Mills County, Iowa

IA · FIPS 19129 Republican

Located in Iowa, Mills County has a population of 14,568 residents and a median age of 42.1 years, making it the #2,181 most populous county out of 3,222 nationwide. In terms of economic indicators, the county has a poverty rate of 8.2%. The median home value is $237,800, and the median household income is $90,753, which is 21% above the national median.

14,568
Population
#2,181 of 3,222
$90,753
Median Income
+20.8% #286 of 3,222
42.1 years
Median Age
+8.2% #1,457 of 3,222
8.2%
Poverty Rate
-34.8% #408 of 3,222

Demographics

Mills County has a population of 14,568, making it the #2,181 most populous county in the US. The median age is 42.1 years, which is 8.2% above the national median.

Population Trend

Rankings →

Year-over-Year Population Growth

Age & Sex Distribution

Race & Ethnicity

Nativity

98.8%
Native Born
1.2%
Foreign Born

Geographic Mobility (Past Year)

Economy

The median household income in Mills County is $90,753, ranking #286 out of 3,222 counties — 20.8% above the national median. The poverty rate is 8.2% and unemployment stands at 1.9%.

Income#286
$90,753
+20.8%
vs nation
91th percentile
Per Capita#596
$42,497
+3.0%
vs nation
82th percentile
Poverty#408
8.2%
-34.8%
vs nation
87th percentile
Unemployment#268
1.9%
-63.3%
vs nation
92th percentile

Income Distribution

Industry of Employment

Occupation

Housing

The median home value in Mills County is $237,800 (-15.6% vs national). Renters pay a median of $959/mo and the homeownership rate is 83.5%.

Home Value#1,010
$237,800
-15.6%
vs nation
69th percentile
Rent#1,145
$959
-17.5%
vs nation
64th percentile
Homeownership#214
83.5%
+29.7%
vs nation
93th percentile

Household Type

Education

In Mills County, 31.0% of adults age 25+ hold a bachelor's degree or higher, which is 8.1% below the national average, ranking #704 out of 3,222 counties.

Bachelor's Degree or Higher
31.0% −8.1% vs nation
Rank #704 of 3,222
78th percentile

Bachelor's Degree or Higher Trend

Rankings →

Health & Wellbeing

Life expectancy in Mills County is 76.4 years. 15.7% of adults report poor or fair health and 4.2% lack health insurance. Data from County Health Rankings (2025).

Life Expectancy#1,122
76.4
+1.7%
vs nation
63th percentile
Poor/Fair Health#713
15.7%
-19.7%
vs nation
77th percentile
Diabetes#881
9.6%
-13.8%
vs nation
72th percentile
Insufficient Sleep#307
31.8%
-14.8%
vs nation
90th percentile
Poor Mental Health Days#317
4.9
-13.7%
vs nation
90th percentile
Poor Physical Health Days#296
3.6
-19.0%
vs nation
91th percentile
Uninsured Rate#52
4.2%
-60.2%
vs nation
98th percentile
Physical Inactivity#1,741
26.8%
+1.6%
vs nation
45th percentile
Food Insecurity#165
9.2%
-36.1%
vs nation
95th percentile

Substance Use

18.2% of adults in Mills County smoke , 40.7% are obese , and 25.5% report excessive drinking.

Adult Smoking#1,729
18.2%
+1.4%
vs nation
45th percentile
Adult Obesity#2,271
40.7%
+7.4%
vs nation
28th percentile
Excessive Drinking#3,085
25.5%
+28.4%
vs nation
2th percentile

Safety

The suicide rate is 14.6 per 100,000. Motor vehicle deaths occur at a rate of 16.4 per 100,000.

Suicide Rate#661
14.6
-26.1%
vs nation
74th percentile
Firearm Fatalities#1,136
16.0
-10.5%
vs nation
54th percentile
Motor Vehicle Deaths#1,137
16.4
-19.3%
vs nation
60th percentile

Families & Children

10.1% of children in Mills County live in poverty . The teen birth rate is 10.4 per 1,000 females age 15–19.

Teen Birth Rate#463
10.4
-52.5%
vs nation
85th percentile
Child Poverty#340
10.1%
-46.8%
vs nation
89th percentile

Civic & Transportation

Voter turnout in Mills County is 72.5%. The mean commute time is 28.1 min, which is 1.7% above the national average.

Voter Turnout
72.5% NaN% vs nation
Rank #NaN of NaN
th percentile

Voter Turnout Trend

Mean Commute Time
28.1 min +1.7% vs nation
Rank #1,251 of 3,222
61th percentile

Mean Commute Time Trend

Rankings →

Elections

In the 2024 presidential election, Mills County voted Republican with a margin of 39.1%. The vote was 29.9% Dem / 69% Rep. Compared to 2020, the margin shifted 1.9 toward Republicans .

2024 REP +39.1%
29.9% 69%
Dem 8,223 votes Rep
2020 REP +37.2%
30.3% 67.5%
Dem 8,268 votes Rep
2016 REP +39.1%
27.3% 66.4%
Dem 7,608 votes Rep
2012 REP +19.1%
39.6% 58.7%
Dem 7,169 votes Rep
2008 REP +16.5%
40.9% 57.4%
Dem 7,282 votes Rep

Vote Share Over Time

About Mills County, Iowa

Mills County, Iowa has a total population of 14,568, making it the 2,181st most populous county in the United States. The median age in Mills County is 42.1 years, which is 8.2% above the national median of 38.9 years.

The median household income in Mills County is $90,753, which ranks #286 of 3,222 counties nationwide. This is 20.8% above the national median of $75,149. The poverty rate is 8.2%, lower than the national rate of 12.6%. The unemployment rate stands at 1.9%.

The median home value in Mills County is $237,800, 15.6% below the national median. Renters in Mills County pay a median gross rent of $959 per month. The homeownership rate is 83.5%, compared to the national rate of 64.4%.

In Mills County, 31.0% of residents aged 25 and older hold a bachelor's degree or higher, 8.1% below the national average of 33.7%. Health insurance coverage stands at 97.3% of the population. The average commute time for workers is 28.1 min.

Mills County is a diverse community. The largest racial or ethnic group is White (non-Hispanic) at 92.7% of the population, followed by Hispanic or Latino (3.9%) and Two or More Races (2.3%).

All data for Mills County, Iowa comes from the U.S. Census Bureau's American Community Survey (ACS) 5-Year Estimates. These figures are estimates based on survey sampling and are subject to margin of error. For the most detailed and up-to-date data, visit the Census Bureau's official data portal.