.95 million
17	Minneapolis	Minnesota	$23.14 million	$693,323	-2.0%	$23.61 million	$707,289	$70.62 million
18	Orlando	Florida	$22.70 million	$940,796	+0.5%	$22.59 million	$936,270	$70.12 million
19	San Francisco	California	$22.09 million	$318,381	+1.2%	$21.83 million	$314,605	$67.78 million
20	Charlotte	North Carolina	$21.97 million	$320,205	-1.1%	$22.21 million	$323,667	$68.38 million
21	Boston	Massachusetts	$21.82 million	$411,606	+2.0%	$21.40 million	$403,694	$63.73 million
22	Fort Worth	Texas	$21.15 million	$293,309	+12.9%	$18.74 million	$259,868	$50.10 million
23	Portland	Oregon	$20.74 million	$405,148	+4.1%	$19.93 million	$389,330	$55.91 million
24	Baltimore	Maryland	$20.61 million	$442,630	-2.3%	$21.10 million	$453,247	$64.37 million
25	Cleveland	Ohio	$20.23 million	$691,958	-1.9%	$20.63 million	$705,623	$60.36 million
26	Columbus	Ohio	$20.17 million	$293,481	-3.1%	$20.81 million	$302,932	$59.66 million
27	San Jose	California	$19.39 million	$239,866	-2.8%	$19.95 million	$246,788	$58.00 million
28	Indianapolis	Indiana	$19.20 million	$251,417	-0.5%	$19.31 million	$252,786	$58.31 million
29	Jacksonville	Florida	$18.28 million	$245,376	+7.1%	$17.07 million	$229,149	$47.51 million
30	Washington	District of Columbia	$16.77 million	$304,363	-2.5%	$17.20 million	$312,191	$49.55 million
31	Tampa	Florida	$15.61 million	$516,688	-2.8%	$16.05 million	$531,323	$48.09 million
32	Nashville	Tennessee	$15.25 million	$280,714	+8.2%	$14.10 million	$259,515	$58.17 million
33	Pittsburgh	Pennsylvania	$15.25 million	$642,436	+7.8%	$14.14 million	$595,821	$41.03 million
34	Salt Lake City	Utah	$14.93 million	$952,303	-2.3%	$15.28 million	$974,727	$45.05 million
35	St. Louis	Missouri	$14.74 million	$622,981	+0.4%	$14.69 million	$620,714	$44.89 million
36	Cincinnati	Ohio	$14.60 million	$601,520	-2.3%	$14.94 million	$615,690	$44.94 million
37	Raleigh	North Carolina	$14.02 million	$351,208	-0.1%	$14.03 million	$351,496	$43.70 million
38	Milwaukee	Wisconsin	$13.76 million	$294,731	+1.5%	$13.55 million	$290,290	$39.90 million
39	Louisville	Kentucky	$13.67 million	$275,183	+10.9%	$12.32 million	$248,038	$34.92 million
40	Albuquerque	New Mexico	$13.46 million	$306,045	-1.0%	$13.59 million	$309,101	$41.57 million
41	Saint Paul	Minnesota	$13.30 million	$544,029	+13.9%	$11.67 million	$477,480	$29.53 million
42	Kansas City	Missouri	$13.20 million	$330,810	-3.8%	$13.72 million	$343,804	$42.21 million
43	Oklahoma City	Oklahoma	$12.89 million	$241,264	-3.3%	$13.34 million	$249,594	$41.26 million
44	Buffalo	New York	$11.86 million	$542,982	-2.7%	$12.19 million	$558,289	$36.67 million
45	Omaha	Nebraska	$11.51 million	$303,357	-0.1%	$11.51 million	$303,603	$36.97 million
46	Tucson	Arizona	$10.83 million	$252,800	-0.7%	$10.91 million	$254,649	$33.81 million
47	Honolulu	Hawaii	$10.38 million	$377,722	+9.0%	$9.52 million	$346,654	$26.41 million
48	Colorado Springs	Colorado	$10.01 million	$263,712	+8.7%	$9.21 million	$242,503	$25.57 million
49	Virginia Beach	Virginia	$9.88 million	$277,271	-4.2%	$10.31 million	$289,469	$29.88 million
50	Mesa	Arizona	$9.01 million	$225,521	+7.7%	$8.36 million	$209,352	$22.82 million
51	New Orleans	Louisiana	$8.68 million	$288,113	-3.1%	$8.96 million	$297,397	$27.24 million
52	Fresno	California	$8.64 million	$207,748	+5.4%	$8.20 million	$197,103	$24.16 million
53	Scottsdale	Arizona	$8.56 million	$427,190	+21.3%	$7.05 million	$352,096	$16.38 million
54	Birmingham	Alabama	$8.44 million	$544,135	-4.3%	$8.82 million	$568,870	$30.30 million
55	Richmond	Virginia	$7.32 million	$411,539	+8.5%	$6.74 million	$379,243	$19.31 million
56	Kansas City	Kansas	$6.95 million	$565,440	+14.7%	$6.06 million	$493,131	$15.10 million
57	Grand Rapids	Michigan	$6.57 million	$421,279	+0.3%	$6.56 million	$420,170	$22.40 million
58	Memphis	Tennessee	$6.52 million	$131,342	+7.7%	$6.06 million	$121,926	$23.16 million
59	Aurora	Colorado	$6.30 million	$214,564	-0.4%	$6.32 million	$215,450	$19.51 million
60	Wichita	Kansas	$6.23 million	$199,498	+6.1%	$5.87 million	$188,075	$16.56 million
61	Newark	New Jersey	$6.21 million	$279,006	+23.8%	$5.02 million	$225,414	$12.86 million
62	Tacoma	Washington	$6.07 million	$352,805	-1.7%	$6.18 million	$358,866	$18.61 million
63	Rochester	New York	$5.84 million	$353,352	-2.5%	$5.99 million	$362,457	$17.60 million
64	Charleston	South Carolina	$5.82 million	$539,456	+18.6%	$4.91 million	$454,898	$11.48 million
65	Fort Wayne	Indiana	$5.82 million	$280,883	+10.7%	$5.26 million	$253,835	$15.51 million
66	Savannah	Georgia	$5.68 million	$491,325	+17.5%	$4.83 million	$418,060	$11.89 million
67	Lexington	Kentucky	$5.55 million	$219,104	+9.5%	$5.06 million	$200,037	$13.65 million
68	Jersey City	New Jersey	$5.33 million	$249,430	+10.4%	$4.83 million	$225,868	$11.69 million
69	Tulsa	Oklahoma	$5.21 million	$141,716	-1.3%	$5.28 million	$143,540	$15.70 million
70	Mobile	Alabama	$5.14 million	$350,294	+11.9%	$4.60 million	$313,163	$13.34 million
71	Henderson	Nevada	$5.07 million	$201,990	+5.7%	$4.80 million	$191,052	$13.67 million
72	Des Moines	Iowa	$5.03 million	$258,682	+11.3%	$4.52 million	$232,339	$12.95 million
73	Knoxville	Tennessee	$4.71 million	$325,183	+0.2%	$4.70 million	$324,481	$16.37 million
74	Boise	Idaho	$4.66 million	$251,889	+12.0%	$4.16 million	$224,815	$12.16 million
75	Reno	Nevada	$4.47 million	$223,624	-1.0%	$4.52 million	$225,982	$13.76 million
76	Fargo	North Dakota	$4.38 million	$443,918	+22.1%	$3.59 million	$363,434	$9.69 million
77	Chesapeake	Virginia	$4.32 million	$226,957	+12.0%	$3.86 million	$202,626	$9.54 million
78	Spokane	Washington	$4.26 million	$237,208	-0.9%	$4.30 million	$239,312	$13.24 million
79	Syracuse	New York	$4.23 million	$371,149	-0.3%	$4.24 million	$372,239	$15.36 million
80	Providence	Rhode Island	$4.23 million	$282,995	+10.9%	$3.81 million	$255,165	$10.83 million
81	Akron	Ohio	$3.98 million	$265,619	+8.9%	$3.65 million	$243,913	$10.04 million
82	Toledo	Ohio	$3.97 million	$186,900	-0.4%	$3.99 million	$187,572	$11.92 million
83	Norfolk	Virginia	$3.93 million	$210,484	-0.5%	$3.95 million	$211,644	$12.06 million
84	Hartford	Connecticut	$3.91 million	$412,148	+9.6%	$3.57 million	$375,942	$9.88 million
85	Springfield	Missouri	$3.90 million	$292,767	-2.1%	$3.99 million	$299,083	$11.67 million
86	Lincoln	Nebraska	$3.89 million	$170,332	-2.5%	$3.99 million	$174,773	$11.67 million
87	Greensboro	North Carolina	$3.87 million	$165,088	+6.4%	$3.64 million	$155,221	$10.72 million
88	Anchorage	Alaska	$3.84 million	$167,755	-0.3%	$3.85 million	$168,300	$11.47 million
89	Madison	Wisconsin	$3.84 million	$181,176	-0.7%	$3.86 million	$182,371	$12.46 million
90	Manchester	New Hampshire	$3.73 million	$413,752	+14.5%	$3.26 million	$361,239	$8.19 million
91	Overland Park	Kansas	$3.70 million	$246,381	+6.3%	$3.48 million	$231,672	$9.55 million
92	Chandler	Arizona	$3.65 million	$181,132	-1.1%	$3.70 million	$183,174	$10.89 million
93	Little Rock	Arkansas	$3.63 million	$228,463	-3.1%	$3.75 million	$235,743	$12.96 million
94	Vancouver	Washington	$3.62 million	$245,975	+0.9%	$3.59 million	$243,755	$11.14 million
95	Lakewood	Colorado	$3.55 million	$288,794	-2.4%	$3.64 million	$296,027	$11.32 million
96	Baton Rouge	Louisiana	$3.55 million	$205,387	-0.4%	$3.56 million	$206,210	$10.82 million
97	Salem	Oregon	$3.54 million	$257,003	-2.3%	$3.62 million	$262,980	$10.88 million
98	Durham	North Carolina	$3.41 million	$153,306	-0.1%	$3.41 million	$153,483	$9.85 million
99	St. Petersburg	Florida	$3.40 million	$167,800	+0.0%	$3.40 million	$167,753	$10.60 million
100	Lafayette	Louisiana	$3.38 million	$283,758	+20.5%	$2.80 million	$235,389	$7.87 million
101	North Las Vegas	Nevada	$3.38 million	$177,787	-0.8%	$3.41 million	$179,207	$10.54 million
102	Cambridge	Massachusetts	$3.20 million	$344,457	+16.7%	$2.74 million	$295,166	$6.63 million
103	Columbia	South Carolina	$3.18 million	$301,154	-1.8%	$3.23 million	$306,760	$10.15 million
104	Aurora	Illinois	$3.00 million	$183,124	+8.8%	$2.76 million	$168,275	$7.69 million
105	Winston-Salem	North Carolina	$2.91 million	$148,718	-0.6%	$2.93 million	$149,607	$9.03 million
106	Sioux Falls	South Dakota	$2.89 million	$184,470	-0.2%	$2.89 million	$184,858	$8.69 million
107	Worcester	Massachusetts	$2.83 million	$194,879	+9.7%	$2.58 million	$177,686	$7.16 million
108	Sandy Springs	Georgia	$2.81 million	$330,771	-1.4%	$2.85 million	$335,471	$9.12 million
109	West Valley City	Utah	$2.77 million	$253,772	-3.2%	$2.86 million	$262,027	$8.23 million
110	Fort Collins	Colorado	$2.75 million	$208,979	-1.5%	$2.79 million	$212,131	$8.15 million
111	Waterbury	Connecticut	$2.75 million	$306,315	+20.6%	$2.28 million	$254,095	$6.10 million
112	Rockford	Illinois	$2.75 million	$249,999	+7.6%	$2.55 million	$232,263	$7.09 million
113	Chattanooga	Tennessee	$2.74 million	$192,748	+3.6%	$2.64 million	$185,981	$9.60 million
114	New Haven	Connecticut	$2.70 million	$256,750	-6.0%	$2.87 million	$273,222	$8.92 million
115	Warren	Michigan	$2.69 million	$255,452	+12.9%	$2.38 million	$226,321	$6.17 million
116	Joliet	Illinois	$2.64 million	$228,252	-2.5%	$2.71 million	$234,083	$8.31 million
117	Eugene	Oregon	$2.62 million	$176,373	-0.0%	$2.62 million	$176,387	$8.07 million
118	Bridgeport	Connecticut	$2.61 million	$223,607	+22.4%	$2.13 million	$182,611	$5.85 million
119	Green Bay	Wisconsin	$2.56 million	$313,413	-0.8%	$2.58 million	$315,980	$7.67 million
120	Augusta	Georgia	$2.51 million	$159,315	-2.5%	$2.58 million	$163,467	$7.86 million
121	Jackson	Mississippi	$2.49 million	$214,753	-3.6%	$2.58 million	$222,706	$7.83 million
122	Erie	Pennsylvania	$2.49 million	$325,489	-2.0%	$2.54 million	$332,026	$7.53 million
123	Bellevue	Washington	$2.48 million	$217,088	+10.3%	$2.25 million	$196,770	$5.83 million
124	Newport News	Virginia	$2.48 million	$175,376	-0.0%	$2.48 million	$175,433	$7.46 million
125	Rio Rancho	New Mexico	$2.46 million	$345,204	+18.0%	$2.08 million	$292,498	$5.49 million
126	Carmel	Indiana	$2.45 million	$312,502	+21.4%	$2.02 million	$257,490	$4.71 million
127	Columbus	Georgia	$2.43 million	$154,708	-0.4%	$2.44 million	$155,271	$7.58 million
128	Huntsville	Alabama	$2.33 million	$138,408	+2.4%	$2.28 million	$135,202	$7.56 million
129	Las Cruces	New Mexico	$2.31 million	$262,389	-4.5%	$2.42 million	$274,805	$6.78 million
130	Evansville	Indiana	$2.24 million	$241,099	-2.0%	$2.29 million	$246,080	$7.11 million
131	Kenosha	Wisconsin	$2.19 million	$280,995	+5.2%	$2.08 million	$266,985	$5.91 million
132	Yonkers	New York	$2.17 million	$138,028	+0.0%	$2.17 million	$137,980	$6.48 million
133	Cedar Rapids	Iowa	$2.16 million	$202,202	+1.1%	$2.14 million	$200,039	$6.01 million
134	Springfield	Massachusetts	$2.11 million	$176,083	-4.3%	$2.21 million	$183,993	$7.21 million
135	Montgomery	Alabama	$2.11 million	$133,987	+6.1%	$1.99 million	$126,276	$5.75 million
136	Paterson	New Jersey	$2.06 million	$164,290	+5.4%	$1.95 million	$155,855	$5.76 million
137	Lansing	Michigan	$2.03 million	$226,121	-2.2%	$2.07 million	$231,154	$6.50 million
138	Billings	Montana	$1.98 million	$214,967	+5.4%	$1.87 million	$203,916	$5.36 million
139	Nampa	Idaho	$1.97 million	$235,085	-4.5%	$2.06 million	$246,154	$6.38 million
140	Clarksville	Tennessee	$1.95 million	$153,054	+3.7%	$1.88 million	$147,572	$7.76 million
141	Columbia	Missouri	$1.91 million	$197,904	-2.1%	$1.95 million	$202,222	$5.69 million
142	Gresham	Oregon	$1.91 million	$220,647	+11.1%	$1.72 million	$198,600	$4.45 million
143	Shreveport	Louisiana	$1.82 million	$123,780	-3.1%	$1.88 million	$127,741	$5.95 million
144	Naperville	Illinois	$1.82 million	$154,464	+7.3%	$1.70 million	$143,924	$4.61 million
145	Allentown	Pennsylvania	$1.79 million	$182,696	-1.9%	$1.83 million	$186,261	$5.79 million
146	Topeka	Kansas	$1.72 million	$170,702	-0.6%	$1.73 million	$171,650	$5.46 million
147	Stamford	Connecticut	$1.72 million	$161,408	+9.3%	$1.57 million	$147,608	$4.12 million
148	Fayetteville	Arkansas	$1.71 million	$231,720	+0.1%	$1.71 million	$231,387	$5.57 million
149	Norman	Oklahoma	$1.70 million	$177,497	+1.1%	$1.69 million	$175,583	$5.73 million
150	Independence	Missouri	$1.68 million	$184,407	-2.1%	$1.71 million	$188,388	$5.04 million
151	South Bend	Indiana	$1.64 million	$202,425	-0.2%	$1.64 million	$202,861	$5.21 million
152	Broken Arrow	Oklahoma	$1.60 million	$180,479	+8.7%	$1.47 million	$165,973	$4.23 million
153	Sterling Heights	Michigan	$1.60 million	$154,937	+4.9%	$1.52 million	$147,662	$4.45 million
154	Woodbridge	New Jersey	$1.54 million	$197,671	+13.7%	$1.36 million	$173,832	$3.84 million
155	Lawton	Oklahoma	$1.48 million	$208,627	-1.2%	$1.50 million	$211,113	$4.38 million
156	North Charleston	South Carolina	$1.47 million	$178,157	-2.6%	$1.51 million	$182,879	$4.54 million
157	Rochester	Minnesota	$1.41 million	$162,180	-2.0%	$1.44 million	$165,429	$4.37 million
158	Lowell	Massachusetts	$1.41 million	$160,871	+0.1%	$1.40 million	$160,663	$4.19 million
159	Paradise	Nevada	$1.40 million	$73,651	-7.6%	$1.51 million	$79,679	$8.03 million
160	Meridian	Idaho	$1.28 million	$141,739	+5.2%	$1.22 million	$134,744	$3.50 million
161	Orem	Utah	$1.13 million	$159,784	+1.0%	$1.12 million	$158,136	$3.64 million
162	Tuscaloosa	Alabama	$1.11 million	$142,075	+0.2%	$1.11 million	$141,740	$3.52 million
163	Edison	New Jersey	$1.06 million	$125,594	-1.7%	$1.08 million	$127,746	$3.41 million
164	Olathe	Kansas	$1.03 million	$71,522	-2.9%	$1.06 million	$73,643	$3.08 million
165	Columbia	Maryland	$963,990	$117,965	+6.8%	$902,631	$110,457	$2.59 million
166	Provo	Utah	$923,179	$102,269	-1.5%	$936,800	$103,778	$2.85 million
167	Sandy	Utah	$514,595	$60,505	-21.1%	$652,058	$76,668	$2.37 million

Spend Data by State — Full County & City Breakdown

Below is the full per-state breakdown — every U.S. city in the OnlyGuider dataset and every U.S. county (3,091 in total). Cities inside a state are ranked by spend per 10,000 adults. Counties inside a state are ranked the same way. National ranks are nationwide, not inside the state. Click a state to expand its data.

A

Alabama Spend Data

Total spend: $52.93 million
Spend per 10k adults: $138,015
National rank (per-capita): #46
National rank (total): #30
Change vs FY2025: -2.5%
Cities in dataset: 5
Counties in dataset: 67

Cities in Alabama (5)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Birmingham	$8.44 million	$544,135	-4.3%	$8.82 million	$30.30 million	54
2	Mobile	$5.14 million	$350,294	+11.9%	$4.60 million	$13.34 million	70
3	Huntsville	$2.33 million	$138,408	+2.4%	$2.28 million	$7.56 million	128
4	Montgomery	$2.11 million	$133,987	+6.1%	$1.99 million	$5.75 million	135
5	Tuscaloosa	$1.11 million	$142,075	+0.2%	$1.11 million	$3.52 million	162

Counties in Alabama (67)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Perry County	$405,360	$232,774	+36.4%	$297,142	$584,351	448	1390
2	Jefferson County	$11.89 million	$222,904	-0.5%	$11.95 million	$39.48 million	582	78
3	Mobile County	$5.61 million	$170,404	-4.5%	$5.88 million	$17.14 million	1832	183
4	Henry County	$310,220	$160,096	+32.3%	$234,455	$532,889	2127	1635
5	Escambia County	$507,372	$154,214	+15.6%	$439,085	$1.07 million	2262	1219
6	Sumter County	$196,307	$152,048	+19.5%	$164,312	$379,082	2316	1976
7	Calhoun County	$1.33 million	$142,731	-2.8%	$1.37 million	$4.24 million	2488	623
8	Dale County	$563,352	$138,260	+12.2%	$502,048	$1.34 million	2571	1134
9	Lamar County	$164,219	$136,883	-5.0%	$172,873	$518,584	2595	2078
10	Cleburne County	$188,254	$136,480	-8.4%	$205,459	$532,703	2599	2002
11	Greene County	$92,827	$136,450	+27.3%	$72,905	$129,885	2600	2434
12	Winston County	$244,572	$130,283	-2.1%	$249,920	$929,257	2668	1815
13	Shelby County	$2.43 million	$130,064	-5.5%	$2.58 million	$7.39 million	2672	389
14	Coosa County	$102,893	$129,709	+15.0%	$89,474	$224,224	2680	2388
15	Cherokee County	$265,090	$129,026	-2.1%	$270,907	$927,902	2690	1758
16	Jackson County	$546,962	$128,990	-3.4%	$566,116	$1.76 million	2692	1159
17	Etowah County	$1.05 million	$128,651	-1.4%	$1.06 million	$3.34 million	2698	747
18	Cullman County	$944,201	$128,508	-3.4%	$977,586	$2.98 million	2701	803
19	Morgan County	$1.23 million	$125,167	-1.7%	$1.25 million	$3.93 million	2739	662
20	Talladega County	$787,949	$125,053	-4.6%	$825,701	$2.34 million	2740	909
21	Lawrence County	$314,663	$124,168	+6.7%	$294,933	$766,202	2750	1621
22	Fayette County	$136,909	$123,476	+16.4%	$117,642	$302,519	2758	2204
23	Pike County	$308,261	$123,238	+5.2%	$293,000	$1.11 million	2760	1640
24	Crenshaw County	$107,035	$122,451	+1.2%	$105,767	$220,722	2765	2358
25	Lee County	$1.79 million	$121,877	-3.7%	$1.86 million	$5.56 million	2769	504
26	Madison County	$4.12 million	$121,876	-1.2%	$4.17 million	$13.33 million	2770	240
27	Franklin County	$286,540	$121,355	+3.8%	$276,154	$781,134	2777	1690
28	Macon County	$141,352	$119,162	+5.3%	$134,211	$361,251	2803	2185
29	Marshall County	$936,440	$118,845	+0.0%	$936,163	$3.05 million	2808	809
30	Randolph County	$178,667	$116,970	-2.6%	$183,366	$591,293	2831	2024
31	Walker County	$563,706	$116,944	-0.4%	$566,116	$1.84 million	2832	1131
32	Wilcox County	$53,882	$116,700	+13.4%	$47,499	$125,121	2834	2672
33	Washington County	$99,934	$116,395	+12.7%	$88,646	$226,681	2838	2400
34	Clarke County	$165,559	$116,382	+5.5%	$156,856	$440,010	2839	2070
35	Lauderdale County	$844,133	$115,661	-5.1%	$889,217	$2.87 million	2846	864
36	Autauga County	$521,541	$115,258	-4.1%	$544,024	$1.60 million	2851	1195
37	Marion County	$214,694	$113,212	-2.3%	$219,819	$698,327	2878	1919
38	Montgomery County	$1.96 million	$113,060	-4.1%	$2.04 million	$6.08 million	2881	460
39	Conecuh County	$46,156	$111,233	-2.8%	$47,499	$149,810	2900	2724
40	Dallas County	$255,296	$110,782	-6.0%	$271,460	$762,381	2907	1784
41	Barbour County	$159,998	$109,959	+0.2%	$159,617	$540,245	2916	2090
42	Russell County	$455,816	$109,957	-20.6%	$574,401	$2.17 million	2917	1300
43	Chilton County	$359,249	$109,951	-5.4%	$379,712	$1.09 million	2918	1507
44	Choctaw County	$46,233	$108,786	+2.1%	$45,289	$161,828	2927	2722
45	St. Clair County	$778,515	$108,367	-5.1%	$820,178	$2.39 million	2933	917
46	Lowndes County	$22,417	$108,163	-23.4%	$29,272	$102,829	2935	2893
47	Houston County	$878,445	$108,095	-3.3%	$908,548	$2.80 million	2936	840
48	Baldwin County	$2.20 million	$107,524	-4.1%	$2.29 million	$6.90 million	2943	418
49	Coffee County	$419,659	$107,224	-1.1%	$424,173	$1.36 million	2947	1361
50	Covington County	$258,736	$107,040	-3.4%	$267,870	$809,398	2951	1772
51	Pickens County	$92,997	$107,022	-6.5%	$99,416	$260,427	2953	2433
52	Butler County	$90,833	$106,738	-4.4%	$94,997	$272,210	2957	2444
53	Bibb County	$124,378	$106,437	+0.3%	$123,993	$456,933	2964	2263
54	Clay County	$55,413	$105,983	-2.1%	$56,612	$182,141	2969	2661
55	DeKalb County	$550,498	$105,648	-12.2%	$626,870	$2.09 million	2974	1151
56	Tallapoosa County	$274,465	$105,408	-3.6%	$284,715	$868,857	2976	1727
57	Bullock County	$16,243	$105,289	-30.0%	$23,197	$90,766	2978	2943
58	Geneva County	$159,070	$104,451	-3.5%	$164,864	$502,141	2982	2098
59	Marengo County	$76,156	$102,686	-0.4%	$76,495	$246,490	3000	2528
60	Monroe County	$80,171	$102,381	-29.2%	$113,223	$399,441	3004	2508
61	Colbert County	$402,024	$101,894	-23.4%	$524,693	$1.99 million	3007	1400
62	Chambers County	$191,930	$100,300	-17.1%	$231,417	$813,253	3015	1991
63	Tuscaloosa County	$1.80 million	$99,450	-2.2%	$1.84 million	$5.67 million	3025	503
64	Hale County	$38,124	$99,300	-33.6%	$57,440	$230,337	3027	2779
65	Blount County	$312,352	$88,938	+1.4%	$308,188	$1.05 million	3079	1628
66	Limestone County	$739,567	$88,057	+0.3%	$737,332	$2.50 million	3080	948
67	Elmore County	$431,393	$78,720	-30.6%	$621,347	$2.29 million	3088	1340

Alaska Spend Data

Total spend: $9.51 million
Spend per 10k adults: $164,382
National rank (per-capita): #44
National rank (total): #50
Change vs FY2025: +2.0%
Cities in dataset: 1
Counties in dataset: 27

Cities in Alaska (1)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Anchorage	$3.84 million	$167,755	-0.3%	$3.85 million	$11.47 million	88

Counties in Alaska (27)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	North Slope Borough	$418,544	$246,163	+1.7%	$411,736	$1.30 million	322	1366
2	Yukon-Koyukuk Census Area	$282,781	$236,720	+6.0%	$266,860	$750,675	398	1701
3	Fairbanks North Star Borough	$1.51 million	$194,027	+0.1%	$1.51 million	$4.43 million	1155	564
4	Kodiak Island Borough	$265,197	$193,798	+20.3%	$220,500	$515,234	1167	1757
5	Juneau City and Borough	$553,735	$193,067	+15.8%	$478,089	$1.19 million	1193	1147
6	Ketchikan Gateway Borough	$229,632	$179,351	-9.2%	$252,952	$806,807	1590	1875
7	Aleutians West Census Area	$103,109	$176,191	+19.4%	$86,346	$214,583	1692	2385
8	Anchorage Municipality	$4.00 million	$176,102	+2.1%	$3.92 million	$11.58 million	1693	247
9	Hoonah-Angoon Census Area	$44,517	$169,922	+27.0%	$35,060	$80,941	1840	2735
10	Sitka City and Borough	$114,929	$166,802	+0.7%	$114,162	$348,027	1930	2318
11	Denali Borough	$24,704	$165,892	+6.6%	$23,180	$78,873	1960	2877
12	Dillingham Census Area	$48,890	$161,479	+24.1%	$39,406	$96,823	2086	2704
13	Petersburg Borough	$34,899	$161,409	+4.7%	$33,321	$119,924	2091	2803
14	Yakutat City and Borough	$0	$161,252	-100.0%	$869	$8,868	2095	3082
15	Bristol Bay Borough	$709	$160,688	+22.4%	$580	$3,241	2109	3076
16	Haines Borough	$13,013	$159,578	+4.4%	$12,459	$40,523	2139	2974
17	Lake and Peninsula Borough	$505	$158,257	-41.9%	$869	$3,540	2169	3077
18	Northwest Arctic Borough	$62,560	$155,366	-3.2%	$64,614	$163,057	2235	2610
19	Valdez-Cordova	$109,468	$151,752	+1.3%	$108,077	$339,424	2322	2346
20	Prince of Wales-Hyder Census Area	$32,756	$150,898	+11.9%	$29,265	$127,688	2344	2827
21	Aleutians East Borough	$1,871	$149,628	+7.6%	$1,739	$6,622	2367	3069
22	Nome Census Area	$46,075	$140,683	-3.6%	$47,809	$131,676	2527	2725
23	Southeast Fairbanks Census Area	$12,272	$138,947	-86.1%	$88,374	$403,166	2558	2977
24	Kusilvak Census Area	$7,969	$135,399	-1.8%	$8,113	$20,516	2611	3007
25	Bethel Census Area	$82,884	$126,492	-2.0%	$84,607	$237,301	2728	2488
26	Matanuska-Susitna Borough	$1.04 million	$122,978	+1.6%	$1.02 million	$3.08 million	2762	750
27	Kenai Peninsula Borough	$477,803	$121,495	+1.8%	$469,396	$1.53 million	2774	1268

Arizona Spend Data

Total spend: $138.3 million
Spend per 10k adults: $245,779
National rank (per-capita): #5
National rank (total): #13
Change vs FY2025: +9.2%
Cities in dataset: 5
Counties in dataset: 15

Cities in Arizona (5)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Phoenix	$41.80 million	$320,853	-1.2%	$42.30 million	$124.5 million	6
2	Tucson	$10.83 million	$252,800	-0.7%	$10.91 million	$33.81 million	46
3	Mesa	$9.01 million	$225,521	+7.7%	$8.36 million	$22.82 million	50
4	Scottsdale	$8.56 million	$427,190	+21.3%	$7.05 million	$16.38 million	53
5	Chandler	$3.65 million	$181,132	-1.1%	$3.70 million	$10.89 million	92

Counties in Arizona (15)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Maricopa County	$98.30 million	$266,911	+10.2%	$89.17 million	$249.4 million	181	3
2	Greenlee County	$273,823	$262,491	+21.2%	$225,847	$547,327	207	1730
3	La Paz County	$309,270	$232,763	+3.1%	$299,993	$873,888	449	1637
4	Gila County	$974,462	$230,984	+26.6%	$769,868	$1.95 million	475	786
5	Coconino County	$2.54 million	$225,860	+8.6%	$2.34 million	$6.73 million	540	369
6	Apache County	$1.07 million	$217,777	+19.1%	$894,865	$2.39 million	670	736
7	Graham County	$523,266	$195,660	+9.5%	$477,829	$1.38 million	1103	1188
8	Yuma County	$3.24 million	$189,870	+2.7%	$3.15 million	$9.08 million	1294	299
9	Navajo County	$1.44 million	$182,187	+3.9%	$1.39 million	$4.08 million	1516	589
10	Mohave County	$3.04 million	$177,886	+9.8%	$2.77 million	$7.79 million	1644	315
11	Yavapai County	$3.33 million	$175,320	+17.1%	$2.84 million	$7.16 million	1714	287
12	Pima County	$14.43 million	$172,937	+3.8%	$13.90 million	$40.57 million	1777	58
13	Cochise County	$1.51 million	$168,821	+12.6%	$1.34 million	$3.82 million	1870	562
14	Pinal County	$6.91 million	$167,278	+3.8%	$6.66 million	$19.41 million	1922	149
15	Santa Cruz County	$403,912	$154,300	+12.3%	$359,650	$1.02 million	2257	1397

Arkansas Spend Data

Total spend: $29.90 million
Spend per 10k adults: $126,445
National rank (per-capita): #49
National rank (total): #35
Change vs FY2025: -1.1%
Cities in dataset: 2
Counties in dataset: 75

Cities in Arkansas (2)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Little Rock	$3.63 million	$228,463	-3.1%	$3.75 million	$12.96 million	93
2	Fayetteville	$1.71 million	$231,720	+0.1%	$1.71 million	$5.57 million	148

Counties in Arkansas (75)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Randolph County	$799,535	$273,044	+29.6%	$616,873	$1.07 million	146	901
2	Conway County	$506,493	$192,367	+30.3%	$388,735	$631,192	1218	1223
3	Cross County	$331,579	$167,617	+29.0%	$257,127	$561,432	1910	1573
4	Johnson County	$434,202	$161,336	+18.3%	$366,993	$930,147	2093	1333
5	Nevada County	$198,564	$160,042	+30.7%	$151,899	$344,172	2128	1969
6	Lawrence County	$292,253	$157,238	+16.6%	$250,750	$637,267	2198	1676
7	Pulaski County	$5.07 million	$156,897	-10.1%	$5.64 million	$19.10 million	2204	203
8	Clark County	$330,157	$152,632	+13.6%	$290,754	$760,609	2303	1578
9	Fulton County	$198,522	$144,169	+24.3%	$159,726	$351,393	2467	1970
10	Craighead County	$1.37 million	$143,364	-0.0%	$1.37 million	$4.38 million	2480	614
11	Poinsett County	$269,880	$134,672	+20.0%	$224,950	$570,513	2622	1741
12	Logan County	$249,153	$131,953	+6.0%	$235,096	$626,605	2650	1801
13	Union County	$405,838	$131,655	+12.5%	$360,616	$987,666	2654	1389
14	Lee County	$106,807	$131,488	+24.5%	$85,806	$186,497	2659	2360
15	Independence County	$419,019	$130,591	-0.1%	$419,462	$1.31 million	2665	1363
16	Mississippi County	$406,307	$130,072	-5.0%	$427,869	$1.34 million	2671	1385
17	Ouachita County	$239,756	$129,547	-2.4%	$245,532	$645,511	2684	1837
18	Washington County	$2.78 million	$129,533	-0.9%	$2.80 million	$8.90 million	2685	344
19	Monroe County	$74,492	$127,024	+19.0%	$62,615	$146,222	2724	2539
20	Sebastian County	$1.31 million	$126,852	-0.3%	$1.32 million	$4.11 million	2725	633
21	Benton County	$3.26 million	$124,644	-0.5%	$3.28 million	$10.31 million	2746	295
22	Dallas County	$61,598	$123,607	+10.7%	$55,658	$145,702	2757	2615
23	Desha County	$96,382	$122,508	+4.6%	$92,183	$318,137	2763	2418
24	Garland County	$951,261	$121,797	-2.3%	$974,011	$2.83 million	2771	798
25	Pike County	$89,633	$120,579	-5.4%	$94,792	$261,744	2782	2451
26	Calhoun County	$37,893	$120,147	+11.7%	$33,916	$128,698	2787	2782
27	Jackson County	$150,334	$119,713	-1.4%	$152,479	$474,546	2794	2135
28	Woodruff County	$44,517	$118,994	-2.8%	$45,802	$119,460	2807	2734
29	Columbia County	$194,901	$118,829	+14.0%	$171,032	$422,944	2809	1982
30	Lonoke County	$705,514	$118,826	-1.9%	$718,913	$2.20 million	2810	981
31	Crawford County	$572,775	$118,541	+1.8%	$562,375	$1.61 million	2814	1116
32	Clay County	$119,916	$118,328	-2.7%	$123,201	$367,748	2815	2284
33	Hot Spring County	$296,715	$117,697	-3.3%	$306,697	$855,247	2826	1670
34	Sevier County	$132,878	$117,581	-11.7%	$150,450	$478,268	2828	2223
35	Chicot County	$66,162	$115,977	+18.3%	$55,948	$259,154	2842	2585
36	Miller County	$368,213	$115,891	-2.6%	$378,009	$1.15 million	2844	1479
37	Grant County	$152,265	$115,561	+14.7%	$132,767	$351,550	2849	2125
38	Newton County	$43,725	$114,871	+16.9%	$37,395	$92,078	2855	2738
39	Pope County	$557,735	$113,799	-1.3%	$565,274	$1.74 million	2870	1141
40	Howard County	$85,729	$113,317	+0.2%	$85,516	$292,474	2875	2470
41	Arkansas County	$115,214	$112,825	-21.0%	$145,812	$545,046	2884	2315
42	Little River County	$77,445	$112,342	-3.9%	$80,588	$219,748	2888	2523
43	Scott County	$61,142	$112,206	-1.4%	$62,035	$186,340	2891	2622
44	Franklin County	$126,071	$111,363	+6.9%	$117,983	$329,172	2898	2256
45	Lafayette County	$18,411	$109,990	+0.8%	$18,263	$75,079	2915	2927
46	Izard County	$91,253	$109,816	-4.0%	$95,082	$237,378	2921	2442
47	Bradley County	$47,162	$108,443	+3.0%	$45,802	$174,160	2932	2714
48	Prairie County	$29,308	$107,937	+2.1%	$28,699	$97,280	2938	2845
49	Hempstead County	$122,429	$107,605	-3.8%	$127,259	$360,582	2941	2273
50	Cleveland County	$22,292	$107,592	-2.7%	$22,901	$69,018	2942	2894
51	Phillips County	$80,381	$107,256	-4.1%	$83,777	$236,242	2945	2504
52	Madison County	$114,437	$107,032	+9.1%	$104,938	$423,908	2952	2322
53	Faulkner County	$1.08 million	$106,630	+0.1%	$1.08 million	$3.48 million	2960	731
54	Searcy County	$24,046	$106,506	+2.4%	$23,481	$84,389	2963	2881
55	Crittenden County	$342,436	$106,158	+0.6%	$340,324	$1.19 million	2967	1545
56	Yell County	$114,796	$104,018	-9.4%	$126,679	$418,181	2985	2319
57	Montgomery County	$21,753	$103,958	+8.8%	$20,002	$79,865	2986	2900
58	Greene County	$338,063	$103,890	-2.7%	$347,281	$1.21 million	2988	1555
59	Lincoln County	$52,534	$103,031	-4.6%	$55,078	$151,976	2996	2681
60	Jefferson County	$455,467	$102,626	-3.6%	$472,511	$1.38 million	3003	1301
61	Cleburne County	$152,813	$102,155	-20.0%	$191,034	$637,856	3006	2122
62	Polk County	$89,803	$98,919	-35.7%	$139,724	$518,200	3030	2449
63	Perry County	$17,565	$98,625	-34.1%	$26,669	$99,660	3033	2934
64	Carroll County	$162,585	$98,289	-2.6%	$166,973	$474,255	3036	2084
65	St. Francis County	$105,025	$98,288	+1.8%	$103,199	$386,429	3037	2371
66	Stone County	$34,623	$98,218	-21.9%	$44,352	$172,308	3038	2806
67	Boone County	$232,987	$97,967	-15.6%	$275,970	$999,197	3040	1864
68	White County	$550,600	$97,850	+0.5%	$547,881	$1.81 million	3041	1150
69	Marion County	$65,038	$96,404	+0.2%	$64,934	$216,438	3048	2595
70	Drew County	$59,324	$95,988	-37.0%	$94,212	$386,079	3051	2633
71	Ashley County	$63,750	$95,635	-18.2%	$77,979	$270,818	3052	2600
72	Van Buren County	$50,650	$95,341	-10.4%	$56,527	$188,072	3053	2694
73	Baxter County	$250,273	$95,268	-17.9%	$304,668	$1.13 million	3055	1800
74	Saline County	$907,013	$93,871	-4.6%	$950,820	$3.44 million	3065	824
75	Sharp County	$45,341	$90,542	-58.5%	$109,286	$465,554	3075	2727

C

California Spend Data

Total spend: $675.0 million
Spend per 10k adults: $217,492
National rank (per-capita): #13
National rank (total): #1
Change vs FY2025: +7.2%
Cities in dataset: 5
Counties in dataset: 58

Cities in California (5)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Los Angeles	$115.9 million	$369,431	+6.0%	$109.3 million	$312.2 million	2
2	San Diego	$34.22 million	$305,897	-1.2%	$34.65 million	$102.4 million	11
3	San Francisco	$22.09 million	$318,381	+1.2%	$21.83 million	$67.78 million	19
4	San Jose	$19.39 million	$239,866	-2.8%	$19.95 million	$58.00 million	27
5	Fresno	$8.64 million	$207,748	+5.4%	$8.20 million	$24.16 million	52

Counties in California (58)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Plumas County	$1.25 million	$448,000	+49.1%	$841,586	$1.85 million	10	651
2	Siskiyou County	$1.86 million	$411,473	+38.9%	$1.34 million	$2.95 million	14	487
3	Colusa County	$802,237	$317,257	+29.9%	$617,730	$1.45 million	51	897
4	San Francisco County	$20.52 million	$312,766	-3.5%	$21.25 million	$66.81 million	54	44
5	Calaveras County	$1.36 million	$308,549	+34.5%	$1.01 million	$2.25 million	58	616
6	Lake County	$1.85 million	$305,151	+33.5%	$1.39 million	$3.22 million	66	489
7	Glenn County	$742,406	$272,383	+27.2%	$583,726	$1.39 million	152	945
8	Sacramento County	$34.49 million	$270,520	+9.5%	$31.50 million	$88.74 million	161	20
9	Tuolumne County	$1.24 million	$266,422	+29.5%	$954,930	$2.34 million	184	660
10	Los Angeles County	$200.0 million	$262,789	+4.6%	$191.2 million	$525.8 million	204	1
11	Imperial County	$3.69 million	$253,181	+15.8%	$3.19 million	$8.11 million	268	260
12	San Diego County	$64.40 million	$249,767	+8.9%	$59.17 million	$169.7 million	298	7
13	Inyo County	$397,031	$239,755	+24.7%	$318,499	$743,774	375	1416
14	Santa Clara County	$35.23 million	$234,250	+2.9%	$34.24 million	$90.76 million	432	18
15	Mendocino County	$1.62 million	$230,107	+20.4%	$1.35 million	$3.26 million	491	536
16	Merced County	$5.39 million	$229,747	+15.1%	$4.68 million	$12.91 million	497	191
17	Madera County	$3.03 million	$228,138	+20.5%	$2.52 million	$6.55 million	517	319
18	Mono County	$244,405	$226,913	+5.4%	$231,790	$691,375	531	1816
19	Stanislaus County	$9.68 million	$221,139	+12.5%	$8.61 million	$23.89 million	611	103
20	Shasta County	$3.14 million	$220,132	+15.5%	$2.72 million	$6.93 million	630	309
21	Tulare County	$8.20 million	$215,724	+11.1%	$7.38 million	$20.54 million	709	127
22	Alpine County	$6,580	$214,427	+22.2%	$5,384	$13,184	727	3020
23	Sonoma County	$8.07 million	$211,787	+4.6%	$7.71 million	$21.19 million	771	130
24	Sutter County	$1.62 million	$211,545	+13.1%	$1.43 million	$3.99 million	776	537
25	Del Norte County	$407,194	$208,855	+13.5%	$358,737	$958,990	824	1382
26	Kern County	$14.89 million	$205,217	+10.8%	$13.44 million	$37.28 million	883	57
27	Riverside County	$40.92 million	$205,134	+9.4%	$37.40 million	$105.0 million	885	14
28	Sierra County	$7,081	$202,531	+13.6%	$6,234	$16,650	930	3013
29	San Benito County	$1.05 million	$199,959	+6.2%	$988,934	$2.92 million	976	743
30	Orange County	$49.29 million	$199,667	+13.7%	$43.37 million	$118.2 million	987	11
31	San Bernardino County	$34.61 million	$198,608	+4.6%	$33.07 million	$97.99 million	1013	19
32	Yolo County	$3.39 million	$195,757	+6.4%	$3.18 million	$8.56 million	1102	282
33	Humboldt County	$1.95 million	$194,746	+4.7%	$1.86 million	$5.60 million	1131	463
34	Modoc County	$46,236	$188,672	+3.9%	$44,488	$129,682	1327	2721
35	Solano County	$6.30 million	$179,271	+3.2%	$6.11 million	$17.51 million	1592	163
36	Mariposa County	$131,388	$178,403	+8.6%	$120,996	$395,442	1624	2235
37	Yuba County	$1.13 million	$177,491	+5.5%	$1.07 million	$3.19 million	1651	707
38	Tehama County	$784,501	$176,425	+3.7%	$756,577	$2.03 million	1685	912
39	Alameda County	$22.54 million	$176,412	+14.4%	$19.71 million	$53.54 million	1687	37
40	Fresno County	$14.03 million	$174,090	+4.0%	$13.48 million	$38.31 million	1744	61
41	Ventura County	$11.19 million	$173,543	+3.4%	$10.82 million	$31.14 million	1760	87
42	Lassen County	$264,636	$173,533	+12.4%	$235,474	$629,292	1762	1759
43	Monterey County	$5.68 million	$170,733	+11.8%	$5.08 million	$14.43 million	1824	180
44	Kings County	$1.92 million	$169,535	+5.8%	$1.82 million	$5.52 million	1851	469
45	Santa Barbara County	$5.72 million	$168,787	+4.7%	$5.47 million	$16.15 million	1871	179
46	Trinity County	$75,640	$168,293	+12.6%	$67,157	$239,166	1883	2532
47	San Luis Obispo County	$3.59 million	$167,837	+10.5%	$3.24 million	$9.12 million	1902	268
48	Butte County	$2.54 million	$163,385	-0.8%	$2.56 million	$8.06 million	2034	373
49	Napa County	$1.45 million	$155,139	-1.7%	$1.48 million	$4.79 million	2239	585
50	Amador County	$334,277	$153,612	+2.8%	$325,016	$818,271	2279	1568
51	El Dorado County	$2.14 million	$153,213	+17.3%	$1.82 million	$4.93 million	2290	428
52	Santa Cruz County	$2.92 million	$152,522	+5.5%	$2.77 million	$8.41 million	2307	330
53	San Joaquin County	$9.58 million	$150,977	+3.3%	$9.28 million	$26.76 million	2339	108
54	Contra Costa County	$12.51 million	$138,538	+7.9%	$11.59 million	$34.05 million	2568	71
55	Nevada County	$891,394	$137,937	+4.2%	$855,754	$2.51 million	2582	831
56	San Mateo County	$7.58 million	$133,683	+4.6%	$7.25 million	$20.30 million	2632	141
57	Placer County	$4.29 million	$130,223	+4.7%	$4.09 million	$12.12 million	2669	227
58	Marin County	$2.01 million	$114,606	+4.4%	$1.92 million	$5.69 million	2860	448

Colorado Spend Data

Total spend: $110.8 million
Spend per 10k adults: $247,984
National rank (per-capita): #3
National rank (total): #17
Change vs FY2025: +8.7%
Cities in dataset: 5
Counties in dataset: 64

Cities in Colorado (5)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Denver	$36.28 million	$642,842	-1.4%	$36.79 million	$113.2 million	9
2	Colorado Springs	$10.01 million	$263,712	+8.7%	$9.21 million	$25.57 million	48
3	Aurora	$6.30 million	$214,564	-0.4%	$6.32 million	$19.51 million	59
4	Lakewood	$3.55 million	$288,794	-2.4%	$3.64 million	$11.32 million	95
5	Fort Collins	$2.75 million	$208,979	-1.5%	$2.79 million	$8.15 million	110

Counties in Colorado (64)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Denver County	$32.84 million	$550,930	+5.9%	$31.01 million	$91.71 million	4	23
2	Morgan County	$1.20 million	$363,366	+29.4%	$927,932	$2.29 million	21	676
3	Phillips County	$360,361	$328,845	+51.0%	$238,573	$485,949	40	1505
4	Huerfano County	$314,848	$293,424	+40.0%	$224,855	$473,911	86	1620
5	Washington County	$240,945	$286,262	+49.3%	$161,379	$323,017	102	1831
6	Adams County	$12.15 million	$276,607	+11.8%	$10.86 million	$30.16 million	135	75
7	Archuleta County	$398,115	$270,815	+39.8%	$284,835	$560,304	157	1414
8	Broomfield County	$1.75 million	$268,054	+5.7%	$1.66 million	$4.85 million	173	515
9	Eagle County	$1.21 million	$266,010	+19.2%	$1.02 million	$2.74 million	186	669
10	Grand County	$401,140	$259,701	+26.4%	$317,379	$775,219	225	1402
11	Cheyenne County	$97,791	$258,932	+46.6%	$66,703	$135,217	230	2409
12	Sedgwick County	$80,433	$248,853	+41.7%	$56,752	$126,380	302	2503
13	Alamosa County	$308,952	$235,262	+21.4%	$254,442	$627,179	417	1638
14	Gilpin County	$105,746	$232,913	+6.8%	$98,979	$318,525	445	2367
15	Jackson County	$15,806	$232,514	+22.4%	$12,910	$29,727	450	2949
16	Hinsdale County	$7,244	$232,434	+22.4%	$5,917	$13,828	452	3012
17	Summit County	$567,506	$232,284	+6.0%	$535,242	$1.50 million	458	1127
18	Lake County	$130,065	$232,073	+22.7%	$105,972	$265,523	461	2243
19	San Juan County	$6,729	$231,835	+4.2%	$6,455	$14,182	463	3018
20	Mineral County	$6,395	$231,057	-0.9%	$6,455	$15,794	473	3022
21	Kiowa County	$12,942	$230,122	+4.6%	$12,372	$28,812	490	2975
22	San Miguel County	$124,946	$229,353	+5.3%	$118,614	$484,470	503	2261
23	Lincoln County	$79,784	$226,996	+25.7%	$63,476	$148,980	528	2512
24	Dolores County	$16,282	$224,549	+34.5%	$12,103	$24,914	557	2942
25	Kit Carson County	$95,883	$224,082	+5.8%	$90,641	$265,699	563	2420
26	Gunnison County	$275,886	$223,497	+17.1%	$235,614	$639,665	574	1721
27	Clear Creek County	$126,195	$223,016	+23.8%	$101,938	$260,964	581	2255
28	Ouray County	$55,784	$221,317	+4.2%	$53,524	$146,017	608	2659
29	Las Animas County	$212,976	$220,978	+21.1%	$175,904	$447,905	613	1923
30	Prowers County	$166,621	$220,166	+20.5%	$138,248	$381,111	627	2067
31	Baca County	$17,855	$219,716	-21.0%	$22,593	$82,723	642	2930
32	Bent County	$56,814	$219,101	+2.0%	$55,676	$163,102	654	2656
33	Rio Blanco County	$72,732	$218,882	+26.4%	$57,559	$150,366	656	2550
34	Chaffee County	$313,014	$218,248	+23.0%	$254,442	$620,494	662	1625
35	Delta County	$503,522	$217,510	+25.1%	$402,373	$925,230	674	1226
36	Costilla County	$11,786	$215,661	+4.3%	$11,297	$32,415	710	2979
37	Conejos County	$72,545	$214,300	+18.3%	$61,324	$166,003	729	2552
38	Rio Grande County	$130,479	$213,757	+22.2%	$106,779	$252,128	738	2239
39	Routt County	$367,459	$213,351	+21.0%	$303,662	$782,774	746	1481
40	Saguache County	$54,866	$212,940	+28.3%	$42,766	$102,897	752	2665
41	Custer County	$27,825	$210,339	+16.2%	$23,938	$63,485	793	2854
42	Logan County	$271,258	$209,121	+4.7%	$259,014	$729,358	814	1737
43	Pitkin County	$197,878	$207,268	+7.7%	$183,704	$573,884	850	1972
44	Pueblo County	$2.64 million	$204,953	+5.0%	$2.52 million	$7.11 million	888	359
45	Crowley County	$10,324	$204,168	+3.7%	$9,952	$28,279	900	2991
46	Montezuma County	$340,757	$202,896	+22.3%	$278,648	$753,968	924	1549
47	Arapahoe County	$10.62 million	$202,456	+6.4%	$9.98 million	$29.98 million	932	97
48	Yuma County	$63,718	$199,994	-37.7%	$102,207	$396,775	974	2601
49	Moffat County	$113,807	$199,843	-5.8%	$120,766	$403,862	982	2326
50	Garfield County	$896,079	$198,892	+4.4%	$858,000	$2.40 million	1004	829
51	Weld County	$5.77 million	$197,763	+9.0%	$5.30 million	$15.37 million	1038	176
52	Otero County	$173,577	$196,917	-15.6%	$205,759	$692,689	1062	2043
53	El Paso County	$11.48 million	$194,964	+11.4%	$10.30 million	$28.51 million	1122	83
54	La Plata County	$677,269	$182,497	+4.1%	$650,897	$1.72 million	1503	1009
55	Park County	$97,247	$175,711	+1.0%	$96,290	$264,420	1704	2413
56	Teller County	$177,980	$173,939	+10.7%	$160,841	$596,077	1746	2027
57	Elbert County	$252,824	$173,141	+23.4%	$204,952	$488,327	1772	1791
58	Jefferson County	$7.49 million	$168,200	+6.8%	$7.01 million	$20.07 million	1888	142
59	Larimer County	$4.74 million	$166,101	+8.0%	$4.39 million	$12.79 million	1952	213
60	Mesa County	$1.92 million	$164,668	+9.1%	$1.76 million	$5.05 million	1997	471
61	Boulder County	$3.94 million	$160,573	+13.0%	$3.49 million	$9.87 million	2114	250
62	Fremont County	$432,880	$160,173	+4.0%	$416,359	$1.13 million	2122	1336
63	Montrose County	$240,414	$139,915	-31.8%	$352,345	$1.48 million	2540	1834
64	Douglas County	$3.28 million	$114,680	+5.1%	$3.12 million	$8.65 million	2859	291

Connecticut Spend Data

Total spend: $55.50 million
Spend per 10k adults: $196,164
National rank (per-capita): #28
National rank (total): #28
Change vs FY2025: +11.3%
Cities in dataset: 5
Counties in dataset: 8

Cities in Connecticut (5)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Hartford	$3.91 million	$412,148	+9.6%	$3.57 million	$9.88 million	84
2	Waterbury	$2.75 million	$306,315	+20.6%	$2.28 million	$6.10 million	111
3	New Haven	$2.70 million	$256,750	-6.0%	$2.87 million	$8.92 million	114
4	Bridgeport	$2.61 million	$223,607	+22.4%	$2.13 million	$5.85 million	118
5	Stamford	$1.72 million	$161,408	+9.3%	$1.57 million	$4.12 million	147

Counties in Connecticut (8)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Middlesex County	$3.62 million	$264,008	+24.0%	$2.92 million	$7.69 million	195	264
2	Hartford County	$18.22 million	$257,127	+12.2%	$16.23 million	$46.13 million	246	47
3	Windham County	$1.94 million	$209,299	+5.2%	$1.84 million	$4.98 million	810	467
4	Litchfield County	$3.03 million	$208,858	+17.8%	$2.57 million	$6.93 million	823	318
5	New Haven County	$12.14 million	$180,496	+6.2%	$11.43 million	$32.55 million	1565	76
6	New London County	$3.59 million	$172,307	+7.1%	$3.35 million	$10.01 million	1790	267
7	Tolland County	$1.85 million	$162,476	+6.3%	$1.74 million	$4.89 million	2057	490
8	Fairfield County	$11.12 million	$149,330	+13.8%	$9.78 million	$28.19 million	2376	89

D

Delaware Spend Data

Total spend: $13.56 million
Spend per 10k adults: $178,689
National rank (per-capita): #37
National rank (total): #47
Change vs FY2025: +10.8%
Cities in dataset: 0
Counties in dataset: 3

No city-level data available for this state — county data only.

Counties in Delaware (3)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	New Castle County	$8.05 million	$173,827	+12.7%	$7.14 million	$20.71 million	1749	131
2	Kent County	$2.48 million	$162,271	+10.2%	$2.25 million	$7.23 million	2065	382
3	Sussex County	$3.03 million	$142,048	+6.4%	$2.85 million	$8.17 million	2505	317

F

Florida Spend Data

Total spend: $325.4 million
Spend per 10k adults: $192,576
National rank (per-capita): #30
National rank (total): #4
Change vs FY2025: +11.2%
Cities in dataset: 5
Counties in dataset: 67

Cities in Florida (5)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Miami	$27.19 million	$740,575	-0.3%	$27.28 million	$84.55 million	15
2	Orlando	$22.70 million	$940,796	+0.5%	$22.59 million	$70.12 million	18
3	Jacksonville	$18.28 million	$245,376	+7.1%	$17.07 million	$47.51 million	29
4	Tampa	$15.61 million	$516,688	-2.8%	$16.05 million	$48.09 million	31
5	St. Petersburg	$3.40 million	$167,800	+0.0%	$3.40 million	$10.60 million	99

Counties in Florida (67)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Hamilton County	$641,952	$296,002	+49.4%	$429,544	$800,462	78	1044
2	Orange County	$34.49 million	$285,276	+8.2%	$31.88 million	$94.41 million	106	21
3	Duval County	$20.53 million	$244,086	+19.5%	$17.19 million	$47.54 million	339	43
4	Hillsborough County	$30.14 million	$242,604	+7.5%	$28.03 million	$82.77 million	354	25
5	Gadsden County	$917,238	$226,442	+43.9%	$637,331	$1.45 million	536	818
6	Monroe County	$1.53 million	$223,212	+6.6%	$1.43 million	$4.08 million	579	557
7	Miami-Dade County	$48.47 million	$219,954	+7.7%	$45.01 million	$130.6 million	634	12
8	Hendry County	$863,424	$207,021	+33.0%	$648,972	$1.60 million	856	846
9	Putnam County	$1.26 million	$197,322	+33.8%	$939,991	$2.31 million	1044	650
10	Levy County	$778,202	$193,147	+5.3%	$739,188	$1.84 million	1191	919
11	Lee County	$13.00 million	$188,787	+22.4%	$10.63 million	$29.05 million	1321	67
12	Hardee County	$406,226	$186,777	+21.2%	$335,254	$917,754	1389	1387
13	Okeechobee County	$637,617	$184,600	+6.4%	$599,499	$1.70 million	1451	1046
14	Walton County	$1.34 million	$181,902	+23.2%	$1.09 million	$2.74 million	1527	620
15	Osceola County	$6.77 million	$178,926	+7.6%	$6.29 million	$18.76 million	1604	153
16	Hernando County	$2.98 million	$171,984	+9.4%	$2.72 million	$8.26 million	1798	324
17	Escambia County	$4.36 million	$167,536	+8.8%	$4.01 million	$12.14 million	1915	223
18	Gilchrist County	$241,775	$166,757	+2.7%	$235,434	$660,587	1931	1828
19	Marion County	$5.75 million	$166,265	+19.5%	$4.81 million	$13.29 million	1949	178
20	Bay County	$2.64 million	$166,228	+8.5%	$2.43 million	$7.42 million	1950	360
21	Calhoun County	$144,489	$165,911	+13.6%	$127,175	$446,415	1958	2163
22	Volusia County	$7.79 million	$164,275	+13.0%	$6.89 million	$20.02 million	2008	138
23	Martin County	$2.10 million	$163,594	+17.1%	$1.79 million	$5.02 million	2023	437
24	Polk County	$11.19 million	$163,504	+15.9%	$9.66 million	$27.39 million	2028	88
25	Taylor County	$236,026	$163,214	+6.6%	$221,465	$518,739	2038	1852
26	Highlands County	$1.39 million	$163,162	+15.9%	$1.20 million	$3.44 million	2041	608
27	Madison County	$202,858	$162,779	+17.9%	$171,992	$481,411	2053	1963
28	Seminole County	$6.20 million	$161,692	+13.3%	$5.47 million	$15.83 million	2080	165
29	Jackson County	$579,845	$160,127	+27.2%	$455,736	$1.07 million	2125	1108
30	Jefferson County	$148,900	$157,927	+38.7%	$107,386	$244,583	2178	2142
31	Union County	$151,798	$157,897	+10.7%	$137,070	$440,204	2180	2129
32	Brevard County	$8.17 million	$157,865	+13.1%	$7.23 million	$21.12 million	2181	128
33	Pasco County	$8.29 million	$157,595	+14.7%	$7.23 million	$20.79 million	2184	126
34	St. Lucie County	$4.90 million	$156,826	+18.4%	$4.14 million	$11.43 million	2206	208
35	Lafayette County	$54,032	$156,277	+6.7%	$50,637	$112,943	2215	2670
36	Sarasota County	$5.81 million	$155,766	+7.7%	$5.40 million	$16.04 million	2226	175
37	Alachua County	$3.45 million	$154,125	+8.6%	$3.18 million	$9.64 million	2264	279
38	Columbia County	$831,989	$153,581	+7.1%	$777,020	$2.32 million	2281	876
39	Pinellas County	$11.34 million	$153,181	+9.1%	$10.40 million	$31.63 million	2292	84
40	Gulf County	$126,810	$152,428	+9.5%	$115,825	$362,192	2309	2253
41	Leon County	$3.48 million	$151,336	+8.0%	$3.23 million	$9.63 million	2333	277
42	Okaloosa County	$2.54 million	$149,829	+1.6%	$2.50 million	$8.13 million	2364	374
43	Suwannee County	$493,133	$149,483	+6.6%	$462,720	$1.28 million	2369	1249
44	Franklin County	$74,049	$147,511	+9.2%	$67,807	$207,150	2406	2542
45	Clay County	$2.68 million	$146,968	+7.9%	$2.49 million	$7.28 million	2414	356
46	DeSoto County	$344,462	$146,081	+10.6%	$311,390	$984,043	2429	1539
47	Liberty County	$0	$142,519	-100.0%	$22,699	$123,584	2494	3082
48	Indian River County	$1.84 million	$142,325	+9.2%	$1.68 million	$5.13 million	2497	495
49	Manatee County	$5.12 million	$141,834	+7.8%	$4.75 million	$14.21 million	2507	200
50	Holmes County	$131,467	$141,649	+8.1%	$121,646	$372,643	2511	2234
51	Baker County	$238,239	$141,622	+7.9%	$220,883	$664,255	2512	1847
52	Lake County	$4.95 million	$140,873	+15.6%	$4.28 million	$11.92 million	2525	205
53	Santa Rosa County	$2.22 million	$139,954	+10.3%	$2.01 million	$6.32 million	2537	415
54	Bradford County	$214,232	$139,947	+6.7%	$200,803	$581,125	2538	1920
55	Dixie County	$101,442	$139,938	+27.2%	$79,739	$210,093	2539	2393
56	Wakulla County	$283,487	$133,146	+6.1%	$267,155	$815,563	2635	1700
57	Glades County	$23,689	$133,004	-22.5%	$30,557	$107,571	2637	2885
58	Palm Beach County	$16.05 million	$130,778	+12.9%	$14.21 million	$40.58 million	2663	55
59	Collier County	$4.06 million	$127,865	+7.7%	$3.77 million	$11.11 million	2709	245
60	Nassau County	$942,290	$127,713	+8.7%	$867,236	$2.98 million	2713	806
61	Flagler County	$1.25 million	$125,716	+11.6%	$1.12 million	$3.59 million	2737	654
62	Broward County	$19.58 million	$124,800	+8.6%	$18.03 million	$54.76 million	2745	45
63	St. Johns County	$3.24 million	$124,181	+16.9%	$2.77 million	$7.78 million	2749	298
64	Washington County	$116,848	$123,053	+14.7%	$101,857	$353,564	2761	2304
65	Citrus County	$1.50 million	$121,978	+12.2%	$1.34 million	$4.39 million	2768	569
66	Charlotte County	$1.93 million	$121,676	+8.0%	$1.79 million	$5.25 million	2773	468
67	Sumter County	$1.20 million	$110,959	+17.9%	$1.02 million	$2.85 million	2905	675

G

Georgia Spend Data

Total spend: $177.5 million
Spend per 10k adults: $211,180
National rank (per-capita): #22
National rank (total): #8
Change vs FY2025: +10.7%
Cities in dataset: 5
Counties in dataset: 158

Cities in Georgia (5)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Atlanta	$42.65 million	$1,091,381	+5.8%	$40.32 million	$116.6 million	5
2	Savannah	$5.68 million	$491,325	+17.5%	$4.83 million	$11.89 million	66
3	Sandy Springs	$2.81 million	$330,771	-1.4%	$2.85 million	$9.12 million	108
4	Augusta	$2.51 million	$159,315	-2.5%	$2.58 million	$7.86 million	120
5	Columbus	$2.43 million	$154,708	-0.4%	$2.44 million	$7.58 million	127

Counties in Georgia (158)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Fulton County	$49.96 million	$568,396	+9.4%	$45.69 million	$130.2 million	3	10
2	Peach County	$1.77 million	$462,853	+10.6%	$1.60 million	$4.50 million	9	509
3	Franklin County	$1.05 million	$338,228	+37.3%	$763,102	$1.32 million	34	744
4	Clinch County	$463,484	$313,857	+49.7%	$309,555	$596,671	53	1290
5	Chatham County	$7.82 million	$308,183	+24.7%	$6.27 million	$15.57 million	59	133
6	Baldwin County	$1.17 million	$279,842	+32.3%	$886,108	$1.91 million	122	687
7	Hancock County	$392,728	$278,757	+47.3%	$266,707	$529,741	126	1427
8	Terrell County	$374,227	$273,330	+45.4%	$257,379	$500,788	145	1468
9	Chattahoochee County	$356,976	$269,320	+3.1%	$346,282	$969,877	167	1515
10	McIntosh County	$424,960	$267,500	+44.8%	$293,523	$569,767	177	1349
11	Putnam County	$626,775	$257,593	+38.9%	$451,216	$936,148	241	1063
12	Grady County	$662,855	$252,941	+43.0%	$463,458	$1.01 million	269	1019
13	Bryan County	$1.17 million	$252,935	+20.7%	$967,724	$2.53 million	270	689
14	Wilkes County	$324,017	$252,806	+35.4%	$239,308	$556,725	273	1592
15	Randolph County	$254,722	$252,106	+43.7%	$177,222	$391,380	279	1787
16	Candler County	$355,539	$251,983	+25.0%	$284,487	$714,375	283	1517
17	Stewart County	$210,129	$247,277	+50.5%	$139,620	$272,680	313	1936
18	Gordon County	$1.26 million	$239,353	+20.2%	$1.05 million	$2.82 million	378	648
19	Evans County	$303,055	$238,329	+45.6%	$208,119	$355,066	384	1651
20	Hart County	$617,300	$235,237	+33.2%	$463,458	$1.14 million	418	1072
21	Appling County	$401,787	$225,661	+20.1%	$334,622	$862,881	547	1401
22	Washington County	$383,086	$219,646	+34.8%	$284,196	$651,885	645	1451
23	Sumter County	$531,521	$217,054	+33.3%	$398,749	$902,960	685	1178
24	Early County	$215,525	$216,018	+38.2%	$155,943	$337,764	704	1917
25	Bacon County	$221,574	$214,762	+22.0%	$181,594	$459,792	720	1896
26	Walton County	$1.92 million	$213,844	+14.0%	$1.69 million	$4.55 million	735	470
27	Liberty County	$1.19 million	$211,627	-0.3%	$1.20 million	$3.76 million	774	677
28	Pulaski County	$190,736	$210,172	+28.3%	$148,656	$353,538	797	1995
29	Habersham County	$843,255	$208,485	+22.6%	$687,900	$1.85 million	830	865
30	Greene County	$363,026	$207,305	+29.9%	$279,532	$644,604	849	1495
31	Pierce County	$350,937	$206,773	+31.9%	$266,124	$648,126	860	1528
32	Upson County	$472,512	$205,963	+4.8%	$450,924	$1.14 million	872	1279
33	Effingham County	$1.21 million	$204,888	+23.8%	$973,553	$2.55 million	890	671
34	Bleckley County	$207,641	$202,593	+24.8%	$166,437	$442,361	929	1948
35	Cook County	$290,959	$202,106	+11.3%	$261,460	$714,486	936	1679
36	Elbert County	$318,416	$201,700	+24.1%	$256,505	$614,034	943	1611
37	Jackson County	$1.56 million	$200,543	+13.4%	$1.38 million	$3.75 million	961	547
38	Laurens County	$800,694	$200,518	+19.4%	$670,411	$1.75 million	962	900
39	Berrien County	$293,684	$200,068	+21.7%	$241,348	$638,627	972	1672
40	Dooly County	$170,610	$199,779	+25.6%	$135,831	$341,387	983	2058
41	Lamar County	$321,602	$199,221	+13.3%	$283,904	$768,201	998	1601
42	Seminole County	$136,671	$198,972	+21.8%	$112,221	$288,522	1002	2206
43	Heard County	$181,692	$198,526	+32.3%	$137,288	$333,648	1018	2016
44	Haralson County	$500,187	$197,121	+2.9%	$486,194	$1.33 million	1051	1235
45	Jeff Davis County	$224,099	$197,106	+4.5%	$214,531	$637,358	1052	1888
46	Miller County	$71,804	$194,893	+31.7%	$54,507	$111,485	1125	2557
47	Baker County	$23,231	$194,410	+42.3%	$16,323	$30,394	1140	2890
48	Taliaferro County	$6,194	$194,111	-18.3%	$7,579	$30,152	1151	3024
49	Atkinson County	$108,378	$193,728	-8.9%	$118,925	$403,466	1170	2351
50	Towns County	$176,878	$192,385	+23.8%	$142,827	$371,621	1216	2033
51	Troup County	$1.07 million	$191,541	+12.1%	$953,149	$2.72 million	1236	734
52	Webster County	$8,094	$190,951	+6.8%	$7,579	$22,783	1251	3004
53	Wilkinson County	$99,576	$190,158	+13.1%	$88,028	$243,347	1282	2402
54	Harris County	$520,422	$189,021	+28.8%	$403,995	$956,521	1315	1197
55	Dodge County	$259,138	$189,017	+27.9%	$202,581	$485,439	1317	1769
56	Tattnall County	$328,762	$188,960	+14.5%	$287,111	$766,931	1318	1581
57	Quitman County	$268	$188,776	-92.4%	$3,498	$17,363	1322	3079
58	Glascock County	$12,757	$188,550	+1.8%	$12,534	$32,637	1333	2976
59	Rockdale County	$1.42 million	$188,333	+15.4%	$1.23 million	$3.42 million	1340	595
60	Wilcox County	$95,402	$188,238	+0.1%	$95,315	$250,750	1347	2425
61	Bartow County	$1.75 million	$188,004	+17.5%	$1.49 million	$4.00 million	1352	517
62	Clay County	$5,115	$187,553	-23.7%	$6,704	$26,374	1362	3035
63	Warren County	$41,174	$187,538	+6.2%	$38,767	$118,121	1363	2761
64	Treutlen County	$58,444	$187,429	+15.9%	$50,427	$134,007	1366	2642
65	Screven County	$174,200	$187,150	+4.8%	$166,145	$501,357	1377	2039
66	Whitfield County	$1.52 million	$186,905	+5.7%	$1.44 million	$4.39 million	1386	560
67	Schley County	$26,519	$185,957	+7.0%	$24,776	$83,796	1412	2865
68	Clarke County	$1.85 million	$185,802	+5.3%	$1.76 million	$5.29 million	1420	488
69	Jefferson County	$177,070	$185,575	+26.3%	$140,203	$351,787	1424	2032
70	Brantley County	$232,293	$185,109	+19.3%	$194,711	$519,389	1439	1868
71	Ben Hill County	$203,336	$184,533	+7.7%	$188,881	$553,619	1456	1962
72	Crisp County	$234,018	$184,469	+20.2%	$194,711	$501,967	1457	1861
73	Marion County	$66,235	$184,324	+6.2%	$62,377	$201,126	1463	2584
74	Echols County	$3,374	$182,561	+5.2%	$3,206	$9,466	1500	3055
75	Turner County	$78,482	$182,326	+4.8%	$74,911	$220,202	1511	2520
76	Richmond County	$2.90 million	$182,325	+4.8%	$2.77 million	$8.34 million	1512	331
77	Gilmer County	$434,681	$182,296	+14.0%	$381,260	$1.08 million	1513	1331
78	Montgomery County	$72,423	$181,998	+24.9%	$58,005	$136,661	1521	2553
79	Butts County	$335,485	$181,517	+10.6%	$303,434	$875,991	1539	1564
80	Bulloch County	$1.16 million	$179,072	+5.6%	$1.10 million	$3.35 million	1599	690
81	Wheeler County	$47,138	$178,867	-0.2%	$47,220	$120,338	1606	2715
82	Calhoun County	$16,368	$178,701	+14.6%	$14,283	$56,068	1614	2941
83	Lanier County	$89,168	$178,628	+29.1%	$69,081	$175,198	1616	2457
84	Lincoln County	$53,586	$178,507	-7.2%	$57,714	$194,951	1621	2673
85	Jenkins County	$62,870	$178,223	+22.6%	$51,301	$121,024	1634	2608
86	Charlton County	$121,397	$177,866	+4.1%	$116,593	$342,969	1646	2276
87	Twiggs County	$41,624	$177,031	+3.5%	$40,225	$117,091	1660	2757
88	McDuffie County	$236,568	$177,006	+7.6%	$219,778	$699,347	1662	1849
89	Taylor County	$43,059	$176,528	+7.0%	$40,225	$147,052	1680	2745
90	White County	$347,259	$176,469	+8.2%	$320,923	$1.22 million	1684	1535
91	Toombs County	$310,865	$175,394	+0.8%	$308,389	$835,728	1710	1633
92	Glynn County	$1.13 million	$174,554	+8.5%	$1.04 million	$3.01 million	1737	705
93	Rabun County	$171,573	$174,225	+8.6%	$157,984	$513,940	1742	2053
94	Telfair County	$79,468	$173,566	+3.3%	$76,952	$231,764	1759	2515
95	Burke County	$256,182	$172,856	+21.2%	$211,325	$541,590	1779	1779
96	Talbot County	$0	$172,019	-100.0%	$6,413	$55,837	1796	3082
97	Wayne County	$361,322	$172,015	+6.8%	$338,412	$1.06 million	1797	1501
98	Morgan County	$218,715	$171,457	+12.5%	$194,419	$534,788	1809	1905
99	Carroll County	$1.68 million	$171,141	+4.4%	$1.61 million	$4.81 million	1813	527
100	Mitchell County	$192,591	$170,461	+24.4%	$154,777	$404,569	1831	1987
101	Irwin County	$37,671	$169,911	-21.7%	$48,095	$175,516	1841	2784
102	Polk County	$522,069	$169,571	+9.3%	$477,449	$1.37 million	1847	1191
103	Johnson County	$39,413	$169,275	+5.6%	$37,310	$122,181	1857	2772
104	Thomas County	$526,627	$168,484	+9.5%	$480,947	$1.37 million	1879	1182
105	Dougherty County	$1.01 million	$168,457	+16.2%	$865,704	$2.36 million	1881	763
106	Camden County	$707,966	$168,381	-2.5%	$725,793	$2.31 million	1882	979
107	Dawson County	$378,989	$168,079	+4.5%	$362,605	$1.09 million	1894	1456
108	Macon County	$66,051	$167,626	+6.9%	$61,794	$198,121	1909	2589
109	Meriwether County	$192,347	$167,149	+2.9%	$186,841	$532,716	1924	1988
110	Lumpkin County	$383,096	$166,867	+13.9%	$336,371	$957,161	1929	1450
111	Bibb County	$1.96 million	$165,922	+4.3%	$1.88 million	$5.60 million	1956	461
112	Oglethorpe County	$116,222	$164,788	+2.2%	$113,678	$317,770	1991	2309
113	Tift County	$443,193	$163,592	+5.3%	$420,901	$1.27 million	2024	1320
114	Barrow County	$1.18 million	$163,454	+4.6%	$1.13 million	$3.43 million	2031	684
115	Muscogee County	$2.49 million	$163,246	+1.8%	$2.45 million	$7.68 million	2036	380
116	Emanuel County	$195,524	$163,045	+3.5%	$188,881	$461,786	2043	1980
117	Pickens County	$374,477	$162,973	+4.3%	$359,107	$1.07 million	2045	1467
118	Murray County	$420,423	$161,133	+7.6%	$390,587	$1.34 million	2100	1356
119	Chattooga County	$211,712	$160,581	-0.6%	$213,074	$684,885	2113	1930
120	Jasper County	$114,763	$160,495	+1.0%	$113,678	$306,140	2115	2320
121	Union County	$241,963	$160,166	+19.8%	$201,998	$508,598	2123	1827
122	Ware County	$353,966	$159,861	+5.2%	$336,371	$1.03 million	2135	1521
123	Dade County	$92,216	$159,485	-28.1%	$128,253	$498,444	2142	2437
124	Crawford County	$40,319	$158,785	+8.9%	$37,018	$104,738	2153	2766
125	Houston County	$2.10 million	$158,507	+4.2%	$2.02 million	$5.97 million	2162	435
126	DeKalb County	$9.51 million	$158,452	+12.6%	$8.45 million	$23.28 million	2163	110
127	Fannin County	$210,609	$158,155	+6.7%	$197,334	$610,318	2173	1935
128	Clayton County	$3.55 million	$156,947	+10.9%	$3.20 million	$8.80 million	2203	273
129	Decatur County	$245,022	$156,779	+24.3%	$197,042	$455,146	2207	1813
130	Stephens County	$222,114	$156,051	+9.2%	$203,455	$576,915	2220	1892
131	Monroe County	$267,393	$154,928	-1.5%	$271,371	$632,867	2243	1747
132	Brooks County	$72,154	$154,490	+3.1%	$69,956	$200,264	2253	2556
133	Worth County	$119,179	$154,265	+2.7%	$116,010	$314,175	2259	2289
134	Floyd County	$1.10 million	$153,686	+5.5%	$1.04 million	$3.24 million	2275	720
135	Cobb County	$9.44 million	$153,665	+10.6%	$8.53 million	$24.54 million	2276	111
136	Colquitt County	$431,487	$151,257	+4.4%	$413,323	$1.24 million	2334	1339
137	Long County	$122,928	$150,928	-8.7%	$134,665	$467,249	2342	2271
138	Coweta County	$1.76 million	$150,718	+5.9%	$1.66 million	$4.96 million	2347	510
139	Douglas County	$1.69 million	$150,386	+4.5%	$1.61 million	$4.81 million	2354	524
140	Hall County	$2.51 million	$149,054	+1.5%	$2.47 million	$7.67 million	2379	377
141	Coffee County	$374,109	$147,751	-0.0%	$374,264	$1.20 million	2403	1469
142	Lee County	$247,027	$146,146	+12.0%	$220,653	$608,405	2428	1808
143	Jones County	$187,234	$145,663	+0.7%	$185,966	$497,128	2438	2004
144	Madison County	$228,908	$145,442	+5.6%	$216,863	$681,404	2443	1878
145	Cherokee County	$3.24 million	$144,530	+4.3%	$3.11 million	$9.28 million	2464	296
146	Columbia County	$1.76 million	$143,942	+3.9%	$1.69 million	$4.94 million	2469	511
147	Newton County	$1.25 million	$142,770	+4.6%	$1.20 million	$3.51 million	2487	653
148	Gwinnett County	$11.23 million	$142,578	+9.2%	$10.29 million	$29.24 million	2491	86
149	Lowndes County	$1.22 million	$142,250	+1.8%	$1.20 million	$3.71 million	2499	668
150	Henry County	$2.80 million	$142,193	+4.3%	$2.68 million	$7.82 million	2501	339
151	Banks County	$79,094	$141,498	+16.5%	$67,916	$181,439	2515	2517
152	Pike County	$67,937	$139,771	+8.9%	$62,377	$238,258	2542	2578
153	Catoosa County	$572,134	$136,082	+5.5%	$542,158	$1.66 million	2604	1118
154	Walker County	$572,533	$135,315	-13.5%	$661,666	$2.33 million	2614	1117
155	Fayette County	$1.06 million	$127,768	+3.8%	$1.02 million	$2.86 million	2712	739
156	Oconee County	$235,851	$124,333	-1.7%	$239,890	$750,402	2747	1854
157	Paulding County	$1.50 million	$115,154	+9.2%	$1.37 million	$3.89 million	2852	568
158	Forsyth County	$1.55 million	$83,580	+6.0%	$1.46 million	$4.52 million	3085	551

H

Hawaii Spend Data

Total spend: $24.33 million
Spend per 10k adults: $213,075
National rank (per-capita): #20
National rank (total): #41
Change vs FY2025: +11.1%
Cities in dataset: 1
Counties in dataset: 4

Cities in Hawaii (1)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Honolulu	$10.38 million	$377,722	+9.0%	$9.52 million	$26.41 million	47

Counties in Hawaii (4)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Honolulu County	$18.77 million	$241,099	+10.2%	$17.04 million	$46.63 million	365	46
2	Kauai County	$1.27 million	$219,205	+33.5%	$951,275	$2.36 million	651	642
3	Maui County	$2.16 million	$179,387	+10.5%	$1.96 million	$5.76 million	1589	425
4	Hawaii County	$2.13 million	$141,140	+9.1%	$1.95 million	$5.50 million	2523	430

I

Idaho Spend Data

Total spend: $26.06 million
Spend per 10k adults: $174,779
National rank (per-capita): #41
National rank (total): #39
Change vs FY2025: +12.2%
Cities in dataset: 3
Counties in dataset: 44

Cities in Idaho (3)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Boise	$4.66 million	$251,889	+12.0%	$4.16 million	$12.16 million	74
2	Nampa	$1.97 million	$235,085	-4.5%	$2.06 million	$6.38 million	139
3	Meridian	$1.28 million	$141,739	+5.2%	$1.22 million	$3.50 million	160

Counties in Idaho (44)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Shoshone County	$543,431	$260,657	+35.0%	$402,672	$951,360	221	1164
2	Blaine County	$681,281	$240,103	+30.0%	$523,959	$1.29 million	372	1001
3	Bonner County	$1.08 million	$218,875	+32.3%	$815,654	$2.05 million	657	732
4	Benewah County	$317,882	$216,703	-2.7%	$326,868	$790,707	694	1612
5	Nez Perce County	$776,356	$201,283	+2.8%	$755,011	$2.15 million	949	924
6	Gooding County	$334,534	$195,154	+30.4%	$256,522	$615,881	1120	1567
7	Elmore County	$525,391	$193,437	+16.4%	$451,187	$1.86 million	1183	1185
8	Minidoka County	$410,621	$189,974	+23.7%	$332,023	$811,726	1287	1380
9	Boundary County	$246,413	$181,550	+31.1%	$187,995	$434,896	1537	1810
10	Camas County	$64,889	$181,220	+40.8%	$46,089	$90,775	1548	2596
11	Caribou County	$143,241	$179,327	+23.0%	$116,435	$285,638	1591	2173
12	Latah County	$628,290	$179,051	+6.8%	$588,241	$1.58 million	1602	1060
13	Teton County	$222,646	$177,951	+27.0%	$175,260	$385,741	1641	1890
14	Cassia County	$385,252	$173,498	+16.0%	$332,023	$851,813	1763	1446
15	Kootenai County	$2.53 million	$167,185	+12.6%	$2.24 million	$6.12 million	1923	376
16	Clark County	$18,365	$166,713	+40.9%	$13,038	$26,399	1932	2928
17	Payette County	$366,712	$165,596	+14.5%	$320,197	$841,973	1970	1484
18	Bannock County	$1.19 million	$165,213	+4.2%	$1.14 million	$3.38 million	1979	680
19	Custer County	$63,246	$164,866	+19.9%	$52,760	$137,037	1989	2604
20	Oneida County	$68,569	$164,701	+15.4%	$59,431	$153,641	1995	2573
21	Madison County	$711,046	$164,016	+20.3%	$591,274	$1.49 million	2012	977
22	Ada County	$6.95 million	$162,231	+12.9%	$6.15 million	$17.36 million	2067	147
23	Canyon County	$3.49 million	$161,798	+10.0%	$3.17 million	$9.17 million	2078	276
24	Lewis County	$34,863	$159,259	+10.6%	$31,535	$108,351	2145	2804
25	Butte County	$17,460	$157,180	-14.1%	$20,316	$67,805	2200	2936
26	Valley County	$132,584	$154,761	+24.9%	$106,126	$282,449	2246	2227
27	Power County	$74,520	$154,027	+3.3%	$72,166	$198,540	2265	2537
28	Washington County	$112,596	$153,391	+23.8%	$90,965	$220,442	2285	2335
29	Adams County	$31,779	$152,812	+31.0%	$24,257	$116,916	2301	2831
30	Bonneville County	$1.58 million	$151,544	+4.4%	$1.52 million	$4.55 million	2327	543
31	Bear Lake County	$32,928	$146,652	-24.1%	$43,360	$164,043	2418	2825
32	Lincoln County	$19,644	$146,538	-26.4%	$26,683	$99,247	2420	2920
33	Lemhi County	$51,028	$146,042	+3.2%	$49,424	$136,757	2433	2692
34	Idaho County	$150,068	$143,889	+4.2%	$144,028	$393,782	2470	2137
35	Jerome County	$245,166	$143,733	+3.7%	$236,509	$584,485	2474	1812
36	Boise County	$26,408	$138,321	+6.2%	$24,864	$77,347	2570	2867
37	Clearwater County	$27,890	$136,900	-26.4%	$37,902	$151,744	2593	2852
38	Owyhee County	$62,901	$136,057	+13.4%	$55,489	$212,411	2607	2607
39	Fremont County	$73,386	$134,443	+5.7%	$69,437	$216,452	2626	2547
40	Franklin County	$80,142	$131,606	+8.3%	$73,985	$216,067	2656	2509
41	Jefferson County	$274,367	$130,461	+27.3%	$215,587	$549,999	2666	1728
42	Twin Falls County	$895,967	$128,952	+0.5%	$891,459	$2.77 million	2693	830
43	Bingham County	$330,584	$114,473	+2.5%	$322,623	$985,575	2862	1577
44	Gem County	$57,921	$112,446	-47.5%	$110,371	$459,968	2886	2645

Illinois Spend Data

Total spend: $243.5 million
Spend per 10k adults: $242,215
National rank (per-capita): #6
National rank (total): #5
Change vs FY2025: +13.4%
Cities in dataset: 5
Counties in dataset: 102

Cities in Illinois (5)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Chicago	$82.12 million	$381,090	+6.4%	$77.19 million	$215.3 million	3
2	Aurora	$3.00 million	$183,124	+8.8%	$2.76 million	$7.69 million	104
3	Rockford	$2.75 million	$249,999	+7.6%	$2.55 million	$7.09 million	112
4	Joliet	$2.64 million	$228,252	-2.5%	$2.71 million	$8.31 million	116
5	Naperville	$1.82 million	$154,464	+7.3%	$1.70 million	$4.61 million	144

Counties in Illinois (102)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Cook County	$135.1 million	$330,804	+17.0%	$115.4 million	$316.6 million	38	2
2	Douglas County	$612,538	$299,459	+35.0%	$453,616	$1.07 million	74	1075
3	Adams County	$1.59 million	$290,522	+25.9%	$1.26 million	$3.18 million	96	541
4	Whiteside County	$1.29 million	$280,943	+14.0%	$1.13 million	$2.96 million	117	639
5	Pike County	$397,949	$277,562	+40.3%	$283,650	$581,202	131	1415
6	Massac County	$352,617	$269,561	+31.3%	$268,529	$603,989	165	1526
7	Edgar County	$388,216	$263,398	+35.5%	$286,450	$651,967	201	1436
8	Grundy County	$1.14 million	$259,580	+10.2%	$1.04 million	$2.98 million	227	698
9	Jefferson County	$773,039	$258,842	+23.2%	$627,222	$1.48 million	232	927
10	Marshall County	$266,131	$257,191	+30.9%	$203,287	$474,256	244	1754
11	De Witt County	$337,272	$256,557	+3.8%	$324,811	$864,413	251	1560
12	Knox County	$985,850	$255,204	+2.9%	$957,634	$2.66 million	258	775
13	Crawford County	$389,217	$251,883	+3.9%	$374,653	$1.04 million	284	1431
14	Morgan County	$658,046	$250,874	+21.8%	$540,419	$1.44 million	293	1022
15	Clay County	$243,809	$243,693	+7.1%	$227,648	$663,236	345	1818
16	Pulaski County	$89,278	$242,993	+46.9%	$60,762	$135,020	349	2456
17	Logan County	$514,708	$242,803	+4.4%	$492,817	$1.18 million	353	1212
18	Jo Daviess County	$406,230	$242,332	+32.0%	$307,731	$745,162	356	1386
19	Henry County	$901,248	$240,950	+25.2%	$719,625	$1.84 million	366	827
20	DeKalb County	$1.92 million	$240,792	+3.2%	$1.86 million	$5.40 million	367	473
21	Hancock County	$304,201	$239,557	+16.8%	$260,409	$701,116	376	1650
22	Ford County	$236,277	$239,424	+4.3%	$226,528	$693,038	377	1850
23	Hamilton County	$132,052	$238,314	+4.3%	$126,564	$389,205	385	2231
24	Scott County	$73,820	$237,556	+3.4%	$71,403	$209,081	389	2544
25	Putnam County	$84,693	$236,522	+0.8%	$84,003	$244,057	402	2475
26	Wayne County	$274,697	$236,408	+21.6%	$225,968	$613,387	403	1726
27	Shelby County	$360,435	$236,094	+19.0%	$302,971	$743,715	407	1502
28	Edwards County	$85,481	$235,099	+23.1%	$69,442	$315,453	421	2472
29	Gallatin County	$53,460	$232,294	+18.6%	$45,082	$121,361	457	2675
30	Bureau County	$556,015	$231,169	+3.4%	$537,619	$1.51 million	471	1145
31	Fulton County	$559,035	$230,385	+4.0%	$537,619	$1.59 million	485	1138
32	Warren County	$256,099	$230,012	+3.7%	$246,969	$700,316	493	1780
33	Wabash County	$157,132	$229,135	+25.8%	$124,884	$305,526	506	2105
34	Hardin County	$25,503	$229,122	+2.3%	$24,921	$82,130	507	2874
35	Menard County	$173,636	$228,943	+21.8%	$142,525	$361,281	510	2042
36	Calhoun County	$36,249	$228,425	+34.8%	$26,881	$58,712	516	2794
37	Kane County	$9.25 million	$225,466	+8.8%	$8.50 million	$24.81 million	549	113
38	Stark County	$43,452	$224,791	+7.8%	$40,321	$127,785	555	2741
39	LaSalle County	$1.84 million	$224,094	+7.2%	$1.72 million	$5.03 million	562	492
40	Randolph County	$468,808	$223,069	+2.2%	$458,656	$1.26 million	580	1282
41	Schuyler County	$59,714	$222,456	+3.0%	$57,962	$171,205	592	2632
42	Jackson County	$857,988	$222,177	+3.2%	$831,629	$2.31 million	595	852
43	Peoria County	$3.03 million	$220,944	+3.7%	$2.93 million	$8.52 million	615	316
44	Pope County	$3,061	$220,891	-74.0%	$11,760	$57,360	617	3058
45	Henderson County	$42,944	$220,831	+13.6%	$37,801	$151,952	618	2746
46	Tazewell County	$2.18 million	$219,918	+3.7%	$2.10 million	$6.29 million	635	421
47	Brown County	$46,833	$219,764	-7.1%	$50,402	$168,775	640	2717
48	Cass County	$147,716	$218,754	+2.4%	$144,205	$411,818	659	2148
49	Lee County	$495,724	$218,177	+4.3%	$475,457	$1.42 million	663	1244
50	Mason County	$144,618	$218,136	+9.4%	$132,165	$372,099	664	2161
51	Alexander County	$10,375	$218,121	-5.0%	$10,920	$36,675	665	2989
52	Cumberland County	$104,821	$217,528	+8.2%	$96,883	$316,844	673	2372
53	McHenry County	$5.35 million	$217,252	+9.8%	$4.87 million	$13.85 million	680	193
54	Jasper County	$83,071	$217,019	+23.1%	$67,482	$174,942	686	2484
55	Carroll County	$185,454	$215,358	+13.8%	$162,966	$447,970	712	2009
56	Clark County	$178,641	$214,926	+4.9%	$170,246	$509,707	718	2025
57	Livingston County	$508,724	$213,766	+21.0%	$420,575	$1.15 million	737	1217
58	Lawrence County	$151,659	$213,665	+3.4%	$146,725	$346,895	739	2130
59	Kankakee County	$1.68 million	$212,956	+3.2%	$1.63 million	$4.62 million	751	526
60	Moultrie County	$153,560	$211,579	+24.9%	$122,924	$286,010	775	2118
61	Washington County	$139,721	$211,458	+9.9%	$127,124	$363,780	778	2191
62	Marion County	$516,982	$211,219	+18.4%	$436,815	$1.18 million	781	1206
63	McDonough County	$339,312	$210,308	+3.4%	$328,172	$950,021	794	1552
64	Piatt County	$187,181	$209,915	+18.5%	$157,926	$398,858	801	2005
65	Montgomery County	$370,352	$209,358	+3.0%	$359,533	$1.04 million	808	1475
66	Greene County	$89,041	$207,659	+7.4%	$82,883	$275,950	841	2458
67	Franklin County	$500,870	$206,695	+18.8%	$421,695	$1.15 million	861	1233
68	Mercer County	$147,537	$206,265	+0.2%	$147,285	$380,219	868	2149
69	Madison County	$4.12 million	$204,590	+10.3%	$3.74 million	$10.73 million	894	241
70	Ogle County	$717,563	$203,961	+3.8%	$691,624	$1.96 million	906	966
71	Christian County	$425,165	$203,001	+5.8%	$401,814	$1.34 million	923	1348
72	Johnson County	$102,056	$202,102	+24.4%	$82,043	$208,303	937	2391
73	Champaign County	$3.19 million	$200,635	+14.1%	$2.80 million	$7.60 million	960	306
74	Monroe County	$432,043	$200,131	+4.8%	$412,175	$1.25 million	968	1337
75	White County	$92,181	$199,896	-7.0%	$99,123	$330,268	980	2438
76	Rock Island County	$2.11 million	$199,668	+7.0%	$1.97 million	$6.15 million	986	434
77	Coles County	$608,777	$198,849	+3.0%	$590,821	$1.60 million	1008	1082
78	Vermilion County	$970,237	$196,030	+13.6%	$854,030	$2.29 million	1093	788
79	Effingham County	$404,503	$195,907	+4.5%	$386,974	$1.18 million	1096	1393
80	Sangamon County	$2.85 million	$195,248	+4.2%	$2.73 million	$8.11 million	1116	334
81	Saline County	$208,729	$192,458	+4.7%	$199,367	$604,098	1213	1942
82	Richland County	$93,012	$192,021	+13.0%	$82,323	$312,815	1225	2432
83	Bond County	$114,254	$190,764	+5.7%	$108,084	$329,193	1257	2324
84	Winnebago County	$4.10 million	$190,444	+4.2%	$3.93 million	$11.15 million	1272	243
85	Woodford County	$417,172	$188,328	+18.8%	$351,132	$852,293	1342	1369
86	Macon County	$1.32 million	$187,748	+11.3%	$1.18 million	$3.41 million	1358	631
87	Macoupin County	$492,463	$187,005	-1.7%	$501,218	$1.59 million	1383	1251
88	Jersey County	$160,775	$186,945	+5.5%	$152,325	$496,248	1384	2088
89	Boone County	$634,449	$186,700	+4.4%	$607,621	$1.81 million	1392	1051
90	Perry County	$144,309	$186,515	+2.3%	$141,125	$379,589	1396	2164
91	Lake County	$10.29 million	$185,031	+13.3%	$9.08 million	$25.27 million	1440	99
92	Williamson County	$796,700	$181,911	-1.9%	$812,029	$2.61 million	1526	902
93	Union County	$73,868	$181,641	-35.0%	$113,684	$475,573	1533	2543
94	McLean County	$2.25 million	$179,507	+8.4%	$2.07 million	$6.98 million	1587	413
95	Fayette County	$120,200	$178,680	+3.2%	$116,484	$343,435	1615	2282
96	St. Clair County	$3.26 million	$174,958	+9.7%	$2.97 million	$8.62 million	1728	294
97	Iroquois County	$172,400	$173,773	+5.1%	$164,086	$505,923	1751	2049
98	Stephenson County	$382,110	$169,944	+4.8%	$364,573	$1.28 million	1839	1453
99	Clinton County	$250,386	$160,819	+6.5%	$235,208	$837,303	2106	1798
100	DuPage County	$11.30 million	$157,288	+10.6%	$10.22 million	$29.54 million	2195	85
101	Will County	$8.45 million	$155,306	+4.8%	$8.06 million	$24.36 million	2236	121
102	Kendall County	$1.47 million	$150,128	+18.0%	$1.24 million	$3.14 million	2358	577

Indiana Spend Data

Total spend: $113.2 million
Spend per 10k adults: $212,554
National rank (per-capita): #21
National rank (total): #15
Change vs FY2025: +11.0%
Cities in dataset: 5
Counties in dataset: 91

Cities in Indiana (5)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Indianapolis	$19.20 million	$251,417	-0.5%	$19.31 million	$58.31 million	28
2	Fort Wayne	$5.82 million	$280,883	+10.7%	$5.26 million	$15.51 million	65
3	Carmel	$2.45 million	$312,502	+21.4%	$2.02 million	$4.71 million	126
4	Evansville	$2.24 million	$241,099	-2.0%	$2.29 million	$7.11 million	130
5	South Bend	$1.64 million	$202,425	-0.2%	$1.64 million	$5.21 million	151

Counties in Indiana (91)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Orange County	$789,575	$319,173	+40.5%	$561,777	$1.20 million	48	906
2	Knox County	$1.12 million	$307,695	+27.0%	$884,799	$2.28 million	61	711
3	Spencer County	$610,309	$275,098	+40.4%	$434,816	$1.04 million	140	1080
4	Marion County	$21.52 million	$274,151	+7.7%	$19.97 million	$59.75 million	142	40
5	Washington County	$777,033	$272,440	+31.7%	$589,866	$1.23 million	151	920
6	Morgan County	$1.77 million	$272,248	+31.9%	$1.34 million	$3.09 million	154	508
7	Scott County	$691,498	$269,307	+34.5%	$514,026	$1.29 million	168	992
8	Pulaski County	$417,356	$267,059	+38.6%	$301,113	$729,436	179	1368
9	Monroe County	$3.15 million	$266,537	+4.0%	$3.03 million	$8.24 million	183	307
10	Vermillion County	$425,323	$252,613	+29.4%	$328,640	$824,598	275	1347
11	Ripley County	$694,604	$251,168	+33.0%	$522,453	$1.31 million	288	988
12	Clay County	$612,070	$246,283	+27.4%	$480,320	$1.28 million	321	1076
13	Rush County	$386,072	$236,211	+22.1%	$316,281	$826,186	404	1444
14	Wayne County	$1.30 million	$236,152	+15.2%	$1.13 million	$3.16 million	406	636
15	Whitley County	$716,813	$234,716	+37.2%	$522,453	$1.26 million	426	968
16	Porter County	$3.31 million	$234,658	+9.9%	$3.01 million	$9.46 million	427	289
17	Fayette County	$503,423	$234,409	+21.4%	$414,592	$1.15 million	429	1227
18	Bartholomew County	$1.65 million	$234,302	-19.7%	$2.05 million	$7.29 million	430	530
19	Wabash County	$633,888	$234,095	+23.3%	$514,026	$1.37 million	436	1052
20	Wells County	$591,782	$232,354	+31.0%	$451,669	$1.10 million	453	1096
21	Jasper County	$674,434	$230,709	+17.1%	$575,822	$1.57 million	480	1010
22	Adams County	$722,311	$230,341	+27.3%	$567,395	$1.43 million	486	958
23	Posey County	$506,593	$229,259	+33.4%	$379,761	$818,222	504	1222
24	Vigo County	$1.97 million	$228,686	+15.0%	$1.71 million	$4.71 million	513	458
25	Madison County	$2.46 million	$226,954	+22.1%	$2.01 million	$5.51 million	529	385
26	Benton County	$204,943	$225,656	+31.7%	$155,612	$357,356	548	1957
27	Lawrence County	$832,692	$222,146	+5.1%	$792,106	$2.21 million	596	875
28	Jackson County	$829,613	$216,705	+6.6%	$778,062	$2.27 million	693	881
29	White County	$444,403	$215,041	+7.2%	$414,592	$1.24 million	716	1318
30	Huntington County	$634,688	$212,662	+12.4%	$564,586	$1.89 million	758	1050
31	Marshall County	$788,388	$212,227	+19.4%	$660,088	$1.83 million	765	908
32	Johnson County	$2.90 million	$211,366	+22.0%	$2.38 million	$6.39 million	779	332
33	Dearborn County	$858,269	$210,199	+23.7%	$693,795	$1.84 million	796	851
34	Tippecanoe County	$3.15 million	$210,078	+10.5%	$2.85 million	$8.36 million	798	308
35	Gibson County	$551,801	$209,995	+19.1%	$463,466	$1.29 million	799	1149
36	Montgomery County	$632,314	$207,162	+18.5%	$533,688	$1.45 million	853	1055
37	Martin County	$149,822	$204,352	+15.5%	$129,771	$363,210	896	2139
38	Clark County	$2.05 million	$201,501	+8.9%	$1.88 million	$5.90 million	945	442
39	Jay County	$300,119	$200,960	+8.1%	$277,518	$857,997	955	1659
40	Dubois County	$672,034	$200,156	+6.3%	$631,999	$1.82 million	966	1012
41	Hancock County	$1.41 million	$200,146	+6.5%	$1.32 million	$3.88 million	967	600
42	Jennings County	$411,485	$199,512	-10.8%	$461,219	$1.69 million	995	1379
43	LaPorte County	$1.72 million	$199,381	+6.7%	$1.61 million	$5.13 million	996	520
44	Lake County	$7.85 million	$198,886	+9.0%	$7.20 million	$22.35 million	1005	132
45	Shelby County	$687,408	$197,918	+5.9%	$648,853	$1.87 million	1031	998
46	Perry County	$275,141	$197,706	+24.9%	$220,217	$567,834	1040	1724
47	Blackford County	$144,297	$194,313	+4.4%	$138,197	$397,955	1143	2165
48	Decatur County	$369,124	$193,988	+15.9%	$318,528	$888,818	1158	1477
49	Jefferson County	$463,776	$192,581	+1.9%	$455,040	$1.44 million	1206	1289
50	Fulton County	$263,294	$192,295	+6.8%	$246,620	$705,479	1220	1763
51	Union County	$60,193	$191,176	+6.6%	$56,459	$146,954	1244	2628
52	Crawford County	$113,336	$190,731	+14.3%	$99,154	$285,190	1258	2332
53	Steuben County	$475,113	$190,410	+22.0%	$389,312	$1.01 million	1274	1271
54	Newton County	$165,252	$189,888	+14.9%	$143,815	$410,909	1293	2072
55	Clinton County	$439,003	$187,728	+9.3%	$401,671	$1.26 million	1359	1324
56	Grant County	$924,613	$187,290	+24.2%	$744,355	$1.99 million	1370	813
57	Switzerland County	$92,472	$186,681	+15.1%	$80,334	$266,062	1393	2435
58	Ohio County	$33,036	$186,610	-14.2%	$38,482	$148,385	1394	2823
59	Fountain County	$193,831	$186,476	+8.0%	$179,488	$547,081	1398	1985
60	Henry County	$659,830	$185,857	+6.8%	$617,955	$1.78 million	1416	1021
61	Vanderburgh County	$2.59 million	$185,264	+8.9%	$2.38 million	$7.38 million	1433	365
62	Allen County	$5.77 million	$184,620	+7.3%	$5.38 million	$16.13 million	1449	177
63	Miami County	$438,636	$184,436	+12.5%	$389,873	$1.27 million	1458	1326
64	Daviess County	$434,508	$184,419	+23.4%	$352,234	$902,353	1459	1332
65	Greene County	$387,788	$183,890	+21.5%	$319,090	$858,856	1472	1439
66	Elkhart County	$2.93 million	$182,694	+9.9%	$2.66 million	$8.58 million	1496	329
67	Putnam County	$477,099	$182,545	+16.5%	$409,536	$1.13 million	1501	1269
68	Warren County	$55,488	$182,393	+10.4%	$50,279	$169,154	1509	2660
69	Franklin County	$266,682	$182,221	+23.6%	$215,722	$570,112	1514	1749
70	Pike County	$104,389	$181,943	+6.5%	$98,030	$226,882	1525	2377
71	Randolph County	$272,757	$179,931	+12.9%	$241,564	$825,946	1579	1732
72	Starke County	$254,053	$178,944	+8.2%	$234,823	$878,109	1603	1789
73	Delaware County	$1.51 million	$178,524	+11.2%	$1.36 million	$4.49 million	1620	563
74	DeKalb County	$546,845	$178,357	+7.1%	$510,656	$1.48 million	1626	1160
75	Floyd County	$1.07 million	$178,189	+8.7%	$985,919	$3.01 million	1635	733
76	Howard County	$1.09 million	$177,983	+10.7%	$988,728	$3.18 million	1639	724
77	Brown County	$142,627	$177,892	+8.0%	$132,018	$405,983	1643	2177
78	St. Joseph County	$3.71 million	$176,918	+10.8%	$3.35 million	$10.82 million	1667	259
79	Kosciusko County	$1.03 million	$175,109	-1.5%	$1.04 million	$3.47 million	1721	753
80	Sullivan County	$195,627	$173,773	+7.1%	$182,578	$536,132	1752	1979
81	Cass County	$421,030	$172,620	+14.1%	$369,088	$1.06 million	1785	1354
82	Parke County	$129,831	$171,564	+21.3%	$107,019	$293,352	1807	2244
83	Tipton County	$108,775	$170,715	-19.7%	$135,388	$491,719	1825	2350
84	Noble County	$507,975	$164,810	+10.4%	$460,096	$1.46 million	1990	1218
85	Boone County	$908,844	$162,279	+10.4%	$823,004	$2.59 million	2064	822
86	Harrison County	$393,883	$161,856	+5.8%	$372,458	$1.08 million	2076	1424
87	Warrick County	$703,744	$158,681	+7.5%	$654,471	$1.96 million	2156	984
88	Hamilton County	$4.65 million	$157,526	+6.2%	$4.38 million	$12.60 million	2186	216
89	Carroll County	$110,378	$154,246	-10.1%	$122,748	$423,915	2261	2343
90	Hendricks County	$1.99 million	$142,079	+8.4%	$1.83 million	$5.69 million	2502	451
91	LaGrange County	$227,433	$131,586	-5.0%	$239,317	$845,082	2658	1881

Iowa Spend Data

Total spend: $58.68 million
Spend per 10k adults: $237,042
National rank (per-capita): #8
National rank (total): #26
Change vs FY2025: +15.0%
Cities in dataset: 2
Counties in dataset: 98

Cities in Iowa (2)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Des Moines	$5.03 million	$258,682	+11.3%	$4.52 million	$12.95 million	72
2	Cedar Rapids	$2.16 million	$202,202	+1.1%	$2.14 million	$6.01 million	133

Counties in Iowa (98)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Pottawattamie County	$4.09 million	$474,263	+33.4%	$3.07 million	$7.47 million	8	244
2	Butler County	$680,041	$346,213	+40.7%	$483,463	$1.01 million	29	1006
3	Emmet County	$543,338	$345,481	+37.4%	$395,561	$811,388	30	1165
4	Monroe County	$480,962	$340,396	+30.5%	$368,665	$854,362	31	1261
5	Ida County	$441,599	$333,247	+43.7%	$307,330	$668,154	37	1322
6	Plymouth County	$809,013	$305,804	+39.4%	$580,549	$1.39 million	64	891
7	Wayne County	$342,420	$302,088	+43.6%	$238,452	$500,142	69	1546
8	Dickinson County	$609,431	$301,661	+19.1%	$511,671	$1.28 million	70	1081
9	Clay County	$563,612	$301,290	+30.4%	$432,296	$861,673	71	1133
10	Page County	$502,389	$293,526	+38.5%	$362,761	$837,017	85	1230
11	Audubon County	$243,853	$279,362	+1.0%	$241,404	$563,764	124	1817
12	Crawford County	$467,358	$276,369	+40.0%	$333,898	$714,120	137	1284
13	Wright County	$388,836	$275,262	+31.4%	$295,851	$627,611	139	1433
14	Warren County	$1.32 million	$270,709	+23.7%	$1.07 million	$2.68 million	159	629
15	Mahaska County	$555,755	$268,544	+8.1%	$513,967	$1.73 million	171	1146
16	Jefferson County	$398,129	$263,628	+20.9%	$329,306	$824,652	197	1413
17	Appanoose County	$323,433	$261,321	+31.8%	$245,339	$602,249	214	1593
18	Clinton County	$999,607	$258,210	+15.9%	$862,624	$2.45 million	237	768
19	Calhoun County	$246,802	$253,894	+30.4%	$189,253	$457,896	266	1809
20	Polk County	$10.30 million	$252,768	+14.2%	$9.01 million	$25.16 million	274	98
21	Chickasaw County	$279,703	$251,359	+34.7%	$207,620	$490,441	287	1711
22	Tama County	$377,065	$250,379	+23.6%	$305,034	$775,247	297	1463
23	Decatur County	$173,108	$242,813	+2.1%	$169,573	$457,177	351	2045
24	Carroll County	$410,340	$241,927	+5.3%	$389,657	$1.05 million	363	1381
25	Hamilton County	$295,354	$238,433	+5.2%	$280,763	$763,286	383	1671
26	Jones County	$400,956	$235,537	+4.3%	$384,409	$1.02 million	412	1404
27	Muscatine County	$780,796	$235,392	+6.3%	$734,706	$2.15 million	414	915
28	Davis County	$177,375	$235,120	+35.5%	$130,870	$305,776	420	2030
29	Black Hawk County	$2.42 million	$234,261	+17.8%	$2.06 million	$5.51 million	431	393
30	Poweshiek County	$339,258	$233,471	+5.5%	$321,434	$913,464	443	1553
31	Kossuth County	$262,930	$232,884	+7.6%	$244,355	$792,437	446	1765
32	O’Brien County	$258,951	$232,318	+21.6%	$212,868	$515,452	455	1770
33	Sioux County	$669,254	$232,171	+34.4%	$497,895	$1.19 million	459	1015
34	Franklin County	$177,429	$231,674	+34.6%	$131,854	$267,101	464	2028
35	Cerro Gordo County	$765,320	$231,178	+5.2%	$727,491	$2.18 million	470	929
36	Buchanan County	$374,504	$230,932	+27.7%	$293,227	$756,848	476	1466
37	Hancock County	$181,890	$229,488	+23.8%	$146,941	$355,144	501	2014
38	Keokuk County	$167,838	$229,221	+9.6%	$153,173	$492,198	505	2065
39	Osceola County	$96,800	$228,449	+14.8%	$84,294	$226,339	514	2416
40	Bremer County	$440,493	$227,902	+23.7%	$356,201	$870,892	520	1323
41	Ringgold County	$71,071	$227,866	+12.9%	$62,975	$213,693	521	2559
42	Webster County	$646,622	$227,855	+8.3%	$596,949	$1.90 million	522	1037
43	Dubuque County	$1.76 million	$226,941	+19.4%	$1.47 million	$4.08 million	530	514
44	Hardin County	$276,896	$226,490	+6.1%	$261,083	$777,290	533	1718
45	Wapello County	$606,559	$225,819	+9.9%	$551,686	$1.61 million	542	1086
46	Shelby County	$189,747	$225,800	+10.4%	$171,869	$603,686	544	1998
47	Palo Alto County	$133,125	$223,634	+14.7%	$116,110	$407,632	572	2221
48	Humboldt County	$141,770	$223,545	+14.7%	$123,654	$330,475	573	2183
49	Marion County	$575,672	$223,397	+15.6%	$497,895	$1.36 million	576	1114
50	Worth County	$104,543	$223,263	+3.8%	$100,694	$279,834	578	2376
51	Floyd County	$227,615	$220,780	+4.2%	$218,444	$613,060	621	1880
52	Adair County	$95,574	$220,107	+6.3%	$89,870	$258,545	631	2422
53	Harrison County	$218,587	$219,662	+21.2%	$180,397	$479,976	644	1907
54	Greene County	$114,315	$219,217	+7.6%	$106,270	$331,004	650	2323
55	Howard County	$126,885	$219,082	+10.2%	$115,126	$373,190	655	2252
56	Fremont County	$75,132	$218,437	+3.6%	$72,487	$178,315	661	2534
57	Linn County	$3.93 million	$218,116	+6.1%	$3.71 million	$10.46 million	666	252
58	Madison County	$257,755	$218,039	+13.2%	$227,628	$646,655	667	1776
59	Montgomery County	$131,553	$217,488	+7.2%	$122,670	$378,904	675	2233
60	Grundy County	$171,108	$217,299	+7.6%	$159,077	$505,115	678	2057
61	Union County	$162,022	$217,292	+7.2%	$151,205	$517,516	679	2085
62	Adams County	$21,554	$217,131	+6.0%	$20,336	$79,394	683	2902
63	Taylor County	$52,529	$214,921	+19.5%	$43,951	$189,654	719	2682
64	Sac County	$113,556	$214,567	+8.9%	$104,302	$327,419	723	2328
65	Jackson County	$273,187	$213,424	+15.2%	$237,140	$843,475	744	1731
66	Clarke County	$109,084	$212,994	+3.9%	$104,958	$304,045	750	2348
67	Scott County	$2.87 million	$212,795	+8.2%	$2.66 million	$8.22 million	756	333
68	Pocahontas County	$57,426	$211,217	+4.8%	$54,775	$161,120	782	2649
69	Monona County	$84,600	$210,810	+5.3%	$80,359	$242,002	786	2477
70	Cass County	$157,081	$210,637	+13.0%	$139,069	$475,400	788	2106
71	Iowa County	$212,620	$209,862	+8.9%	$195,156	$612,232	802	1925
72	Lucas County	$82,075	$208,517	+14.3%	$71,831	$197,696	829	2491
73	Winneshiek County	$255,894	$207,487	+36.6%	$187,285	$445,983	845	1781
74	Louisa County	$103,998	$207,428	+0.3%	$103,646	$326,064	847	2381
75	Van Buren County	$44,482	$205,522	+7.6%	$41,327	$129,902	878	2736
76	Story County	$1.56 million	$205,481	+4.2%	$1.50 million	$4.67 million	879	546
77	Jasper County	$535,349	$203,853	+8.4%	$493,959	$1.53 million	909	1174
78	Mills County	$159,998	$203,396	-4.5%	$167,605	$560,634	917	2089
79	Cherokee County	$97,769	$201,240	-8.0%	$106,270	$361,503	951	2410
80	Johnson County	$2.44 million	$200,799	+7.1%	$2.28 million	$7.01 million	958	388
81	Lyon County	$104,302	$198,728	+10.8%	$94,134	$309,420	1009	2378
82	Mitchell County	$77,034	$198,526	+12.4%	$68,551	$230,764	1017	2524
83	Lee County	$407,139	$197,128	+6.5%	$382,441	$1.16 million	1050	1383
84	Henry County	$205,571	$196,846	+5.7%	$194,500	$567,146	1066	1954
85	Cedar County	$190,072	$196,795	+7.5%	$176,789	$545,813	1068	1997
86	Guthrie County	$70,727	$196,112	+7.3%	$65,927	$205,076	1089	2561
87	Allamakee County	$119,536	$194,947	+20.3%	$99,382	$251,700	1123	2287
88	Clayton County	$156,156	$194,119	+5.8%	$147,597	$420,992	1149	2109
89	Woodbury County	$1.52 million	$194,068	+6.5%	$1.43 million	$4.29 million	1153	558
90	Delaware County	$168,557	$194,065	+6.0%	$159,077	$453,795	1154	2064
91	Boone County	$306,738	$193,906	+8.9%	$281,747	$927,783	1162	1645
92	Marshall County	$495,635	$192,118	+9.0%	$454,600	$1.43 million	1224	1245
93	Washington County	$235,024	$191,891	+5.8%	$222,052	$656,248	1229	1856
94	Des Moines County	$461,417	$190,892	+9.4%	$421,800	$1.33 million	1254	1294
95	Fayette County	$162,992	$187,636	+5.7%	$154,157	$440,714	1360	2083
96	Benton County	$259,190	$186,299	+5.6%	$245,339	$694,924	1403	1768
97	Winnebago County	$3,062	$178,751	-98.1%	$159,405	$988,747	1611	3057
98	Dallas County	$1.12 million	$145,291	+23.0%	$911,823	$2.34 million	2447	712

K

Kansas Spend Data

Total spend: $46.55 million
Spend per 10k adults: $201,967
National rank (per-capita): #26
National rank (total): #32
Change vs FY2025: +12.6%
Cities in dataset: 5
Counties in dataset: 105

Cities in Kansas (5)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Kansas City	$6.95 million	$565,440	+14.7%	$6.06 million	$15.10 million	56
2	Wichita	$6.23 million	$199,498	+6.1%	$5.87 million	$16.56 million	60
3	Overland Park	$3.70 million	$246,381	+6.3%	$3.48 million	$9.55 million	91
4	Topeka	$1.72 million	$170,702	-0.6%	$1.73 million	$5.46 million	146
5	Olathe	$1.03 million	$71,522	-2.9%	$1.06 million	$3.08 million	164

Counties in Kansas (105)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Wyandotte County	$7.17 million	$480,455	+20.8%	$5.93 million	$15.17 million	7	146
2	Dickinson County	$680,997	$294,675	+31.3%	$518,590	$1.14 million	80	1003
3	Rush County	$266,476	$277,317	+51.0%	$176,488	$297,097	133	1751
4	Smith County	$242,654	$263,699	+44.6%	$167,845	$352,537	196	1821
5	Osborne County	$236,140	$263,461	+45.0%	$162,826	$288,969	199	1851
6	Greenwood County	$270,220	$257,468	+46.0%	$185,131	$358,593	243	1739
7	Gove County	$200,089	$255,494	+39.3%	$143,588	$304,529	254	1966
8	Riley County	$1.59 million	$254,427	-1.1%	$1.61 million	$5.25 million	262	540
9	Thomas County	$280,239	$248,688	+29.7%	$216,079	$506,310	305	1709
10	Chautauqua County	$188,738	$246,753	+50.4%	$125,465	$246,298	316	2001
11	Logan County	$167,572	$243,791	+34.2%	$124,908	$266,495	342	2066
12	Marion County	$314,351	$236,762	+40.6%	$223,607	$483,171	397	1623
13	Geary County	$755,710	$233,554	-6.5%	$808,555	$2.79 million	441	937
14	Ellsworth County	$194,096	$230,220	+24.8%	$155,577	$355,772	488	1984
15	Edwards County	$120,657	$227,356	+44.3%	$83,644	$140,665	525	2280
16	Mitchell County	$172,450	$227,081	+28.9%	$133,830	$284,028	527	2048
17	Sedgwick County	$9.52 million	$223,875	+15.7%	$8.23 million	$21.37 million	568	109
18	Ellis County	$569,608	$222,745	+5.9%	$538,107	$1.67 million	585	1126
19	Marshall County	$233,300	$222,638	+22.9%	$189,871	$486,068	589	1863
20	Phillips County	$135,347	$219,814	+38.7%	$97,584	$220,435	638	2212
21	Reno County	$1.08 million	$215,179	+11.7%	$967,478	$2.74 million	713	729
22	Rooks County	$115,450	$213,631	+2.0%	$113,198	$336,432	741	2314
23	Morris County	$122,159	$211,967	+37.3%	$88,941	$188,682	766	2274
24	Cloud County	$171,166	$209,269	+4.1%	$164,499	$471,543	812	2055
25	Harvey County	$570,411	$207,920	+15.6%	$493,497	$1.27 million	837	1124
26	Allen County	$221,933	$207,541	+15.0%	$192,938	$539,369	844	1893
27	Norton County	$105,938	$206,954	+0.3%	$105,670	$258,005	857	2365
28	Sumner County	$375,639	$205,415	+3.0%	$364,686	$988,517	882	1464
29	Hamilton County	$51,107	$203,558	+6.0%	$48,234	$143,404	913	2688
30	McPherson County	$490,753	$203,444	+1.2%	$485,133	$1.28 million	916	1254
31	Morton County	$47,057	$202,294	+35.0%	$34,852	$68,984	933	2716
32	Kiowa County	$39,571	$199,848	+9.2%	$36,246	$160,601	981	2771
33	Brown County	$143,751	$199,716	+7.2%	$134,109	$419,829	984	2170
34	Sheridan County	$37,047	$198,979	+19.7%	$30,948	$73,897	1001	2789
35	Chase County	$34,482	$197,267	+9.4%	$31,506	$97,831	1046	2808
36	Sherman County	$82,888	$196,946	+12.2%	$73,885	$209,555	1061	2487
37	Trego County	$35,887	$196,845	+7.3%	$33,457	$102,411	1067	2798
38	Lane County	$16,488	$196,712	+2.0%	$16,171	$39,728	1074	2940
39	Decatur County	$33,683	$196,199	+27.2%	$26,487	$69,426	1088	2816
40	Clark County	$20,307	$195,904	+7.1%	$18,959	$63,437	1097	2913
41	Jefferson County	$270,485	$195,452	+1.1%	$267,660	$750,260	1108	1738
42	Wallace County	$10,635	$194,946	+3.1%	$10,316	$29,915	1124	2986
43	Comanche County	$13,024	$194,525	+19.8%	$10,874	$27,392	1136	2973
44	Hodgeman County	$11,651	$194,330	+30.6%	$8,922	$20,373	1142	2981
45	Rawlins County	$23,718	$194,219	-30.8%	$34,294	$138,049	1146	2884
46	Greeley County	$4,470	$194,140	-5.7%	$4,740	$15,753	1148	3041
47	Stafford County	$44,704	$193,198	+12.9%	$39,591	$145,742	1188	2732
48	Stanton County	$13,920	$193,132	+6.2%	$13,104	$39,758	1192	2963
49	Saline County	$791,607	$192,977	+7.1%	$738,852	$2.32 million	1198	904
50	Elk County	$19,892	$192,708	+37.2%	$14,498	$27,270	1204	2916
51	Osage County	$219,379	$192,547	+4.8%	$209,388	$627,407	1209	1901
52	Graham County	$17,703	$192,402	-3.8%	$18,402	$58,051	1214	2933
53	Barber County	$42,437	$192,020	+26.8%	$33,457	$154,123	1226	2750
54	Kingman County	$85,484	$191,601	+2.9%	$83,086	$214,585	1233	2471
55	Scott County	$51,030	$191,210	+28.9%	$39,591	$85,839	1243	2691
56	Wichita County	$8,545	$190,950	-27.0%	$11,710	$45,194	1252	3000
57	Finney County	$537,092	$190,428	+10.7%	$485,133	$1.39 million	1273	1172
58	Grant County	$80,032	$189,890	+13.0%	$70,818	$197,239	1292	2510
59	Rice County	$113,265	$189,856	+3.4%	$109,573	$315,086	1296	2333
60	Haskell County	$28,362	$189,686	+8.2%	$26,208	$84,809	1300	2849
61	Meade County	$31,657	$189,529	+13.5%	$27,881	$78,756	1303	2832
62	Woodson County	$19,728	$189,176	-23.9%	$25,930	$95,322	1312	2917
63	Ness County	$10,770	$188,637	-1.0%	$10,874	$34,442	1328	2985
64	Jewell County	$13,216	$188,389	+5.3%	$12,547	$38,971	1338	2969
65	Kearny County	$28,643	$188,311	+4.8%	$27,324	$82,382	1343	2847
66	Cheyenne County	$3,217	$186,032	-73.8%	$12,268	$64,259	1410	3056
67	Pawnee County	$52,359	$185,933	+2.6%	$51,023	$143,070	1413	2683
68	Russell County	$60,814	$185,890	+26.8%	$47,956	$261,123	1415	2626
69	Stevens County	$36,919	$185,690	-6.7%	$39,591	$132,985	1422	2792
70	Harper County	$42,528	$185,684	+12.2%	$37,918	$107,075	1423	2749
71	Clay County	$79,353	$185,268	+9.5%	$72,491	$235,097	1432	2516
72	Republic County	$29,909	$185,015	+14.1%	$26,208	$122,893	1441	2840
73	Atchison County	$195,716	$184,605	+3.1%	$189,871	$519,954	1450	1978
74	Barton County	$319,532	$184,387	+4.0%	$307,251	$897,910	1461	1608
75	Lincoln County	$0	$183,581	-100.0%	$8,922	$47,483	1480	3082
76	Bourbon County	$164,175	$183,351	+5.3%	$155,856	$473,668	1486	2080
77	Pratt County	$86,454	$182,489	+8.0%	$80,019	$270,972	1504	2466
78	Anderson County	$69,235	$182,031	+4.3%	$66,357	$197,618	1520	2571
79	Doniphan County	$62,669	$181,874	+13.5%	$55,205	$152,773	1528	2609
80	Nemaha County	$97,318	$181,741	+11.2%	$87,547	$294,105	1531	2412
81	Washington County	$26,388	$179,625	-32.9%	$39,312	$161,351	1581	2868
82	Ottawa County	$29,259	$179,589	+7.1%	$27,324	$93,160	1584	2846
83	Linn County	$85,876	$178,811	+3.7%	$82,807	$230,824	1609	2469
84	Ford County	$420,818	$178,364	+5.7%	$398,144	$1.20 million	1625	1355
85	Franklin County	$312,538	$178,235	+6.1%	$294,704	$900,893	1631	1626
86	Gray County	$23,796	$178,229	+9.4%	$21,747	$62,934	1633	2883
87	Wabaunsee County	$39,142	$177,050	+6.4%	$36,803	$114,111	1659	2773
88	Jackson County	$128,044	$176,974	+4.4%	$122,677	$356,353	1665	2249
89	Cherokee County	$204,704	$176,479	+4.7%	$195,447	$579,338	1683	1958
90	Crawford County	$474,845	$175,520	+7.0%	$443,869	$1.39 million	1707	1273
91	Wilson County	$50,557	$175,101	+3.6%	$48,792	$143,268	1722	2696
92	Coffey County	$51,178	$174,587	-8.2%	$55,762	$191,447	1735	2686
93	Labette County	$195,096	$172,246	+5.1%	$185,689	$561,413	1792	1981
94	Neosho County	$134,313	$170,667	+10.7%	$121,283	$399,195	1827	2218
95	Montgomery County	$323,361	$169,535	+5.4%	$306,693	$958,934	1850	1595
96	Cowley County	$366,065	$167,049	+9.2%	$335,132	$1.09 million	1926	1487
97	Lyon County	$332,147	$165,848	-6.5%	$355,207	$1.15 million	1962	1572
98	Seward County	$182,300	$164,866	-7.0%	$196,005	$629,075	1988	2013
99	Butler County	$806,063	$164,563	+3.3%	$780,674	$2.25 million	2001	895
100	Douglas County	$1.42 million	$160,806	+0.2%	$1.42 million	$4.49 million	2107	592
101	Leavenworth County	$934,380	$157,357	+14.4%	$816,919	$2.15 million	2190	810
102	Pottawatomie County	$165,200	$144,642	+8.7%	$151,953	$495,079	2461	2073
103	Shawnee County	$1.88 million	$144,485	+6.4%	$1.77 million	$5.65 million	2465	482
104	Miami County	$263,455	$143,819	+4.6%	$251,767	$732,628	2473	1761
105	Johnson County	$6.80 million	$139,206	+12.8%	$6.03 million	$16.77 million	2555	152

Kentucky Spend Data

Total spend: $54.60 million
Spend per 10k adults: $155,776
National rank (per-capita): #45
National rank (total): #29
Change vs FY2025: +0.2%
Cities in dataset: 2
Counties in dataset: 120

Cities in Kentucky (2)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Louisville	$13.67 million	$275,183	+10.9%	$12.32 million	$34.92 million	39
2	Lexington	$5.55 million	$219,104	+9.5%	$5.06 million	$13.65 million	67

Counties in Kentucky (120)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Jefferson County	$13.71 million	$216,922	+3.6%	$13.23 million	$37.97 million	690	65
2	Leslie County	$319,622	$211,919	+34.4%	$237,777	$482,499	768	1607
3	Scott County	$1.17 million	$208,930	+8.7%	$1.08 million	$2.96 million	821	688
4	Boyd County	$909,215	$204,963	+19.6%	$760,432	$1.82 million	887	821
5	Lawrence County	$363,228	$196,772	+29.7%	$280,055	$596,324	1071	1494
6	Fayette County	$5.07 million	$191,997	+2.1%	$4.97 million	$13.83 million	1227	202
7	Allen County	$443,966	$191,349	-6.0%	$472,149	$1.28 million	1242	1319
8	Owen County	$270,041	$188,590	+30.2%	$207,416	$454,597	1331	1740
9	Russell County	$334,019	$178,863	+3.3%	$323,467	$917,629	1607	1570
10	Larue County	$276,044	$176,263	+8.9%	$253,383	$697,014	1690	1720
11	Livingston County	$179,940	$173,642	-6.9%	$193,229	$516,940	1757	2020
12	Kenton County	$2.39 million	$169,967	-3.7%	$2.49 million	$6.91 million	1838	399
13	Powell County	$213,472	$168,056	+21.0%	$176,488	$419,072	1895	1922
14	Gallatin County	$156,253	$166,592	+12.4%	$139,034	$361,648	1936	2108
15	Hardin County	$1.51 million	$165,064	-3.3%	$1.56 million	$4.70 million	1985	566
16	Whitley County	$517,796	$164,716	-2.4%	$530,600	$1.66 million	1993	1205
17	Ballard County	$131,263	$163,890	-6.2%	$139,885	$359,401	2018	2236
18	Henderson County	$594,650	$162,573	-6.0%	$632,748	$1.73 million	2055	1094
19	Boone County	$1.88 million	$162,120	-2.3%	$1.92 million	$5.94 million	2068	483
20	Mason County	$233,748	$159,423	+11.3%	$209,970	$546,712	2143	1862
21	Knott County	$186,326	$158,821	+13.6%	$164,004	$441,669	2150	2007
22	Bourbon County	$272,457	$158,791	+15.6%	$235,791	$605,636	2152	1735
23	Grant County	$343,445	$158,151	-4.5%	$359,787	$973,552	2175	1544
24	Carroll County	$150,918	$156,466	+3.7%	$145,560	$508,153	2212	2133
25	Madison County	$1.26 million	$156,224	-3.0%	$1.30 million	$3.92 million	2216	646
26	Marshall County	$392,848	$154,515	+10.7%	$354,963	$976,392	2251	1426
27	Christian County	$856,260	$154,171	-5.1%	$902,304	$3.48 million	2263	854
28	Lewis County	$163,193	$153,898	+8.5%	$150,384	$410,126	2269	2082
29	Laurel County	$776,444	$153,807	-3.6%	$805,831	$2.40 million	2270	922
30	Barren County	$556,437	$153,561	+10.8%	$502,226	$1.32 million	2282	1143
31	Hart County	$247,211	$153,155	+22.5%	$201,742	$430,041	2294	1807
32	Wolfe County	$80,457	$152,935	+1.3%	$79,448	$223,677	2297	2502
33	Bell County	$277,112	$152,546	+9.6%	$252,815	$937,406	2305	1716
34	Clark County	$456,542	$152,402	-5.2%	$481,796	$1.35 million	2310	1299
35	Montgomery County	$345,690	$151,901	-3.2%	$356,949	$1.09 million	2320	1537
36	Taylor County	$320,671	$151,801	-6.3%	$342,194	$957,675	2321	1603
37	Cumberland County	$70,465	$150,891	+21.7%	$57,884	$133,082	2345	2563
38	Bath County	$152,481	$150,059	+7.7%	$141,588	$369,381	2361	2123
39	Campbell County	$1.12 million	$149,465	-3.7%	$1.16 million	$3.40 million	2371	715
40	Breathitt County	$138,121	$148,096	-1.1%	$139,602	$407,908	2395	2201
41	Washington County	$135,387	$147,949	+0.2%	$135,062	$474,260	2397	2211
42	Calloway County	$445,536	$147,269	-4.1%	$464,772	$1.35 million	2410	1316
43	Carter County	$291,926	$147,213	-3.0%	$301,052	$743,691	2411	1677
44	Rowan County	$272,114	$147,107	-2.3%	$278,636	$851,886	2412	1736
45	Perry County	$289,940	$145,796	-3.8%	$301,335	$873,775	2434	1682
46	Fulton County	$56,532	$145,547	+5.4%	$53,627	$197,659	2440	2658
47	Menifee County	$57,631	$145,126	+4.7%	$55,046	$191,397	2451	2648
48	Rockcastle County	$166,068	$144,555	-5.1%	$175,070	$508,909	2462	2069
49	Carlisle County	$36,686	$144,533	-4.2%	$38,305	$115,086	2463	2793
50	Union County	$125,938	$143,841	-4.3%	$131,657	$385,972	2471	2257
51	Muhlenberg County	$324,979	$143,485	+1.6%	$319,779	$1.04 million	2477	1589
52	Robertson County	$2,801	$142,243	-34.2%	$4,256	$16,933	2500	3061
53	Monroe County	$95,676	$140,509	-2.8%	$98,459	$293,840	2531	2421
54	Boyle County	$316,818	$139,685	-3.0%	$326,589	$984,142	2543	1616
55	Fleming County	$142,450	$139,501	+2.2%	$139,318	$403,114	2549	2181
56	Anderson County	$244,806	$139,292	-3.1%	$252,532	$684,305	2553	1814
57	Johnson County	$208,112	$138,834	+7.5%	$193,513	$541,347	2561	1944
58	Owsley County	$8,906	$138,206	-10.3%	$9,931	$24,415	2573	2997
59	Todd County	$106,813	$138,172	+17.6%	$90,798	$236,663	2574	2359
60	Crittenden County	$61,471	$138,116	-0.6%	$61,856	$197,264	2575	2617
61	Hickman County	$13,183	$138,040	-5.2%	$13,903	$40,176	2578	2970
62	Clinton County	$60,886	$136,865	+6.2%	$57,316	$232,593	2596	2624
63	Lee County	$40,513	$136,678	-16.0%	$48,236	$165,511	2598	2764
64	Hancock County	$58,492	$136,430	-1.4%	$59,302	$156,208	2601	2641
65	Harrison County	$170,195	$136,068	-2.8%	$175,070	$539,221	2605	2059
66	Bracken County	$48,017	$135,000	+17.5%	$40,859	$190,126	2619	2710
67	Knox County	$267,747	$134,408	+14.0%	$234,939	$632,191	2628	1745
68	Trimble County	$47,339	$134,186	-0.1%	$47,385	$159,696	2629	2713
69	Martin County	$66,129	$133,544	+4.0%	$63,559	$223,227	2633	2587
70	Harlan County	$212,545	$133,421	-1.6%	$215,929	$664,948	2634	1926
71	Pendleton County	$106,353	$132,813	+6.2%	$100,161	$392,974	2639	2362
72	Caldwell County	$83,511	$132,811	-4.1%	$87,109	$262,185	2640	2483
73	McLean County	$46,249	$132,712	+1.9%	$45,399	$156,069	2643	2720
74	Nicholas County	$34,170	$132,569	-15.8%	$40,575	$134,527	2645	2812
75	Metcalfe County	$61,200	$132,465	+0.3%	$61,005	$201,170	2646	2621
76	Lyon County	$45,122	$132,192	-4.2%	$47,101	$137,004	2647	2728
77	Breckinridge County	$172,566	$131,970	-3.2%	$178,191	$538,923	2649	2047
78	Elliott County	$23,965	$131,602	+5.6%	$22,699	$79,099	2657	2882
79	Franklin County	$489,152	$131,095	-0.9%	$493,713	$1.56 million	2660	1256
80	Simpson County	$159,877	$130,728	-16.4%	$191,243	$644,932	2664	2091
81	Estill County	$86,106	$129,714	-12.0%	$97,891	$328,830	2679	2468
82	Trigg County	$91,668	$129,707	+4.9%	$87,393	$239,782	2681	2440
83	Casey County	$107,402	$129,324	-1.9%	$109,525	$351,404	2688	2354
84	Magoffin County	$54,593	$129,004	+1.3%	$53,911	$198,152	2691	2666
85	Henry County	$108,110	$128,877	+6.7%	$101,296	$278,376	2695	2353
86	Butler County	$68,079	$128,787	-1.3%	$68,950	$227,674	2696	2576
87	Oldham County	$654,507	$128,255	-5.8%	$695,171	$1.83 million	2705	1025
88	Letcher County	$139,701	$127,957	-13.3%	$161,166	$530,420	2708	2192
89	Warren County	$1.44 million	$127,697	-1.2%	$1.45 million	$4.79 million	2714	590
90	Jackson County	$71,577	$127,522	-17.0%	$86,258	$306,098	2718	2558
91	Floyd County	$281,645	$127,371	-3.6%	$292,256	$859,926	2720	1706
92	McCracken County	$610,959	$127,120	+0.1%	$610,048	$2.17 million	2723	1078
93	McCreary County	$106,756	$126,810	-0.7%	$107,539	$357,442	2726	2361
94	Grayson County	$208,429	$126,676	+1.5%	$205,430	$684,397	2727	1943
95	Green County	$51,063	$126,477	-4.8%	$53,627	$156,673	2729	2690
96	Woodford County	$211,012	$126,228	-3.4%	$218,482	$655,518	2733	1934
97	Jessamine County	$499,208	$125,998	+7.3%	$465,339	$2.02 million	2734	1238
98	Wayne County	$126,699	$125,687	-0.1%	$126,833	$439,763	2738	2254
99	Mercer County	$163,665	$124,835	+0.8%	$162,301	$537,523	2743	2081
100	Logan County	$211,920	$124,816	-13.4%	$244,587	$792,455	2744	1927
101	Adair County	$118,857	$124,211	-3.5%	$123,145	$367,695	2748	2291
102	Pulaski County	$584,049	$123,931	-3.4%	$604,373	$1.80 million	2755	1105
103	Morgan County	$63,098	$122,358	-26.4%	$85,690	$321,359	2766	2605
104	Clay County	$102,920	$120,271	-5.3%	$108,674	$335,088	2784	2387
105	Spencer County	$114,487	$119,592	+2.1%	$112,079	$406,038	2796	2321
106	Marion County	$105,830	$119,504	-27.2%	$145,277	$514,249	2799	2366
107	Nelson County	$371,372	$118,633	-10.2%	$413,698	$1.37 million	2812	1471
108	Graves County	$257,316	$118,184	+1.4%	$253,667	$845,213	2819	1778
109	Shelby County	$388,137	$118,065	-4.2%	$405,186	$1.17 million	2821	1437
110	Greenup County	$239,282	$117,997	-1.1%	$242,033	$750,676	2822	1842
111	Daviess County	$882,675	$117,835	-11.6%	$998,777	$3.22 million	2823	837
112	Garrard County	$75,946	$116,543	+5.8%	$71,787	$310,015	2837	2530
113	Webster County	$24,457	$115,655	-46.5%	$45,683	$205,960	2847	2878
114	Pike County	$398,528	$114,909	+1.3%	$393,268	$1.30 million	2854	1411
115	Edmonson County	$19,393	$114,707	-48.6%	$37,738	$160,875	2858	2922
116	Lincoln County	$110,301	$109,822	-8.1%	$120,023	$383,340	2920	2344
117	Meade County	$148,916	$108,342	-16.2%	$177,623	$635,882	2934	2141
118	Ohio County	$83,957	$106,685	-23.1%	$109,241	$416,699	2958	2481
119	Bullitt County	$576,001	$103,359	-23.4%	$751,920	$2.91 million	2994	1113
120	Hopkins County	$215,826	$99,297	-24.9%	$287,432	$1.04 million	3028	1916

L

Louisiana Spend Data

Total spend: $47.55 million
Spend per 10k adults: $132,023
National rank (per-capita): #47
National rank (total): #31
Change vs FY2025: +0.3%
Cities in dataset: 4
Counties in dataset: 64

Cities in Louisiana (4)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	New Orleans	$8.68 million	$288,113	-3.1%	$8.96 million	$27.24 million	51
2	Baton Rouge	$3.55 million	$205,387	-0.4%	$3.56 million	$10.82 million	96
3	Lafayette	$3.38 million	$283,758	+20.5%	$2.80 million	$7.87 million	100
4	Shreveport	$1.82 million	$123,780	-3.1%	$1.88 million	$5.95 million	143

Counties in Louisiana (64)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Orleans Parish	$8.91 million	$298,051	+0.4%	$8.87 million	$27.15 million	76	116
2	Plaquemines Parish	$502,375	$193,767	+20.0%	$418,733	$1.08 million	1168	1231
3	LaSalle Parish	$344,897	$180,776	+37.0%	$251,763	$493,930	1559	1538
4	Lafayette Parish	$3.63 million	$173,636	-2.3%	$3.71 million	$10.78 million	1758	263
5	St. Charles Parish	$663,926	$152,932	-1.0%	$670,786	$2.02 million	2298	1018
6	Calcasieu Parish	$2.54 million	$151,953	-1.8%	$2.59 million	$7.32 million	2318	371
7	Vernon Parish	$588,490	$151,391	-0.2%	$589,479	$1.86 million	2330	1099
8	Madison Parish	$136,489	$144,919	-5.8%	$144,901	$374,547	2456	2207
9	Lafourche Parish	$1.12 million	$144,913	-0.7%	$1.13 million	$3.41 million	2457	713
10	Terrebonne Parish	$1.20 million	$143,483	+7.8%	$1.12 million	$3.16 million	2478	672
11	Franklin Parish	$229,511	$139,454	-5.1%	$241,890	$579,710	2550	1876
12	Morehouse Parish	$263,433	$135,541	+18.4%	$222,434	$546,278	2609	1762
13	Cameron Parish	$44,601	$129,888	-1.5%	$45,300	$134,075	2673	2733
14	Jefferson Parish	$4.34 million	$128,532	+5.2%	$4.13 million	$11.97 million	2700	225
15	St. Martin Parish	$505,309	$128,074	-2.8%	$519,787	$1.41 million	2707	1225
16	Iberville Parish	$287,949	$127,863	-2.0%	$293,868	$818,911	2710	1687
17	St. Mary Parish	$433,489	$123,921	+2.4%	$423,379	$1.36 million	2756	1335
18	St. James Parish	$154,821	$121,442	+3.1%	$150,128	$496,893	2775	2113
19	Natchitoches Parish	$317,470	$121,302	-1.1%	$320,874	$916,971	2778	1614
20	West Carroll Parish	$59,828	$120,908	+19.8%	$49,946	$130,489	2780	2631
21	St. Bernard Parish	$405,870	$120,895	+3.9%	$390,566	$1.11 million	2781	1388
22	Tensas Parish	$6,778	$120,465	-33.3%	$10,163	$45,295	2783	3016
23	St. John the Baptist Parish	$347,007	$120,172	+6.2%	$326,682	$1.17 million	2786	1536
24	East Baton Rouge Parish	$4.26 million	$119,840	-0.7%	$4.29 million	$12.82 million	2789	228
25	Beauregard Parish	$314,627	$119,773	+11.0%	$283,414	$757,630	2791	1622
26	Richland Parish	$153,166	$119,570	-1.0%	$154,774	$416,352	2797	2119
27	Bossier Parish	$1.20 million	$119,377	-1.7%	$1.23 million	$3.61 million	2801	673
28	Avoyelles Parish	$320,081	$118,619	+13.5%	$281,962	$718,979	2813	1606
29	Jefferson Davis Parish	$258,187	$118,290	+6.1%	$243,341	$823,276	2816	1775
30	Bienville Parish	$79,515	$118,163	+0.3%	$79,275	$250,736	2820	2514
31	Caddo Parish	$2.02 million	$117,176	-5.8%	$2.15 million	$6.74 million	2829	444
32	Allen Parish	$169,180	$116,623	-0.2%	$169,584	$522,586	2836	2062
33	Assumption Parish	$139,773	$116,048	-5.2%	$147,515	$388,539	2841	2190
34	Red River Parish	$24,271	$115,673	-39.4%	$40,073	$154,619	2845	2880
35	Catahoula Parish	$33,566	$115,579	+5.1%	$31,942	$109,839	2848	2820
36	West Baton Rouge Parish	$218,936	$115,409	-13.7%	$253,795	$889,184	2850	1903
37	East Carroll Parish	$17,024	$114,541	+1.1%	$16,842	$51,911	2861	2937
38	St. Tammany Parish	$2.46 million	$114,193	+6.9%	$2.30 million	$6.43 million	2864	386
39	Caldwell Parish	$35,309	$113,071	+3.0%	$34,265	$112,347	2880	2802
40	Tangipahoa Parish	$1.20 million	$112,798	-1.4%	$1.22 million	$3.62 million	2885	674
41	Ascension Parish	$1.14 million	$112,042	-0.6%	$1.14 million	$3.46 million	2892	702
42	St. Helena Parish	$41,213	$111,153	+33.9%	$30,781	$68,451	2902	2760
43	East Feliciana Parish	$110,513	$110,714	+18.2%	$93,504	$232,140	2908	2340
44	Vermilion Parish	$442,279	$110,024	-1.0%	$446,610	$1.34 million	2913	1321
45	Livingston Parish	$1.26 million	$108,611	+3.0%	$1.23 million	$3.51 million	2929	645
46	Grant Parish	$125,404	$107,822	+17.0%	$107,152	$267,559	2940	2259
47	Iberia Parish	$499,575	$107,241	+1.3%	$493,071	$1.54 million	2946	1237
48	Union Parish	$107,347	$106,584	+5.6%	$101,634	$341,978	2961	2355
49	West Feliciana Parish	$61,305	$106,411	+6.1%	$57,786	$160,767	2966	2620
50	De Soto Parish	$159,329	$105,525	-3.2%	$164,647	$433,034	2975	2095
51	Pointe Coupee Parish	$93,184	$105,270	+0.6%	$92,632	$310,331	2979	2431
52	Sabine Parish	$106,347	$103,897	-0.2%	$106,571	$330,804	2987	2363
53	Claiborne Parish	$36,042	$103,575	+0.9%	$35,717	$117,811	2991	2796
54	Jackson Parish	$52,613	$102,650	+9.8%	$47,913	$134,889	3002	2680
55	Winn Parish	$44,429	$102,346	-14.0%	$51,688	$171,679	3005	2737
56	Washington Parish	$275,048	$100,703	+4.8%	$262,507	$726,855	3012	1725
57	Acadia Parish	$364,915	$99,902	-1.1%	$369,078	$1.12 million	3022	1490
58	Evangeline Parish	$165,553	$99,316	-1.2%	$167,551	$486,226	3026	2071
59	Webster Parish	$173,677	$96,520	+4.2%	$166,680	$588,136	3047	2041
60	Concordia Parish	$35,952	$94,497	-19.1%	$44,429	$164,966	3059	2797
61	St. Landry Parish	$469,391	$90,799	-1.3%	$475,648	$1.39 million	3074	1281
62	Ouachita Parish	$1.01 million	$90,161	-15.5%	$1.20 million	$4.25 million	3076	757
63	Lincoln Parish	$217,884	$87,581	-30.8%	$314,776	$1.19 million	3082	1909
64	Rapides Parish	$606,023	$76,017	-10.0%	$673,690	$2.20 million	3089	1087

M

Maine Spend Data

Total spend: $22.93 million
Spend per 10k adults: $214,547
National rank (per-capita): #16
National rank (total): #42
Change vs FY2025: +11.5%
Cities in dataset: 0
Counties in dataset: 16

No city-level data available for this state — county data only.

Counties in Maine (16)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Penobscot County	$3.74 million	$285,410	+22.8%	$3.05 million	$8.18 million	105	258
2	Sagadahoc County	$978,488	$271,364	+24.3%	$787,336	$2.10 million	156	781
3	Oxford County	$1.23 million	$240,206	+19.2%	$1.03 million	$2.70 million	371	663
4	Franklin County	$565,805	$219,711	+15.6%	$489,580	$1.34 million	643	1129
5	Androscoggin County	$1.98 million	$214,739	+8.3%	$1.83 million	$5.36 million	721	453
6	Cumberland County	$5.18 million	$208,140	+12.3%	$4.62 million	$13.21 million	832	198
7	Piscataquis County	$284,254	$207,103	+8.2%	$262,827	$825,279	854	1697
8	Kennebec County	$1.98 million	$197,434	+5.8%	$1.87 million	$5.58 million	1043	455
9	York County	$3.34 million	$193,522	+7.8%	$3.10 million	$9.15 million	1177	286
10	Hancock County	$761,557	$183,355	+6.0%	$718,623	$2.17 million	1485	932
11	Washington County	$357,263	$176,935	+8.3%	$329,822	$1.14 million	1666	1513
12	Somerset County	$630,007	$175,606	+5.8%	$595,512	$1.76 million	1705	1056
13	Aroostook County	$776,461	$167,954	-2.1%	$793,062	$2.51 million	1898	921
14	Knox County	$431,983	$166,491	+3.5%	$417,431	$1.18 million	1939	1338
15	Lincoln County	$362,835	$164,657	+7.2%	$338,411	$1.07 million	1998	1496
16	Waldo County	$327,250	$149,431	-1.1%	$330,967	$1.05 million	2375	1585

Maryland Spend Data

Total spend: $83.53 million
Spend per 10k adults: $172,515
National rank (per-capita): #42
National rank (total): #19
Change vs FY2025: +6.4%
Cities in dataset: 2
Counties in dataset: 23

Cities in Maryland (2)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Baltimore	$20.61 million	$442,630	-2.3%	$21.10 million	$64.37 million	24
2	Columbia	$963,990	$117,965	+6.8%	$902,631	$2.59 million	165

Counties in Maryland (23)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Kent County	$586,851	$259,067	+23.0%	$477,086	$1.23 million	228	1102
2	Anne Arundel County	$11.89 million	$247,690	+11.0%	$10.71 million	$30.12 million	309	79
3	Queen Anne’s County	$1.14 million	$236,685	+14.7%	$995,658	$2.52 million	399	699
4	Cecil County	$2.11 million	$235,907	+12.3%	$1.88 million	$5.12 million	408	433
5	St. Mary’s County	$2.09 million	$219,120	+9.9%	$1.90 million	$5.49 million	653	438
6	Worcester County	$979,400	$213,132	+5.3%	$929,972	$2.91 million	749	780
7	Harford County	$4.51 million	$212,426	+6.8%	$4.22 million	$12.40 million	763	221
8	Baltimore County	$14.07 million	$210,630	+3.3%	$13.62 million	$39.35 million	789	60
9	Caroline County	$618,939	$209,309	+9.3%	$566,280	$1.60 million	809	1071
10	Carroll County	$2.75 million	$196,262	+3.9%	$2.64 million	$7.90 million	1087	347
11	Washington County	$2.40 million	$192,883	+2.2%	$2.35 million	$6.71 million	1200	397
12	Allegany County	$987,056	$187,772	+3.8%	$950,715	$2.99 million	1357	773
13	Somerset County	$355,389	$184,555	+12.5%	$315,983	$895,536	1454	1518
14	Prince George’s County	$13.74 million	$180,632	+10.0%	$12.49 million	$35.76 million	1562	63
15	Garrett County	$362,556	$175,888	+4.6%	$346,752	$1.05 million	1700	1497
16	Frederick County	$4.15 million	$175,816	+9.7%	$3.78 million	$10.86 million	1702	238
17	Charles County	$2.36 million	$173,121	+3.7%	$2.28 million	$6.89 million	1773	401
18	Calvert County	$1.24 million	$172,446	+4.9%	$1.18 million	$3.66 million	1787	657
19	Wicomico County	$1.39 million	$170,810	+1.6%	$1.37 million	$4.18 million	1821	606
20	Talbot County	$415,927	$161,158	-1.9%	$423,846	$1.34 million	2099	1373
21	Dorchester County	$334,187	$156,700	-15.4%	$394,806	$1.39 million	2209	1569
22	Montgomery County	$11.59 million	$138,967	+2.4%	$11.32 million	$32.69 million	2557	82
23	Howard County	$3.47 million	$135,357	+4.1%	$3.33 million	$10.14 million	2613	278

Massachusetts Spend Data

Total spend: $111.6 million
Spend per 10k adults: $203,127
National rank (per-capita): #24
National rank (total): #16
Change vs FY2025: +9.4%
Cities in dataset: 5
Counties in dataset: 14

Cities in Massachusetts (5)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Boston	$21.82 million	$411,606	+2.0%	$21.40 million	$63.73 million	21
2	Cambridge	$3.20 million	$344,457	+16.7%	$2.74 million	$6.63 million	102
3	Worcester	$2.83 million	$194,879	+9.7%	$2.58 million	$7.16 million	107
4	Springfield	$2.11 million	$176,083	-4.3%	$2.21 million	$7.21 million	134
5	Lowell	$1.41 million	$160,871	+0.1%	$1.40 million	$4.19 million	158

Counties in Massachusetts (14)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Suffolk County	$23.37 million	$368,893	+3.1%	$22.65 million	$66.72 million	20	34
2	Nantucket County	$510,593	$272,994	+21.1%	$421,726	$1.07 million	148	1215
3	Berkshire County	$2.33 million	$224,504	+19.1%	$1.95 million	$4.93 million	558	404
4	Barnstable County	$4.15 million	$222,850	+17.8%	$3.52 million	$9.17 million	583	239
5	Dukes County	$335,963	$199,980	+7.3%	$313,146	$809,703	975	1563
6	Middlesex County	$25.20 million	$192,462	+13.1%	$22.28 million	$58.80 million	1211	32
7	Bristol County	$8.86 million	$190,709	+10.0%	$8.06 million	$23.04 million	1261	118
8	Worcester County	$12.01 million	$173,253	+8.9%	$11.03 million	$31.10 million	1766	77
9	Hampden County	$6.10 million	$169,546	+4.0%	$5.86 million	$17.77 million	1849	168
10	Franklin County	$847,550	$167,569	+3.4%	$819,945	$2.23 million	1913	860
11	Essex County	$10.71 million	$166,477	+13.6%	$9.43 million	$25.75 million	1940	94
12	Norfolk County	$9.16 million	$159,600	+13.7%	$8.06 million	$21.76 million	2137	114
13	Plymouth County	$6.51 million	$154,548	+7.7%	$6.05 million	$17.42 million	2249	158
14	Hampshire County	$1.51 million	$130,939	-1.3%	$1.53 million	$4.72 million	2662	565

Michigan Spend Data

Total spend: $164.2 million
Spend per 10k adults: $207,616
National rank (per-capita): #23
National rank (total): #9
Change vs FY2025: +10.8%
Cities in dataset: 5
Counties in dataset: 83

Cities in Michigan (5)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Detroit	$23.31 million	$464,851	+13.7%	$20.50 million	$53.95 million	16
2	Grand Rapids	$6.57 million	$421,279	+0.3%	$6.56 million	$22.40 million	57
3	Warren	$2.69 million	$255,452	+12.9%	$2.38 million	$6.17 million	115
4	Lansing	$2.03 million	$226,121	-2.2%	$2.07 million	$6.50 million	137
5	Sterling Heights	$1.60 million	$154,937	+4.9%	$1.52 million	$4.45 million	153

Counties in Michigan (83)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Wayne County	$40.95 million	$293,388	+17.3%	$34.90 million	$91.75 million	87	13
2	Presque Isle County	$521,813	$291,196	+40.1%	$372,334	$755,288	93	1192
3	Menominee County	$745,881	$291,161	+29.3%	$577,059	$1.46 million	94	943
4	Eaton County	$2.56 million	$276,387	+30.2%	$1.97 million	$4.48 million	136	367
5	Montcalm County	$1.64 million	$269,944	+19.8%	$1.37 million	$3.59 million	163	532
6	Houghton County	$965,193	$269,505	+28.0%	$753,947	$1.69 million	166	791
7	Ogemaw County	$606,941	$268,410	+30.2%	$466,287	$1.10 million	172	1084
8	Antrim County	$668,839	$265,467	+37.3%	$487,166	$1.03 million	188	1016
9	Wexford County	$855,461	$262,386	+2.4%	$835,141	$2.36 million	209	856
10	Hillsdale County	$1.03 million	$252,430	+21.6%	$844,131	$2.21 million	277	754
11	Van Buren County	$1.60 million	$248,806	+26.2%	$1.26 million	$3.05 million	303	539
12	St. Joseph County	$1.29 million	$247,437	+13.6%	$1.14 million	$3.08 million	311	637
13	Roscommon County	$570,230	$247,176	+29.5%	$440,189	$1.06 million	314	1125
14	Shiawassee County	$1.41 million	$246,392	+15.7%	$1.22 million	$3.30 million	320	597
15	Kalkaska County	$449,049	$242,300	+15.7%	$387,993	$996,549	358	1309
16	Iron County	$297,656	$236,790	+28.1%	$232,274	$570,717	395	1668
17	Oceana County	$579,444	$235,805	+25.7%	$461,068	$1.11 million	410	1110
18	Huron County	$636,632	$234,838	+22.0%	$521,963	$1.31 million	422	1048
19	Kent County	$12.48 million	$234,234	+7.6%	$11.60 million	$33.15 million	433	72
20	Otsego County	$518,915	$227,189	+21.6%	$426,850	$1.11 million	526	1202
21	Charlevoix County	$502,988	$223,940	+21.5%	$414,091	$1.02 million	567	1229
22	Iosco County	$478,473	$221,553	+10.0%	$434,969	$1.25 million	603	1266
23	Delta County	$670,181	$220,645	+14.4%	$585,759	$1.59 million	622	1013
24	Saginaw County	$3.23 million	$217,125	+12.7%	$2.86 million	$8.03 million	684	303
25	St. Clair County	$2.76 million	$216,941	+11.4%	$2.48 million	$6.65 million	688	345
26	Midland County	$1.43 million	$214,483	+22.1%	$1.17 million	$3.15 million	725	591
27	Mecosta County	$732,394	$214,399	+9.8%	$666,953	$1.92 million	728	953
28	Emmet County	$587,825	$214,240	+11.4%	$527,763	$1.48 million	730	1100
29	Alger County	$164,774	$214,068	+16.4%	$141,510	$388,982	732	2075
30	Luce County	$124,549	$213,566	+22.7%	$101,493	$246,119	742	2262
31	Arenac County	$255,652	$209,585	-0.2%	$256,052	$686,229	807	1783
32	Gogebic County	$239,124	$208,607	+2.7%	$232,854	$717,228	826	1845
33	Dickinson County	$419,677	$206,808	+3.1%	$407,131	$1.18 million	858	1360
34	Tuscola County	$846,259	$205,455	+14.9%	$736,548	$1.92 million	880	862
35	Berrien County	$2.43 million	$203,651	+10.8%	$2.19 million	$6.14 million	911	391
36	Genesee County	$6.31 million	$201,078	+7.3%	$5.88 million	$17.04 million	953	162
37	Montmorency County	$136,861	$199,904	+20.7%	$113,382	$272,449	979	2205
38	Newaygo County	$790,101	$199,594	+22.2%	$646,654	$1.55 million	990	905
39	Baraga County	$109,591	$199,590	+8.0%	$101,493	$336,413	991	2345
40	Cheboygan County	$378,884	$198,148	+12.8%	$335,796	$956,945	1026	1457
41	Schoolcraft County	$101,585	$197,046	+17.2%	$86,704	$219,026	1056	2392
42	Keweenaw County	$7,542	$196,598	-18.7%	$9,279	$36,512	1080	3010
43	Lapeer County	$1.35 million	$196,337	+16.6%	$1.16 million	$3.02 million	1085	618
44	Clare County	$444,640	$193,509	+5.0%	$423,370	$1.25 million	1178	1317
45	Mackinac County	$133,816	$192,793	+3.5%	$129,331	$377,000	1202	2220
46	Muskegon County	$2.64 million	$192,132	+3.4%	$2.56 million	$7.50 million	1223	358
47	Calhoun County	$1.96 million	$191,131	+7.3%	$1.83 million	$5.24 million	1246	459
48	Ontonagon County	$44,770	$190,465	+5.7%	$42,337	$126,031	1271	2731
49	Mason County	$389,112	$189,933	+0.9%	$385,673	$1.07 million	1289	1432
50	Grand Traverse County	$1.39 million	$189,538	+6.3%	$1.31 million	$3.83 million	1302	605
51	Gratiot County	$558,080	$187,867	+4.7%	$532,982	$1.67 million	1354	1140
52	Alcona County	$104,791	$187,365	+5.1%	$99,753	$312,182	1368	2373
53	Crawford County	$147,292	$186,272	+2.6%	$143,540	$396,471	1405	2150
54	Ingham County	$4.16 million	$185,438	+4.1%	$4.00 million	$12.09 million	1427	237
55	Osceola County	$283,841	$184,795	+1.2%	$280,410	$777,640	1446	1699
56	Oscoda County	$65,485	$183,626	+3.6%	$63,216	$146,023	1479	2591
57	Macomb County	$12.65 million	$182,818	+7.9%	$11.72 million	$34.03 million	1492	70
58	Gladwin County	$309,836	$182,410	+0.3%	$308,828	$844,581	1506	1636
59	Branch County	$583,215	$180,540	+11.7%	$521,963	$1.44 million	1563	1107
60	Isabella County	$834,753	$178,808	+3.9%	$803,243	$2.40 million	1610	871
61	Alpena County	$331,059	$178,623	+3.5%	$319,847	$967,765	1617	1575
62	Leelanau County	$239,400	$176,502	+19.0%	$201,246	$514,010	1682	1841
63	Lenawee County	$1.26 million	$175,244	+2.7%	$1.23 million	$3.56 million	1717	644
64	Ionia County	$830,157	$174,885	+4.1%	$797,444	$2.39 million	1732	879
65	Missaukee County	$119,834	$173,147	-1.1%	$121,211	$390,844	1769	2285
66	Oakland County	$17.31 million	$172,129	+4.2%	$16.60 million	$50.06 million	1794	48
67	Kalamazoo County	$3.44 million	$170,587	+5.1%	$3.27 million	$9.71 million	1829	280
68	Marquette County	$802,096	$168,765	+2.4%	$782,945	$2.24 million	1872	898
69	Sanilac County	$428,169	$168,171	-2.0%	$436,709	$1.39 million	1889	1344
70	Lake County	$70,288	$167,368	+14.3%	$61,476	$155,999	1918	2565
71	Monroe County	$1.90 million	$164,238	+3.0%	$1.84 million	$5.40 million	2009	479
72	Jackson County	$1.92 million	$162,425	-1.7%	$1.95 million	$6.24 million	2059	472
73	Chippewa County	$343,826	$162,388	+3.8%	$331,157	$982,287	2062	1542
74	Benzie County	$117,802	$161,680	+3.4%	$113,962	$327,614	2081	2297
75	Manistee County	$205,359	$161,169	-18.9%	$253,152	$916,942	2098	1955
76	Washtenaw County	$4.55 million	$160,876	+11.8%	$4.07 million	$11.48 million	2105	219
77	Bay County	$1.13 million	$156,877	+3.6%	$1.09 million	$3.27 million	2205	708
78	Cass County	$448,790	$148,347	+3.2%	$434,969	$1.29 million	2391	1311
79	Ottawa County	$3.38 million	$146,053	+3.3%	$3.27 million	$9.68 million	2430	283
80	Allegan County	$1.24 million	$145,162	+3.2%	$1.20 million	$3.56 million	2450	656
81	Barry County	$549,817	$142,813	+3.6%	$530,663	$1.56 million	2485	1154
82	Livingston County	$1.90 million	$134,619	+4.7%	$1.81 million	$5.36 million	2624	480
83	Clinton County	$521,568	$119,027	-2.8%	$536,462	$1.68 million	2806	1194

Minnesota Spend Data

Total spend: $95.97 million
Spend per 10k adults: $214,339
National rank (per-capita): #18
National rank (total): #18
Change vs FY2025: +11.7%
Cities in dataset: 3
Counties in dataset: 87

Cities in Minnesota (3)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Minneapolis	$23.14 million	$693,323	-2.0%	$23.61 million	$70.62 million	17
2	Saint Paul	$13.30 million	$544,029	+13.9%	$11.67 million	$29.53 million	41
3	Rochester	$1.41 million	$162,180	-2.0%	$1.44 million	$4.37 million	157

Counties in Minnesota (87)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Redwood County	$1.41 million	$513,811	+45.1%	$973,483	$1.37 million	5	598
2	Benton County	$1.56 million	$358,523	+11.3%	$1.41 million	$3.91 million	22	545
3	Hennepin County	$29.68 million	$292,282	+11.1%	$26.71 million	$74.64 million	89	26
4	Pipestone County	$352,725	$269,603	+48.5%	$237,605	$474,495	164	1525
5	Cass County	$789,017	$263,180	+5.1%	$750,896	$2.06 million	202	907
6	Murray County	$285,513	$257,482	+47.3%	$193,892	$428,193	242	1693
7	Ramsey County	$11.04 million	$256,878	+23.5%	$8.94 million	$22.10 million	248	91
8	Wadena County	$396,415	$252,329	+24.5%	$318,326	$751,829	278	1419
9	Clearwater County	$281,866	$252,064	+34.2%	$209,983	$452,011	282	1704
10	Yellow Medicine County	$293,476	$250,630	+40.5%	$208,910	$413,717	294	1673
11	Kittson County	$176,613	$247,306	+43.8%	$122,825	$273,349	312	2034
12	Chippewa County	$328,112	$244,245	+22.8%	$267,104	$655,716	336	1583
13	Stearns County	$3.20 million	$242,000	+17.2%	$2.73 million	$7.25 million	362	305
14	Renville County	$336,562	$236,530	+11.4%	$302,236	$858,931	401	1561
15	Le Sueur County	$611,686	$235,507	+17.6%	$520,264	$1.46 million	413	1077
16	Pennington County	$312,162	$233,295	+10.5%	$282,391	$911,844	444	1629
17	Mille Lacs County	$564,958	$232,317	-4.6%	$592,135	$2.06 million	456	1130
18	Red Lake County	$127,788	$231,257	+6.6%	$119,875	$369,104	469	2250
19	Cottonwood County	$254,448	$228,758	+23.4%	$206,228	$535,212	511	1788
20	Sherburne County	$1.84 million	$221,413	+5.3%	$1.75 million	$4.96 million	606	493
21	Stevens County	$199,343	$221,275	+3.5%	$192,551	$508,969	610	1967
22	Mahnomen County	$118,144	$220,796	+7.2%	$110,221	$328,904	619	2295
23	Scott County	$2.72 million	$216,559	+23.8%	$2.20 million	$5.41 million	697	352
24	Polk County	$528,856	$214,982	+25.0%	$423,184	$1.04 million	717	1180
25	Norman County	$119,601	$214,694	+3.5%	$115,584	$240,738	722	2286
26	Cook County	$85,390	$207,981	+25.4%	$68,117	$161,312	835	2473
27	Faribault County	$221,459	$207,859	+4.7%	$211,592	$590,617	838	1897
28	Wilkin County	$96,841	$207,644	+7.8%	$89,839	$275,145	842	2415
29	Aitkin County	$257,642	$207,255	+5.2%	$244,846	$703,031	851	1777
30	Wabasha County	$337,933	$205,943	+31.0%	$257,986	$660,573	873	1556
31	Koochiching County	$175,405	$205,448	+5.7%	$166,002	$466,633	881	2037
32	Lake of the Woods County	$47,523	$204,804	+20.6%	$39,422	$107,321	891	2711
33	Jackson County	$139,695	$203,142	+19.5%	$116,925	$314,131	922	2194
34	Waseca County	$276,597	$202,199	+5.1%	$263,082	$790,068	935	1719
35	Roseau County	$218,822	$201,371	+3.5%	$211,324	$595,082	946	1904
36	Beltrami County	$718,411	$200,900	+0.3%	$716,033	$2.22 million	956	963
37	Grant County	$68,538	$199,585	+26.5%	$54,172	$126,083	992	2574
38	Traverse County	$21,128	$199,185	+6.5%	$19,845	$60,012	1000	2906
39	Swift County	$122,801	$198,600	+12.2%	$109,416	$305,246	1015	2272
40	Martin County	$267,079	$197,028	+0.5%	$265,764	$833,511	1057	1748
41	Fillmore County	$299,525	$197,027	+5.2%	$284,804	$839,031	1058	1661
42	Big Stone County	$40,400	$195,612	+6.8%	$37,813	$118,217	1105	2765
43	Lyon County	$356,999	$195,604	+3.5%	$344,876	$735,641	1106	1514
44	Chisago County	$858,772	$193,992	+6.0%	$809,895	$2.42 million	1157	850
45	Isanti County	$629,608	$193,245	+10.2%	$571,217	$1.95 million	1186	1057
46	Kanabec County	$206,049	$192,560	+22.0%	$168,952	$395,939	1208	1952
47	Marshall County	$84,584	$191,601	+16.8%	$72,408	$269,036	1234	2478
48	Crow Wing County	$985,723	$190,873	+5.3%	$935,938	$2.69 million	1255	776
49	Lincoln County	$33,560	$190,724	+5.2%	$31,913	$97,223	1259	2821
50	Lac qui Parle County	$49,561	$190,476	+7.4%	$46,126	$154,603	1270	2699
51	Wright County	$2.30 million	$190,187	+14.0%	$2.02 million	$5.66 million	1281	408
52	Morrison County	$457,583	$188,757	+22.1%	$374,912	$984,003	1323	1297
53	Houston County	$216,884	$188,637	+15.7%	$187,456	$503,682	1329	1912
54	Rock County	$82,916	$187,865	+6.6%	$77,771	$236,414	1355	2486
55	Becker County	$465,472	$187,814	+21.7%	$382,421	$966,794	1356	1288
56	Blue Earth County	$978,374	$187,218	+5.4%	$927,893	$2.50 million	1373	782
57	Brown County	$307,022	$185,351	+7.2%	$286,413	$873,628	1429	1642
58	Todd County	$306,967	$183,647	+16.1%	$264,423	$688,943	1477	1643
59	Kandiyohi County	$574,172	$183,377	+18.9%	$482,719	$1.29 million	1484	1115
60	St. Louis County	$2.79 million	$181,966	+6.0%	$2.63 million	$7.81 million	1524	340
61	Pope County	$89,453	$181,783	+5.9%	$84,476	$225,003	1530	2454
62	Itasca County	$571,712	$181,387	+26.9%	$450,538	$1.14 million	1542	1121
63	Watonwan County	$88,143	$181,251	+7.8%	$81,794	$255,852	1546	2461
64	Sibley County	$139,462	$180,182	-1.1%	$141,061	$456,658	1575	2197
65	Dodge County	$209,991	$176,789	+6.1%	$197,915	$581,617	1670	1937
66	Meeker County	$234,606	$175,387	+4.9%	$223,660	$635,949	1711	1858
67	Clay County	$834,723	$174,485	+3.1%	$809,895	$2.22 million	1738	872
68	Carlton County	$406,996	$173,937	+19.3%	$341,121	$882,075	1747	1384
69	Freeborn County	$311,246	$171,907	+5.9%	$293,922	$819,759	1799	1632
70	Lake County	$42,319	$170,956	-37.9%	$68,117	$284,335	1817	2752
71	Steele County	$399,526	$170,746	-13.8%	$463,410	$1.58 million	1823	1407
72	Mower County	$435,470	$168,854	+4.1%	$418,356	$1.20 million	1868	1330
73	Goodhue County	$515,618	$166,424	+6.8%	$482,719	$1.45 million	1944	1210
74	Anoka County	$4.86 million	$166,011	+5.8%	$4.59 million	$13.35 million	1954	211
75	Pine County	$279,125	$165,414	+6.8%	$261,473	$773,209	1974	1713
76	Winona County	$496,108	$158,848	+14.2%	$434,447	$1.17 million	2149	1243
77	Otter Tail County	$624,828	$158,527	+5.9%	$589,990	$1.72 million	2161	1065
78	Nobles County	$139,700	$157,675	-22.0%	$179,142	$625,765	2183	2193
79	Douglas County	$358,840	$157,528	+7.6%	$333,344	$1.10 million	2185	1508
80	Dakota County	$5.47 million	$156,349	+5.9%	$5.17 million	$14.53 million	2214	188
81	Nicollet County	$279,409	$156,177	+2.7%	$271,932	$833,273	2217	1712
82	Hubbard County	$132,495	$155,938	-8.0%	$144,011	$491,344	2221	2229
83	Rice County	$693,055	$153,294	+7.2%	$646,307	$2.04 million	2288	989
84	Olmsted County	$1.85 million	$152,523	+4.7%	$1.76 million	$5.07 million	2306	491
85	McLeod County	$272,707	$149,701	-21.2%	$345,949	$1.27 million	2365	1733
86	Washington County	$2.93 million	$138,477	+6.7%	$2.75 million	$8.32 million	2569	328
87	Carver County	$691,974	$107,108	-4.4%	$724,078	$2.37 million	2949	991

Mississippi Spend Data

Total spend: $27.06 million
Spend per 10k adults: $116,454
National rank (per-capita): #50
National rank (total): #37
Change vs FY2025: +9.3%
Cities in dataset: 1
Counties in dataset: 82

Cities in Mississippi (1)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Jackson	$2.49 million	$214,753	-3.6%	$2.58 million	$7.83 million	121

Counties in Mississippi (82)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Calhoun County	$310,726	$170,667	+39.9%	$222,131	$449,369	1826	1634
2	Pearl River County	$923,490	$168,904	+26.2%	$731,517	$1.61 million	1866	814
3	Choctaw County	$228,057	$164,174	+46.4%	$155,819	$336,205	2010	1879
4	Grenada County	$357,911	$155,890	+31.7%	$271,791	$631,921	2223	1511
5	Montgomery County	$214,109	$155,004	+35.3%	$158,198	$334,352	2242	1921
6	Forrest County	$1.05 million	$153,353	+3.9%	$1.01 million	$2.89 million	2286	745
7	Hinds County	$2.62 million	$152,254	+4.8%	$2.50 million	$7.27 million	2313	363
8	Stone County	$302,536	$146,156	+23.6%	$244,731	$619,816	2427	1654
9	Simpson County	$352,986	$142,573	+35.4%	$260,789	$565,128	2492	1523
10	Lincoln County	$448,749	$140,589	+27.1%	$352,972	$922,385	2529	1313
11	Tishomingo County	$266,323	$140,142	+3.1%	$258,410	$700,741	2536	1753
12	Jefferson Davis County	$179,616	$139,550	+0.3%	$179,013	$479,263	2548	2022
13	Harrison County	$2.41 million	$138,253	+6.4%	$2.27 million	$6.92 million	2572	395
14	Pontotoc County	$394,860	$136,360	+19.8%	$329,480	$844,748	2602	1422
15	Smith County	$198,014	$135,518	+40.5%	$140,951	$247,614	2610	1971
16	Sharkey County	$79,829	$134,696	+39.8%	$57,094	$124,965	2621	2511
17	Adams County	$355,186	$132,767	+14.9%	$309,259	$808,720	2642	1519
18	Tippah County	$252,319	$129,853	+15.6%	$218,266	$599,053	2674	1794
19	Monroe County	$373,266	$129,742	+16.2%	$321,154	$819,265	2676	1470
20	Jones County	$693,036	$127,449	+19.5%	$579,861	$1.47 million	2719	990
21	Marshall County	$366,350	$125,899	+19.3%	$307,178	$756,447	2736	1486
22	Rankin County	$1.60 million	$124,061	+7.7%	$1.48 million	$4.39 million	2751	538
23	Webster County	$118,174	$124,060	+32.0%	$89,507	$168,674	2752	2294
24	Jackson County	$1.46 million	$123,974	+5.2%	$1.38 million	$3.50 million	2754	583
25	Humphreys County	$70,158	$118,637	+34.8%	$52,039	$95,075	2811	2566
26	Prentiss County	$238,394	$118,214	+12.6%	$211,724	$590,368	2818	1846
27	Issaquena County	$10,268	$116,257	+27.9%	$8,029	$16,873	2840	2992
28	Lowndes County	$519,618	$115,946	+6.7%	$487,083	$1.47 million	2843	1201
29	Kemper County	$72,985	$114,979	+26.5%	$57,689	$149,139	2853	2548
30	Lauderdale County	$628,501	$114,826	+7.8%	$582,835	$1.72 million	2856	1059
31	Oktibbeha County	$462,484	$114,817	-9.0%	$508,493	$1.68 million	2857	1291
32	Lee County	$742,712	$114,104	+6.7%	$695,833	$2.16 million	2865	944
33	Alcorn County	$301,564	$113,912	+13.6%	$265,547	$712,071	2869	1658
34	Union County	$245,246	$113,560	+5.1%	$233,431	$637,095	2874	1811
35	Noxubee County	$77,929	$113,250	+32.4%	$58,878	$138,483	2877	2522
36	Chickasaw County	$138,406	$112,968	+20.6%	$114,783	$290,162	2883	2200
37	Madison County	$1.00 million	$111,384	+12.4%	$892,094	$2.45 million	2897	765
38	DeSoto County	$1.71 million	$111,015	+7.4%	$1.59 million	$5.74 million	2903	521
39	Tunica County	$61,695	$110,979	+1.7%	$60,662	$164,769	2904	2612
40	Yalobusha County	$90,549	$110,392	+17.6%	$77,017	$200,598	2909	2447
41	Jasper County	$118,069	$109,869	+13.8%	$103,780	$370,920	2919	2296
42	George County	$207,208	$109,492	+3.1%	$201,018	$568,397	2924	1949
43	Perry County	$78,552	$108,951	+6.5%	$73,746	$226,122	2926	2519
44	Quitman County	$20,604	$107,359	+11.8%	$18,437	$51,346	2944	2910
45	Wayne County	$140,594	$106,959	+2.6%	$137,085	$379,427	2954	2189
46	Newton County	$146,260	$106,021	+14.7%	$127,569	$346,448	2968	2157
47	Panola County	$243,383	$105,933	+4.8%	$232,242	$666,959	2970	1819
48	Franklin County	$33,687	$105,856	+3.9%	$32,413	$86,831	2971	2815
49	Warren County	$317,753	$105,763	+6.4%	$298,554	$860,827	2972	1613
50	Neshoba County	$209,491	$105,730	+10.8%	$189,124	$532,114	2973	1939
51	Attala County	$104,040	$103,469	+2.0%	$101,996	$282,237	2993	2379
52	Winston County	$98,855	$101,414	+6.2%	$93,075	$281,789	3010	2404
53	Itawamba County	$148,183	$100,567	+19.8%	$123,704	$330,606	3013	2146
54	Jefferson County	$11,279	$100,510	-2.7%	$11,597	$37,067	3014	2983
55	Claiborne County	$20,311	$100,299	+5.1%	$19,329	$56,757	3016	2912
56	Hancock County	$324,458	$100,090	-4.5%	$339,590	$1.16 million	3020	1591
57	Lawrence County	$48,991	$100,040	+37.3%	$35,684	$69,079	3021	2703
58	Benton County	$14,224	$99,765	+13.9%	$12,489	$42,950	3023	2960
59	Wilkinson County	$14,348	$99,608	-49.2%	$28,250	$112,538	3024	2959
60	Lafayette County	$414,357	$98,717	-12.4%	$472,810	$1.57 million	3032	1375
61	Greene County	$57,635	$98,368	+21.9%	$47,281	$127,101	3034	2647
62	Yazoo County	$127,591	$98,063	+4.1%	$122,514	$357,177	3039	2251
63	Coahoma County	$100,627	$97,313	-11.9%	$114,188	$395,049	3044	2395
64	Pike County	$242,194	$96,880	+3.5%	$234,026	$649,846	3046	1824
65	Holmes County	$63,636	$96,396	+3.4%	$61,554	$161,587	3049	2602
66	Scott County	$157,698	$96,128	+7.6%	$146,601	$454,421	3050	2101
67	Marion County	$123,146	$95,276	+4.1%	$118,351	$306,543	3054	2270
68	Clay County	$78,595	$94,912	-17.9%	$95,751	$341,359	3056	2518
69	Sunflower County	$112,376	$94,712	+15.2%	$97,536	$257,743	3057	2336
70	Washington County	$242,117	$94,592	+16.0%	$208,750	$548,382	3058	1825
71	Copiah County	$145,230	$94,429	+6.9%	$135,896	$420,646	3061	2160
72	Tallahatchie County	$21,934	$94,382	+3.9%	$21,113	$60,692	3062	2898
73	Tate County	$151,981	$93,946	-10.3%	$169,498	$555,023	3064	2128
74	Bolivar County	$144,590	$93,126	+8.5%	$133,219	$316,965	3066	2162
75	Walthall County	$39,618	$93,060	+3.3%	$38,360	$97,247	3067	2770
76	Carroll County	$0	$91,480	-100.0%	$65,420	$574,264	3070	3082
77	Amite County	$21,948	$91,077	+4.0%	$21,113	$62,483	3072	2897
78	Covington County	$59,890	$90,895	+4.9%	$57,094	$169,985	3073	2630
79	Clarke County	$34,410	$89,441	-1.9%	$35,089	$114,612	3077	2809
80	Leake County	$80,340	$89,417	+3.5%	$77,612	$218,804	3078	2506
81	Leflore County	$94,003	$86,276	-24.0%	$123,704	$447,236	3083	2429
82	Lamar County	$319,342	$79,064	+26.9%	$251,570	$578,849	3087	1609

Missouri Spend Data

Total spend: $82.69 million
Spend per 10k adults: $171,283
National rank (per-capita): #43
National rank (total): #21
Change vs FY2025: -0.8%
Cities in dataset: 5
Counties in dataset: 114

Cities in Missouri (5)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	St. Louis	$14.74 million	$622,981	+0.4%	$14.69 million	$44.89 million	35
2	Kansas City	$13.20 million	$330,810	-3.8%	$13.72 million	$42.21 million	42
3	Springfield	$3.90 million	$292,767	-2.1%	$3.99 million	$11.67 million	85
4	Columbia	$1.91 million	$197,904	-2.1%	$1.95 million	$5.69 million	141
5	Independence	$1.68 million	$184,407	-2.1%	$1.71 million	$5.04 million	150

Counties in Missouri (114)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Jackson County	$15.86 million	$271,372	-1.2%	$16.05 million	$51.46 million	155	56
2	Clay County	$5.14 million	$239,058	+12.5%	$4.57 million	$11.79 million	380	199
3	Macon County	$420,397	$231,146	+19.0%	$353,169	$854,123	472	1357
4	Warren County	$851,742	$231,012	+12.1%	$759,867	$1.84 million	474	858
5	Gentry County	$255,273	$229,409	+32.3%	$192,889	$371,872	502	1785
6	Buchanan County	$1.58 million	$222,721	+2.9%	$1.54 million	$4.18 million	586	544
7	Johnson County	$1.05 million	$214,203	-4.7%	$1.10 million	$3.28 million	731	742
8	Reynolds County	$190,280	$210,676	+24.5%	$152,896	$295,374	787	1996
9	Henry County	$455,047	$208,189	+15.4%	$394,392	$902,457	831	1302
10	Marion County	$549,058	$207,858	-4.6%	$575,284	$1.76 million	839	1156
11	Atchison County	$152,860	$202,778	-8.8%	$167,663	$433,831	925	2120
12	Taney County	$952,414	$199,254	+8.6%	$876,769	$2.35 million	997	797
13	Greene County	$4.87 million	$198,255	-2.9%	$5.02 million	$15.16 million	1025	209
14	Nodaway County	$365,920	$196,693	-6.5%	$391,316	$1.01 million	1076	1488
15	Shannon County	$164,284	$195,841	+29.3%	$127,055	$301,121	1099	2077
16	Crawford County	$398,556	$194,460	-6.1%	$424,541	$1.22 million	1139	1410
17	Linn County	$225,834	$193,572	-4.9%	$237,497	$701,442	1175	1885
18	Andrew County	$323,127	$193,497	-6.4%	$345,170	$887,394	1179	1596
19	Clark County	$132,786	$189,757	+18.3%	$112,288	$268,870	1299	2224
20	Chariton County	$138,037	$187,201	+22.3%	$112,903	$258,923	1375	2202
21	Caldwell County	$149,934	$183,560	-6.8%	$160,895	$447,020	1481	2138
22	Benton County	$312,468	$182,747	+16.3%	$268,568	$620,355	1495	1627
23	Lewis County	$159,050	$182,569	+1.0%	$157,511	$524,089	1499	2099
24	Adair County	$383,261	$182,096	-4.8%	$402,699	$1.18 million	1517	1449
25	Stoddard County	$412,083	$180,377	+4.5%	$394,392	$1.07 million	1570	1377
26	Randolph County	$357,603	$180,133	+7.2%	$333,480	$929,495	1576	1512
27	Pettis County	$635,451	$179,943	+3.3%	$615,277	$1.68 million	1578	1049
28	St. Charles County	$5.99 million	$178,825	-4.8%	$6.29 million	$18.50 million	1608	172
29	Carroll County	$113,435	$175,053	-5.5%	$119,979	$328,689	1724	2329
30	Cooper County	$232,580	$174,899	-3.8%	$241,804	$749,424	1730	1867
31	Mercer County	$41,233	$173,892	-0.7%	$41,531	$121,829	1748	2758
32	Pike County	$239,279	$173,776	-3.0%	$246,726	$766,373	1750	1843
33	St. Clair County	$125,682	$172,362	+18.8%	$105,828	$250,650	1788	2258
34	Worth County	$15,821	$172,058	-6.5%	$16,920	$32,172	1795	2948
35	Harrison County	$100,450	$171,657	+6.4%	$94,445	$256,475	1806	2399
36	Moniteau County	$196,294	$171,547	+0.6%	$195,043	$657,148	1808	1977
37	Schuyler County	$42,433	$170,894	+6.9%	$39,685	$163,326	1819	2751
38	Ste. Genevieve County	$234,183	$170,081	+13.4%	$206,425	$469,624	1836	1860
39	Boone County	$2.54 million	$169,904	+0.1%	$2.54 million	$7.30 million	1842	370
40	Holt County	$40,241	$169,880	+6.3%	$37,840	$143,164	1843	2768
41	Jefferson County	$3.07 million	$168,638	-3.2%	$3.17 million	$9.69 million	1876	314
42	Cass County	$1.51 million	$168,473	+8.5%	$1.39 million	$3.71 million	1880	561
43	Shelby County	$57,423	$168,229	+3.7%	$55,375	$235,793	1887	2650
44	Douglas County	$142,558	$168,148	+21.3%	$117,518	$218,504	1890	2179
45	Howell County	$517,807	$168,121	-3.9%	$538,982	$1.61 million	1892	1204
46	Scotland County	$42,156	$167,867	-4.2%	$43,992	$128,696	1900	2753
47	Putnam County	$38,161	$167,630	+11.8%	$34,148	$192,764	1908	2778
48	Pulaski County	$689,729	$166,953	-7.0%	$741,409	$2.35 million	1928	994
49	Jasper County	$1.64 million	$166,281	-3.8%	$1.70 million	$5.11 million	1948	531
50	Iron County	$96,123	$166,199	+1.4%	$94,753	$331,572	1951	2419
51	Grundy County	$98,542	$165,275	-2.9%	$101,521	$296,958	1977	2406
52	Carter County	$42,072	$165,151	+16.9%	$35,994	$83,012	1981	2754
53	Knox County	$18,786	$164,675	-1.5%	$19,074	$60,417	1996	2925
54	Monroe County	$84,170	$164,014	-3.3%	$87,062	$266,671	2013	2480
55	Barton County	$120,438	$163,951	-2.6%	$123,671	$409,080	2015	2281
56	Madison County	$133,999	$163,920	-5.7%	$142,129	$355,700	2017	2219
57	Perry County	$212,727	$163,565	-1.4%	$215,655	$825,209	2027	1924
58	Sullivan County	$37,334	$162,260	-8.1%	$40,608	$130,549	2066	2787
59	Washington County	$265,656	$161,871	+3.9%	$255,648	$698,013	2075	1755
60	Gasconade County	$150,232	$161,658	-5.5%	$159,049	$448,085	2084	2136
61	Camden County	$519,889	$161,413	+0.6%	$516,833	$1.66 million	2090	1200
62	Ripley County	$95,170	$160,655	+11.3%	$85,523	$232,252	2111	2426
63	Montgomery County	$105,249	$160,392	-22.2%	$135,361	$464,493	2117	2370
64	Lafayette County	$377,407	$159,642	+3.6%	$364,244	$1.00 million	2136	1460
65	Callaway County	$525,428	$158,802	-3.5%	$544,520	$1.60 million	2151	1184
66	Osage County	$121,935	$158,025	-4.5%	$127,670	$367,421	2176	2275
67	Butler County	$472,366	$157,963	+0.4%	$470,687	$1.61 million	2177	1280
68	Pemiscot County	$132,102	$157,913	+8.2%	$122,132	$449,905	2179	2230
69	New Madrid County	$139,300	$157,784	-7.8%	$151,050	$508,612	2182	2198
70	Scott County	$419,982	$157,305	-10.8%	$470,687	$1.55 million	2194	1359
71	Ray County	$239,974	$157,283	-0.1%	$240,266	$782,735	2196	1835
72	Bates County	$154,629	$157,190	-4.3%	$161,510	$485,127	2199	2114
73	Cape Girardeau County	$985,950	$157,080	-3.5%	$1.02 million	$3.11 million	2202	774
74	Daviess County	$54,385	$156,535	-3.4%	$56,298	$170,922	2211	2667
75	Morgan County	$222,812	$156,126	-6.1%	$237,189	$694,727	2219	1889
76	Saline County	$231,801	$155,813	-3.2%	$239,343	$731,247	2225	1869
77	Mississippi County	$93,299	$155,581	+2.8%	$90,753	$303,077	2229	2430
78	Clinton County	$209,784	$155,258	-3.5%	$217,500	$654,772	2238	1938
79	Maries County	$46,157	$154,633	-3.2%	$47,684	$145,145	2248	2723
80	Oregon County	$49,522	$154,505	-13.5%	$57,221	$198,884	2252	2700
81	Dade County	$38,434	$154,468	-6.1%	$40,916	$119,866	2254	2776
82	Phelps County	$490,967	$154,263	-3.3%	$507,603	$1.54 million	2260	1253
83	Laclede County	$387,769	$153,778	+5.0%	$369,474	$1.01 million	2272	1440
84	Hickory County	$51,141	$153,771	+5.9%	$48,299	$125,277	2274	2687
85	Miller County	$252,671	$153,592	-0.2%	$253,186	$825,438	2280	1792
86	Platte County	$1.32 million	$153,279	-4.5%	$1.38 million	$3.98 million	2289	630
87	Christian County	$1.10 million	$153,163	+9.3%	$1.01 million	$2.74 million	2293	719
88	Howard County	$60,915	$152,623	-3.4%	$63,066	$193,729	2304	2623
89	Wayne County	$63,799	$151,373	+10.9%	$57,528	$133,985	2331	2599
90	St. Francois County	$733,773	$150,452	-5.0%	$772,172	$2.28 million	2352	950
91	St. Louis County	$11.60 million	$150,033	-3.1%	$11.97 million	$36.46 million	2362	81
92	Polk County	$324,664	$149,437	+0.7%	$322,405	$1.04 million	2374	1590
93	Livingston County	$102,656	$149,316	-4.9%	$107,981	$316,004	2377	2389
94	Cedar County	$102,061	$148,604	+1.5%	$100,598	$390,376	2388	2390
95	Lawrence County	$383,990	$147,925	-4.6%	$402,391	$1.15 million	2398	1447
96	Ozark County	$32,843	$147,835	-2.9%	$33,840	$129,162	2399	2826
97	Ralls County	$42,540	$146,366	-2.6%	$43,685	$134,296	2422	2748
98	Audrain County	$202,826	$146,044	-4.7%	$212,886	$749,015	2432	1964
99	Dunklin County	$226,520	$145,418	-3.0%	$233,498	$704,099	2444	1882
100	Vernon County	$141,089	$143,839	-3.7%	$146,436	$424,094	2472	2187
101	Franklin County	$1.13 million	$143,560	-19.3%	$1.40 million	$4.92 million	2476	704
102	DeKalb County	$23,269	$142,880	-33.1%	$34,763	$131,293	2484	2889
103	Lincoln County	$651,747	$141,711	+3.3%	$630,659	$2.49 million	2509	1030
104	Cole County	$774,479	$141,464	-3.2%	$799,860	$2.64 million	2516	925
105	Newton County	$600,328	$141,397	+0.2%	$599,280	$2.18 million	2519	1089
106	Bollinger County	$27,392	$141,312	+0.0%	$27,380	$93,955	2522	2859
107	Wright County	$123,710	$140,413	-5.2%	$130,439	$376,673	2534	2267
108	Webster County	$371,209	$138,729	-3.3%	$383,933	$1.19 million	2564	1472
109	Dent County	$56,943	$137,564	-24.4%	$75,371	$283,810	2585	2654
110	Texas County	$171,805	$135,787	+7.0%	$160,587	$603,422	2608	2051
111	Dallas County	$58,638	$128,786	-30.9%	$84,908	$334,956	2697	2639
112	Stone County	$199,185	$127,673	-4.4%	$208,271	$683,511	2715	1968
113	Barry County	$203,509	$121,685	-1.3%	$206,118	$643,251	2772	1961
114	McDonald County	$84,265	$121,089	-4.2%	$87,985	$320,121	2779	2479

Montana Spend Data

Total spend: $15.15 million
Spend per 10k adults: $180,701
National rank (per-capita): #36
National rank (total): #45
Change vs FY2025: +11.8%
Cities in dataset: 1
Counties in dataset: 56

Cities in Montana (1)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Billings	$1.98 million	$214,967	+5.4%	$1.87 million	$5.36 million	138

Counties in Montana (56)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Park County	$747,518	$293,715	+42.2%	$525,773	$1.16 million	83	940
2	Toole County	$416,557	$283,384	+42.8%	$291,618	$628,778	113	1370
3	Beaverhead County	$322,893	$224,415	+34.6%	$239,902	$610,185	559	1597
4	Gallatin County	$2.30 million	$215,836	+9.5%	$2.10 million	$6.34 million	706	407
5	Dawson County	$211,336	$197,853	+34.7%	$156,870	$389,286	1033	1933
6	Big Horn County	$274,100	$197,783	+43.9%	$190,485	$457,077	1037	1729
7	Roosevelt County	$207,735	$189,778	+5.9%	$196,231	$535,066	1298	1947
8	Silver Bow County	$585,993	$188,490	+9.7%	$534,393	$1.60 million	1336	1104
9	Hill County	$286,502	$187,347	+22.7%	$233,581	$645,262	1369	1691
10	Carbon County	$216,757	$187,167	+35.4%	$160,030	$388,580	1376	1914
11	Glacier County	$216,878	$179,227	+32.7%	$163,478	$372,797	1593	1913
12	Sweet Grass County	$75,770	$177,616	+9.9%	$68,954	$218,218	1648	2531
13	Yellowstone County	$2.42 million	$176,702	+13.0%	$2.14 million	$6.10 million	1673	394
14	Deer Lodge County	$154,564	$176,410	+29.9%	$118,945	$278,864	1688	2115
15	Meagher County	$48,730	$176,041	+40.2%	$34,764	$77,533	1695	2707
16	McCone County	$37,829	$174,176	+46.3%	$25,858	$48,590	1743	2783
17	Daniels County	$33,617	$173,182	+39.3%	$24,134	$60,278	1767	2818
18	Fallon County	$51,906	$173,176	-1.3%	$52,577	$111,400	1768	2684
19	Garfield County	$19,406	$170,267	+5.5%	$18,388	$30,761	1834	2921
20	Powder River County	$20,625	$167,650	+28.2%	$16,089	$42,750	1906	2909
21	Wibaux County	$8,013	$167,343	+7.3%	$7,470	$21,192	1919	3005
22	Treasure County	$5,220	$167,069	+6.9%	$4,884	$12,849	1925	3034
23	Valley County	$90,974	$166,599	+14.7%	$79,297	$227,973	1935	2443
24	Petroleum County	$0	$165,994	-100.0%	$287	$9,081	1955	3082
25	Teton County	$76,128	$165,566	+25.6%	$60,622	$143,308	1971	2529
26	Prairie County	$5,829	$165,438	+1.4%	$5,746	$19,228	1973	3028
27	Golden Valley County	$1,790	$165,228	+24.6%	$1,437	$5,760	1978	3070
28	Sheridan County	$30,777	$163,630	+8.2%	$28,443	$85,608	2022	2837
29	Carter County	$282	$162,116	-92.5%	$3,735	$19,355	2069	3078
30	Musselshell County	$53,568	$162,073	+21.1%	$44,245	$116,170	2070	2674
31	Flathead County	$1.45 million	$161,984	+7.8%	$1.34 million	$3.93 million	2074	588
32	Judith Basin County	$6,305	$160,725	+15.5%	$5,459	$18,685	2108	3023
33	Wheatland County	$4,202	$160,248	+12.5%	$3,735	$11,948	2120	3046
34	Liberty County	$2,025	$160,116	-45.8%	$3,735	$19,959	2126	3068
35	Blaine County	$61,665	$159,497	+7.3%	$57,462	$189,828	2141	2613
36	Granite County	$15,709	$157,472	+13.9%	$13,791	$45,743	2188	2950
37	Rosebud County	$66,289	$155,579	+8.3%	$61,197	$182,290	2230	2583
38	Richland County	$103,879	$155,425	-1.8%	$105,729	$356,059	2233	2382
39	Phillips County	$13,817	$154,548	+11.8%	$12,354	$46,616	2250	2966
40	Missoula County	$1.45 million	$153,799	+2.3%	$1.42 million	$4.61 million	2271	586
41	Lewis and Clark County	$855,874	$152,154	+8.3%	$790,097	$2.23 million	2315	855
42	Chouteau County	$21,454	$150,487	+8.2%	$19,824	$59,254	2351	2903
43	Custer County	$90,628	$149,461	-19.3%	$112,337	$410,952	2372	2446
44	Mineral County	$8,148	$148,747	-43.3%	$14,365	$61,124	2383	3003
45	Lincoln County	$208,089	$148,716	+9.9%	$189,336	$569,537	2384	1945
46	Powell County	$29,502	$148,227	-4.0%	$30,742	$109,353	2392	2841
47	Fergus County	$83,713	$148,203	+7.1%	$78,148	$215,015	2393	2482
48	Broadwater County	$38,925	$146,364	+10.1%	$35,339	$107,527	2423	2774
49	Jefferson County	$91,302	$145,504	+23.2%	$74,125	$197,558	2442	2441
50	Sanders County	$97,685	$144,972	+4.3%	$93,662	$245,724	2455	2411
51	Pondera County	$5,994	$144,711	-59.1%	$14,653	$72,608	2460	3027
52	Cascade County	$874,981	$141,752	-5.4%	$925,131	$3.12 million	2508	843
53	Stillwater County	$29,490	$140,308	-29.7%	$41,947	$159,763	2535	2842
54	Ravalli County	$449,754	$138,666	+27.6%	$352,527	$941,852	2566	1308
55	Madison County	$26,118	$137,446	-20.3%	$32,753	$122,049	2588	2870
56	Lake County	$146,501	$112,342	-21.6%	$186,750	$680,909	2887	2156

N

Nebraska Spend Data

Total spend: $29.43 million
Spend per 10k adults: $193,899
National rank (per-capita): #29
National rank (total): #36
Change vs FY2025: +2.1%
Cities in dataset: 2
Counties in dataset: 93

Cities in Nebraska (2)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Omaha	$11.51 million	$303,357	-0.1%	$11.51 million	$36.97 million	45
2	Lincoln	$3.89 million	$170,332	-2.5%	$3.99 million	$11.67 million	86

Counties in Nebraska (93)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Cheyenne County	$366,670	$253,441	+33.4%	$274,830	$658,986	267	1485
2	Kearney County	$278,672	$242,812	+35.5%	$205,686	$426,683	352	1714
3	Holt County	$299,352	$230,570	+24.3%	$240,839	$556,252	482	1662
4	York County	$378,077	$229,874	+19.9%	$315,211	$797,206	495	1458
5	Pierce County	$241,555	$227,713	+38.6%	$174,310	$349,916	524	1830
6	Pawnee County	$143,227	$223,690	-0.8%	$144,387	$344,802	570	2174
7	Douglas County	$10.69 million	$222,626	-4.7%	$11.22 million	$35.97 million	590	95
8	Dawes County	$226,288	$220,355	+36.7%	$165,595	$359,265	625	1883
9	Buffalo County	$956,852	$217,596	+15.6%	$827,975	$2.30 million	671	796
10	Gage County	$450,102	$216,728	+2.4%	$439,553	$1.14 million	692	1306
11	Chase County	$123,913	$209,784	+6.9%	$115,916	$353,364	804	2265
12	Richardson County	$169,219	$204,356	+29.2%	$131,023	$300,157	895	2061
13	Adams County	$533,451	$201,745	+23.4%	$432,290	$1.14 million	942	1177
14	Burt County	$129,475	$196,062	-0.3%	$129,861	$379,847	1091	2245
15	Furnas County	$95,561	$195,801	+23.7%	$77,278	$181,606	1100	2424
16	Dundy County	$49,154	$195,443	+1.3%	$48,516	$130,402	1109	2702
17	Garfield County	$48,769	$194,509	+35.4%	$36,024	$60,103	1138	2706
18	Saline County	$248,678	$193,760	-0.6%	$250,136	$668,491	1169	1803
19	Cedar County	$143,327	$192,340	+4.3%	$137,415	$410,928	1219	2171
20	Jefferson County	$118,333	$190,661	+1.8%	$116,207	$333,538	1262	2293
21	Kimball County	$57,965	$188,811	+5.6%	$54,908	$181,958	1320	2644
22	Loup County	$15,689	$188,633	+42.1%	$11,040	$21,413	1330	2951
23	Rock County	$25,719	$188,569	+42.8%	$18,012	$35,502	1332	2873
24	Butler County	$131,137	$188,015	+34.3%	$97,614	$221,367	1351	2237
25	Wayne County	$151,626	$187,479	+27.6%	$118,822	$303,373	1365	2131
26	Deuel County	$30,470	$187,063	+23.4%	$24,694	$62,243	1378	2839
27	Sheridan County	$73,562	$187,011	+22.3%	$60,137	$134,919	1382	2546
28	Logan County	$11,611	$186,558	+33.2%	$8,716	$14,858	1395	2982
29	Phelps County	$132,526	$186,274	+1.1%	$131,023	$367,148	1404	2228
30	Thomas County	$9,888	$186,081	+21.6%	$8,134	$66,605	1408	2995
31	Lincoln County	$482,358	$185,234	+13.9%	$423,574	$1.10 million	1434	1260
32	Hall County	$919,288	$184,728	+3.1%	$891,889	$2.62 million	1448	816
33	Blaine County	$2,232	$184,195	+9.8%	$2,034	$6,500	1465	3066
34	Wheeler County	$6,511	$184,005	+1.9%	$6,391	$15,190	1470	3021
35	McPherson County	$59	$183,855	+inf%	$0	$1,142	1473	3081
36	Banner County	$4,303	$183,737	-1.3%	$4,358	$13,808	1474	3043
37	Arthur County	$71	$183,714	+inf%	$0	$1,370	1475	3080
38	Morrill County	$57,727	$183,679	+18.3%	$48,807	$129,725	1476	2646
39	Hooker County	$3,453	$183,419	-8.6%	$3,777	$7,575	1483	3053
40	Grant County	$0	$182,798	-100.0%	$581	$4,836	1493	3082
41	Hayes County	$1,032	$181,794	-40.8%	$1,743	$7,267	1529	3075
42	Keya Paha County	$0	$181,566	-100.0%	$872	$7,309	1535	3082
43	Gosper County	$14,134	$181,464	-0.7%	$14,235	$41,448	1541	2961
44	Keith County	$103,248	$181,301	+7.0%	$96,452	$320,503	1544	2384
45	Frontier County	$25,472	$181,187	+4.4%	$24,403	$78,529	1549	2875
46	Brown County	$27,620	$181,088	-3.0%	$28,471	$68,038	1552	2857
47	Perkins County	$27,884	$181,066	+2.1%	$27,309	$78,569	1553	2853
48	Red Willow County	$131,701	$180,442	+2.6%	$128,409	$377,979	1566	2232
49	Sioux County	$2,169	$180,285	+6.7%	$2,034	$6,906	1574	3067
50	Boone County	$60,613	$180,118	+28.8%	$47,064	$117,984	1577	2627
51	Harlan County	$25,911	$179,622	+23.9%	$20,917	$55,142	1582	2872
52	Seward County	$236,009	$179,189	-0.7%	$237,643	$531,310	1594	1853
53	Sherman County	$22,802	$178,910	+1.9%	$22,370	$54,925	1605	2892
54	Cherry County	$59,215	$178,712	+0.4%	$58,975	$144,406	1613	2634
55	Garden County	$6,163	$178,579	+6.1%	$5,810	$23,146	1618	3025
56	Valley County	$38,101	$178,528	+2.5%	$37,186	$107,398	1619	2780
57	Antelope County	$69,621	$178,491	+31.0%	$53,165	$117,214	1622	2569
58	Hamilton County	$115,074	$178,161	+14.2%	$100,810	$264,875	1636	2316
59	Merrick County	$88,525	$177,616	+20.9%	$73,210	$188,809	1649	2460
60	Greeley County	$7,615	$177,340	+0.8%	$7,553	$20,540	1655	3009
61	Boyd County	$0	$177,003	-100.0%	$9,878	$55,822	1663	3082
62	Dixon County	$52,770	$176,420	+28.8%	$40,963	$87,066	1686	2678
63	Nuckolls County	$30,496	$175,914	+3.9%	$29,342	$88,633	1699	2838
64	Hitchcock County	$6,595	$175,428	+3.2%	$6,391	$20,802	1709	3019
65	Scotts Bluff County	$462,187	$175,381	-5.8%	$490,394	$1.62 million	1712	1292
66	Webster County	$17,505	$175,069	-38.5%	$28,471	$116,632	1723	2935
67	Nemaha County	$67,650	$174,570	+2.6%	$65,947	$187,285	1736	2579
68	Franklin County	$7,756	$174,250	+21.3%	$6,391	$27,747	1739	3008
69	Nance County	$11,858	$173,327	+2.0%	$11,621	$31,478	1764	2978
70	Polk County	$38,163	$173,120	-9.4%	$42,125	$136,684	1774	2777
71	Thayer County	$32,050	$173,021	+3.1%	$31,085	$88,384	1776	2829
72	Fillmore County	$39,827	$172,831	-25.9%	$53,746	$193,029	1780	2769
73	Cuming County	$80,347	$171,285	+14.8%	$70,015	$180,804	1811	2505
74	Dawson County	$288,748	$170,926	+4.5%	$276,282	$884,871	1818	1685
75	Stanton County	$37,414	$170,780	+19.2%	$31,376	$82,106	1822	2786
76	Cass County	$320,880	$168,661	+11.9%	$286,741	$778,191	1875	1602
77	Johnson County	$23,427	$168,493	+4.7%	$22,370	$71,095	1878	2886
78	Sarpy County	$2.67 million	$166,445	+2.8%	$2.60 million	$7.63 million	1942	357
79	Dodge County	$445,885	$166,410	+4.0%	$428,804	$1.31 million	1945	1315
80	Lancaster County	$4.29 million	$165,659	+2.2%	$4.20 million	$12.16 million	1967	226
81	Colfax County	$87,356	$165,148	+2.3%	$85,412	$235,117	1982	2463
82	Thurston County	$31,599	$164,650	-25.0%	$42,125	$155,167	1999	2833
83	Platte County	$403,920	$164,470	+4.9%	$385,226	$1.20 million	2004	1396
84	Clay County	$19,662	$163,229	+5.7%	$18,593	$68,188	2037	2919
85	Custer County	$74,493	$163,050	+3.8%	$71,758	$218,226	2042	2538
86	Box Butte County	$66,149	$160,647	-12.1%	$75,244	$269,416	2112	2586
87	Howard County	$13,870	$159,877	-38.0%	$22,370	$92,165	2134	2964
88	Madison County	$377,808	$158,601	-3.8%	$392,780	$1.28 million	2160	1459
89	Washington County	$192,185	$158,273	-1.9%	$195,809	$630,188	2168	1989
90	Knox County	$15,192	$153,400	-56.8%	$35,153	$170,927	2284	2955
91	Dakota County	$139,637	$145,015	+4.5%	$133,638	$423,196	2454	2195
92	Saunders County	$155,592	$143,459	+6.1%	$146,711	$507,447	2479	2112
93	Otoe County	$60,066	$139,682	-49.1%	$117,950	$497,752	2544	2629

Nevada Spend Data

Total spend: $66.29 million
Spend per 10k adults: $272,126
National rank (per-capita): #2
National rank (total): #25
Change vs FY2025: +11.5%
Cities in dataset: 5
Counties in dataset: 16

Cities in Nevada (5)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Las Vegas	$35.75 million	$671,692	+8.3%	$33.00 million	$92.31 million	10
2	Henderson	$5.07 million	$201,990	+5.7%	$4.80 million	$13.67 million	71
3	Reno	$4.47 million	$223,624	-1.0%	$4.52 million	$13.76 million	75
4	North Las Vegas	$3.38 million	$177,787	-0.8%	$3.41 million	$10.54 million	101
5	Paradise	$1.40 million	$73,651	-7.6%	$1.51 million	$8.03 million	159

Counties in Nevada (16)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Eureka County	$451,767	$411,383	+51.0%	$299,172	$604,622	15	1304
2	Pershing County	$475,322	$371,897	+49.2%	$318,483	$591,369	19	1270
3	White Pine County	$388,748	$325,885	+39.2%	$279,266	$677,525	43	1434
4	Elko County	$1.25 million	$279,788	+19.5%	$1.05 million	$2.78 million	123	655
5	Lyon County	$1.46 million	$277,363	+16.5%	$1.25 million	$3.30 million	132	582
6	Storey County	$113,385	$270,807	+54.5%	$73,382	$123,054	158	2331
7	Mineral County	$116,146	$270,678	+37.7%	$84,374	$169,197	160	2310
8	Clark County	$50.60 million	$267,815	+10.6%	$45.77 million	$132.8 million	175	9
9	Esmeralda County	$4,887	$258,310	-21.7%	$6,239	$21,691	236	3039
10	Lincoln County	$72,719	$256,644	+1.1%	$71,896	$198,701	250	2551
11	Churchill County	$498,003	$254,861	+6.2%	$468,811	$1.45 million	260	1239
12	Lander County	$95,568	$253,915	+2.1%	$93,584	$261,959	265	2423
13	Humboldt County	$289,737	$245,654	+4.4%	$277,484	$778,944	328	1683
14	Nye County	$965,769	$232,136	+23.1%	$784,323	$2.03 million	460	790
15	Washoe County	$8.96 million	$226,547	+10.5%	$8.11 million	$23.07 million	532	115
16	Douglas County	$549,824	$188,750	+4.6%	$525,853	$1.48 million	1324	1153

New Hampshire Spend Data

Total spend: $25.59 million
Spend per 10k adults: $236,802
National rank (per-capita): #9
National rank (total): #40
Change vs FY2025: +12.1%
Cities in dataset: 1
Counties in dataset: 10

Cities in New Hampshire (1)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Manchester	$3.73 million	$413,752	+14.5%	$3.26 million	$8.19 million	90

Counties in New Hampshire (10)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Coos County	$884,801	$293,060	+24.6%	$710,011	$1.76 million	88	834
2	Strafford County	$3.10 million	$280,566	+20.6%	$2.57 million	$7.00 million	118	312
3	Belknap County	$1.32 million	$249,243	+12.5%	$1.18 million	$3.25 million	300	627
4	Grafton County	$1.84 million	$245,990	+17.6%	$1.56 million	$4.29 million	324	494
5	Cheshire County	$1.54 million	$244,856	+4.5%	$1.48 million	$4.07 million	334	553
6	Hillsborough County	$8.33 million	$244,019	+15.8%	$7.20 million	$19.55 million	340	123
7	Sullivan County	$836,391	$237,300	+17.8%	$710,011	$1.92 million	392	870
8	Carroll County	$733,503	$197,802	+7.7%	$681,031	$2.14 million	1035	951
9	Rockingham County	$4.91 million	$196,611	+4.3%	$4.71 million	$13.25 million	1078	207
10	Merrimack County	$2.09 million	$179,093	+2.3%	$2.04 million	$6.33 million	1598	439

New Jersey Spend Data

Total spend: $140.0 million
Spend per 10k adults: $200,942
National rank (per-capita): #27
National rank (total): #12
Change vs FY2025: +13.7%
Cities in dataset: 5
Counties in dataset: 21

Cities in New Jersey (5)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Newark	$6.21 million	$279,006	+23.8%	$5.02 million	$12.86 million	61
2	Jersey City	$5.33 million	$249,430	+10.4%	$4.83 million	$11.69 million	68
3	Paterson	$2.06 million	$164,290	+5.4%	$1.95 million	$5.76 million	136
4	Woodbridge	$1.54 million	$197,671	+13.7%	$1.36 million	$3.84 million	154
5	Edison	$1.06 million	$125,594	-1.7%	$1.08 million	$3.41 million	163

Counties in New Jersey (21)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Hudson County	$16.25 million	$277,573	+20.2%	$13.51 million	$32.63 million	130	53
2	Cape May County	$2.01 million	$251,081	+19.3%	$1.68 million	$4.33 million	289	449
3	Gloucester County	$5.50 million	$220,559	+14.2%	$4.81 million	$12.79 million	623	187
4	Warren County	$1.88 million	$205,990	+8.4%	$1.73 million	$4.96 million	871	484
5	Salem County	$1.09 million	$201,837	+16.3%	$935,786	$2.62 million	940	727
6	Somerset County	$5.54 million	$197,257	+15.9%	$4.78 million	$12.79 million	1047	185
7	Burlington County	$7.40 million	$195,365	+15.9%	$6.39 million	$17.42 million	1113	143
8	Ocean County	$10.07 million	$190,382	+12.4%	$8.97 million	$24.39 million	1275	101
9	Monmouth County	$9.58 million	$187,560	+14.7%	$8.35 million	$22.82 million	1361	107
10	Essex County	$13.13 million	$186,743	+21.9%	$10.78 million	$28.90 million	1390	66
11	Camden County	$7.79 million	$185,320	+11.0%	$7.01 million	$20.04 million	1430	137
12	Sussex County	$2.14 million	$184,953	+10.5%	$1.94 million	$5.57 million	1444	427
13	Bergen County	$13.73 million	$179,398	+16.3%	$11.81 million	$31.96 million	1588	64
14	Mercer County	$5.28 million	$169,836	+13.8%	$4.64 million	$13.19 million	1845	195
15	Hunterdon County	$1.70 million	$168,908	+14.0%	$1.49 million	$4.10 million	1865	522
16	Cumberland County	$2.02 million	$168,095	+13.1%	$1.79 million	$5.02 million	1893	445
17	Passaic County	$6.93 million	$167,294	+12.3%	$6.17 million	$17.57 million	1921	148
18	Atlantic County	$3.57 million	$165,888	+4.0%	$3.43 million	$10.20 million	1961	271
19	Union County	$7.61 million	$162,554	+13.6%	$6.70 million	$18.70 million	2056	140
20	Middlesex County	$10.95 million	$159,006	+3.3%	$10.60 million	$29.66 million	2147	92
21	Morris County	$5.87 million	$145,331	+4.8%	$5.60 million	$17.12 million	2446	174

New Mexico Spend Data

Total spend: $38.85 million
Spend per 10k adults: $233,474
National rank (per-capita): #10
National rank (total): #34
Change vs FY2025: +8.6%
Cities in dataset: 3
Counties in dataset: 33

Cities in New Mexico (3)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Albuquerque	$13.46 million	$306,045	-1.0%	$13.59 million	$41.57 million	40
2	Rio Rancho	$2.46 million	$345,204	+18.0%	$2.08 million	$5.49 million	125
3	Las Cruces	$2.31 million	$262,389	-4.5%	$2.42 million	$6.78 million	129

Counties in New Mexico (33)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Quay County	$354,694	$293,877	+32.0%	$268,788	$586,661	82	1520
2	Eddy County	$1.55 million	$287,525	+13.3%	$1.37 million	$3.74 million	99	549
3	San Juan County	$2.82 million	$284,757	+11.9%	$2.52 million	$7.17 million	109	337
4	Sandoval County	$3.58 million	$276,854	+21.5%	$2.95 million	$7.63 million	134	269
5	Bernalillo County	$14.17 million	$268,686	+2.5%	$13.82 million	$40.50 million	170	59
6	Sierra County	$315,671	$263,490	+33.8%	$235,851	$549,833	198	1618
7	Socorro County	$404,314	$262,666	+34.9%	$299,667	$677,494	206	1394
8	Roosevelt County	$395,534	$246,497	+24.9%	$316,723	$809,305	317	1420
9	De Baca County	$28,393	$232,330	+25.4%	$22,644	$53,578	454	2848
10	Colfax County	$217,807	$231,582	+22.0%	$178,506	$428,578	465	1910
11	Harding County	$4,189	$230,296	+18.7%	$3,529	$9,629	487	3047
12	Rio Arriba County	$708,542	$229,561	+18.1%	$599,921	$1.47 million	499	978
13	Union County	$57,062	$228,436	+24.4%	$45,876	$116,680	515	2653
14	Cibola County	$459,437	$226,489	+21.1%	$379,362	$992,383	534	1295
15	Hidalgo County	$49,290	$225,261	+0.4%	$49,111	$135,603	550	2701
16	Guadalupe County	$55,322	$224,826	+2.8%	$53,816	$155,321	554	2662
17	Lea County	$1.29 million	$223,409	+4.1%	$1.24 million	$3.76 million	575	640
18	Mora County	$25,094	$216,304	-6.2%	$26,761	$87,743	702	2876
19	Curry County	$732,959	$213,885	+1.7%	$720,494	$2.04 million	733	952
20	Dona Ana County	$3.77 million	$212,798	+8.6%	$3.47 million	$9.82 million	755	257
21	Otero County	$1.12 million	$212,765	+14.2%	$982,224	$2.76 million	757	714
22	Luna County	$360,205	$210,383	+23.6%	$291,432	$706,206	792	1506
23	Catron County	$2,279	$209,792	-48.3%	$4,411	$20,309	803	3064
24	San Miguel County	$344,011	$203,914	-0.3%	$344,955	$874,603	907	1541
25	Torrance County	$179,931	$203,523	+12.5%	$159,979	$434,646	914	2021
26	Lincoln County	$239,436	$203,454	+14.4%	$209,384	$535,446	915	1840
27	Los Alamos County	$231,487	$203,220	+25.3%	$184,682	$473,568	920	1871
28	Chaves County	$858,852	$193,541	+6.2%	$808,717	$2.34 million	1176	849
29	Santa Fe County	$2.22 million	$189,634	+11.6%	$1.99 million	$5.62 million	1301	416
30	Grant County	$280,517	$187,244	+9.1%	$257,025	$898,744	1371	1707
31	McKinley County	$869,827	$185,855	+2.7%	$846,948	$2.51 million	1417	844
32	Taos County	$364,849	$182,915	+2.5%	$355,836	$1.04 million	1491	1491
33	Valencia County	$781,855	$153,772	+3.4%	$755,783	$2.35 million	2273	914

New York Spend Data

Total spend: $341.9 million
Spend per 10k adults: $215,729
National rank (per-capita): #14
National rank (total): #3
Change vs FY2025: +12.3%
Cities in dataset: 5
Counties in dataset: 62

Cities in New York (5)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	New York City	$164.3 million	$237,805	+11.2%	$147.8 million	$394.0 million	1
2	Buffalo	$11.86 million	$542,982	-2.7%	$12.19 million	$36.67 million	44
3	Rochester	$5.84 million	$353,352	-2.5%	$5.99 million	$17.60 million	63
4	Syracuse	$4.23 million	$371,149	-0.3%	$4.24 million	$15.36 million	79
5	Yonkers	$2.17 million	$138,028	+0.0%	$2.17 million	$6.48 million	132

Counties in New York (62)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	New York County	$83.35 million	$629,783	+18.1%	$70.59 million	$188.3 million	1	5
2	Oswego County	$3.31 million	$325,845	+20.2%	$2.76 million	$7.00 million	44	288
3	Albany County	$8.30 million	$318,788	+23.3%	$6.73 million	$17.89 million	50	125
4	Jefferson County	$2.97 million	$311,414	+14.5%	$2.59 million	$7.30 million	55	326
5	Montgomery County	$1.39 million	$299,335	+27.5%	$1.09 million	$2.63 million	75	607
6	Erie County	$21.05 million	$281,198	+9.9%	$19.15 million	$54.46 million	115	41
7	Chemung County	$1.79 million	$264,434	+23.5%	$1.45 million	$3.83 million	192	505
8	Herkimer County	$1.22 million	$246,869	+24.8%	$980,028	$2.33 million	315	664
9	Warren County	$1.33 million	$245,858	+2.8%	$1.29 million	$3.95 million	325	625
10	Greene County	$983,503	$245,684	+23.2%	$798,434	$2.05 million	327	778
11	Columbia County	$1.22 million	$244,003	+17.9%	$1.03 million	$2.76 million	341	666
12	Washington County	$1.16 million	$237,269	+16.6%	$991,558	$2.51 million	393	693
13	Steuben County	$1.73 million	$234,163	+15.9%	$1.49 million	$4.20 million	434	519
14	Schoharie County	$579,700	$230,672	+26.3%	$458,884	$1.10 million	481	1109
15	Cayuga County	$1.34 million	$225,903	+10.1%	$1.22 million	$3.51 million	539	621
16	Wayne County	$1.62 million	$224,278	+4.0%	$1.56 million	$4.46 million	561	534
17	Chenango County	$807,529	$222,071	+6.9%	$755,198	$2.30 million	599	893
18	Chautauqua County	$2.17 million	$221,414	+5.1%	$2.06 million	$6.09 million	605	424
19	Delaware County	$776,417	$220,996	+20.8%	$642,783	$1.70 million	612	923
20	Saratoga County	$4.17 million	$220,137	+15.1%	$3.63 million	$9.80 million	629	234
21	Niagara County	$3.61 million	$220,061	+11.6%	$3.24 million	$9.38 million	632	265
22	Ontario County	$1.96 million	$219,868	+13.1%	$1.73 million	$4.94 million	636	462
23	Genesee County	$1.01 million	$219,319	+6.1%	$951,204	$2.89 million	649	761
24	Onondaga County	$7.82 million	$213,875	-0.3%	$7.84 million	$25.16 million	734	134
25	Suffolk County	$25.68 million	$211,791	+13.0%	$22.73 million	$62.11 million	770	30
26	Broome County	$3.24 million	$211,714	+16.2%	$2.78 million	$7.48 million	772	300
27	Clinton County	$1.26 million	$208,993	+8.8%	$1.16 million	$3.40 million	820	649
28	Fulton County	$826,190	$207,989	+5.0%	$786,905	$2.25 million	834	883
29	Orleans County	$623,161	$207,846	+6.0%	$588,017	$1.81 million	840	1068
30	Tioga County	$728,055	$204,772	+1.4%	$717,726	$1.84 million	893	955
31	Wyoming County	$598,668	$203,818	+12.4%	$532,674	$1.52 million	910	1091
32	Seneca County	$482,689	$202,606	+5.3%	$458,307	$1.29 million	928	1259
33	Putnam County	$1.52 million	$201,294	+15.2%	$1.32 million	$3.68 million	948	559
34	Franklin County	$690,431	$201,215	+6.5%	$648,548	$2.03 million	952	993
35	Schuyler County	$221,636	$200,740	+9.2%	$202,923	$651,171	959	1895
36	Cattaraugus County	$1.12 million	$198,675	+14.1%	$985,793	$2.78 million	1011	709
37	Hamilton County	$26,764	$198,365	+8.0%	$24,789	$76,860	1023	2863
38	Livingston County	$901,635	$197,907	+9.0%	$827,259	$2.61 million	1032	826
39	Madison County	$972,022	$195,645	+1.0%	$962,733	$3.07 million	1104	787
40	Oneida County	$3.41 million	$195,339	+5.0%	$3.25 million	$9.68 million	1114	281
41	Lewis County	$344,244	$194,811	+4.6%	$329,174	$938,521	1127	1540
42	Monroe County	$11.08 million	$189,502	+5.3%	$10.52 million	$30.68 million	1304	90
43	Schenectady County	$2.29 million	$186,200	+5.7%	$2.17 million	$6.47 million	1407	409
44	St. Lawrence County	$1.45 million	$185,405	+2.4%	$1.42 million	$4.42 million	1428	587
45	Ulster County	$2.58 million	$185,133	+5.4%	$2.44 million	$7.18 million	1438	366
46	Rensselaer County	$2.23 million	$184,052	+11.1%	$2.01 million	$5.60 million	1468	414
47	Allegany County	$579,140	$182,782	+4.6%	$553,428	$1.57 million	1494	1111
48	Queens County	$33.52 million	$181,661	+19.4%	$28.06 million	$72.43 million	1532	22
49	Dutchess County	$4.19 million	$181,530	+5.7%	$3.96 million	$11.95 million	1538	232
50	Essex County	$392,115	$175,772	-21.8%	$501,544	$1.74 million	1703	1428
51	Orange County	$5.56 million	$173,145	+8.2%	$5.13 million	$14.99 million	1771	184
52	Cortland County	$497,484	$171,842	-5.7%	$527,486	$1.74 million	1801	1241
53	Richmond County	$6.60 million	$171,033	+12.9%	$5.85 million	$16.33 million	1816	156
54	Otsego County	$669,776	$168,260	+5.1%	$637,018	$1.83 million	1885	1014
55	Tompkins County	$1.24 million	$167,869	+8.0%	$1.15 million	$3.36 million	1899	658
56	Yates County	$175,265	$164,147	-25.1%	$234,054	$826,795	2011	2038
57	Sullivan County	$821,396	$155,696	+5.9%	$775,375	$2.34 million	2227	886
58	Nassau County	$16.57 million	$152,488	+5.3%	$15.73 million	$45.86 million	2308	51
59	Kings County	$28.52 million	$137,975	+9.0%	$26.16 million	$75.43 million	2581	27
60	Westchester County	$9.64 million	$124,045	+5.3%	$9.15 million	$27.14 million	2753	105
61	Bronx County	$12.31 million	$113,999	+5.2%	$11.70 million	$33.53 million	2867	73
62	Rockland County	$2.72 million	$107,208	+5.8%	$2.57 million	$7.67 million	2948	354

North Carolina Spend Data

Total spend: $145.9 million
Spend per 10k adults: $178,077
National rank (per-capita): #38
National rank (total): #10
Change vs FY2025: +1.6%
Cities in dataset: 5
Counties in dataset: 100

Cities in North Carolina (5)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Charlotte	$21.97 million	$320,205	-1.1%	$22.21 million	$68.38 million	20
2	Raleigh	$14.02 million	$351,208	-0.1%	$14.03 million	$43.70 million	37
3	Greensboro	$3.87 million	$165,088	+6.4%	$3.64 million	$10.72 million	87
4	Durham	$3.41 million	$153,306	-0.1%	$3.41 million	$9.85 million	98
5	Winston-Salem	$2.91 million	$148,718	-0.6%	$2.93 million	$9.03 million	105

Counties in North Carolina (100)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Madison County	$714,567	$261,837	+31.6%	$542,815	$1.33 million	211	973
2	Mecklenburg County	$24.06 million	$246,443	+1.8%	$23.63 million	$72.89 million	319	33
3	Onslow County	$4.39 million	$245,229	+1.9%	$4.30 million	$13.25 million	333	222
4	Wake County	$23.34 million	$234,789	+0.4%	$23.24 million	$68.52 million	423	35
5	Warren County	$430,145	$210,842	+35.7%	$317,084	$655,166	785	1341
6	Martin County	$435,670	$201,763	+19.4%	$364,823	$889,253	941	1329
7	Edgecombe County	$834,251	$196,040	+1.1%	$825,125	$2.51 million	1092	873
8	Yancey County	$367,179	$194,810	-1.6%	$373,075	$1.04 million	1128	1483
9	Rockingham County	$1.51 million	$193,853	+9.9%	$1.37 million	$3.75 million	1165	567
10	Richmond County	$698,074	$191,433	+13.9%	$612,950	$1.51 million	1239	987
11	Cherokee County	$521,755	$189,859	+25.0%	$417,278	$1.08 million	1295	1193
12	Cumberland County	$5.09 million	$189,280	+0.8%	$5.05 million	$14.87 million	1310	201
13	Chowan County	$268,112	$188,740	+28.1%	$209,228	$396,787	1325	1743
14	Dare County	$624,721	$188,526	+0.5%	$621,791	$1.81 million	1335	1066
15	Sampson County	$957,561	$187,022	+12.8%	$848,700	$2.14 million	1381	795
16	Surry County	$1.10 million	$184,568	+6.2%	$1.03 million	$2.99 million	1453	722
17	Lee County	$1.06 million	$183,217	-0.5%	$1.06 million	$3.00 million	1489	741
18	Jones County	$181,757	$182,925	+28.8%	$141,155	$284,922	1490	2015
19	Caldwell County	$1.19 million	$181,324	+10.1%	$1.08 million	$2.88 million	1543	678
20	Craven County	$1.53 million	$181,102	+0.5%	$1.52 million	$4.43 million	1551	556
21	Rutherford County	$940,811	$176,870	+19.1%	$789,763	$2.02 million	1669	807
22	Hyde County	$90,764	$176,575	+27.3%	$71,314	$143,627	1677	2445
23	Alexander County	$539,563	$176,552	+17.4%	$459,713	$1.16 million	1678	1169
24	Swain County	$218,343	$175,604	+1.8%	$214,533	$786,209	1706	1908
25	Tyrrell County	$72,177	$175,024	+33.1%	$54,223	$119,302	1725	2555
26	Pender County	$1.00 million	$173,741	+8.1%	$928,266	$2.48 million	1753	764
27	Alamance County	$2.56 million	$173,683	+1.1%	$2.53 million	$6.94 million	1755	368
28	Halifax County	$653,972	$173,643	+15.6%	$565,800	$1.46 million	1756	1026
29	Wilkes County	$917,819	$173,065	+17.1%	$783,869	$1.87 million	1775	817
30	Catawba County	$2.27 million	$169,171	+0.7%	$2.25 million	$6.66 million	1861	411
31	Mitchell County	$203,654	$167,980	+12.9%	$180,349	$493,218	1896	1960
32	Macon County	$516,343	$166,953	+20.4%	$428,771	$1.13 million	1927	1209
33	Hertford County	$250,298	$166,656	+20.8%	$207,165	$504,855	1933	1799
34	Bertie County	$224,242	$166,444	+22.1%	$183,590	$431,784	1943	1887
35	Montgomery County	$337,739	$164,702	+16.5%	$289,973	$722,414	1994	1557
36	Carteret County	$897,100	$163,466	+3.9%	$863,435	$2.48 million	2030	828
37	Washington County	$128,235	$163,029	+24.3%	$103,141	$256,510	2044	2248
38	Davie County	$577,985	$162,914	-2.4%	$592,322	$1.62 million	2049	1112
39	Wilson County	$1.03 million	$162,897	+0.0%	$1.03 million	$2.94 million	2051	751
40	Gates County	$113,726	$160,302	-1.8%	$115,812	$292,690	2119	2327
41	Beaufort County	$545,123	$160,024	+1.1%	$539,278	$1.57 million	2129	1163
42	Pamlico County	$139,492	$158,654	-2.6%	$143,218	$261,073	2157	2196
43	Scotland County	$375,226	$154,789	+9.2%	$343,606	$916,473	2245	1465
44	McDowell County	$499,717	$151,588	+0.9%	$495,075	$1.48 million	2326	1236
45	Lincoln County	$1.13 million	$151,479	-1.8%	$1.16 million	$3.55 million	2328	703
46	Vance County	$466,629	$151,145	+3.1%	$452,640	$1.43 million	2335	1286
47	Iredell County	$2.46 million	$150,637	+0.2%	$2.46 million	$7.07 million	2348	384
48	Avery County	$172,072	$150,235	+1.2%	$170,035	$537,819	2355	2050
49	Wayne County	$1.40 million	$150,165	+1.2%	$1.38 million	$4.17 million	2356	604
50	Caswell County	$221,244	$149,479	+25.3%	$176,518	$415,217	2370	1899
51	Yadkin County	$405,116	$149,303	-0.4%	$406,669	$1.06 million	2378	1391
52	Stanly County	$758,410	$148,799	+2.1%	$742,613	$2.31 million	2382	934
53	Cleveland County	$1.16 million	$148,681	+3.9%	$1.12 million	$3.77 million	2386	691
54	Guilford County	$6.49 million	$148,097	+4.3%	$6.22 million	$17.91 million	2394	160
55	Burke County	$980,120	$147,781	+1.7%	$963,629	$2.98 million	2401	779
56	Rowan County	$1.75 million	$147,771	-0.0%	$1.75 million	$5.12 million	2402	516
57	Robeson County	$1.34 million	$147,300	+1.5%	$1.32 million	$3.96 million	2409	622
58	Pitt County	$2.05 million	$146,218	+6.2%	$1.93 million	$6.72 million	2425	441
59	Duplin County	$534,989	$145,509	+0.9%	$530,438	$1.60 million	2441	1175
60	Anson County	$193,494	$145,251	+9.1%	$177,402	$492,743	2448	1986
61	Pasquotank County	$424,415	$144,904	-1.2%	$429,655	$1.18 million	2458	1350
62	Lenoir County	$563,648	$142,648	+1.2%	$556,960	$1.65 million	2490	1132
63	Perquimans County	$87,538	$142,064	+0.4%	$87,228	$262,107	2503	2462
64	Davidson County	$1.94 million	$142,008	+1.2%	$1.92 million	$5.81 million	2506	464
65	Graham County	$27,261	$141,694	-21.6%	$34,773	$124,247	2510	2860
66	Cabarrus County	$2.70 million	$141,329	+1.3%	$2.67 million	$8.06 million	2520	355
67	Watauga County	$539,475	$140,855	-18.3%	$660,100	$2.24 million	2526	1170
68	Haywood County	$632,717	$140,643	-9.8%	$701,357	$2.24 million	2528	1054
69	Alleghany County	$57,103	$139,788	+2.5%	$55,696	$183,020	2541	2652
70	Polk County	$154,029	$139,226	+6.2%	$144,986	$489,968	2554	2116
71	Currituck County	$290,649	$138,977	+0.3%	$289,678	$854,372	2556	1681
72	Granville County	$598,426	$138,923	+0.0%	$598,216	$1.76 million	2559	1092
73	New Hanover County	$2.59 million	$138,112	-2.9%	$2.67 million	$8.26 million	2576	364
74	Brunswick County	$1.82 million	$138,063	-0.4%	$1.83 million	$5.18 million	2577	498
75	Clay County	$59,134	$138,025	-2.1%	$60,411	$167,059	2580	2636
76	Bladen County	$249,118	$137,538	-3.8%	$259,030	$823,211	2587	1802
77	Person County	$361,657	$137,165	-5.5%	$382,505	$1.25 million	2590	1499
78	Jackson County	$402,269	$136,064	-10.1%	$447,336	$1.43 million	2606	1399
79	Ashe County	$211,873	$135,375	-0.1%	$212,175	$605,091	2612	1929
80	Hoke County	$522,816	$135,150	-0.2%	$523,955	$1.55 million	2616	1189
81	Gaston County	$2.53 million	$134,990	-7.0%	$2.72 million	$8.59 million	2620	375
82	Forsyth County	$4.16 million	$134,636	-2.2%	$4.26 million	$13.03 million	2623	236
83	Randolph County	$1.49 million	$133,987	+1.8%	$1.46 million	$4.33 million	2630	572
84	Durham County	$3.54 million	$133,043	-1.1%	$3.58 million	$10.05 million	2636	274
85	Camden County	$27,619	$131,897	-60.8%	$70,430	$326,160	2651	2858
86	Henderson County	$1.15 million	$129,725	+0.9%	$1.14 million	$3.45 million	2678	695
87	Buncombe County	$2.72 million	$129,339	-7.3%	$2.93 million	$9.66 million	2687	353
88	Transylvania County	$242,003	$127,647	+1.8%	$237,813	$743,574	2716	1826
89	Northampton County	$59,035	$126,242	-22.4%	$76,029	$261,453	2732	2637
90	Harnett County	$1.37 million	$125,017	+13.5%	$1.20 million	$3.16 million	2741	615
91	Greene County	$72,776	$119,661	+2.5%	$71,020	$220,593	2795	2549
92	Columbus County	$350,785	$119,410	+2.6%	$341,838	$1.04 million	2800	1529
93	Franklin County	$643,999	$119,148	+4.6%	$615,897	$2.02 million	2804	1040
94	Stokes County	$302,606	$118,238	+1.5%	$298,224	$891,789	2817	1652
95	Moore County	$841,971	$113,023	-8.4%	$919,425	$3.03 million	2882	866
96	Orange County	$1.19 million	$111,651	+1.0%	$1.18 million	$3.51 million	2895	679
97	Union County	$2.13 million	$108,556	-9.5%	$2.35 million	$7.51 million	2930	429
98	Nash County	$620,218	$101,317	+2.7%	$604,110	$1.87 million	3011	1070
99	Johnston County	$1.81 million	$98,792	+0.4%	$1.80 million	$5.11 million	3031	499
100	Chatham County	$479,005	$98,317	+1.1%	$473,858	$1.41 million	3035	1264

North Dakota Spend Data

Total spend: $17.04 million
Spend per 10k adults: $278,815
National rank (per-capita): #1
National rank (total): #43
Change vs FY2025: +11.3%
Cities in dataset: 1
Counties in dataset: 53

Cities in North Dakota (1)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Fargo	$4.38 million	$443,918	+22.1%	$3.59 million	$9.69 million	76

Counties in North Dakota (53)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Traill County	$388,618	$339,488	+24.9%	$311,138	$747,489	33	1435
2	Cass County	$5.25 million	$323,089	+13.5%	$4.63 million	$12.53 million	47	197
3	Williams County	$1.11 million	$309,784	+15.6%	$964,381	$2.67 million	57	716
4	McKenzie County	$461,725	$307,869	+2.3%	$451,224	$1.31 million	60	1293
5	Ward County	$1.73 million	$306,612	+10.7%	$1.57 million	$4.43 million	62	518
6	Bottineau County	$239,610	$305,649	+38.4%	$173,117	$330,460	65	1839
7	Foster County	$113,416	$287,371	+6.5%	$106,465	$358,282	100	2330
8	Burleigh County	$2.36 million	$286,959	+17.9%	$2.01 million	$5.10 million	101	400
9	Walsh County	$263,294	$285,267	+30.1%	$202,314	$392,759	107	1764
10	Dunn County	$123,294	$284,241	+1.2%	$121,801	$308,794	110	2269
11	Cavalier County	$109,008	$283,627	+37.4%	$79,333	$179,146	112	2349
12	Mountrail County	$229,202	$280,341	+9.6%	$209,097	$712,909	119	1877
13	Ramsey County	$275,284	$280,093	+30.4%	$211,161	$433,173	120	1723
14	Pembina County	$159,541	$277,956	-2.0%	$162,795	$379,593	128	2092
15	Divide County	$61,968	$277,823	+5.1%	$58,984	$107,231	129	2611
16	Bowman County	$65,509	$274,069	+32.2%	$49,546	$114,443	143	2590
17	Griggs County	$53,078	$273,643	+2.8%	$51,611	$138,769	144	2677
18	Kidder County	$52,665	$272,317	+29.4%	$40,699	$101,975	153	2679
19	Adams County	$44,788	$270,409	+40.6%	$31,851	$52,726	162	2730
20	Slope County	$2,234	$267,558	+8.2%	$2,064	$6,439	176	3065
21	Billings County	$10,266	$267,095	-0.5%	$10,322	$26,834	178	2993
22	Sioux County	$64,448	$267,018	-0.7%	$64,882	$172,027	180	2597
23	Dickey County	$82,839	$264,573	+21.6%	$68,126	$170,407	191	2489
24	Sheridan County	$5,029	$263,437	+13.7%	$4,424	$16,015	200	3037
25	Oliver County	$15,534	$262,741	-0.6%	$15,631	$45,999	205	2952
26	Logan County	$13,692	$262,360	+29.0%	$10,617	$24,484	210	2968
27	Emmons County	$37,563	$260,962	+32.7%	$28,312	$66,415	217	2785
28	Mercer County	$144,266	$260,865	+15.6%	$124,750	$346,255	219	2166
29	Burke County	$14,732	$260,720	+13.5%	$12,976	$34,888	220	2958
30	Sargent County	$46,698	$260,604	+10.7%	$42,173	$114,594	222	2718
31	Renville County	$16,124	$259,767	+5.1%	$15,336	$48,779	224	2945
32	Golden Valley County	$5,031	$259,606	-67.8%	$15,631	$93,600	226	3036
33	Steele County	$2,763	$258,870	-59.3%	$6,783	$27,989	231	3062
34	Hettinger County	$16,610	$258,777	+0.6%	$16,515	$45,174	233	2939
35	Nelson County	$23,345	$257,782	+4.2%	$22,414	$66,719	239	2888
36	Towner County	$4,289	$257,642	-63.6%	$11,797	$52,985	240	3044
37	McIntosh County	$10,406	$256,867	-19.8%	$12,976	$44,638	249	2988
38	Grant County	$1,388	$255,406	-82.6%	$7,963	$36,360	255	3074
39	Pierce County	$33,612	$255,245	+1.8%	$33,031	$67,597	257	2819
40	Eddy County	$1,555	$254,591	-81.8%	$8,553	$40,374	261	3072
41	Ransom County	$65,288	$253,954	+4.4%	$62,523	$183,038	264	2592
42	Wells County	$24,425	$252,838	+2.2%	$23,888	$70,692	272	2879
43	McHenry County	$48,101	$251,479	+1.9%	$47,187	$124,278	286	2709
44	Morton County	$627,361	$251,060	+28.2%	$489,269	$1.08 million	291	1062
45	Benson County	$48,307	$247,504	+3.0%	$46,892	$135,986	310	2708
46	McLean County	$119,037	$245,566	+5.1%	$113,248	$346,178	331	2290
47	LaMoure County	$4,956	$243,502	-71.5%	$17,400	$93,761	346	3038
48	Rolette County	$149,098	$243,458	+2.8%	$145,100	$399,348	347	2140
49	Grand Forks County	$1.29 million	$236,568	+2.7%	$1.26 million	$3.63 million	400	638
50	Barnes County	$94,615	$233,838	-21.2%	$120,032	$413,128	440	2428
51	Stark County	$515,209	$232,050	-5.6%	$545,598	$1.83 million	462	1211
52	Stutsman County	$258,857	$225,787	-10.8%	$290,199	$956,801	545	1771
53	Richland County	$140,908	$216,894	-26.0%	$190,517	$707,902	691	2188

O

Ohio Spend Data

Total spend: $199.5 million
Spend per 10k adults: $215,711
National rank (per-capita): #15
National rank (total): #6
Change vs FY2025: +10.1%
Cities in dataset: 5
Counties in dataset: 88

Cities in Ohio (5)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Cleveland	$20.23 million	$691,958	-1.9%	$20.63 million	$60.36 million	25
2	Columbus	$20.17 million	$293,481	-3.1%	$20.81 million	$59.66 million	26
3	Cincinnati	$14.60 million	$601,520	-2.3%	$14.94 million	$44.94 million	36
4	Akron	$3.98 million	$265,619	+8.9%	$3.65 million	$10.04 million	81
5	Toledo	$3.97 million	$186,900	-0.4%	$3.99 million	$11.92 million	82

Counties in Ohio (88)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Pike County	$1.14 million	$358,117	+36.0%	$837,634	$1.89 million	23	701
2	Morgan County	$586,511	$310,694	+44.3%	$406,341	$886,316	56	1103
3	Cuyahoga County	$27.77 million	$285,104	+12.8%	$24.62 million	$69.13 million	108	28
4	Crawford County	$1.09 million	$280,029	+20.0%	$911,892	$2.43 million	121	723
5	Huron County	$1.37 million	$268,881	+19.5%	$1.15 million	$2.92 million	169	613
6	Wyandot County	$571,997	$262,465	+27.9%	$447,332	$1.11 million	208	1120
7	Athens County	$1.40 million	$258,772	+23.8%	$1.13 million	$3.00 million	234	603
8	Hamilton County	$17.12 million	$258,418	+6.8%	$16.03 million	$49.15 million	235	49
9	Franklin County	$27.36 million	$255,064	+5.5%	$25.93 million	$73.87 million	259	29
10	Auglaize County	$998,825	$250,503	+20.5%	$828,723	$2.21 million	295	769
11	Gallia County	$655,650	$248,002	+38.1%	$474,659	$1.07 million	308	1024
12	Columbiana County	$1.99 million	$244,325	+5.4%	$1.88 million	$5.61 million	335	452
13	Erie County	$1.48 million	$243,790	+11.5%	$1.33 million	$3.78 million	343	573
14	Defiance County	$806,601	$242,945	+17.6%	$686,147	$1.73 million	350	894
15	Hardin County	$637,429	$240,441	+10.6%	$576,244	$1.68 million	368	1047
16	Clinton County	$853,549	$237,987	+22.8%	$695,058	$1.79 million	386	857
17	Ross County	$1.49 million	$237,856	+4.9%	$1.42 million	$3.96 million	387	571
18	Seneca County	$1.06 million	$235,305	+15.5%	$920,803	$2.53 million	416	737
19	Butler County	$7.31 million	$231,296	+20.9%	$6.04 million	$15.69 million	468	144
20	Fayette County	$558,738	$230,152	+19.2%	$468,718	$1.20 million	489	1139
21	Coshocton County	$711,394	$229,558	+28.8%	$552,482	$1.28 million	500	976
22	Darke County	$938,309	$224,873	+22.9%	$763,375	$2.01 million	553	808
23	Ashland County	$948,047	$223,692	+20.4%	$787,138	$2.08 million	569	801
24	Williams County	$648,219	$220,149	+15.5%	$561,393	$1.52 million	628	1035
25	Wood County	$2.33 million	$219,723	+13.6%	$2.05 million	$5.86 million	641	403
26	Sandusky County	$1.03 million	$219,466	+5.9%	$968,328	$2.87 million	648	755
27	Guernsey County	$666,984	$217,868	+18.3%	$563,769	$1.42 million	669	1017
28	Van Wert County	$505,345	$217,552	+16.7%	$433,074	$1.20 million	672	1224
29	Fulton County	$718,093	$216,466	+7.9%	$665,354	$2.10 million	700	964
30	Portage County	$2.74 million	$213,422	+3.2%	$2.65 million	$6.70 million	745	350
31	Lake County	$3.88 million	$213,243	+12.4%	$3.45 million	$9.65 million	748	254
32	Champaign County	$643,549	$212,403	+12.8%	$570,304	$1.64 million	764	1041
33	Hancock County	$1.24 million	$211,288	+8.2%	$1.14 million	$3.34 million	780	659
34	Trumbull County	$3.22 million	$207,447	+5.2%	$3.06 million	$8.83 million	846	304
35	Henry County	$427,661	$206,374	+4.6%	$408,718	$1.20 million	866	1345
36	Madison County	$740,101	$206,140	+11.2%	$665,354	$1.92 million	869	947
37	Muskingum County	$1.38 million	$205,667	+11.9%	$1.24 million	$3.50 million	876	610
38	Clark County	$2.14 million	$204,246	+13.0%	$1.90 million	$5.18 million	898	426
39	Lucas County	$6.76 million	$204,179	+14.0%	$5.93 million	$16.65 million	899	155
40	Paulding County	$258,475	$200,129	+22.2%	$211,488	$559,691	970	1773
41	Meigs County	$302,541	$199,934	+31.3%	$230,498	$538,835	977	1653
42	Logan County	$683,683	$198,884	+13.4%	$602,977	$1.71 million	1006	1000
43	Ottawa County	$572,124	$197,989	+16.7%	$490,105	$1.36 million	1028	1119
44	Shelby County	$705,119	$197,934	+4.6%	$674,265	$1.94 million	1030	982
45	Montgomery County	$8.33 million	$197,847	+11.2%	$7.50 million	$21.38 million	1034	122
46	Summit County	$8.31 million	$197,719	+5.7%	$7.86 million	$22.45 million	1039	124
47	Harrison County	$173,496	$196,949	+7.4%	$161,586	$511,552	1060	2044
48	Preble County	$583,508	$196,787	+13.7%	$513,273	$1.39 million	1069	1106
49	Richland County	$1.87 million	$195,424	+13.3%	$1.65 million	$4.47 million	1111	486
50	Jefferson County	$905,546	$192,578	+15.9%	$781,197	$2.02 million	1207	825
51	Jackson County	$438,669	$192,231	+17.3%	$373,965	$1.05 million	1222	1325
52	Licking County	$2.73 million	$191,449	+1.4%	$2.69 million	$8.41 million	1238	351
53	Miami County	$1.62 million	$190,640	+17.1%	$1.39 million	$3.82 million	1263	533
54	Pickaway County	$879,273	$190,339	+5.0%	$837,634	$2.44 million	1276	839
55	Marion County	$907,974	$189,925	+16.7%	$778,227	$2.12 million	1291	823
56	Tuscarawas County	$1.31 million	$189,326	+14.1%	$1.15 million	$3.28 million	1308	634
57	Ashtabula County	$1.36 million	$188,419	+5.0%	$1.30 million	$3.80 million	1337	617
58	Allen County	$1.42 million	$188,331	+10.2%	$1.29 million	$3.73 million	1341	593
59	Hocking County	$332,948	$186,852	+8.1%	$308,023	$1.00 million	1387	1571
60	Carroll County	$301,919	$183,486	+23.2%	$245,052	$622,071	1482	1657
61	Stark County	$5.27 million	$182,525	+5.6%	$4.99 million	$14.26 million	1502	196
62	Vinton County	$91,685	$180,405	+4.6%	$87,625	$252,943	1567	2439
63	Union County	$947,904	$179,880	+20.0%	$790,108	$2.11 million	1580	802
64	Belmont County	$817,893	$179,513	+8.0%	$757,435	$2.36 million	1586	888
65	Medina County	$2.51 million	$179,097	+5.6%	$2.38 million	$6.82 million	1597	378
66	Washington County	$718,025	$177,469	+5.1%	$683,176	$1.85 million	1652	965
67	Monroe County	$85,186	$177,263	+12.5%	$75,743	$212,801	1656	2474
68	Knox County	$793,885	$177,168	+15.2%	$689,117	$1.83 million	1658	903
69	Noble County	$100,585	$176,613	+6.2%	$94,754	$279,638	1674	2396
70	Greene County	$2.31 million	$175,947	+6.4%	$2.17 million	$6.54 million	1698	406
71	Mahoning County	$2.98 million	$174,940	+9.0%	$2.74 million	$7.91 million	1729	323
72	Wayne County	$1.47 million	$172,646	+4.0%	$1.42 million	$4.31 million	1783	574
73	Perry County	$377,125	$172,321	+13.8%	$331,489	$940,680	1789	1461
74	Geauga County	$1.16 million	$169,604	+19.2%	$971,298	$2.63 million	1846	692
75	Lorain County	$4.18 million	$169,552	+5.6%	$3.96 million	$11.74 million	1848	233
76	Mercer County	$448,794	$168,887	+19.2%	$376,638	$1.00 million	1867	1310
77	Scioto County	$822,953	$168,255	+4.2%	$790,108	$2.33 million	1886	885
78	Putnam County	$320,666	$165,615	+11.3%	$288,122	$812,589	1969	1604
79	Lawrence County	$588,854	$164,332	+13.4%	$519,214	$1.49 million	2007	1098
80	Fairfield County	$2.03 million	$162,362	+6.0%	$1.91 million	$5.25 million	2063	443
81	Delaware County	$2.94 million	$161,827	+6.3%	$2.76 million	$7.37 million	2077	327
82	Morrow County	$307,501	$158,637	+6.4%	$289,013	$894,500	2158	1641
83	Highland County	$360,407	$151,926	+4.6%	$344,558	$929,181	2319	1504
84	Clermont County	$2.40 million	$150,547	+5.6%	$2.27 million	$6.49 million	2350	398
85	Holmes County	$352,744	$148,459	+21.3%	$290,795	$758,391	2390	1524
86	Adams County	$151,125	$147,963	-8.7%	$165,447	$541,088	2396	2132
87	Warren County	$2.79 million	$146,729	+10.1%	$2.53 million	$7.37 million	2417	342
88	Brown County	$297,444	$140,494	-14.6%	$348,123	$1.20 million	2532	1669

Oklahoma Spend Data

Total spend: $57.72 million
Spend per 10k adults: $185,798
National rank (per-capita): #33
National rank (total): #27
Change vs FY2025: +8.0%
Cities in dataset: 5
Counties in dataset: 77

Cities in Oklahoma (5)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Oklahoma City	$12.89 million	$241,264	-3.3%	$13.34 million	$41.26 million	43
2	Tulsa	$5.21 million	$141,716	-1.3%	$5.28 million	$15.70 million	69
3	Norman	$1.70 million	$177,497	+1.1%	$1.69 million	$5.73 million	149
4	Broken Arrow	$1.60 million	$180,479	+8.7%	$1.47 million	$4.23 million	152
5	Lawton	$1.48 million	$208,627	-1.2%	$1.50 million	$4.38 million	155

Counties in Oklahoma (77)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	McCurtain County	$869,648	$265,668	+20.0%	$724,699	$1.92 million	187	845
2	Coal County	$339,143	$264,694	+52.3%	$222,670	$483,867	190	1554
3	Oklahoma County	$16.26 million	$249,227	+5.6%	$15.41 million	$45.06 million	301	52
4	Kingfisher County	$467,204	$242,142	+33.7%	$349,492	$744,182	361	1285
5	Johnston County	$298,659	$222,687	+36.5%	$218,871	$379,932	588	1664
6	Craig County	$358,032	$219,568	+0.6%	$355,921	$902,920	646	1510
7	Pushmataha County	$292,775	$219,188	+4.5%	$280,237	$818,076	652	1675
8	Noble County	$287,920	$217,338	+35.2%	$213,027	$490,127	677	1688
9	Canadian County	$3.27 million	$216,120	+15.6%	$2.83 million	$7.85 million	703	292
10	Beckham County	$459,066	$212,552	+30.9%	$350,661	$900,571	760	1296
11	Haskell County	$276,913	$209,964	+32.4%	$209,228	$505,597	800	1717
12	Harmon County	$117,209	$208,585	+51.4%	$77,438	$141,831	828	2303
13	Comanche County	$1.97 million	$199,640	+8.9%	$1.81 million	$5.19 million	988	456
14	Texas County	$365,213	$197,558	+4.8%	$348,323	$1.01 million	1041	1489
15	Greer County	$132,713	$197,300	+23.4%	$107,536	$245,041	1045	2226
16	Latimer County	$196,798	$196,699	+44.8%	$135,881	$289,706	1075	1975
17	Bryan County	$840,633	$196,687	+17.4%	$715,933	$1.86 million	1077	867
18	Alfalfa County	$134,787	$196,586	+42.4%	$94,678	$181,590	1081	2215
19	Cimarron County	$53,311	$187,212	-1.4%	$54,060	$155,121	1374	2676
20	Jackson County	$382,517	$186,267	+5.6%	$362,350	$910,211	1406	1452
21	Custer County	$424,210	$184,580	+3.0%	$412,027	$1.15 million	1452	1351
22	Ellis County	$61,592	$182,201	+5.4%	$58,443	$171,711	1515	2616
23	Kiowa County	$114,233	$178,322	+16.0%	$98,477	$274,197	1627	2325
24	Caddo County	$363,691	$177,964	+19.4%	$304,491	$782,433	1640	1492
25	McClain County	$688,166	$177,368	+20.8%	$569,824	$1.57 million	1654	997
26	Cherokee County	$681,206	$177,263	+12.1%	$607,812	$1.71 million	1657	1002
27	Washington County	$746,600	$176,981	+18.8%	$628,268	$1.54 million	1664	941
28	Sequoyah County	$549,714	$174,635	-9.6%	$608,397	$2.08 million	1734	1155
29	Pittsburg County	$552,084	$169,390	+2.8%	$537,096	$1.33 million	1855	1148
30	Payne County	$1.09 million	$169,205	+9.0%	$999,384	$3.24 million	1859	726
31	Tillman County	$65,173	$168,982	+6.7%	$61,073	$199,599	1864	2593
32	Carter County	$622,847	$168,843	+5.0%	$593,201	$1.75 million	1869	1069
33	Roger Mills County	$17,746	$168,726	+16.8%	$15,195	$40,629	1873	2931
34	Harper County	$16,006	$168,519	+3.3%	$15,488	$41,815	1877	2947
35	Cotton County	$43,115	$167,611	+8.5%	$39,742	$126,350	1911	2744
36	McIntosh County	$231,489	$167,606	+27.6%	$181,467	$463,051	1912	1870
37	Murray County	$152,349	$167,376	+4.1%	$146,401	$361,683	1917	2124
38	Lincoln County	$434,106	$167,332	+23.4%	$351,830	$813,804	1920	1334
39	Atoka County	$157,384	$165,910	+5.0%	$149,908	$362,871	1959	2103
40	Grant County	$18,578	$165,372	+13.5%	$16,364	$57,578	1975	2926
41	Love County	$105,565	$165,339	+5.6%	$99,938	$302,459	1976	2368
42	Jefferson County	$35,503	$165,119	+9.5%	$32,436	$106,649	1983	2801
43	Blaine County	$73,629	$164,562	+12.0%	$65,749	$219,392	2002	2545
44	Woodward County	$218,945	$164,387	+7.7%	$203,383	$638,802	2006	1902
45	Marshall County	$171,115	$163,933	+0.6%	$170,071	$366,677	2016	2056
46	Ottawa County	$353,209	$163,867	+4.2%	$338,972	$982,093	2019	1522
47	Dewey County	$15,443	$163,694	+3.6%	$14,903	$40,123	2021	2953
48	Woods County	$67,469	$162,972	-3.8%	$70,132	$226,963	2046	2580
49	Beaver County	$21,812	$162,931	+8.2%	$20,163	$83,648	2048	2899
50	Major County	$54,018	$162,392	+23.2%	$43,833	$116,195	2061	2671
51	Choctaw County	$134,444	$161,671	+25.7%	$106,952	$278,439	2082	2217
52	Tulsa County	$8.80 million	$161,339	+5.1%	$8.37 million	$24.79 million	2092	119
53	Okfuskee County	$99,643	$161,186	+4.9%	$94,971	$269,416	2097	2401
54	Garfield County	$727,173	$159,986	+4.1%	$698,400	$1.90 million	2132	956
55	Kay County	$497,118	$159,908	+11.2%	$447,093	$1.24 million	2133	1242
56	Nowata County	$67,430	$158,864	+26.1%	$53,476	$136,590	2148	2581
57	Garvin County	$275,312	$158,395	+4.9%	$262,411	$757,264	2166	1722
58	Osage County	$522,219	$157,308	+33.0%	$392,740	$896,984	2193	1190
59	Adair County	$181,410	$155,399	+4.2%	$174,162	$498,562	2234	2017
60	Delaware County	$450,024	$155,292	+5.6%	$426,053	$1.28 million	2237	1307
61	Pottawatomie County	$847,045	$154,424	+4.6%	$809,442	$2.24 million	2255	861
62	Mayes County	$420,389	$153,321	+3.8%	$405,013	$1.15 million	2287	1358
63	Hughes County	$89,754	$151,604	+4.1%	$86,204	$285,161	2324	2450
64	Creek County	$808,564	$150,092	+5.6%	$765,610	$2.30 million	2359	892
65	Pawnee County	$109,122	$148,707	+16.3%	$93,802	$253,733	2385	2347
66	Stephens County	$428,243	$146,926	+7.0%	$400,338	$1.25 million	2415	1343
67	Okmulgee County	$340,209	$145,748	+4.3%	$326,115	$1.04 million	2435	1550
68	Cleveland County	$3.35 million	$144,320	-4.1%	$3.49 million	$11.28 million	2466	285
69	Seminole County	$168,637	$142,661	+5.9%	$159,259	$488,177	2489	2063
70	Muskogee County	$643,025	$141,400	-3.5%	$666,256	$2.15 million	2518	1043
71	Pontotoc County	$306,860	$137,232	+2.0%	$300,984	$947,391	2589	1644
72	Rogers County	$988,736	$136,888	+17.9%	$838,664	$2.34 million	2594	772
73	Washita County	$5,732	$136,230	-75.2%	$23,085	$112,854	2603	3030
74	Wagoner County	$875,249	$135,124	+21.3%	$721,777	$1.72 million	2617	842
75	Le Flore County	$370,430	$127,772	+7.6%	$344,232	$1.05 million	2711	1474
76	Grady County	$387,400	$117,777	+4.6%	$370,532	$1.05 million	2825	1441
77	Logan County	$297,684	$109,757	+2.7%	$289,880	$776,682	2922	1667

Oregon Spend Data

Total spend: $72.32 million
Spend per 10k adults: $217,525
National rank (per-capita): #12
National rank (total): #23
Change vs FY2025: +10.8%
Cities in dataset: 4
Counties in dataset: 36

Cities in Oregon (4)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Portland	$20.74 million	$405,148	+4.1%	$19.93 million	$55.91 million	23
2	Salem	$3.54 million	$257,003	-2.3%	$3.62 million	$10.88 million	97
3	Eugene	$2.62 million	$176,373	-0.0%	$2.62 million	$8.07 million	117
4	Gresham	$1.91 million	$220,647	+11.1%	$1.72 million	$4.45 million	142

Counties in Oregon (36)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Morrow County	$1.17 million	$481,570	+2.5%	$1.14 million	$3.38 million	6	686
2	Multnomah County	$22.23 million	$350,539	+10.4%	$20.14 million	$56.23 million	26	38
3	Wasco County	$862,967	$304,814	+31.9%	$654,418	$1.55 million	67	847
4	Jefferson County	$826,600	$299,915	+35.7%	$609,090	$1.43 million	73	882
5	Clatsop County	$997,288	$267,916	+21.4%	$821,564	$2.22 million	174	770
6	Umatilla County	$1.81 million	$264,129	+22.7%	$1.47 million	$3.86 million	194	501
7	Coos County	$1.26 million	$238,666	+24.8%	$1.01 million	$2.62 million	381	647
8	Baker County	$337,540	$229,839	+23.3%	$273,666	$661,288	496	1558
9	Gilliam County	$70,308	$228,987	+40.2%	$50,144	$103,316	509	2564
10	Lake County	$159,377	$222,055	+38.6%	$115,019	$277,161	600	2094
11	Curry County	$387,212	$216,683	+1.7%	$380,752	$1.00 million	696	1442
12	Sherman County	$20,100	$210,429	+7.5%	$18,698	$61,798	791	2915
13	Wallowa County	$111,227	$210,301	+37.3%	$81,023	$193,300	795	2338
14	Wheeler County	$5,634	$208,634	-0.6%	$5,666	$14,686	825	3031
15	Harney County	$99,027	$207,601	+19.7%	$82,723	$208,276	843	2403
16	Crook County	$418,784	$205,715	+14.9%	$364,321	$970,365	874	1364
17	Malheur County	$494,446	$205,688	+21.5%	$406,816	$1.09 million	875	1247
18	Grant County	$76,293	$202,007	+23.5%	$61,759	$155,632	938	2526
19	Polk County	$1.38 million	$201,021	+29.7%	$1.07 million	$2.60 million	954	611
20	Hood River County	$329,192	$199,571	+15.7%	$284,431	$759,836	993	1580
21	Josephine County	$1.31 million	$197,470	+3.0%	$1.27 million	$3.71 million	1042	632
22	Yamhill County	$1.65 million	$196,869	+19.1%	$1.39 million	$3.68 million	1065	529
23	Columbia County	$762,475	$193,414	+5.5%	$722,410	$2.21 million	1184	931
24	Linn County	$1.94 million	$192,393	+5.7%	$1.84 million	$5.82 million	1215	465
25	Marion County	$5.28 million	$191,418	+9.2%	$4.84 million	$13.88 million	1240	194
26	Union County	$305,103	$187,063	+2.5%	$297,746	$840,288	1379	1647
27	Clackamas County	$6.07 million	$184,007	+11.6%	$5.44 million	$15.64 million	1469	170
28	Jackson County	$3.01 million	$178,717	+5.0%	$2.87 million	$8.32 million	1612	321
29	Tillamook County	$277,761	$176,768	+3.6%	$268,000	$760,655	1671	1715
30	Lincoln County	$599,037	$176,583	+15.5%	$518,435	$1.42 million	1676	1090
31	Lane County	$5.00 million	$171,071	+4.8%	$4.77 million	$14.45 million	1815	204
32	Klamath County	$773,884	$164,632	+1.2%	$764,904	$2.36 million	2000	926
33	Washington County	$7.66 million	$162,414	+12.2%	$6.82 million	$19.10 million	2060	139
34	Benton County	$1.09 million	$160,925	+5.2%	$1.04 million	$3.14 million	2103	725
35	Douglas County	$1.19 million	$153,990	+4.8%	$1.14 million	$3.43 million	2267	681
36	Deschutes County	$2.34 million	$150,151	+4.7%	$2.23 million	$6.67 million	2357	402

P

Pennsylvania Spend Data

Total spend: $195.8 million
Spend per 10k adults: $189,538
National rank (per-capita): #31
National rank (total): #7
Change vs FY2025: +8.1%
Cities in dataset: 4
Counties in dataset: 67

Cities in Pennsylvania (4)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Philadelphia	$32.80 million	$260,696	+6.5%	$30.79 million	$90.54 million	13
2	Pittsburgh	$15.25 million	$642,436	+7.8%	$14.14 million	$41.03 million	33
3	Erie	$2.49 million	$325,489	-2.0%	$2.54 million	$7.53 million	122
4	Allentown	$1.79 million	$182,696	-1.9%	$1.83 million	$5.79 million	145

Counties in Pennsylvania (67)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Philadelphia County	$32.49 million	$261,566	+5.3%	$30.85 million	$89.51 million	212	24
2	Allegheny County	$25.29 million	$261,238	+10.5%	$22.88 million	$64.23 million	215	31
3	Bradford County	$1.38 million	$257,924	+12.6%	$1.23 million	$3.46 million	238	612
4	Lackawanna County	$4.21 million	$240,307	+12.9%	$3.73 million	$10.06 million	370	230
5	Luzerne County	$6.18 million	$232,861	+17.2%	$5.27 million	$14.43 million	447	166
6	Clinton County	$763,118	$226,019	+5.7%	$721,800	$2.16 million	538	930
7	Columbia County	$1.25 million	$224,593	+20.8%	$1.04 million	$2.71 million	556	652
8	Centre County	$2.79 million	$219,793	+14.5%	$2.44 million	$6.59 million	639	341
9	Westmoreland County	$6.09 million	$219,525	+15.0%	$5.30 million	$14.31 million	647	169
10	Mercer County	$1.91 million	$217,382	+17.6%	$1.62 million	$4.27 million	676	475
11	Armstrong County	$1.10 million	$209,733	+11.5%	$984,273	$2.83 million	806	721
12	Blair County	$1.98 million	$206,790	+10.0%	$1.80 million	$5.09 million	859	454
13	Wyoming County	$457,578	$206,362	+6.9%	$427,945	$1.27 million	867	1298
14	Butler County	$3.24 million	$204,255	+13.0%	$2.87 million	$8.10 million	897	297
15	Sullivan County	$115,014	$199,932	+24.0%	$92,721	$210,217	978	2317
16	Lawrence County	$1.33 million	$198,897	+12.9%	$1.18 million	$3.21 million	1003	624
17	McKean County	$616,531	$196,738	+18.1%	$522,093	$1.43 million	1073	1073
18	Perry County	$717,541	$193,604	+10.3%	$650,476	$1.85 million	1174	967
19	Montour County	$268,109	$191,155	+4.0%	$257,908	$565,779	1245	1744
20	Schuylkill County	$2.17 million	$190,964	+13.4%	$1.92 million	$5.18 million	1249	423
21	Northampton County	$4.86 million	$190,894	+4.4%	$4.65 million	$14.19 million	1253	210
22	Susquehanna County	$571,617	$190,800	+6.0%	$539,211	$1.52 million	1256	1123
23	Potter County	$234,445	$190,092	+16.4%	$201,419	$547,871	1285	1859
24	Monroe County	$2.47 million	$188,714	+11.1%	$2.22 million	$6.36 million	1326	383
25	Wayne County	$750,626	$187,420	+19.6%	$627,652	$1.73 million	1367	939
26	Cambria County	$1.88 million	$187,241	+4.2%	$1.81 million	$4.55 million	1372	481
27	Northumberland County	$1.30 million	$186,374	+9.7%	$1.19 million	$3.93 million	1401	635
28	Erie County	$3.80 million	$183,262	+3.3%	$3.68 million	$10.35 million	1487	256
29	York County	$6.76 million	$182,672	+5.3%	$6.42 million	$18.43 million	1497	154
30	Franklin County	$2.28 million	$182,400	+11.4%	$2.04 million	$5.75 million	1508	410
31	Cumberland County	$3.93 million	$181,978	+10.6%	$3.56 million	$10.27 million	1522	251
32	Dauphin County	$4.10 million	$179,614	+11.5%	$3.68 million	$10.29 million	1583	242
33	Lycoming County	$1.55 million	$179,060	+7.0%	$1.45 million	$4.47 million	1601	550
34	Lebanon County	$2.01 million	$178,263	+6.6%	$1.89 million	$5.95 million	1629	446
35	Adams County	$1.47 million	$177,867	+7.3%	$1.37 million	$4.27 million	1645	579
36	Cameron County	$21,562	$177,023	-34.8%	$33,094	$150,915	1661	2901
37	Warren County	$473,869	$176,366	+11.6%	$424,521	$1.22 million	1689	1276
38	Clearfield County	$1.01 million	$172,662	+2.9%	$981,420	$2.73 million	1782	760
39	Forest County	$41,138	$172,632	+27.6%	$32,239	$83,254	1784	2762
40	Washington County	$2.76 million	$170,051	+2.5%	$2.69 million	$8.28 million	1837	346
41	Venango County	$591,650	$168,276	+14.1%	$518,669	$1.43 million	1884	1097
42	Mifflin County	$537,439	$166,401	+5.2%	$510,681	$1.54 million	1946	1171
43	Beaver County	$2.10 million	$166,362	+1.2%	$2.08 million	$6.50 million	1947	436
44	Berks County	$5.66 million	$165,760	+8.9%	$5.20 million	$14.98 million	1965	181
45	Indiana County	$1.01 million	$165,621	+10.3%	$915,802	$2.60 million	1968	759
46	Jefferson County	$490,017	$164,750	+2.8%	$476,445	$1.49 million	1992	1255
47	Tioga County	$447,562	$163,565	+5.4%	$424,521	$1.26 million	2026	1314
48	Fayette County	$1.50 million	$162,910	+4.8%	$1.43 million	$4.26 million	2050	570
49	Clarion County	$386,816	$161,440	+9.2%	$354,338	$1.03 million	2089	1443
50	Juniata County	$206,735	$158,768	+1.8%	$203,131	$548,884	2154	1950
51	Bedford County	$497,571	$157,336	+11.4%	$446,774	$1.58 million	2192	1240
52	Snyder County	$396,869	$156,621	-3.4%	$410,827	$1.37 million	2210	1418
53	Greene County	$320,542	$155,594	-6.2%	$341,785	$1.16 million	2228	1605
54	Bucks County	$7.79 million	$155,058	+3.4%	$7.53 million	$21.24 million	2241	136
55	Somerset County	$778,386	$154,686	+5.3%	$738,918	$2.23 million	2247	918
56	Huntingdon County	$424,075	$154,299	-0.1%	$424,521	$1.31 million	2258	1353
57	Lehigh County	$4.51 million	$152,852	+6.5%	$4.23 million	$13.18 million	2300	220
58	Crawford County	$875,685	$152,308	+6.2%	$824,507	$2.49 million	2312	841
59	Lancaster County	$6.58 million	$151,342	+5.5%	$6.24 million	$18.75 million	2332	157
60	Fulton County	$62,914	$150,068	-22.9%	$81,595	$344,110	2360	2606
61	Chester County	$6.35 million	$147,819	+9.7%	$5.79 million	$16.45 million	2400	161
62	Delaware County	$6.50 million	$145,184	+8.7%	$5.98 million	$17.60 million	2449	159
63	Carbon County	$608,729	$142,467	-3.0%	$627,652	$2.05 million	2495	1083
64	Elk County	$205,964	$142,264	-22.0%	$263,899	$1.05 million	2498	1953
65	Montgomery County	$9.61 million	$141,433	+4.4%	$9.20 million	$26.78 million	2517	106
66	Pike County	$493,014	$131,671	+4.7%	$470,739	$1.39 million	2653	1250
67	Union County	$247,548	$125,993	+7.5%	$230,234	$712,133	2735	1806

R

Rhode Island Spend Data

Total spend: $15.26 million
Spend per 10k adults: $177,221
National rank (per-capita): #39
National rank (total): #44
Change vs FY2025: +11.2%
Cities in dataset: 1
Counties in dataset: 5

Cities in Rhode Island (1)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Providence	$4.23 million	$282,995	+10.9%	$3.81 million	$10.83 million	80

Counties in Rhode Island (5)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Kent County	$2.74 million	$197,106	+8.4%	$2.53 million	$7.57 million	1053	349
2	Providence County	$9.64 million	$180,890	+13.7%	$8.48 million	$24.67 million	1557	104
3	Newport County	$1.06 million	$165,671	+6.7%	$989,613	$2.84 million	1966	740
4	Bristol County	$468,633	$141,505	+12.7%	$415,854	$1.38 million	2514	1283
5	Washington County	$1.35 million	$141,112	+3.3%	$1.31 million	$4.06 million	2524	619

S

South Carolina Spend Data

Total spend: $74.08 million
Spend per 10k adults: $184,519
National rank (per-capita): #34
National rank (total): #22
Change vs FY2025: +13.5%
Cities in dataset: 3
Counties in dataset: 46

Cities in South Carolina (3)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Charleston	$5.82 million	$539,456	+18.6%	$4.91 million	$11.48 million	64
2	Columbia	$3.18 million	$301,154	-1.8%	$3.23 million	$10.15 million	103
3	North Charleston	$1.47 million	$178,157	-2.6%	$1.51 million	$4.54 million	156

Counties in South Carolina (46)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Charleston County	$10.08 million	$285,668	+22.9%	$8.20 million	$21.40 million	104	100
2	Clarendon County	$810,013	$248,025	+41.6%	$572,010	$1.21 million	307	890
3	Lee County	$369,176	$210,980	+31.5%	$280,642	$637,515	784	1476
4	Pickens County	$2.19 million	$194,867	+18.1%	$1.86 million	$5.09 million	1126	419
5	Lexington County	$4.92 million	$194,725	+13.1%	$4.35 million	$11.81 million	1132	206
6	Greenville County	$8.89 million	$192,984	+18.8%	$7.49 million	$19.60 million	1197	117
7	Barnwell County	$371,189	$192,249	+34.4%	$276,174	$614,182	1221	1473
8	Anderson County	$3.36 million	$191,483	+12.6%	$2.99 million	$8.56 million	1237	284
9	Chesterfield County	$701,102	$186,800	+23.2%	$569,031	$1.41 million	1388	986
10	Sumter County	$1.54 million	$182,478	+18.7%	$1.30 million	$3.55 million	1505	555
11	Fairfield County	$323,419	$182,041	+23.1%	$262,767	$599,589	1519	1594
12	Union County	$391,338	$176,893	+23.8%	$316,095	$770,594	1668	1429
13	Dillon County	$395,476	$175,841	+15.0%	$343,802	$977,185	1701	1421
14	Georgetown County	$920,553	$175,142	+16.6%	$789,493	$2.11 million	1719	815
15	Orangeburg County	$1.10 million	$169,211	+22.7%	$899,724	$2.36 million	1858	718
16	Beaufort County	$2.64 million	$165,070	+15.5%	$2.28 million	$6.16 million	1984	362
17	Jasper County	$480,403	$163,821	+22.7%	$391,469	$1.00 million	2020	1262
18	Hampton County	$217,048	$163,409	+20.2%	$180,541	$483,790	2033	1911
19	Horry County	$5.41 million	$161,751	+4.3%	$5.18 million	$14.79 million	2079	190
20	Chester County	$394,025	$160,889	+20.7%	$326,522	$833,931	2104	1423
21	Saluda County	$222,192	$160,008	+32.5%	$167,730	$385,692	2130	1891
22	Richland County	$5.37 million	$158,315	+10.2%	$4.87 million	$13.83 million	2167	192
23	Darlington County	$751,038	$158,208	+15.1%	$652,449	$1.74 million	2171	938
24	Aiken County	$2.18 million	$155,574	+14.6%	$1.90 million	$5.26 million	2231	422
25	Marlboro County	$265,617	$153,627	+26.8%	$209,439	$507,097	2278	1756
26	Greenwood County	$801,287	$152,962	+14.5%	$700,116	$1.91 million	2296	899
27	Oconee County	$961,299	$152,878	+13.2%	$849,077	$2.43 million	2299	793
28	Allendale County	$42,876	$152,322	+9.0%	$39,326	$128,505	2311	2747
29	Newberry County	$424,172	$151,692	+5.5%	$402,195	$1.09 million	2323	1352
30	Marion County	$288,184	$151,430	+6.9%	$269,619	$793,267	2329	1686
31	Cherokee County	$638,847	$150,573	+5.6%	$604,781	$1.80 million	2349	1045
32	Abbeville County	$221,279	$145,648	+4.9%	$210,929	$633,128	2439	1898
33	Spartanburg County	$4.17 million	$142,052	+5.6%	$3.95 million	$11.85 million	2504	235
34	Dorchester County	$1.91 million	$141,621	+4.7%	$1.82 million	$5.35 million	2513	474
35	Florence County	$1.46 million	$141,321	+6.2%	$1.38 million	$4.29 million	2521	580
36	Edgefield County	$248,501	$139,682	+21.9%	$203,779	$534,086	2545	1804
37	Bamberg County	$61,653	$139,568	+6.1%	$58,095	$179,430	2546	2614
38	Williamsburg County	$242,546	$138,801	+24.9%	$194,245	$444,865	2562	1822
39	McCormick County	$28,151	$138,037	-12.5%	$32,176	$113,385	2579	2851
40	Colleton County	$342,092	$137,697	+5.0%	$325,927	$953,478	2584	1547
41	Kershaw County	$680,626	$134,533	+5.8%	$643,511	$1.96 million	2625	1005
42	Laurens County	$660,315	$133,758	+6.0%	$622,657	$1.89 million	2631	1020
43	York County	$3.07 million	$131,737	+4.9%	$2.93 million	$8.58 million	2652	313
44	Calhoun County	$40,303	$129,772	-36.8%	$63,755	$243,167	2675	2767
45	Berkeley County	$2.54 million	$123,359	+3.2%	$2.46 million	$7.55 million	2759	372
46	Lancaster County	$943,833	$119,784	+11.2%	$849,077	$2.42 million	2790	804

South Dakota Spend Data

Total spend: $14.90 million
Spend per 10k adults: $214,141
National rank (per-capita): #19
National rank (total): #46
Change vs FY2025: +15.3%
Cities in dataset: 1
Counties in dataset: 66

Cities in South Dakota (1)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Sioux Falls	$2.89 million	$184,470	-0.2%	$2.89 million	$8.69 million	106

Counties in South Dakota (66)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Pennington County	$2.78 million	$281,425	+17.6%	$2.37 million	$6.60 million	114	343
2	Hanson County	$211,345	$257,062	+42.9%	$147,849	$351,272	247	1932
3	Campbell County	$155,787	$252,079	+51.6%	$102,763	$196,095	281	2111
4	Ziebach County	$166,364	$248,720	+3.7%	$160,438	$436,801	304	2068
5	Hyde County	$135,581	$245,994	+50.4%	$90,173	$185,072	323	2209
6	Brule County	$197,362	$240,359	+29.9%	$151,948	$365,496	369	1973
7	Brown County	$782,904	$236,182	+12.8%	$693,867	$1.98 million	405	913
8	Lyman County	$137,577	$230,088	+15.5%	$119,158	$168,652	492	2203
9	Butte County	$259,930	$228,086	+41.4%	$183,860	$442,684	518	1767
10	Brookings County	$716,203	$223,972	+21.7%	$588,469	$1.55 million	566	969
11	Walworth County	$145,611	$223,668	+25.9%	$115,644	$293,837	571	2159
12	Davison County	$400,141	$222,212	+18.0%	$339,029	$882,217	594	1405
13	Aurora County	$98,840	$222,125	+46.8%	$67,337	$141,811	597	2405
14	Oglala Lakota County	$282,277	$222,072	+33.0%	$212,259	$492,401	598	1702
15	Perkins County	$80,664	$215,426	+43.5%	$56,212	$115,547	711	2501
16	Turner County	$186,628	$214,455	+39.2%	$134,089	$329,157	726	2006
17	Lawrence County	$520,116	$213,344	+24.4%	$418,077	$1.11 million	747	1199
18	Yankton County	$380,624	$203,963	+7.1%	$355,424	$1.14 million	904	1454
19	Todd County	$141,822	$203,238	+1.3%	$139,944	$285,791	919	2182
20	Jones County	$10,590	$201,585	+3.3%	$10,247	$27,727	944	2987
21	Jackson County	$34,212	$200,131	+37.5%	$24,886	$47,652	969	2811
22	Stanley County	$38,092	$199,556	+0.9%	$37,767	$98,017	994	2781
23	Sanborn County	$27,215	$199,193	+9.4%	$24,886	$83,520	999	2861
24	Douglas County	$33,340	$198,603	+17.4%	$28,399	$72,018	1014	2822
25	Codington County	$448,786	$198,564	+4.7%	$428,616	$1.27 million	1016	1312
26	Faulk County	$21,955	$198,487	+11.9%	$19,616	$62,577	1019	2896
27	Meade County	$466,214	$198,468	+34.2%	$347,519	$831,511	1020	1287
28	Harding County	$7,270	$197,942	+3.5%	$7,026	$15,879	1029	3011
29	Potter County	$21,288	$197,147	+8.5%	$19,616	$60,878	1049	2905
30	Sully County	$6,743	$196,911	-7.9%	$7,319	$25,713	1063	3017
31	Haakon County	$11,676	$196,886	+4.9%	$11,125	$32,502	1064	2980
32	Tripp County	$70,481	$196,391	+18.0%	$59,725	$157,238	1083	2562
33	Moody County	$84,676	$196,377	+15.7%	$73,193	$194,760	1084	2476
34	Hughes County	$250,777	$195,770	+19.8%	$209,331	$543,762	1101	1797
35	Grant County	$94,722	$195,177	+3.4%	$91,637	$267,953	1118	2427
36	Minnehaha County	$3.23 million	$195,068	+7.2%	$3.02 million	$9.53 million	1121	301
37	Jerauld County	$2,858	$194,512	-82.6%	$16,395	$73,587	1137	3059
38	Bennett County	$26,873	$194,091	+8.0%	$24,886	$74,240	1152	2862
39	Marshall County	$43,684	$194,013	+16.6%	$37,475	$101,118	1156	2739
40	Buffalo County	$3,568	$193,953	+10.8%	$3,220	$11,597	1161	3052
41	Mellette County	$8,506	$193,894	+3.8%	$8,198	$23,224	1163	3001
42	Kingsbury County	$55,024	$193,448	+5.0%	$52,406	$158,049	1182	2664
43	Hand County	$21,454	$193,189	+4.7%	$20,494	$63,402	1189	2904
44	Clark County	$34,806	$193,039	+4.3%	$33,376	$97,543	1194	2805
45	Corson County	$30,914	$193,002	+12.3%	$27,520	$95,414	1195	2835
46	Miner County	$8,161	$192,989	+21.2%	$6,734	$17,879	1196	3002
47	Fall River County	$86,429	$192,908	+3.6%	$83,440	$243,751	1199	2467
48	Deuel County	$37,102	$191,888	+3.0%	$36,011	$91,866	1230	2788
49	Hutchinson County	$78,330	$190,639	+24.4%	$62,946	$161,923	1264	2521
50	McPherson County	$1,390	$190,225	-63.5%	$3,806	$16,480	1279	3073
51	Spink County	$57,400	$189,958	+6.0%	$54,163	$161,853	1288	2651
52	Roberts County	$116,332	$189,323	+5.4%	$110,375	$322,901	1309	2307
53	Gregory County	$22,882	$188,955	+8.5%	$21,079	$67,666	1319	2891
54	Edmunds County	$20,982	$188,379	-16.7%	$25,178	$94,643	1339	2907
55	Charles Mix County	$92,343	$186,385	+2.7%	$89,881	$229,489	1400	2436
56	Day County	$32,707	$185,142	+8.5%	$30,155	$111,728	1437	2828
57	Custer County	$89,379	$184,944	+7.9%	$82,854	$258,967	1445	2455
58	McCook County	$31,789	$182,592	-24.1%	$41,866	$168,298	1498	2830
59	Clay County	$159,318	$181,970	+7.8%	$147,849	$460,743	1523	2096
60	Union County	$191,552	$181,561	+12.4%	$170,393	$489,033	1536	1993
61	Hamlin County	$34,273	$179,135	+23.2%	$27,813	$116,458	1596	2810
62	Bon Homme County	$30,782	$176,525	-0.8%	$31,034	$121,442	1681	2836
63	Dewey County	$3,995	$176,030	+24.0%	$3,220	$14,494	1696	3049
64	Lake County	$69,752	$172,810	-22.9%	$90,466	$329,479	1781	2567
65	Beadle County	$153,942	$164,920	-5.9%	$163,659	$564,256	1987	2117
66	Lincoln County	$704,328	$142,567	+29.3%	$544,554	$1.27 million	2493	983

T

Tennessee Spend Data

Total spend: $70.58 million
Spend per 10k adults: $130,123
National rank (per-capita): #48
National rank (total): #24
Change vs FY2025: +2.1%
Cities in dataset: 5
Counties in dataset: 93

Cities in Tennessee (5)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Nashville	$15.25 million	$280,714	+8.2%	$14.10 million	$58.17 million	32
2	Memphis	$6.52 million	$131,342	+7.7%	$6.06 million	$23.16 million	58
3	Knoxville	$4.71 million	$325,183	+0.2%	$4.70 million	$16.37 million	73
4	Chattanooga	$2.74 million	$192,748	+3.6%	$2.64 million	$9.60 million	113
5	Clarksville	$1.95 million	$153,054	+3.7%	$1.88 million	$7.76 million	140

Counties in Tennessee (93)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Henry County	$1.27 million	$305,822	+41.7%	$892,727	$2.04 million	63	643
2	Davidson County	$12.22 million	$205,160	-17.4%	$14.79 million	$58.97 million	884	74
3	Monroe County	$957,799	$196,782	+30.9%	$731,498	$1.88 million	1070	794
4	Sevier County	$1.68 million	$190,075	+13.5%	$1.48 million	$5.01 million	1286	525
5	Hamblen County	$985,456	$163,451	+12.6%	$874,812	$2.88 million	2032	777
6	Johnson County	$331,222	$160,661	+39.7%	$237,065	$559,897	2110	1574
7	Weakley County	$511,086	$159,998	+13.1%	$452,036	$1.69 million	2131	1213
8	Knox County	$6.10 million	$150,387	+14.3%	$5.34 million	$18.49 million	2353	167
9	Dickson County	$756,698	$149,860	+18.5%	$638,344	$2.57 million	2363	936
10	Scott County	$328,223	$148,655	+15.5%	$284,239	$769,224	2387	1582
11	Marion County	$401,046	$146,566	+11.0%	$361,271	$1.41 million	2419	1403
12	Jefferson County	$746,493	$146,283	+8.7%	$686,713	$2.23 million	2424	942
13	Warren County	$518,612	$139,556	+7.1%	$484,282	$1.36 million	2547	1203
14	Polk County	$239,893	$138,671	+5.2%	$228,108	$701,289	2565	1836
15	Fayette County	$521,037	$137,541	+10.1%	$473,235	$1.59 million	2586	1196
16	Lawrence County	$525,686	$135,123	+6.2%	$495,030	$1.45 million	2618	1183
17	Giles County	$349,844	$132,822	+19.6%	$292,599	$782,884	2638	1533
18	Carroll County	$311,366	$129,727	+9.7%	$283,941	$915,567	2677	1631
19	Gibson County	$540,775	$129,665	+7.9%	$501,002	$1.53 million	2682	1167
20	Madison County	$1.04 million	$129,407	+10.9%	$934,526	$3.01 million	2686	749
21	Putnam County	$884,037	$128,485	+9.7%	$806,141	$2.80 million	2702	836
22	Wayne County	$176,045	$128,396	+31.0%	$134,357	$274,239	2703	2036
23	Hawkins County	$610,508	$128,374	+10.5%	$552,356	$1.74 million	2704	1079
24	Claiborne County	$339,442	$127,254	+9.5%	$309,916	$1.00 million	2722	1551
25	Hamilton County	$3.88 million	$126,458	+11.3%	$3.49 million	$12.23 million	2731	255
26	McNairy County	$258,351	$124,845	+4.5%	$247,217	$669,439	2742	1774
27	McMinn County	$546,614	$122,454	+9.9%	$497,419	$1.61 million	2764	1162
28	Crockett County	$128,881	$122,246	+12.4%	$114,651	$378,561	2767	2247
29	Pickett County	$41,958	$121,373	+28.9%	$32,544	$82,211	2776	2755
30	Unicoi County	$157,506	$120,182	+9.9%	$143,314	$506,944	2785	2102
31	Campbell County	$367,242	$119,869	+11.4%	$329,622	$1.16 million	2788	1482
32	Humphreys County	$171,743	$119,548	+10.6%	$155,257	$647,574	2798	2052
33	Rutherford County	$3.60 million	$119,288	+9.7%	$3.28 million	$12.19 million	2802	266
34	Houston County	$61,348	$117,827	+8.7%	$56,430	$168,544	2824	2619
35	Perry County	$65,135	$117,172	+8.0%	$60,311	$182,841	2830	2594
36	Meigs County	$110,496	$116,862	+7.6%	$102,708	$308,158	2833	2341
37	Lake County	$37,020	$116,636	+10.7%	$33,440	$106,721	2835	2790
38	Lauderdale County	$194,832	$114,380	+9.3%	$178,247	$597,712	2863	1983
39	Sumner County	$1.90 million	$114,066	+14.8%	$1.66 million	$6.40 million	2866	477
40	Hancock County	$36,081	$113,962	+10.9%	$32,544	$103,616	2868	2795
41	Moore County	$34,115	$113,780	+14.3%	$29,857	$118,257	2871	2813
42	Shelby County	$8.10 million	$113,748	+11.7%	$7.25 million	$26.15 million	2872	129
43	Henderson County	$225,930	$113,575	+4.8%	$215,568	$666,327	2873	1884
44	Grundy County	$96,528	$113,290	+18.9%	$81,211	$316,435	2876	2417
45	Overton County	$178,204	$112,334	+5.6%	$168,692	$490,335	2889	2026
46	Cocke County	$302,234	$112,286	-9.5%	$334,101	$1.18 million	2890	1655
47	Van Buren County	$27,717	$111,886	+38.6%	$20,004	$38,822	2893	2856
48	Clay County	$35,756	$111,801	+21.0%	$29,559	$116,968	2894	2799
49	Morgan County	$159,269	$111,279	+9.1%	$146,001	$514,993	2899	2097
50	Marshall County	$297,780	$111,206	+9.5%	$271,998	$983,582	2901	1665
51	Cheatham County	$336,425	$110,801	+7.1%	$314,096	$1.05 million	2906	1562
52	Sequatchie County	$117,495	$110,226	+12.8%	$104,201	$349,402	2910	2298
53	Washington County	$1.18 million	$110,168	-6.3%	$1.26 million	$4.53 million	2911	683
54	Smith County	$143,932	$110,098	+17.9%	$122,115	$538,815	2912	2168
55	Obion County	$221,917	$109,996	-4.6%	$232,587	$808,872	2914	1894
56	Bledsoe County	$98,153	$109,566	+10.3%	$88,974	$280,122	2923	2407
57	Lewis County	$76,460	$109,355	+8.5%	$70,463	$218,511	2925	2525
58	Blount County	$1.18 million	$108,641	+10.8%	$1.07 million	$4.40 million	2928	682
59	Trousdale County	$66,125	$108,546	+12.4%	$58,818	$233,743	2931	2588
60	DeKalb County	$142,554	$108,004	+12.1%	$127,191	$458,992	2937	2180
61	Rhea County	$251,780	$107,875	+9.7%	$229,601	$901,616	2939	1796
62	Lincoln County	$264,514	$107,101	+8.3%	$244,231	$807,451	2950	1760
63	Cannon County	$82,765	$106,944	+0.1%	$82,704	$264,356	2955	2490
64	Wilson County	$1.42 million	$106,802	+11.4%	$1.27 million	$4.44 million	2956	594
65	Franklin County	$335,003	$106,644	+14.1%	$293,495	$1.02 million	2959	1566
66	Coffee County	$475,012	$106,524	-8.5%	$518,916	$1.93 million	2962	1272
67	Stewart County	$69,677	$105,373	-15.8%	$82,704	$294,621	2977	2568
68	Roane County	$419,614	$104,643	+11.2%	$377,393	$1.48 million	2981	1362
69	Jackson County	$48,887	$104,129	+19.5%	$40,904	$169,062	2983	2705
70	Grainger County	$157,224	$104,107	+14.0%	$137,940	$487,034	2984	2104
71	Fentress County	$111,223	$103,691	+7.0%	$103,903	$302,994	2990	2339
72	Dyer County	$240,698	$103,567	+12.3%	$214,374	$764,654	2992	1833
73	Bradley County	$880,862	$103,314	+9.7%	$803,155	$2.97 million	2995	838
74	Union County	$117,354	$102,983	+10.4%	$106,291	$431,478	2997	2301
75	Haywood County	$80,798	$102,747	+10.9%	$72,851	$280,095	2999	2499
76	Hardeman County	$146,834	$102,676	+13.1%	$129,878	$433,590	3001	2153
77	Carter County	$399,304	$101,831	+11.0%	$359,778	$1.20 million	3008	1408
78	Maury County	$884,221	$101,779	-19.5%	$1.10 million	$4.35 million	3009	835
79	Montgomery County	$1.90 million	$100,192	-12.0%	$2.16 million	$8.21 million	3018	478
80	Robertson County	$566,229	$100,109	+11.0%	$509,959	$1.66 million	3019	1128
81	Chester County	$74,169	$99,201	-24.7%	$98,528	$370,586	3029	2540
82	Decatur County	$20,873	$97,724	-68.5%	$66,283	$334,880	3042	2908
83	Macon County	$141,429	$97,533	-17.0%	$170,484	$638,848	3043	2184
84	Greene County	$491,405	$97,138	+10.8%	$443,676	$1.82 million	3045	1252
85	Hardin County	$129,246	$94,496	-3.6%	$134,058	$452,002	3060	2246
86	Hickman County	$115,612	$94,378	-30.1%	$165,408	$665,210	3063	2313
87	White County	$130,065	$92,218	-37.0%	$206,611	$963,245	3069	2242
88	Tipton County	$360,413	$91,411	-19.2%	$446,065	$1.70 million	3071	1503
89	Cumberland County	$361,820	$87,912	-8.9%	$397,099	$1.47 million	3081	1498
90	Sullivan County	$978,236	$84,304	-16.0%	$1.16 million	$4.70 million	3084	783
91	Bedford County	$253,346	$83,254	-19.1%	$313,201	$1.24 million	3086	1790
92	Williamson County	$1.40 million	$72,204	-4.6%	$1.47 million	$5.13 million	3090	602
93	Anderson County	$328,014	$72,179	-39.0%	$537,427	$2.68 million	3091	1584

Texas Spend Data

Total spend: $497.5 million
Spend per 10k adults: $214,430
National rank (per-capita): #17
National rank (total): #2
Change vs FY2025: +9.7%
Cities in dataset: 5
Counties in dataset: 253

Cities in Texas (5)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Houston	$56.08 million	$310,172	-1.9%	$57.15 million	$174.7 million	4
2	Dallas	$41.19 million	$403,755	+1.4%	$40.63 million	$136.1 million	8
3	San Antonio	$32.84 million	$270,537	+3.8%	$31.65 million	$89.88 million	12
4	Austin	$31.08 million	$404,653	+0.9%	$30.79 million	$97.45 million	14
5	Fort Worth	$21.15 million	$293,309	+12.9%	$18.74 million	$50.10 million	22

Counties in Texas (253)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Guadalupe County	$6.81 million	$398,517	+38.1%	$4.93 million	$10.07 million	16	151
2	Upton County	$478,041	$349,513	+44.6%	$330,650	$724,987	27	1267
3	Coleman County	$603,181	$347,654	+50.7%	$400,291	$731,501	28	1088
4	Travis County	$36.80 million	$334,272	+4.8%	$35.13 million	$106.4 million	36	16
5	Potter County	$3.31 million	$330,474	+18.9%	$2.78 million	$7.42 million	39	290
6	Dallas County	$66.35 million	$316,307	+6.8%	$62.15 million	$194.3 million	52	6
7	Reeves County	$516,607	$291,211	-2.9%	$531,966	$1.73 million	92	1207
8	San Patricio County	$1.82 million	$283,747	+18.0%	$1.54 million	$4.23 million	111	497
9	Culberson County	$206,354	$260,949	+4.5%	$197,512	$553,927	218	1951
10	Donley County	$214,894	$257,184	+50.5%	$142,794	$282,012	245	1918
11	Marion County	$335,212	$252,910	+38.5%	$241,989	$442,322	271	1565
12	Ector County	$3.57 million	$252,080	+5.0%	$3.40 million	$10.27 million	280	270
13	El Paso County	$17.04 million	$245,640	+5.5%	$16.14 million	$47.86 million	329	50
14	San Augustine County	$268,481	$245,596	+46.6%	$183,174	$344,912	330	1742
15	Loving County	$115,688	$243,695	+1.9%	$113,533	$304,700	344	2312
16	Lamb County	$350,216	$242,317	+35.1%	$259,253	$508,978	357	1530
17	Gonzales County	$472,730	$237,175	+18.3%	$399,706	$1.04 million	394	1278
18	Comal County	$3.96 million	$235,821	+9.6%	$3.62 million	$10.43 million	409	249
19	Eastland County	$425,467	$234,767	+37.2%	$310,167	$679,557	424	1346
20	Hemphill County	$147,231	$234,475	+47.1%	$100,073	$145,349	428	2151
21	Uvalde County	$547,722	$234,031	+20.5%	$454,717	$1.22 million	437	1158
22	Zavala County	$254,757	$233,875	+26.5%	$201,316	$517,348	439	1786
23	Fisher County	$123,829	$222,589	+40.1%	$88,368	$204,938	591	2266
24	Dallam County	$188,102	$221,851	+4.9%	$179,370	$538,769	601	2003
25	Harris County	$87.82 million	$221,727	+10.7%	$79.33 million	$229.8 million	602	4
26	Castro County	$183,001	$221,414	+41.5%	$129,334	$266,056	604	2012
27	Mills County	$134,481	$220,966	+35.6%	$99,195	$208,229	614	2216
28	Bexar County	$37.10 million	$218,609	+6.4%	$34.88 million	$106.4 million	660	15
29	Duval County	$205,310	$217,161	+32.1%	$155,376	$379,315	682	1956
30	Victoria County	$1.62 million	$216,974	+21.8%	$1.33 million	$3.53 million	687	535
31	Freestone County	$391,072	$215,135	+34.7%	$290,270	$685,393	714	1430
32	Collingsworth County	$81,547	$215,055	+49.8%	$54,426	$94,160	715	2496
33	Jeff Davis County	$66,975	$214,520	+42.2%	$47,110	$75,090	724	2582
34	Montague County	$404,104	$213,644	+25.5%	$321,872	$756,442	740	1395
35	Calhoun County	$363,512	$213,428	+23.7%	$293,781	$720,981	743	1493
36	La Salle County	$142,643	$212,852	+8.6%	$131,382	$411,219	753	2175
37	Winkler County	$155,834	$211,638	+3.6%	$150,402	$444,874	773	2110
38	Presidio County	$117,356	$210,492	+4.7%	$112,070	$328,331	790	2300
39	Midland County	$3.11 million	$209,273	-2.9%	$3.20 million	$10.34 million	811	311
40	Reagan County	$76,231	$209,211	+10.9%	$68,763	$255,688	813	2527
41	Martin County	$107,154	$207,943	+7.1%	$100,073	$308,480	836	2357
42	Mitchell County	$164,993	$207,365	+5.8%	$155,961	$336,725	848	2074
43	Tarrant County	$36.54 million	$207,033	+17.9%	$30.99 million	$84.92 million	855	17
44	Kent County	$27,763	$206,382	+41.6%	$19,605	$36,857	865	2855
45	Fannin County	$648,304	$205,620	+29.6%	$500,364	$1.20 million	877	1034
46	Frio County	$315,643	$204,916	+7.3%	$294,074	$972,668	889	1619
47	Brazos County	$4.02 million	$204,803	+13.3%	$3.54 million	$9.98 million	892	246
48	Willacy County	$330,131	$203,972	+16.1%	$284,418	$751,177	903	1579
49	Kleberg County	$495,630	$203,963	+4.6%	$474,029	$1.31 million	905	1246
50	Crane County	$83,068	$203,859	+32.7%	$62,619	$135,805	908	2485
51	Trinity County	$239,228	$203,572	+33.4%	$179,370	$426,165	912	1844
52	Hudspeth County	$63,566	$203,311	+20.7%	$52,670	$138,561	918	2603
53	Caldwell County	$887,738	$203,196	+19.0%	$746,157	$2.03 million	921	832
54	Parmer County	$160,910	$202,644	+40.6%	$114,411	$229,134	927	2087
55	Dickens County	$33,618	$202,522	+27.7%	$26,335	$62,583	931	2817
56	Kenedy County	$8,641	$201,333	+5.5%	$8,193	$24,282	947	2999
57	Bosque County	$302,139	$201,259	+33.2%	$226,773	$485,505	950	1656
58	Glasscock County	$20,194	$200,879	-24.2%	$26,628	$93,342	957	2914
59	King County	$3,672	$200,205	+14.1%	$3,219	$8,583	964	3051
60	Sutton County	$50,949	$200,201	+28.0%	$39,795	$96,863	965	2693
61	Terrell County	$10,354	$199,709	+4.1%	$9,949	$20,895	985	2990
62	Hamilton County	$135,006	$199,605	+24.4%	$108,559	$277,935	989	2214
63	Howard County	$473,093	$198,868	+6.5%	$444,183	$1.36 million	1007	1277
64	Lee County	$288,780	$198,722	+36.1%	$212,143	$445,686	1010	1684
65	McLennan County	$4.22 million	$198,042	+16.7%	$3.62 million	$9.72 million	1027	229
66	Edwards County	$14,100	$197,248	+9.5%	$12,875	$44,335	1048	2962
67	Dimmit County	$116,507	$197,071	-16.5%	$139,575	$522,684	1054	2306
68	Karnes County	$224,556	$197,049	+5.7%	$212,435	$657,174	1055	1886
69	San Saba County	$81,599	$196,973	+3.3%	$79,005	$138,227	1059	2494
70	McMullen County	$0	$196,754	-100.0%	$7,023	$40,478	1072	3082
71	Andrews County	$281,738	$196,305	+6.3%	$265,105	$828,502	1086	1705
72	Austin County	$507,137	$196,081	+23.3%	$411,411	$979,354	1090	1220
73	Roberts County	$2,819	$195,951	+7.0%	$2,633	$7,994	1094	3060
74	Motley County	$5,482	$195,936	-1.4%	$5,560	$18,297	1095	3032
75	Throckmorton County	$13,098	$195,848	-38.7%	$21,361	$93,709	1098	2972
76	Hays County	$4.66 million	$195,572	+11.3%	$4.18 million	$11.90 million	1107	215
77	Cottle County	$6,900	$195,434	-5.7%	$7,315	$24,069	1110	3015
78	Ward County	$158,266	$195,300	-3.4%	$163,862	$540,117	1115	2100
79	Foard County	$3,413	$195,164	+6.0%	$3,219	$9,469	1119	3054
80	Oldham County	$13,747	$194,807	+11.9%	$12,290	$41,832	1129	2967
81	Stonewall County	$4,132	$194,623	+8.6%	$3,804	$14,310	1133	3048
82	Matagorda County	$540,856	$194,267	+25.7%	$430,138	$958,671	1144	1166
83	Armstrong County	$13,147	$194,259	+7.0%	$12,290	$37,529	1145	2971
84	Floyd County	$58,630	$193,983	+5.5%	$55,596	$101,619	1159	2640
85	DeWitt County	$292,899	$193,858	+17.9%	$248,426	$665,926	1164	1674
86	Crockett County	$26,108	$193,850	+8.8%	$23,994	$74,196	1166	2871
87	Schleicher County	$17,733	$193,711	+34.7%	$13,167	$25,248	1172	2932
88	Briscoe County	$5,377	$193,472	+8.1%	$4,974	$14,779	1180	3033
89	Crosby County	$56,593	$193,454	+4.0%	$54,426	$149,984	1181	2657
90	Garza County	$51,068	$193,339	+14.1%	$44,769	$121,665	1185	2689
91	Irion County	$4,473	$193,205	-36.3%	$7,023	$27,326	1187	3040
92	Sterling County	$2,611	$193,160	-59.4%	$6,437	$28,067	1190	3063
93	Henderson County	$1.32 million	$192,739	+25.7%	$1.05 million	$2.63 million	1203	628
94	Refugio County	$81,288	$192,596	+20.3%	$67,593	$184,371	1205	2497
95	Real County	$22,030	$192,542	+3.1%	$21,361	$66,279	1210	2895
96	Johnson County	$3.27 million	$192,380	+10.8%	$2.95 million	$8.29 million	1217	293
97	Brewster County	$121,307	$191,908	+2.9%	$117,922	$326,319	1228	2277
98	Shackelford County	$26,753	$191,814	+34.5%	$19,898	$46,326	1231	2864
99	Pecos County	$196,878	$191,576	+6.5%	$184,930	$577,773	1235	1974
100	Menard County	$6,131	$191,109	-19.4%	$7,608	$26,356	1247	3026
101	Webb County	$4.19 million	$191,072	+5.7%	$3.97 million	$11.83 million	1248	231
102	Bailey County	$80,718	$190,957	+27.7%	$63,204	$164,617	1250	2500
103	Cochran County	$13,868	$190,715	+48.1%	$9,364	$57,096	1260	2965
104	Childress County	$74,676	$190,560	+26.3%	$59,107	$157,155	1267	2536
105	Kimble County	$41,708	$190,559	+11.4%	$37,454	$108,997	1268	2756
106	Galveston County	$5.54 million	$190,485	+15.4%	$4.80 million	$13.49 million	1269	186
107	Sherman County	$16,091	$190,262	+10.0%	$14,631	$50,180	1278	2946
108	Val Verde County	$688,178	$190,188	+7.9%	$637,891	$2.04 million	1280	996
109	Hardeman County	$23,421	$190,158	+3.9%	$22,531	$68,250	1283	2887
110	Brooks County	$72,273	$190,097	+3.3%	$69,934	$195,293	1284	2554
111	Wichita County	$1.90 million	$189,814	+6.3%	$1.79 million	$5.45 million	1297	476
112	Young County	$242,462	$189,490	+21.7%	$199,268	$544,297	1305	1823
113	Haskell County	$54,213	$189,456	+18.0%	$45,940	$127,357	1306	2669
114	Kinney County	$18,286	$189,223	-18.8%	$22,531	$77,661	1311	2929
115	Yoakum County	$81,738	$189,053	+7.0%	$76,371	$241,928	1314	2493
116	Tom Green County	$1.76 million	$189,020	+10.6%	$1.59 million	$4.63 million	1316	512
117	Red River County	$143,918	$188,276	+30.5%	$110,314	$228,396	1345	2169
118	Scurry County	$208,076	$188,264	+2.5%	$203,072	$556,172	1346	1946
119	Ochiltree County	$106,221	$188,190	+5.5%	$100,658	$296,260	1348	2364
120	Hall County	$9,430	$188,148	-26.8%	$12,875	$49,489	1349	2996
121	Hansford County	$38,654	$187,031	+4.8%	$36,869	$103,527	1380	2775
122	Wheeler County	$34,065	$186,336	+2.1%	$33,358	$90,045	1402	2814
123	Concho County	$16,200	$186,056	+53.8%	$10,534	$82,183	1409	2944
124	Gaines County	$313,055	$186,011	+27.5%	$245,500	$586,052	1411	1624
125	Goliad County	$68,262	$185,899	+4.1%	$65,545	$185,023	1414	2575
126	Maverick County	$820,700	$185,842	+4.7%	$784,196	$2.35 million	1418	887
127	Jim Hogg County	$28,273	$185,462	+3.9%	$27,213	$79,578	1425	2850
128	Blanco County	$159,536	$185,440	+3.7%	$153,913	$452,087	1426	2093
129	Knox County	$7,990	$185,309	-45.4%	$14,631	$68,448	1431	3006
130	Coke County	$10,971	$185,231	-1.3%	$11,119	$27,186	1435	2984
131	Lipscomb County	$4,262	$185,210	-30.6%	$6,145	$26,024	1436	3045
132	Atascosa County	$737,031	$184,763	+10.5%	$667,152	$1.94 million	1447	949
133	Palo Pinto County	$404,712	$184,403	+5.7%	$382,735	$1.12 million	1460	1392
134	Mason County	$16,780	$184,345	+10.3%	$15,216	$50,119	1462	2938
135	Baylor County	$8,642	$184,126	-64.0%	$23,994	$104,020	1466	2998
136	Live Oak County	$130,324	$183,989	+7.6%	$121,141	$368,272	1471	2241
137	Jackson County	$177,422	$183,230	+2.4%	$173,225	$466,855	1488	2029
138	Panola County	$279,721	$181,575	-0.4%	$280,906	$901,650	1534	1710
139	Archer County	$81,595	$181,496	+29.7%	$62,911	$123,704	1540	2495
140	Hood County	$951,170	$180,961	+19.5%	$795,901	$2.09 million	1554	799
141	Dawson County	$117,335	$180,949	+5.0%	$111,777	$327,170	1555	2302
142	Lynn County	$35,576	$180,947	+11.5%	$31,895	$110,389	1556	2800
143	Chambers County	$766,947	$180,826	-6.4%	$819,310	$2.74 million	1558	928
144	Williamson County	$10.62 million	$180,646	+14.0%	$9.32 million	$26.31 million	1561	96
145	Wilbarger County	$125,358	$180,393	+1.8%	$123,189	$390,693	1569	2260
146	Nolan County	$148,278	$180,333	+4.3%	$142,209	$385,083	1571	2145
147	McCulloch County	$54,263	$180,331	-1.9%	$55,303	$180,882	1572	2668
148	Swisher County	$43,264	$180,297	+2.7%	$42,136	$110,002	1573	2742
149	Hidalgo County	$12.90 million	$179,139	+13.6%	$11.35 million	$31.13 million	1595	68
150	Zapata County	$135,561	$178,286	+10.3%	$122,896	$431,893	1628	2210
151	Colorado County	$242,926	$178,253	+16.8%	$208,046	$846,917	1630	1820
152	Delta County	$19,677	$177,919	-2.5%	$20,190	$63,524	1642	2918
153	Hopkins County	$484,522	$177,393	+19.0%	$407,314	$1.12 million	1653	1257
154	Carson County	$19,167	$176,591	+11.0%	$17,264	$63,549	1675	2924
155	Medina County	$726,551	$176,551	+17.1%	$620,335	$1.74 million	1679	957
156	Somervell County	$79,586	$176,207	+25.3%	$63,497	$161,282	1691	2513
157	Runnels County	$71,056	$176,009	+16.7%	$60,863	$165,288	1697	2560
158	Burnet County	$720,771	$175,475	+15.1%	$626,187	$1.65 million	1708	959
159	Taylor County	$2.00 million	$175,326	+5.8%	$1.89 million	$5.64 million	1713	450
160	Fayette County	$284,643	$175,113	+5.3%	$270,372	$788,000	1720	1696
161	Hutchinson County	$203,962	$174,961	+6.6%	$191,367	$581,214	1727	1959
162	Hartley County	$1,563	$174,889	-61.9%	$4,097	$22,187	1731	3071
163	Houston County	$237,642	$174,240	+30.2%	$182,589	$433,511	1740	1848
164	Bell County	$5.43 million	$174,060	+2.7%	$5.28 million	$16.46 million	1745	189
165	Bastrop County	$1.55 million	$173,147	+16.6%	$1.33 million	$3.62 million	1770	552
166	Terry County	$86,800	$172,547	+12.8%	$76,957	$259,148	1786	2465
167	Bandera County	$234,643	$171,826	+15.4%	$203,364	$551,683	1802	1857
168	Morris County	$89,578	$171,761	+3.1%	$86,905	$240,143	1803	2452
169	Franklin County	$74,133	$171,735	+28.0%	$57,937	$125,693	1804	2541
170	Callahan County	$120,176	$171,447	+4.5%	$114,996	$335,120	1810	2283
171	Stephens County	$50,274	$171,104	+13.0%	$44,477	$168,370	1814	2697
172	Lampasas County	$240,854	$170,865	+24.0%	$194,293	$488,021	1820	1832
173	Leon County	$147,884	$170,280	+3.6%	$142,794	$408,504	1833	2147
174	Kendall County	$633,125	$170,131	+7.6%	$588,147	$1.85 million	1835	1053
175	Bowie County	$1.15 million	$169,517	+8.0%	$1.07 million	$3.17 million	1852	694
176	Camp County	$97,928	$169,460	+6.9%	$91,587	$295,297	1853	2408
177	Nueces County	$4.61 million	$169,436	+6.2%	$4.34 million	$13.19 million	1854	218
178	Comanche County	$111,278	$169,292	+8.7%	$102,414	$339,827	1856	2337
179	Jack County	$46,296	$169,199	+5.5%	$43,892	$130,632	1860	2719
180	Hale County	$340,933	$169,039	+5.9%	$321,872	$975,307	1862	1548
181	Falls County	$152,249	$168,127	+33.4%	$114,118	$272,906	1891	2126
182	Gray County	$191,351	$167,862	+8.8%	$175,859	$562,793	1901	1994
183	Madison County	$102,990	$167,804	+4.8%	$98,317	$295,503	1903	2386
184	Bee County	$337,459	$166,584	+4.7%	$322,457	$935,772	1937	1559
185	Sabine County	$43,251	$166,558	+10.3%	$39,210	$129,792	1938	2743
186	Gregg County	$1.55 million	$166,096	+6.0%	$1.47 million	$4.36 million	1953	548
187	Hardin County	$674,139	$165,772	+3.8%	$649,596	$1.86 million	1964	1011
188	Orange County	$1.02 million	$164,481	+5.0%	$971,467	$2.82 million	2003	756
189	Coryell County	$996,070	$162,824	+7.0%	$930,502	$2.76 million	2052	771
190	Navarro County	$627,505	$162,034	+15.9%	$541,330	$1.53 million	2071	1061
191	Aransas County	$232,861	$162,014	+4.6%	$222,677	$650,375	2073	1865
192	Titus County	$299,914	$161,661	+16.9%	$256,620	$676,473	2083	1660
193	Newton County	$49,721	$161,245	+27.8%	$38,917	$95,538	2096	2698
194	Rains County	$69,307	$161,108	+4.8%	$66,130	$194,508	2101	2570
195	Llano County	$189,490	$160,247	+5.3%	$179,956	$533,889	2121	1999
196	Cass County	$255,704	$160,164	+18.4%	$215,947	$563,186	2124	1782
197	Wise County	$943,126	$159,586	+19.4%	$790,049	$2.03 million	2138	805
198	Grimes County	$321,829	$159,364	+15.9%	$277,687	$1.04 million	2144	1600
199	Wharton County	$418,653	$159,228	+12.3%	$372,786	$1.37 million	2146	1365
200	Deaf Smith County	$123,947	$158,751	-18.2%	$151,572	$567,013	2155	2264
201	Burleson County	$146,618	$158,448	+14.9%	$127,578	$334,537	2164	2154
202	Limestone County	$174,066	$158,190	+15.5%	$150,694	$422,619	2172	2040
203	Jim Wells County	$367,472	$157,373	-4.1%	$383,320	$1.29 million	2189	1480
204	Clay County	$20,337	$157,113	-63.6%	$55,889	$243,596	2201	2911
205	Jones County	$143,317	$156,761	+21.2%	$118,215	$289,476	2208	2172
206	Waller County	$741,220	$156,177	+10.6%	$670,078	$1.89 million	2218	946
207	Hockley County	$148,616	$155,886	-12.6%	$170,007	$642,197	2224	2144
208	Grayson County	$1.76 million	$155,570	+16.7%	$1.51 million	$4.15 million	2232	513
209	Jefferson County	$2.98 million	$155,088	+6.6%	$2.79 million	$8.69 million	2240	325
210	Hill County	$361,478	$154,818	+4.5%	$345,866	$1.01 million	2244	1500
211	Kaufman County	$2.41 million	$154,022	+4.7%	$2.30 million	$6.51 million	2266	396
212	Montgomery County	$9.32 million	$153,971	+14.7%	$8.12 million	$21.78 million	2268	112
213	Wood County	$474,551	$153,186	+22.3%	$388,002	$1.03 million	2291	1275
214	Jasper County	$272,499	$152,728	+4.8%	$260,131	$755,246	2302	1734
215	Kerr County	$520,332	$152,241	+14.7%	$453,546	$1.73 million	2314	1198
216	Cooke County	$398,608	$151,039	+7.1%	$372,201	$1.16 million	2337	1409
217	Moore County	$131,084	$151,024	+11.7%	$117,337	$454,306	2338	2238
218	Lavaca County	$116,060	$150,946	+4.4%	$111,192	$319,675	2340	2311
219	Cherokee County	$502,998	$150,922	+17.9%	$426,626	$1.14 million	2343	1228
220	Erath County	$379,975	$149,041	+5.9%	$358,741	$1.06 million	2380	1455
221	Tyler County	$104,722	$148,845	+12.2%	$93,343	$267,053	2381	2375
222	Nacogdoches County	$628,503	$147,736	+4.3%	$602,778	$1.73 million	2404	1058
223	Shelby County	$141,199	$146,990	+6.8%	$132,260	$423,943	2413	2186
224	Cameron County	$4.85 million	$146,443	+6.5%	$4.55 million	$14.13 million	2421	212
225	Rockwall County	$1.47 million	$145,737	+7.8%	$1.36 million	$4.27 million	2436	578
226	Smith County	$2.74 million	$145,707	+5.3%	$2.61 million	$7.65 million	2437	348
227	Brown County	$298,660	$145,417	+9.2%	$273,591	$876,112	2445	1663
228	Brazoria County	$4.63 million	$145,117	+10.4%	$4.19 million	$12.23 million	2452	217
229	Robertson County	$58,961	$145,032	-12.8%	$67,593	$225,659	2453	2638
230	Gillespie County	$176,253	$144,141	-18.0%	$215,069	$832,584	2468	2035
231	Liberty County	$1.21 million	$143,101	+13.6%	$1.07 million	$3.04 million	2482	670
232	Washington County	$280,492	$143,046	+5.9%	$264,813	$825,326	2483	1708
233	Milam County	$144,262	$142,788	-7.8%	$156,547	$543,294	2486	2167
234	Fort Bend County	$10.75 million	$142,413	+11.3%	$9.65 million	$27.44 million	2496	93
235	Ellis County	$2.50 million	$140,468	+5.9%	$2.36 million	$7.11 million	2533	379
236	Lamar County	$399,565	$138,658	+5.9%	$377,468	$1.03 million	2567	1406
237	Upshur County	$311,961	$136,949	+16.8%	$267,154	$753,624	2592	1630
238	San Jacinto County	$150,393	$136,699	+4.9%	$143,379	$420,476	2597	2134
239	Polk County	$396,970	$135,195	+4.2%	$380,979	$1.09 million	2615	1417
240	Lubbock County	$3.23 million	$131,997	-18.6%	$3.97 million	$14.77 million	2648	302
241	Hunt County	$1.08 million	$130,419	+3.9%	$1.04 million	$2.94 million	2667	730
242	Angelina County	$712,515	$129,664	+8.2%	$658,374	$2.07 million	2683	975
243	Van Zandt County	$484,178	$129,117	+4.1%	$465,251	$1.25 million	2689	1258
244	Rusk County	$368,569	$128,920	+3.2%	$356,985	$1.02 million	2694	1478
245	Anderson County	$416,092	$128,569	+11.6%	$372,786	$1.05 million	2699	1371
246	Parker County	$1.67 million	$128,146	+5.7%	$1.58 million	$4.70 million	2706	528
247	Collin County	$12.80 million	$127,582	+11.0%	$11.53 million	$32.96 million	2717	69
248	Wilson County	$317,298	$119,772	-10.8%	$355,815	$1.24 million	2792	1615
249	Starr County	$412,634	$119,730	+9.8%	$375,712	$1.36 million	2793	1376
250	Denton County	$9.78 million	$119,115	+8.3%	$9.03 million	$26.68 million	2805	102
251	Walker County	$516,490	$113,128	-11.7%	$585,221	$1.94 million	2879	1208
252	Harrison County	$325,398	$102,774	+7.4%	$302,852	$1.05 million	2998	1588
253	Randall County	$830,173	$92,929	+5.9%	$784,196	$2.34 million	3068	878

U

Utah Spend Data

Total spend: $45.30 million
Spend per 10k adults: $176,458
National rank (per-capita): #40
National rank (total): #33
Change vs FY2025: +3.6%
Cities in dataset: 5
Counties in dataset: 29

Cities in Utah (5)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Salt Lake City	$14.93 million	$952,303	-2.3%	$15.28 million	$45.05 million	34
2	West Valley City	$2.77 million	$253,772	-3.2%	$2.86 million	$8.23 million	109
3	Orem	$1.13 million	$159,784	+1.0%	$1.12 million	$3.64 million	161
4	Provo	$923,179	$102,269	-1.5%	$936,800	$2.85 million	166
5	Sandy	$514,595	$60,505	-21.1%	$652,058	$2.37 million	167

Counties in Utah (29)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Summit County	$1.03 million	$242,371	+28.5%	$799,891	$1.74 million	355	752
2	Salt Lake County	$22.93 million	$237,384	+3.6%	$22.14 million	$65.79 million	391	36
3	Emery County	$287,156	$208,997	+32.8%	$216,256	$482,122	819	1689
4	Duchesne County	$414,600	$197,802	+17.9%	$351,667	$948,783	1036	1374
5	Morgan County	$266,514	$189,062	+40.5%	$189,689	$404,094	1313	1750
6	Uintah County	$612,982	$185,004	+3.7%	$591,348	$1.77 million	1443	1074
7	Grand County	$161,094	$173,688	+9.9%	$146,552	$420,698	1754	2086
8	Sevier County	$316,684	$168,686	+20.5%	$262,821	$633,187	1874	1617
9	Carbon County	$285,224	$167,966	+14.2%	$249,680	$680,080	1897	1695
10	Rich County	$34,501	$163,170	+22.0%	$28,282	$73,070	2040	2807
11	Kane County	$104,784	$161,539	+15.7%	$90,559	$234,362	2085	2374
12	Weber County	$3.52 million	$161,446	+4.3%	$3.37 million	$10.40 million	2087	275
13	Sanpete County	$393,361	$161,320	+3.8%	$378,806	$785,076	2094	1425
14	Daggett County	$4,458	$160,348	+4.0%	$4,285	$17,969	2118	3042
15	Piute County	$3,899	$157,505	+13.7%	$3,428	$9,621	2187	3050
16	Wayne County	$5,759	$153,447	+6.1%	$5,428	$18,466	2283	3029
17	Garfield County	$36,938	$153,133	+3.4%	$35,709	$92,179	2295	2791
18	Juab County	$123,642	$149,565	+14.2%	$108,271	$298,978	2368	2268
19	Box Elder County	$714,623	$147,458	+3.8%	$688,478	$2.11 million	2408	972
20	Millard County	$116,270	$146,044	-7.9%	$126,269	$411,910	2431	2308
21	Iron County	$714,227	$144,737	+1.2%	$705,619	$1.99 million	2459	974
22	Beaver County	$29,459	$143,104	-5.4%	$31,139	$101,548	2481	2843
23	Tooele County	$829,764	$132,589	+5.6%	$785,608	$2.60 million	2644	880
24	Washington County	$2.12 million	$131,637	+7.9%	$1.97 million	$5.74 million	2655	431
25	Wasatch County	$290,702	$127,297	+1.5%	$286,533	$809,200	2721	1680
26	San Juan County	$14,861	$117,618	-75.6%	$60,849	$289,148	2827	2957
27	Cache County	$1.06 million	$106,421	-1.4%	$1.08 million	$3.44 million	2965	738
28	Utah County	$6.03 million	$103,763	+4.0%	$5.80 million	$17.36 million	2989	171
29	Davis County	$2.83 million	$100,289	-11.9%	$3.22 million	$10.65 million	3017	336

V

Vermont Spend Data

Total spend: $9.92 million
Spend per 10k adults: $202,609
National rank (per-capita): #25
National rank (total): #49
Change vs FY2025: +10.7%
Cities in dataset: 0
Counties in dataset: 14

No city-level data available for this state — county data only.

Counties in Vermont (14)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Caledonia County	$965,834	$295,501	+32.9%	$726,871	$1.59 million	79	789
2	Rutland County	$1.14 million	$226,475	+5.4%	$1.08 million	$3.01 million	535	700
3	Orange County	$559,438	$215,751	+15.0%	$486,488	$1.11 million	708	1137
4	Chittenden County	$2.64 million	$198,357	+7.1%	$2.46 million	$7.14 million	1024	361
5	Franklin County	$778,807	$194,801	+17.8%	$661,052	$1.79 million	1130	916
6	Grand Isle County	$100,451	$191,385	+9.0%	$92,147	$285,331	1241	2398
7	Orleans County	$398,509	$190,633	+9.1%	$365,153	$1.09 million	1265	1412
8	Washington County	$831,527	$184,281	+6.8%	$778,382	$2.22 million	1464	877
9	Essex County	$50,586	$182,360	+8.4%	$46,646	$142,061	1510	2695
10	Addison County	$506,737	$182,067	+13.5%	$446,425	$1.29 million	1518	1221
11	Lamoille County	$331,042	$180,403	+12.5%	$294,182	$857,727	1568	1576
12	Bennington County	$429,614	$171,718	+2.5%	$418,952	$1.31 million	1805	1342
13	Windsor County	$679,261	$167,644	+10.4%	$615,265	$1.82 million	1907	1008
14	Windham County	$508,830	$165,834	+5.8%	$480,765	$1.28 million	1963	1216

Virginia Spend Data

Total spend: $126.9 million
Spend per 10k adults: $189,418
National rank (per-capita): #32
National rank (total): #14
Change vs FY2025: +8.1%
Cities in dataset: 5
Counties in dataset: 95

Cities in Virginia (5)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Virginia Beach	$9.88 million	$277,271	-4.2%	$10.31 million	$29.88 million	49
2	Richmond	$7.32 million	$411,539	+8.5%	$6.74 million	$19.31 million	55
3	Chesapeake	$4.32 million	$226,957	+12.0%	$3.86 million	$9.54 million	77
4	Norfolk	$3.93 million	$210,484	-0.5%	$3.95 million	$12.06 million	83
5	Newport News	$2.48 million	$175,376	-0.0%	$2.48 million	$7.46 million	124

Counties in Virginia (95)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Loudoun County	$22.22 million	$603,960	+17.5%	$18.91 million	$45.24 million	2	39
2	Bath County	$592,348	$431,241	+42.2%	$416,685	$822,048	11	1095
3	Lancaster County	$787,914	$420,178	+0.4%	$784,741	$2.18 million	12	910
4	Nottoway County	$785,472	$378,557	+35.0%	$581,643	$1.26 million	17	911
5	Northampton County	$652,752	$373,956	+39.9%	$466,745	$1.08 million	18	1027
6	Giles County	$707,723	$352,921	+0.6%	$703,693	$1.64 million	24	980
7	Tazewell County	$1.18 million	$328,299	+7.6%	$1.10 million	$3.16 million	41	685
8	York County	$2.01 million	$326,958	+21.6%	$1.65 million	$3.97 million	42	447
9	Scott County	$719,364	$325,678	+29.2%	$556,852	$1.24 million	45	961
10	Franklin County	$1.58 million	$323,991	+23.6%	$1.28 million	$3.40 million	46	542
11	Patrick County	$528,902	$302,124	+34.6%	$392,848	$949,392	68	1179
12	Warren County	$1.12 million	$301,285	+3.0%	$1.09 million	$3.27 million	72	710
13	Southampton County	$527,048	$297,646	+42.6%	$369,486	$751,360	77	1181
14	Highland County	$147,168	$293,688	+35.4%	$108,701	$191,537	84	2152
15	Roanoke County	$2.31 million	$291,827	+13.9%	$2.03 million	$5.59 million	90	405
16	Pulaski County	$857,712	$291,793	-8.7%	$939,211	$3.09 million	91	853
17	Arlington County	$5.65 million	$290,819	+12.1%	$5.04 million	$17.26 million	95	182
18	Henrico County	$7.81 million	$287,585	+18.9%	$6.57 million	$17.56 million	98	135
19	Botetourt County	$813,133	$280,979	+14.6%	$709,414	$1.98 million	116	889
20	Fluvanna County	$686,067	$278,297	+5.0%	$653,157	$2.12 million	127	999
21	Prince George County	$1.00 million	$276,238	+2.8%	$972,584	$2.88 million	138	767
22	Page County	$556,247	$274,731	+0.9%	$551,131	$1.64 million	141	1144
23	Campbell County	$1.23 million	$272,896	+25.3%	$982,119	$2.41 million	149	661
24	Floyd County	$377,097	$272,846	+23.8%	$304,648	$708,550	150	1462
25	King George County	$643,339	$266,703	+0.9%	$637,900	$1.96 million	182	1042
26	Powhatan County	$701,708	$266,073	+18.1%	$594,039	$1.61 million	185	985
27	Stafford County	$3.57 million	$265,000	-2.0%	$3.64 million	$11.51 million	189	272
28	Frederick County	$2.08 million	$263,124	+4.2%	$1.99 million	$6.02 million	203	440
29	Shenandoah County	$950,014	$261,530	-0.9%	$958,281	$2.97 million	213	800
30	Wise County	$718,674	$260,536	+10.0%	$653,157	$2.20 million	223	962
31	Wythe County	$571,638	$259,045	+4.7%	$545,886	$1.67 million	229	1122
32	Rockbridge County	$452,438	$256,528	+3.4%	$437,663	$1.30 million	252	1303
33	Dickenson County	$261,572	$256,217	+6.1%	$246,483	$717,946	253	1766
34	Russell County	$500,543	$255,311	+3.0%	$485,815	$1.48 million	256	1234
35	Buchanan County	$351,961	$252,467	+2.7%	$342,788	$986,214	276	1527
36	Carroll County	$562,896	$251,831	+22.0%	$461,500	$1.21 million	285	1135
37	Smyth County	$550,128	$250,903	-6.5%	$588,318	$2.01 million	292	1152
38	Pittsylvania County	$1.15 million	$250,416	+21.7%	$943,978	$2.24 million	296	696
39	Caroline County	$651,694	$249,532	+10.0%	$592,609	$1.71 million	299	1031
40	Middlesex County	$185,550	$248,190	+11.8%	$165,911	$472,322	306	2008
41	Amelia County	$231,221	$245,838	+2.8%	$225,029	$668,627	326	1872
42	Bland County	$81,902	$244,223	-0.1%	$82,002	$267,687	337	2492
43	King and Queen County	$89,490	$243,028	-35.5%	$138,736	$590,018	348	2453
44	Orange County	$720,694	$242,246	+3.7%	$695,111	$2.10 million	359	960
45	Richmond County	$135,245	$242,170	+3.2%	$131,108	$387,637	360	2213
46	Montgomery County	$1.81 million	$240,068	-6.6%	$1.94 million	$6.40 million	373	502
47	Craig County	$40,867	$239,173	+5.8%	$38,617	$123,416	379	2763
48	Essex County	$145,924	$237,786	-10.0%	$162,097	$559,939	388	2158
49	Isle of Wight County	$715,966	$237,429	+10.3%	$649,343	$1.86 million	390	970
50	King William County	$304,825	$235,789	+1.8%	$299,403	$884,772	411	1648
51	Surry County	$60,842	$234,756	+6.3%	$57,211	$185,549	425	2625
52	Amherst County	$523,640	$233,923	+3.7%	$504,885	$1.56 million	438	1187
53	Cumberland County	$116,668	$230,908	+3.7%	$112,515	$354,456	477	2305
54	Clarke County	$211,406	$230,775	-2.1%	$215,971	$534,470	479	1931
55	Greene County	$325,411	$230,558	+1.4%	$320,857	$922,504	483	1587
56	Accomack County	$540,340	$230,489	+12.4%	$480,571	$1.36 million	484	1168
57	Mecklenburg County	$479,514	$229,587	+7.2%	$447,198	$1.48 million	498	1263
58	Halifax County	$525,021	$228,988	-5.0%	$552,561	$1.80 million	508	1186
59	Alleghany County	$184,456	$228,728	+4.3%	$176,877	$539,359	512	2011
60	Prince Edward County	$322,323	$228,063	-0.7%	$324,671	$996,841	519	1599
61	Fairfax County	$20.79 million	$227,784	+4.3%	$19.93 million	$60.18 million	523	42
62	Gloucester County	$626,219	$225,821	-15.1%	$738,019	$2.46 million	541	1064
63	Rappahannock County	$47,439	$225,772	-35.4%	$73,421	$284,270	546	2712
64	Northumberland County	$135,780	$225,133	+3.6%	$131,108	$402,689	552	2208
65	Prince William County	$8.75 million	$224,077	+4.3%	$8.40 million	$25.84 million	564	120
66	Mathews County	$56,865	$222,771	-21.0%	$71,990	$267,654	584	2655
67	Chesterfield County	$6.84 million	$222,451	+2.5%	$6.67 million	$19.59 million	593	150
68	Charles City County	$14,879	$220,015	-69.1%	$48,152	$212,326	633	2956
69	Brunswick County	$164,183	$217,978	+9.3%	$150,178	$541,208	668	2079
70	Rockingham County	$1.41 million	$216,555	+10.7%	$1.27 million	$3.42 million	698	601
71	Nelson County	$142,631	$215,934	+6.8%	$133,492	$550,098	705	2176
72	Culpeper County	$844,652	$212,828	+3.6%	$815,254	$2.48 million	754	863
73	Westmoreland County	$209,276	$212,434	-16.1%	$249,344	$908,166	762	1941
74	Charlotte County	$69,025	$211,957	+4.2%	$66,269	$194,219	767	2572
75	Sussex County	$58,023	$211,883	-33.1%	$86,770	$323,031	769	2643
76	Madison County	$105,267	$209,037	+0.8%	$104,410	$290,430	817	2369
77	Albemarle County	$1.81 million	$208,861	-13.1%	$2.08 million	$7.12 million	822	500
78	Lee County	$218,712	$207,184	+8.5%	$201,668	$676,025	852	1906
79	Buckingham County	$142,589	$206,452	+4.9%	$135,876	$419,646	864	2178
80	Lunenburg County	$55,112	$204,993	+4.1%	$52,920	$162,283	886	2663
81	Henry County	$647,412	$204,107	+1.3%	$638,854	$1.90 million	901	1036
82	Greensville County	$33,033	$202,714	+21.6%	$27,175	$66,317	926	2824
83	Grayson County	$81,016	$198,417	+3.0%	$78,665	$246,712	1021	2498
84	Appomattox County	$104,036	$196,599	-21.8%	$133,015	$477,526	1079	2380
85	Fauquier County	$1.00 million	$194,581	-8.2%	$1.09 million	$3.60 million	1134	766
86	Augusta County	$1.04 million	$194,401	+3.6%	$1.00 million	$3.07 million	1141	748
87	Louisa County	$478,570	$192,810	+14.5%	$418,116	$1.13 million	1201	1265
88	Hanover County	$1.54 million	$188,526	+7.0%	$1.44 million	$4.73 million	1334	554
89	New Kent County	$219,429	$185,818	-1.9%	$223,599	$691,093	1419	1900
90	Dinwiddie County	$179,146	$174,972	-21.2%	$227,413	$827,021	1726	2023
91	Washington County	$510,967	$173,308	-13.4%	$590,225	$2.22 million	1765	1214
92	Bedford County	$833,073	$165,164	+6.7%	$780,927	$2.49 million	1980	874
93	Goochland County	$100,516	$158,153	-14.3%	$117,282	$398,889	2174	2397
94	Spotsylvania County	$975,885	$111,534	+3.9%	$939,211	$2.83 million	2896	784
95	James City County	$285,800	$105,040	+9.4%	$261,263	$730,989	2980	1692

W

Washington Spend Data

Total spend: $144.3 million
Spend per 10k adults: $237,938
National rank (per-capita): #7
National rank (total): #11
Change vs FY2025: +10.3%
Cities in dataset: 5
Counties in dataset: 39

Cities in Washington (5)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Seattle	$41.63 million	$716,891	+9.8%	$37.90 million	$105.0 million	7
2	Tacoma	$6.07 million	$352,805	-1.7%	$6.18 million	$18.61 million	62
3	Spokane	$4.26 million	$237,208	-0.9%	$4.30 million	$13.24 million	78
4	Vancouver	$3.62 million	$245,975	+0.9%	$3.59 million	$11.14 million	94
5	Bellevue	$2.48 million	$217,088	+10.3%	$2.25 million	$5.83 million	123

Counties in Washington (39)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	San Juan County	$1.08 million	$412,693	+46.4%	$738,247	$1.66 million	13	728
2	Adams County	$862,149	$340,082	+37.9%	$625,338	$1.47 million	32	848
3	King County	$62.25 million	$336,831	+13.1%	$55.06 million	$151.9 million	35	8
4	Lewis County	$2.44 million	$319,122	+18.6%	$2.06 million	$5.41 million	49	387
5	Pacific County	$731,815	$294,437	+36.6%	$535,591	$1.26 million	81	954
6	Grays Harbor County	$1.79 million	$272,997	+23.2%	$1.45 million	$3.59 million	147	506
7	Grant County	$2.25 million	$260,998	+21.6%	$1.85 million	$4.85 million	216	412
8	Chelan County	$1.70 million	$254,320	+23.5%	$1.38 million	$3.36 million	263	523
9	Whitman County	$975,046	$245,470	+21.6%	$801,939	$2.12 million	332	785
10	Okanogan County	$849,542	$235,379	+24.3%	$683,240	$1.62 million	415	859
11	Columbia County	$90,063	$235,153	+47.4%	$61,086	$131,810	419	2448
12	Asotin County	$417,687	$232,435	+4.9%	$398,364	$1.21 million	451	1367
13	Cowlitz County	$1.97 million	$220,892	+5.7%	$1.86 million	$5.22 million	616	457
14	Garfield County	$7,009	$216,931	+27.4%	$5,501	$30,311	689	3014
15	Wahkiakum County	$45,505	$215,830	+9.2%	$41,689	$137,460	707	2726
16	Skagit County	$2.19 million	$213,833	+10.7%	$1.98 million	$5.51 million	736	420
17	Skamania County	$152,852	$209,006	+17.6%	$129,989	$336,747	818	2121
18	Pend Oreille County	$172,764	$206,501	+4.1%	$165,888	$458,085	863	2046
19	Douglas County	$688,298	$205,991	+4.3%	$660,079	$1.91 million	870	995
20	Whatcom County	$3.68 million	$202,206	+16.1%	$3.17 million	$8.67 million	934	262
21	Walla Walla County	$914,711	$201,952	+3.9%	$880,106	$2.51 million	939	819
22	Lincoln County	$110,452	$200,266	+23.5%	$89,458	$204,500	963	2342
23	Kittitas County	$652,091	$194,542	+5.7%	$616,653	$1.87 million	1135	1029
24	Ferry County	$19,275	$193,721	+9.1%	$17,660	$63,386	1171	2923
25	Clallam County	$1.07 million	$190,576	+20.7%	$883,001	$2.19 million	1266	735
26	Pierce County	$13.86 million	$188,136	+3.8%	$13.35 million	$38.76 million	1350	62
27	Benton County	$3.14 million	$186,913	+11.4%	$2.82 million	$7.82 million	1385	310
28	Yakima County	$3.68 million	$186,514	+9.3%	$3.37 million	$9.70 million	1397	261
29	Franklin County	$1.33 million	$180,691	+12.2%	$1.18 million	$3.28 million	1560	626
30	Kitsap County	$3.88 million	$180,530	+3.0%	$3.77 million	$10.71 million	1564	253
31	Snohomish County	$11.79 million	$174,725	+4.7%	$11.26 million	$31.54 million	1733	80
32	Thurston County	$3.98 million	$172,880	-0.3%	$3.99 million	$12.62 million	1778	248
33	Klickitat County	$169,486	$170,472	+5.1%	$161,256	$485,294	1830	2060
34	Spokane County	$7.24 million	$168,999	+4.2%	$6.95 million	$20.43 million	1863	145
35	Island County	$961,873	$167,490	+6.1%	$906,162	$2.74 million	1916	792
36	Jefferson County	$266,353	$164,408	+5.9%	$251,583	$773,642	2005	1752
37	Mason County	$657,697	$153,630	-7.3%	$709,296	$2.34 million	2277	1023
38	Clark County	$5.94 million	$147,555	+5.0%	$5.66 million	$16.87 million	2405	173
39	Stevens County	$358,499	$147,481	+8.1%	$331,777	$846,597	2407	1509

West Virginia Spend Data

Total spend: $26.95 million
Spend per 10k adults: $246,565
National rank (per-capita): #4
National rank (total): #38
Change vs FY2025: +14.2%
Cities in dataset: 0
Counties in dataset: 55

No city-level data available for this state — county data only.

Counties in West Virginia (55)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Grant County	$501,129	$289,866	+46.9%	$341,098	$722,459	97	1232
2	Ohio County	$1.15 million	$285,678	+23.8%	$926,363	$2.27 million	103	697
3	Hampshire County	$623,181	$251,080	+39.3%	$447,231	$961,458	290	1067
4	Hancock County	$650,326	$241,860	+12.9%	$576,063	$1.61 million	364	1032
5	Cabell County	$1.84 million	$239,879	+21.8%	$1.51 million	$4.08 million	374	496
6	Gilmer County	$248,310	$238,626	+45.1%	$171,162	$337,017	382	1805
7	Marshall County	$652,472	$236,770	+24.2%	$525,143	$1.38 million	396	1028
8	Taylor County	$403,052	$234,127	+37.4%	$293,246	$582,766	435	1398
9	Greenbrier County	$680,882	$233,529	+19.3%	$570,541	$1.60 million	442	1004
10	Logan County	$645,120	$230,788	+34.8%	$478,519	$1.07 million	478	1039
11	Harrison County	$1.22 million	$225,817	+6.3%	$1.15 million	$3.25 million	543	667
12	Monongalia County	$1.94 million	$220,790	+7.2%	$1.81 million	$5.12 million	620	466
13	Kanawha County	$3.00 million	$217,198	+5.7%	$2.83 million	$8.11 million	681	322
14	Berkeley County	$2.43 million	$216,700	+9.3%	$2.22 million	$6.90 million	695	390
15	Pendleton County	$156,499	$216,467	+37.5%	$113,802	$271,678	699	2107
16	Ritchie County	$180,993	$212,471	+30.3%	$138,954	$338,408	761	2018
17	Brooke County	$387,810	$209,736	+25.9%	$307,970	$798,150	805	1438
18	Randolph County	$436,740	$200,112	+5.5%	$414,103	$1.17 million	971	1327
19	Wetzel County	$229,888	$199,999	+4.7%	$219,628	$586,595	973	1874
20	Mingo County	$326,023	$194,187	+24.9%	$261,038	$689,645	1147	1586
21	Pocahontas County	$107,281	$191,801	+32.5%	$80,980	$199,622	1232	2356
22	Tyler County	$103,455	$189,330	+7.4%	$96,317	$301,126	1307	2383
23	Tucker County	$80,272	$188,288	+7.3%	$74,845	$227,831	1344	2507
24	Marion County	$802,343	$187,936	+15.7%	$693,238	$1.90 million	1353	896
25	Jefferson County	$910,063	$187,521	+23.6%	$736,182	$1.85 million	1364	820
26	Raleigh County	$1.01 million	$183,637	+17.9%	$852,745	$2.35 million	1478	762
27	Jackson County	$355,765	$181,292	+26.1%	$282,203	$713,260	1545	1516
28	Wirt County	$29,399	$179,523	+11.4%	$26,380	$81,890	1585	2844
29	Mason County	$306,574	$179,061	+24.3%	$246,621	$580,828	1600	1646
30	Wood County	$1.11 million	$178,035	+6.8%	$1.04 million	$3.05 million	1637	717
31	Pleasants County	$59,170	$178,004	+0.5%	$58,895	$142,851	1638	2635
32	Mercer County	$756,713	$177,572	+9.6%	$690,171	$2.31 million	1650	935
33	Braxton County	$112,931	$175,260	+29.6%	$87,115	$224,113	1715	2334
34	Hardy County	$146,602	$175,247	+23.2%	$119,016	$305,639	1716	2155
35	Calhoun County	$26,363	$173,535	+6.1%	$24,846	$76,934	1761	2869
36	Wyoming County	$209,400	$172,295	+5.3%	$198,769	$585,881	1791	1940
37	Fayette County	$451,317	$171,168	+10.8%	$407,354	$1.17 million	1812	1305
38	Webster County	$41,225	$170,626	-1.2%	$41,717	$97,721	1828	2759
39	Upshur County	$241,648	$167,558	+7.3%	$225,149	$677,161	1914	1829
40	Nicholas County	$235,441	$165,916	+6.0%	$222,082	$656,134	1957	1855
41	Clay County	$15,333	$163,493	+11.1%	$13,803	$47,410	2029	2954
42	Roane County	$88,902	$163,336	+8.5%	$81,900	$248,904	2035	2459
43	Boone County	$177,130	$163,187	+10.2%	$160,733	$548,814	2039	2031
44	McDowell County	$132,989	$162,948	+1.5%	$130,979	$411,722	2047	2222
45	Monroe County	$75,120	$162,453	+6.0%	$70,858	$159,541	2058	2535
46	Summers County	$61,394	$162,025	+13.1%	$54,293	$190,379	2072	2618
47	Doddridge County	$9,976	$161,444	-72.2%	$35,889	$183,402	2088	2994
48	Lewis County	$119,509	$161,079	-8.5%	$130,672	$466,892	2102	2288
49	Barbour County	$96,946	$158,423	+11.7%	$86,808	$319,449	2165	2414
50	Preston County	$322,354	$157,352	+18.9%	$271,161	$726,853	2191	1598
51	Mineral County	$232,796	$157,243	-16.5%	$278,829	$1.03 million	2197	1866
52	Morgan County	$121,281	$156,406	+7.4%	$112,881	$336,013	2213	2278
53	Lincoln County	$117,364	$152,038	+4.0%	$112,881	$352,906	2317	2299
54	Putnam County	$411,641	$130,086	+9.1%	$377,293	$1.22 million	2670	1378
55	Wayne County	$191,772	$126,469	+7.4%	$178,524	$523,601	2730	1992

Wisconsin Spend Data

Total spend: $82.92 million
Spend per 10k adults: $181,514
National rank (per-capita): #35
National rank (total): #20
Change vs FY2025: +0.7%
Cities in dataset: 4
Counties in dataset: 72

Cities in Wisconsin (4)

State rank	City	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank
1	Milwaukee	$13.76 million	$294,731	+1.5%	$13.55 million	$39.90 million	38
2	Madison	$3.84 million	$181,176	-0.7%	$3.86 million	$12.46 million	89
3	Green Bay	$2.56 million	$313,413	-0.8%	$2.58 million	$7.67 million	119
4	Kenosha	$2.19 million	$280,995	+5.2%	$2.08 million	$5.91 million	131

Counties in Wisconsin (72)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Sawyer County	$546,735	$246,463	+32.3%	$413,304	$940,733	318	1161
2	Sauk County	$1.45 million	$244,171	+0.4%	$1.45 million	$4.44 million	338	584
3	Sheboygan County	$2.21 million	$225,142	+7.9%	$2.05 million	$5.45 million	551	417
4	Shawano County	$838,000	$221,313	+19.4%	$701,681	$1.59 million	609	868
5	Milwaukee County	$16.10 million	$220,433	+0.6%	$16.00 million	$47.66 million	624	54
6	Lincoln County	$597,668	$218,866	+15.5%	$517,318	$1.20 million	658	1093
7	Ashland County	$349,901	$209,037	+20.4%	$290,579	$699,795	816	1532
8	Kenosha County	$2.81 million	$206,537	+7.3%	$2.62 million	$7.16 million	862	338
9	Portage County	$1.22 million	$203,985	+4.3%	$1.17 million	$3.40 million	902	665
10	Brown County	$4.35 million	$198,409	-1.4%	$4.41 million	$12.02 million	1022	224
11	Green Lake County	$348,898	$196,495	-0.2%	$349,740	$997,094	1082	1534
12	Waupaca County	$837,361	$195,403	+1.8%	$822,756	$2.43 million	1112	869
13	Buffalo County	$251,910	$195,221	+0.6%	$250,404	$762,061	1117	1795
14	Douglas County	$715,024	$194,117	-0.1%	$715,440	$2.15 million	1150	971
15	Outagamie County	$3.03 million	$193,968	-3.6%	$3.14 million	$9.70 million	1160	320
16	Columbia County	$927,089	$193,656	-0.6%	$932,824	$2.77 million	1173	811
17	Manitowoc County	$1.27 million	$192,461	+1.6%	$1.25 million	$3.88 million	1212	641
18	Marathon County	$2.11 million	$189,925	+8.1%	$1.95 million	$5.22 million	1290	432
19	Juneau County	$416,062	$186,723	+8.2%	$384,687	$1.02 million	1391	1372
20	Taylor County	$318,994	$186,392	+17.8%	$270,766	$666,458	1399	1610
21	Bayfield County	$267,512	$185,692	+27.6%	$209,679	$511,892	1421	1746
22	Langlade County	$304,702	$185,012	-0.4%	$305,988	$841,631	1442	1649
23	Ozaukee County	$1.39 million	$184,549	-1.4%	$1.41 million	$3.02 million	1455	609
24	Rock County	$2.42 million	$184,071	-1.8%	$2.47 million	$7.02 million	1467	392
25	Barron County	$679,563	$182,404	-0.4%	$682,420	$2.00 million	1507	1007
26	Racine County	$2.84 million	$181,234	+2.2%	$2.78 million	$8.14 million	1547	335
27	Winnebago County	$2.49 million	$181,129	-0.2%	$2.49 million	$7.42 million	1550	381
28	Rusk County	$201,941	$178,432	-0.3%	$202,525	$595,936	1623	1965
29	Dunn County	$649,789	$178,235	-1.2%	$657,654	$1.91 million	1632	1033
30	Oneida County	$534,484	$177,853	+15.6%	$462,284	$1.18 million	1647	1176
31	Monroe County	$645,163	$176,723	-1.9%	$657,654	$1.88 million	1672	1038
32	Pepin County	$101,432	$176,049	+27.1%	$79,799	$175,313	1694	2394
33	Wood County	$1.01 million	$175,216	+3.8%	$976,851	$3.39 million	1718	758
34	Pierce County	$587,777	$174,228	+2.7%	$572,352	$1.83 million	1741	1101
35	Florence County	$51,691	$172,196	+12.5%	$45,953	$119,723	1793	2685
36	Walworth County	$1.42 million	$171,844	-0.2%	$1.42 million	$4.26 million	1800	596
37	Marinette County	$548,799	$169,856	-1.3%	$555,842	$1.58 million	1844	1157
38	Eau Claire County	$1.41 million	$167,689	-5.8%	$1.50 million	$4.69 million	1904	599
39	Menominee County	$30,954	$167,679	-13.5%	$35,772	$119,820	1905	2834
40	Crawford County	$180,871	$166,608	-0.1%	$181,061	$544,909	1934	2019
41	Iowa County	$285,376	$166,473	+13.7%	$250,954	$678,278	1941	1694
42	Dodge County	$1.13 million	$165,561	+6.2%	$1.06 million	$2.91 million	1972	706
43	Washington County	$1.77 million	$165,008	-0.8%	$1.79 million	$5.17 million	1986	507
44	Richland County	$185,248	$163,997	+17.1%	$158,222	$407,936	2014	2010
45	Iron County	$43,605	$163,585	+2.9%	$42,376	$146,604	2025	2740
46	Chippewa County	$826,149	$162,748	+1.8%	$811,749	$2.53 million	2054	884
47	Price County	$132,714	$160,416	+4.8%	$126,578	$423,283	2116	2225
48	La Crosse County	$1.47 million	$159,542	-6.9%	$1.58 million	$4.96 million	2140	575
49	Washburn County	$164,538	$158,605	-2.6%	$168,954	$520,089	2159	2076
50	Marquette County	$148,670	$158,235	+0.1%	$148,591	$439,591	2170	2143
51	Oconto County	$436,487	$155,901	+9.9%	$397,344	$1.02 million	2222	1328
52	Lafayette County	$152,226	$154,303	+1.3%	$150,242	$476,248	2256	2127
53	Grant County	$557,297	$151,591	-4.5%	$583,359	$1.80 million	2325	1142
54	Waushara County	$231,175	$151,082	+0.1%	$230,867	$688,720	2336	1873
55	Adams County	$189,444	$150,945	-1.5%	$192,343	$579,379	2341	2000
56	Forest County	$44,861	$150,840	-25.9%	$60,537	$236,006	2346	2729
57	Calumet County	$562,485	$149,683	+15.5%	$487,049	$1.16 million	2366	1136
58	Kewaunee County	$171,330	$149,454	-5.2%	$180,786	$559,386	2373	2054
59	Door County	$282,009	$148,477	-0.7%	$283,975	$817,965	2389	1703
60	Waukesha County	$4.73 million	$146,909	+5.4%	$4.49 million	$12.93 million	2416	214
61	Vilas County	$191,939	$146,199	+7.1%	$179,135	$495,333	2426	1990
62	Jefferson County	$886,929	$143,571	-5.5%	$938,327	$2.94 million	2475	833
63	Clark County	$291,239	$140,575	-0.1%	$291,404	$885,808	2530	1678
64	Green County	$308,938	$139,441	-17.4%	$374,230	$1.31 million	2551	1639
65	Fond du Lac County	$1.05 million	$139,439	-15.8%	$1.24 million	$4.29 million	2552	746
66	Trempealeau County	$239,687	$138,849	-8.3%	$261,411	$835,967	2560	1838
67	Burnett County	$87,269	$138,732	-1.2%	$88,329	$256,773	2563	2464
68	Dane County	$6.28 million	$137,786	-6.5%	$6.72 million	$21.05 million	2583	164
69	Jackson County	$120,799	$136,958	-19.9%	$150,793	$542,559	2591	2279
70	St. Croix County	$925,175	$134,440	-0.2%	$927,320	$2.78 million	2627	812
71	Vernon County	$211,904	$132,808	-0.2%	$212,431	$638,271	2641	1928
72	Polk County	$350,073	$130,964	+0.3%	$348,915	$1.08 million	2661	1531

Wyoming Spend Data

Total spend: $10.57 million
Spend per 10k adults: $232,806
National rank (per-capita): #11
National rank (total): #48
Change vs FY2025: +14.8%
Cities in dataset: 0
Counties in dataset: 23

No city-level data available for this state — county data only.

Counties in Wyoming (23)

State rank	County	FY2026 spend	FY2026 / 10k	YoY	FY2025 spend	3-year total FY23–25	Nat’l rank (per-capita)	Nat’l rank (total)
1	Sweetwater County	$1.46 million	$351,709	+29.0%	$1.13 million	$2.80 million	25	581
2	Washakie County	$297,764	$278,990	+49.8%	$198,753	$368,502	125	1666
3	Carbon County	$383,575	$264,310	+8.8%	$352,561	$1.05 million	193	1448
4	Natrona County	$1.47 million	$231,458	+9.4%	$1.34 million	$4.02 million	466	576
5	Laramie County	$1.88 million	$231,392	+9.1%	$1.72 million	$5.01 million	467	485
6	Converse County	$252,408	$229,987	+8.4%	$232,900	$662,801	494	1793
7	Goshen County	$216,757	$226,034	+4.3%	$207,801	$537,542	537	1915
8	Park County	$536,633	$224,302	+28.6%	$417,353	$1.10 million	560	1173
9	Platte County	$139,189	$224,057	+5.5%	$131,919	$353,265	565	2199
10	Niobrara County	$26,476	$223,310	+31.5%	$20,138	$45,465	577	2866
11	Hot Springs County	$64,242	$222,705	+31.8%	$48,740	$112,178	587	2598
12	Teton County	$385,570	$221,357	+9.9%	$350,810	$1.06 million	607	1445
13	Lincoln County	$343,708	$220,312	+39.2%	$246,909	$624,000	626	1543
14	Sublette County	$130,340	$219,829	+30.6%	$99,814	$248,549	637	2240
15	Johnson County	$118,397	$216,346	+27.6%	$92,810	$250,379	701	2292
16	Campbell County	$760,523	$212,609	+2.6%	$741,312	$2.36 million	759	933
17	Weston County	$68,037	$211,512	+9.4%	$62,165	$136,734	777	2577
18	Fremont County	$606,685	$211,033	+29.3%	$469,303	$1.11 million	783	1085
19	Sheridan County	$493,558	$209,102	+23.6%	$399,258	$1.59 million	815	1248
20	Crook County	$75,360	$208,587	+10.3%	$68,294	$214,715	827	2533
21	Uinta County	$283,993	$208,097	+10.3%	$257,416	$780,311	833	1698
22	Big Horn County	$108,247	$198,664	+8.4%	$99,814	$291,987	1012	2352
23	Albany County	$474,700	$190,316	-7.6%	$513,665	$1.74 million	1277	1274

District of Columbia Spend Data (city only)

City: Washington
Total spend: $16.77 million
Spend per 10k adults: $304,363
National city rank (per-capita): #55
National city rank (total): #30
Change vs FY2025: -2.5%

D.C. is not in the 50-state control file for FY2026. County coverage does not include the District.

Methodology

How we estimated historical OnlyFans spending around the world and forecast FY2026

OnlyFans does not publish fan spending for individual countries, states, cities or counties. To estimate where that spending takes place, we built a financial model combining:

Fenix International’s audited financial accounts
Google Ads API search demand by location
Google’s TimesFM 3.0 time-series forecasting model

Fenix International’s accounts establish how much money fans spent. Google search data provides a consistent basis for estimating where demand was located. OnlyGuider then uses Google TimesFM 3.0 to forecast the accounts-anchored historical series forward into FY2026.

The analysis covers:

216 countries
98 major worldwide cities
50 US states
167 US cities
3,091 US counties

All financial years follow Fenix International’s December-to-November reporting period.

1. The financial foundation

The financial foundation is the annual group accounts filed by OnlyFans’ parent company, Fenix International Limited, at UK Companies House.

Our principal measure is Gross Site Volume, or GSV. This represents the total amount spent by fans before OnlyFans deducts its platform share and pays the remainder to creators.

This is distinct from Fenix’s reported revenue:

Gross Site Volume represents total fan spending.
Fenix revenue represents the amount retained by the platform.
Creator payments represent the balance distributed to creators.

The purpose of this report is to estimate where fans spent money on OnlyFans. We therefore allocate Gross Site Volume rather than only the revenue retained by the platform.

We reconstructed an accounts-anchored historical series for:

FY2022
FY2023
FY2024
FY2025

This provides a consistent four-year foundation for most publication geographies and the FY2026 forecast. County publication histories cover FY2023–FY2025, while audited financial and control series can contain up to five annual observations.

2. Fenix’s three geographic revenue buckets

Fenix reports its business across three broad geographic markets:

United States
United Kingdom and Europe
Rest of the world

These disclosures are critical because search interest does not convert into spending at an identical rate everywhere.

A search in the United States cannot automatically be assumed to have the same financial value as a search in a country with lower disposable income, weaker payment infrastructure or more restricted access to OnlyFans.

For each financial year, we use Fenix’s reported geographic revenue proportions to divide global Gross Site Volume into three corresponding spending pools.

This ensures that the model reflects the geographic structure of Fenix’s reported business before any money is distributed between individual locations.

For FY2026, the forecast spending controls are:

Geographic market	FY2026 forecast GSV
United States	$5.2555 billion
United Kingdom and Europe	$2.0034 billion
Rest of the world	$1.3022 billion
Worldwide	$8.5611 billion

These are financial control totals. Google search demand is used to distribute each pool between locations; it does not override the total amount available for allocation.

3. Why we use one universal search signal

OnlyFans does not disclose fan spending at country, state, city or county level. We therefore require a consistent geographic indicator of consumer demand.

We use location-matched Google search volume for one term:

OnlyFans

The data is obtained through the Google Ads API and aligned to Fenix’s December-to-November financial year.

Using one keyword is a deliberate methodological decision—not a shortcut.

During development, we tested substantially larger keyword baskets constructed around apparent commercial intent. These included discovery phrases, category searches and other terms informed by proprietary revenue data.

The larger keyword baskets produced almost no statistically meaningful improvement over the geographic distribution identified by the principal OnlyFans brand search. They did, however, introduce considerably more methodological uncertainty.

The problem with complex keyword baskets

Large keyword baskets can be influenced by:

Subjective decisions about which searches indicate an intention to spend.
Selection bias when including or excluding particular categories.
Different terminology and search behaviour between countries.
Translation and language inconsistencies.
Spelling variations and closely related queries being counted more than once.
Changes in the composition of the basket between reporting periods.
Proprietary weighting systems that cannot be independently inspected.
Retrospective adjustments that make a model appear more precise without proving that it is more accurate.

More keywords do not automatically create better evidence. A model containing thousands of selected and weighted terms may appear sophisticated while introducing thousands of additional opportunities for interpretation and bias.

Why the OnlyFans brand is the strongest signal

The strongest and most consistent indicator was also the simplest: the OnlyFans brand itself.

Like Google, Nike or Coca-Cola, OnlyFans is a globally recognised brand. Its name does not need to be translated to retain its identity or meaning.

A search for “OnlyFans” refers to the same identifiable platform whether it is made in London, Los Angeles, São Paulo or Tokyo.

This gives the analysis one demand signal that is:

Globally recognisable
Consistently defined
Available across markets
Directly attributable to the platform
Resistant to subjective keyword selection
Comparable between locations
Comparable between financial years
Straightforward to understand
Capable of being independently reproduced

We therefore concluded that the single global brand term provided the cleanest and most defensible foundation for measuring relative OnlyFans demand.

A Google search is not treated as proof of a transaction. Search volume determines the relative geographic distribution of demand after the amount of spending has been established from Fenix International’s accounts.

4. Turning search demand into estimated spending

The model separates two questions:

How much did fans spend?

This is established by Fenix International’s accounts.

Where was that demand concentrated?

This is estimated using location-matched OnlyFans search demand from the Google Ads API.

For each fiscal year, we compare the spending assigned to each Fenix geographic bucket with the total Google search demand measured across the same geographic area.

This produces an implied Revenue per Search, or RPS:

Revenue per Search = Accounts-anchored spending ÷ Matched Google search demand

The relevant RPS is then applied to the search volume recorded for each location:

Estimated location spend = Location search demand × Relevant Revenue per Search

Countries compete for spending within their appropriate Fenix geographic bucket. This prevents a market from being assigned an unrealistic share of global spending solely because it generates a large number of searches.

The approach deliberately avoids asking search data to do something it cannot do. Search measures the relative distribution of demand; Fenix’s financial accounts determine the money.

5. Worldwide country estimates

Countries are assigned to one of the three Fenix geographic buckets:

United States
United Kingdom and Europe
Rest of the world

Within each bucket, a country’s share of spending is determined by its share of matched OnlyFans search demand.

The country estimates are then reconciled so that:

Countries in the United States bucket sum to the United States control.
Countries in the UK and Europe bucket sum to the UK and Europe control.
Countries in the rest-of-world bucket sum to the rest-of-world control.
All countries together sum to worldwide Gross Site Volume.

This preserves Fenix’s reported geographic structure while allowing Google demand to determine the estimated distribution within each market.

6. Worldwide city estimates

Worldwide cities are modelled using location-matched Google Ads API search demand.

A city’s search demand is evaluated in the context of its country and relevant geographic spending pool. This prevents cities in financially different markets from being valued using one universal global conversion rate.

Cities are presented as supplemental estimates because Fenix does not publish city-level financial controls.

Where a US city appears in both the worldwide and dedicated United States reports, the dedicated US-city result is authoritative.

This rule applies to every published historical and forecast value:

FY2022 Spend
FY2022 spend per 10,000 adults
FY2023 Spend
FY2023 spend per 10,000 adults
FY2024 Spend
FY2024 spend per 10,000 adults
FY2025 Spend
FY2025 spend per 10,000 adults
FY2026 TimesFM 3.0 Spend
FY2026 spend per 10,000 adults

New York in the worldwide report is explicitly matched to New York City in the dedicated US report.

This ensures that the same US city cannot carry different figures in different publications.

7. The dedicated United States model

The United States is modelled separately because it is OnlyFans’ largest disclosed geographic market and has sufficient search coverage to support more detailed analysis.

The US spending pool is distributed across:

US states
US cities
US counties

The dedicated model uses matched Google demand to estimate the geographic distribution of US fan spending.

States

State estimates are reconciled so that all states together equal the United States financial control.

Cities

The dedicated US-city model is the canonical source for all published US-city figures, including cities that also appear in the worldwide report.

Cities are supplemental geographic estimates and are not added together to represent total US spending because the selected cities do not form a complete, mutually exclusive national hierarchy.

Counties

County estimates are reconciled to their corresponding state totals. This means:

Counties within a state sum to that state’s spending estimate.
States sum to the United States control.
The United States control remains tied to the Fenix geographic bucket.

8. Spend per 10,000 adults

Total spending naturally favours places with larger populations. We therefore also calculate spending relative to the adult population:

Spend per 10,000 adults = Estimated spend ÷ Adult population × 10,000

The adult population is used because OnlyFans is an adults-only platform.

The two measures answer different questions:

Total spend identifies the largest estimated markets.
Spend per 10,000 adults identifies where spending appears most concentrated relative to population.

The per-10,000 measure allows markets of different sizes to be compared without allowing population alone to determine the rankings.

9. County-level smoothing

Raw per-capita rankings can become unstable in counties with small populations.

A relatively small amount of estimated spending divided by a very small adult population can produce an extreme spend-per-10,000 figure. This may reflect denominator volatility rather than a genuinely exceptional local market.

County-level spend per 10,000 adults is therefore adjusted using empirical Bayesian smoothing.

The observed county rate is blended with its state-level rate according to the size of the county’s adult population:

Smaller counties receive more influence from the state rate.
Larger counties remain dominated by their own observed estimate.
Genuine large-market differences are retained.
Extreme results caused primarily by tiny denominators are reduced.

Smoothing affects only the county spend-per-10,000 measure. It does not alter estimated total county spending.

FY2026 TimesFM 3.0 Forecast

What is TimesFM and why did we use it?

TimesFM (Time Series Foundation Model) is a 330-million-parameter time-series foundation model developed by Google Research. Rather than being trained only on OnlyFans data, TimesFM 3.0 was pretrained across more than one trillion real-world and synthetic time points from many forecasting settings. That broad pretraining gives it a library of general temporal patterns before it encounters any OnlyFans series.

OnlyGuider used the model zero-shot. In plain English, we did not train a new model on four years of OnlyFans figures, choose a growth rate by hand, draw a straight-line extrapolation through the history or ask TimesFM to repeat the latest year. We supplied each genuine accounts-anchored history to the pinned model and asked for the next annual observation.

This is particularly useful when the available histories are short. A bespoke deep-learning model cannot be credibly learned from only two to five annual observations. A pretrained foundation model starts with patterns learned elsewhere and applies them consistently to the series in front of it. That does not create missing evidence or remove short-history uncertainty, but it is a stronger starting point than pretending the small OnlyFans dataset is enough to train a complex model from scratch.

These qualities made TimesFM 3.0 a useful candidate for a systematic forecast from short histories; they do not prove that it is universally superior. OnlyGuider remains the analyst rather than Google’s tool. Sections 11 and 12 provide the pinned technical specification, forecast outputs, benchmark evidence, hierarchy checks, editorial decision and limitations.

10. Why FY2026 must be forecast separately

Fenix International’s latest available accounts cover the financial year ending 30 November 2025.

They establish what happened in FY2025. They do not report what will happen in FY2026.

A publication presented as FY2026 therefore needs a genuine forward estimate, not a historical total relabelled as a future result.

Simply carrying FY2025 forward would assume no change in worldwide spending, regional growth or market momentum.
One financial observation also cannot show whether a movement is persistent, temporary, accelerating or reversing.
OnlyGuider therefore reconstructed accounts-anchored annual histories before forecasting the next financial year. Section 11 explains exactly what the model received and produced; section 13 explains why the broader methodology was rebuilt.

11. How TimesFM 3.0 was used

OnlyGuider produced the FY2026 forecast using Google’s TimesFM 3.0 pretrained time-series foundation model.

TimesFM 3.0 received the genuine accounts-anchored annual histories and was asked to predict one next annual observation. Most publication geographies use FY2022–FY2025, counties use FY2023–FY2025, and audited financial or control series can provide up to five observations.

No synthetic history was used. The benchmark and final forecasts used each series’ true available annual context, ranging from two to five prior observations.

For the final forecast, the model received those annual histories—not raw search data, a predetermined FY2026 target or the separate $8.368 billion search-elasticity estimate—and independently produced the next value. The approaches were not blended.

Technical specification

Inference ran on CPU with input normalisation, symmetric averaging, positive clipping and quantile-order correction. The point forecast is the median, the model does not emit a separate mean, and nine deciles run from P10 to P90.

OnlyGuider’s worldwide median forecast is $8.5611 billion in FY2026 Gross Site Volume. TimesFM 3.0 emitted P10 of $8.2909 billion and P90 of $8.8300 billion. The corresponding geographic controls are:

Geographic market	FY2026 forecast GSV
United States	$5.2555 billion
United Kingdom and Europe	$2.0034 billion
Rest of the world	$1.3022 billion
Worldwide	$8.5611 billion

12. How the forecast was tested and checked

A forecast is not credible merely because its model is sophisticated. OnlyGuider evaluated TimesFM 3.0 against known historical outcomes and checked the publication hierarchy. The evidence was mixed, as follows.

The comparison uses Weighted Absolute Percentage Error (WAPE). WAPE adds the absolute forecast errors and divides them by the total actual values, so larger series carry more weight. Lower percentages indicate greater accuracy; for example, 4.4% WAPE means the combined errors were about 4.4% of the actual total.

Compared with TimesFM 2.5, TimesFM 3.0 reduced financial WAPE from 10.5% to 4.4%, country WAPE from 11.1% to 8.6%, and worldwide-city WAPE from 12.5% to 10.4%. The previous generation retained lower historical error for states, dedicated US cities and counties.

On the three available global Gross Site Volume folds, TimesFM 3.0 recorded 4.5% WAPE versus 10.2% for the previous generation, although simple drift was slightly better at 4.2%. With only two prior observations, TimesFM 3.0 behaved almost identically to drift.
Regions were proportionally reconciled to the worldwide median. Countries were reconciled to their regional controls, states to the United States control, and counties to their corresponding state totals. Countries, states and counties therefore publish reconciled points.
Worldwide and dedicated US cities remain supplemental and publish raw points. Where a US city appears in both files, the dedicated US-city result overrides every historical and forecast value; New York maps explicitly to New York City.
All 617 reconciliation and quantile-order checks passed, with zero rejected series. Raw forecasts remain available in the audit pack.
Despite that mixed tier-level evidence, OnlyGuider chose one TimesFM 3.0 generation for all five FY2026 publications to keep them consistent and comparable. This was an editorial consistency decision, not a choice compelled by the benchmark or a claim that TimesFM 3.0 won every local backtest.
The $8.2909 billion–$8.8300 billion P10–P90 range is a model sensitivity band, not a calibrated 80% confidence interval. Coverage was under-calibrated on very short histories, and the $8.5611 billion median is a modelled estimate, not a guaranteed outcome.

Methodological Revision

13. Why we rebuilt the OnlyFans Wrapped model

An earlier OnlyGuider explainer used approximately $7.2 billion of FY2024 Gross Site Volume as its financial anchor. Its central case assumed a roughly one-for-one relationship: if search fell by a given percentage, fan spending would fall by about the same percentage.

Previous geographic editions also placed greater weight on traffic attribution, large intent-based keyword groups, proprietary conversion assumptions and estimated differences in traffic quality between locations.

With United States searches for “onlyfans” down about 20%, that approach projected FY2025 Gross Site Volume of approximately $5.7 billion—about 21% below the FY2024 anchor.
Fenix subsequently reported FY2025 Gross Site Volume of $7.765 billion, up 7.6% from $7.216 billion in FY2024.
The earlier $5.7 billion figure was an OnlyGuider model estimate, not a Fenix result. It missed the direction of the reported movement and understated the eventual FY2025 total by approximately $2.1 billion.
That outcome showed why a fall in top-of-funnel search interest cannot, by itself, be translated directly into an equal fall in platform spending. Existing fans can continue to subscribe, tip or buy paid content even while fewer people search for the brand.

OnlyGuider therefore rebuilt the methodology after the FY2025 accounts became available. Search remains a geographic demand proxy, but it no longer dictates the worldwide forecast through a one-for-one growth assumption.

The revision was driven by the following evidence and design changes.

The FY2025 result exposed the limit of a search-linked topline forecast

Search demand and spending can move in opposite directions. The FY2025 result provided a direct observed example: brand search fell while reported Gross Site Volume rose.

The revised forecast learns from a multi-year series of reported, accounts-anchored financial outcomes rather than applying the latest search movement to one pinned financial year.

Fenix’s geographic reporting provides a stronger financial structure

Fenix’s division of revenue into the United States, UK and Europe, and rest of the world provides a direct financial basis for separating markets with substantially different commercial characteristics.

This is stronger than attempting to infer the complete worldwide allocation from website traffic or search demand alone.

Complex keyword baskets did not materially improve the result

OnlyGuider tested larger keyword baskets based on apparent commercial intent and proprietary revenue information.
They made almost no statistically meaningful difference to the geographic distribution produced by the principal OnlyFans brand search.
Their additional complexity did, however, create more opportunities for:

Selection bias and duplicate demand
Language inconsistency and subjective weighting
Interpretative error and results that could not be independently reproduced

OnlyGuider therefore replaced those baskets with one consistent, globally recognised brand signal.

A longer reported history replaces the single-year anchor

OnlyGuider reconstructed FY2022–FY2025 so that FY2026 could be forecast from a consistent historical trajectory rather than a search-adjusted version of the immediately preceding total.

Fenix’s accounts now determine the financial history and controls; matched brand search distributes that spending within the appropriate hierarchy; and OnlyGuider uses TimesFM 3.0 to forecast the annual histories forward.

14. What changed

The revised methodology:

Uses Fenix International’s accounts as the financial source of truth.
Allocates Gross Site Volume rather than only Fenix’s retained revenue.
Divides worldwide spending into Fenix’s three geographic markets.
Uses one globally consistent OnlyFans brand-search signal.
Removes dependence on opaque traffic-quality adjustments.
Avoids large, subjective keyword baskets.
Reconstructs a consistent historical series from FY2022.
Keeps reported historical results separate from future predictions.
Uses TimesFM 3.0 to generate a genuine FY2026 forecast.
Reconciles countries, regions, states and counties to their financial controls.
Uses one canonical source for US cities across every publication.
Applies automated checks to prevent conflicting values from being published.

15. What the analysis does and does not claim

This report is an estimate of the geographic distribution of OnlyFans spending.

It is anchored to reported financial results, but Fenix does not publish audited GSV for every country, state, city or county. Those detailed location figures remain modelled estimates.

The methodology does not claim that:

Every Google search becomes an OnlyFans purchase.
Search volume is a private transaction record.
Every location has an identical conversion rate.
Individual country or city estimates have been audited by Fenix.
The FY2026 forecast is guaranteed.

Instead, the methodology uses clearly separated evidence:

Fenix’s accounts establish how much was spent.
Fenix’s geographic disclosures establish the regional financial structure.
Google Ads API search data estimates where demand was concentrated.
OnlyGuider uses TimesFM 3.0 to forecast the accounts-anchored series into FY2026.
Reconciliation checks ensure that the geographic results remain consistent with their financial controls.

The objective is not to create an appearance of precision through unnecessary complexity.

It is to use the fewest assumptions necessary to produce a transparent, reproducible and financially grounded estimate of OnlyFans spending around the world.

Copyright & Attribution

Author

Sam Pierce

Founder & CEO, OnlyGuider

Built OnlyGuider from a spreadsheet to the leading search in the category — 1M+ monthly active users on a 24-hour-fresh index that’s become the default way people find OnlyFans creators. Quoted by NY Post, Vice, Yahoo News, FOX 4, CBS, Boston 25, and the Toronto Sun on how the creator economy actually works.

Why he built it

Sam was hunting for the right business to build. One chart kept climbing faster than anything else online — OnlyFans. He signed up as a user to understand the demand.

He hit a wall in the first hour. The biggest creator economy on the internet had no real search, no activity filters, no way to tell who was still posting. Curated lists went stale in a week. The platform had no front door.

He started building one. Not a directory — a crawler that checked real activity 24/7 and scored every profile automatically. Three pillars: last seen, user behavior, profile freshness. Re-scored every 24 hours. No manual lists, no bought rankings, no opinions.

That became AlgoRank. That became OnlyGuider. Now it’s the way people search the platform.

“The platform had millions of creators and basically no way to find the good ones. That was the whole product thesis.”

— Sam Pierce, Founder & CEO, OnlyGuider

What he’s published

OnlyFans Statistics — The Definitive Reference

The reference dataset on OnlyFans. Index size, activity rates, creator demographics, spending patterns, growth curves — every number anyone needs to talk about the platform, kept current and continuously updated.

Read the report →

OnlyFans Wrapped 2025 — Global Spending Analysis

$7.2B in global creator-economy revenue. Per-capita spend across 100+ markets, emerging geographies, year-over-year trends. The most-cited creator-economy report of 2025 — picked up by NY Post, Yahoo, FOX 4, CBS, Boston 25, and the Toronto Sun.

Read the report →

The 2026 U.S. OnlyFans Creator Census

$1.68 billion in income generated by American creators on the platform. Demographics, geography, earnings distribution — the most complete public profile of the U.S. creator base ever published.

Read the report →

U.S. OnlyFans Spending by State & City — 2025

All 50 states. 167 American cities. Per-capita spend, year-over-year growth, market-by-market breakdowns. The dataset behind the NY Post, FOX 4, CBS, and Boston 25 stories.

Read the report →

The World’s Most Searched OnlyFans Categories

What people actually search for on OnlyFans, ranked. The largest behavioral dataset on platform demand published — niches, body types, demographics, regions — drawn from the millions of monthly searches running through OnlyGuider.

Read the report →

In the news

Outlet	Quote
AOL	“History shows that moments of political change are often accompanied by bursts of online expression, escapism, and digital spending.”
The Independent	“What older generations might sneer at as scandal, students are increasingly viewing as strategy.”
Yahoo Lifestyle	“We expected the usual urban hotspots — Dallas, Austin, Houston — to lead this year’s spending charts.”
Evening Standard	“What older generations might sneer at as scandal, students are increasingly viewing as strategy.”
WDBO	“Orlando has always been a cultural trendsetter — from theme parks to entertainment to lifestyle.”
Boston 25 News	“Across Massachusetts, residents spent $56.6 million on OnlyFans in 2025 — about $155,068 per day statewide.”
Toronto Sun	“Let’s be honest — Canadians are horny and they’re not shy about it.”
FOX 4 News	“The Fort Worth and Dallas split is the single most striking data point in the Texas numbers.”

Press inquiries: [email protected] · Replies within 24 hours

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