Health · Alliance
Alliance, NE health
Alliance differs from Nebraska on 8 of 40 measures. Where it trails the state most: more adults who get no exercise (30.5% vs 24.3%) and more adults with COPD (7.6% vs 6.1%).
CDC PLACES 2025 · adults 18+ · CDC's estimate for AllianceTownTapestry Health GradeNew
B−
Alliance’s Health Grade: B−
On seven CDC health estimates for adults, Alliance is healthier than 45% of U.S. towns, and than 63% of towns with similar incomes.
B-Self-rated healthBPhysical distressA-Mental distressCObesityC+DiabetesC+SmokingC-Exercise
All U.S. towns we grade (19,420)Healthier than 45%
Less healthyHealthier
Nebraska towns we grade (138)Healthier than 20%
Towns with similar incomes, $49K–$81K (9,113)Healthier than 63%
Better than its income would suggest. Alliance is healthier than most towns with similar incomes, even though its overall grade is B−.
These are estimates. At the ends of CDC’s likely ranges, Alliance could be anywhere from C− to A−.
How the Health Grade works
- Seven CDC estimates. Adults in fair or poor health, frequent physical distress, frequent mental distress, obesity, diabetes, smoking and no exercise (CDC PLACES, 2025 release). On each one a town earns the share of U.S. towns doing worse, and those shares are averaged. It’s the same score as our Healthiest towns in Nebraska ranking.
- Graded on a national curve. Every U.S. town with 1,000+ residents and all seven estimates (19,420 places) is lined up by score: A+ top 5%A next 10%A- next 10%B B+ to B−, next 30%C C+ to C−, next 30%D D and D−, bottom 15%
- Not adjusted for income. Wealthier towns are usually healthier, and the grade shows that as it is. The similar-incomes bar compares Alliance with U.S. towns whose median household income is within 25% of its own.
- Modeled, not measured. CDC combines national survey answers with each area’s age, sex, race and income mix. Alliance uses CDC’s own estimate for it. High blood pressure is left out because it tracks age more than anything else. The confidence line recomputes the grade with every estimate at the low, then the high, end of its range.
Report card
How Alliance compares with Nebraska
Each theme counts how many of its measures are better, worse or too close to call against the state. Tap one to jump to it.
Chronic conditions
39.3% have obesity
0 better8 close4 worse
Habits
30.5% get no exercise
0 better3 close1 worse
Care & screenings
74.7% had a checkup
0 better6 close1 worse
Mind & connection
30.2% feel lonely
0 better3 close2 worse
Everyday needs
14.7% face food insecurity
0 better5 close0 worse
Disability
30.8% have a disability
7 measures · shown without a better/worse judgment
Chronic conditions
Out of every 100 Alliance adults…
36 of every 100 Alliance adults have high blood pressure
Nebraska: 33 in 100 · too close to call · margin 31.5–39.6%
Bars show Alliance; the black tick is Nebraska. Tap a condition to see it as people.
Habits
Everyday habits, side by side with the state
Alliance, betterAlliance, worseToo close to callNebraska
Get no exerciseshare of adults
30.5% Alliance
NE 24.3%
NE 24.3%
Sleep under 7 hoursshare of adults
31.2% Alliance
NE 31.3%
NE 31.3%
Binge drinkshare of adults
18% Alliance
NE 19.7%
NE 19.7%
Smoke cigarettesshare of adults
15.4% Alliance
NE 13.2%
NE 13.2%
0%10%20%30%40%
Care & screenings
Keeping up with care
Share of Alliance adults getting routine care. The full ring is 100%; the dark tick marks Nebraska.
Yearly checkup
NE 76%Dentist visit
NE 64%Cholesterol check
NE 84%Colon screening
NE 62%Mammogram
NE 75%Taking BP meds
NE 78%1 in 9
working-age adults has no health insurance
Alliance 11.2% · Nebraska 1 in 10 (9.9%)
Mind & connection
How Alliance adults are doing
1 in 3Alliance adults feel lonely
30.2% · Nebraska 29.3% · too close to call
1 in 6Alliance adults have been diagnosed with depression
17.4% · Nebraska 18.3% · too close to call
1 in 5Alliance adults lack social or emotional support
21.4% · Nebraska 20.5% · too close to call
1 in 7Alliance adults are in frequent mental distress
14.7% · Nebraska 14.1% · too close to call
Everyday needs
Making ends meet
Needs that shape health as much as any doctor visit: food, housing, utilities and a way to get around.
1 in 7
Alliance adults worry about having enough food
14.7% · NE 12.3% · about the same
1 in 9
Alliance adults worry about keeping their housing
10.8% · NE 9.5% · about the same
1 in 14
Alliance adults were threatened with a utility shut-off
7.4% · NE 6.4% · about the same
1 in 13
Alliance adults lack reliable transportation
7.7% · NE 6.7% · about the same
10.6% of Alliance adults receive SNAP (food stamps), compared with 8.5% across Nebraska.
Disability
Living with a disability
30.8%
of Alliance adults live with a disability (Nebraska 27.4%). Walking or climbing stairs is the most common.
Walking or climbing stairs14.5%
Thinking or memory13.4%
Hearing8.6%
Errands alone8.2%
Vision5.3%
Dressing or bathing3.9%
Black tick: Nebraska. Shown without a better/worse judgment.
Getting care
Care in and near Alliance
1 hospital in Alliance, plus the nearest just outside it.
HNearest ERBox Butte General HospitalAlliance · 1.1 miDirections →
+Low-cost careCommunity Action Partnership of Western NebraskaGering · 44.1 mi · sliding-scale feesDirections →
44.1 mi
Community Action Partnership of Western Nebraska
2 sites · nearest in Gering
Capwn Health CenterGering · 44.1 mi
Capwn Dental Clinic-ChadronChadron · 50.7 mi
94.1 mi
Horizon Health Care
2 sites · nearest in Martin
Horizon Health - Martin DentalMartin · 94.1 mi
Horizon Health - Martin MedicalMartin · 94.1 mi
Nothing matches.
! Primary careAlliance's county is a federal shortage area for some residents.Low-income residents, Dawes/Box Butte · need score 10 of 25
! Dental careAlliance's county is a federal shortage area for some residents.Low-income residents, Box Butte County · need score 13 of 25
! Mental healthAlliance's county is a federal shortage area.Region 1 MH Catchment Area · need score 19 of 25
Hospitals: Medicare overall star ratings, 1–5. Community health centers charge on a sliding scale by income. Distances are straight-line from the center of Alliance. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).
All 40 measures for Alliance
| Measure | Alliance | Margin | Nebraska | |
|---|---|---|---|---|
| Chronic conditions | ||||
| High blood pressure | 35.6% | 31.5–39.6% | 32.6% | about the same |
| High cholesterol | 34.4% | 30.3–38.3% | 33% | about the same |
| Obesity | 39.3% | 32–46.7% | 37.7% | about the same |
| Arthritis | 27% | 23.9–30.2% | 24% | about the same |
| Depression | 17.4% | 14.6–20.3% | 18.3% | about the same |
| Lost all teeth (65+) | 13.4% | 11.3–15.7% | 12.4% | about the same |
| Asthma | 9.5% | 8.4–10.7% | 9% | about the same |
| Cancer (not skin) | 8.9% | 8–9.7% | 8.3% | about the same |
| Diabetes | 12.8% | 11–14.5% | 10.7% | worse |
| COPD | 7.6% | 6.5–8.7% | 6.1% | worse |
| Heart disease | 7.3% | 6.4–8.1% | 6.1% | worse |
| Stroke | 3.7% | 3.3–4.1% | 3.1% | worse |
| Habits | ||||
| Smoke cigarettes | 15.4% | 12.9–17.9% | 13.2% | about the same |
| Binge drink | 18% | 14.9–21.2% | 19.7% | about the same |
| Get no exercise | 30.5% | 25.6–35.3% | 24.3% | worse |
| Sleep under 7 hours | 31.2% | 26.2–36.7% | 31.3% | about the same |
| Care & screenings | ||||
| Yearly checkup | 74.7% | 70.9–78.1% | 75.9% | about the same |
| Dentist visit | 58.5% | 55.2–61.7% | 64.3% | worse |
| Cholesterol check | 83.3% | 81.2–85.3% | 83.7% | about the same |
| Colon screening | 62.6% | 58.1–66.9% | 62.3% | about the same |
| Mammogram | 71.3% | 64–77.7% | 75% | about the same |
| Taking BP meds | 79.4% | 76.5–81.7% | 77.5% | about the same |
| No health insurance | 11.2% | 9.4–13.2% | 9.9% | about the same |
| Mind & connection | ||||
| Feel lonely | 30.2% | 25.2–35.5% | 29.3% | about the same |
| Lack emotional support | 21.4% | 17.9–25.1% | 20.5% | about the same |
| Frequent mental distress | 14.7% | 12.8–16.6% | 14.1% | about the same |
| Fair or poor health | 19.4% | 16.6–22.3% | 16.1% | worse |
| Frequent physical distress | 13.8% | 11.9–15.5% | 11.6% | worse |
| Everyday needs | ||||
| Food insecurity | 14.7% | 12.2–17.5% | 12.3% | about the same |
| Housing insecurity | 10.8% | 9.1–12.6% | 9.5% | about the same |
| Utility shut-off threat | 7.4% | 6.3–8.5% | 6.4% | about the same |
| No reliable transportation | 7.7% | 6.6–8.8% | 6.7% | about the same |
| Receive SNAP | 10.6% | 8.7–12.7% | 8.5% | |
| Disability | ||||
| Any disability | 30.8% | 26.4–35% | 27.4% | |
| Walking or climbing stairs | 14.5% | 12.4–16.7% | 12% | |
| Thinking or memory | 13.4% | 11.6–15.3% | 12.1% | |
| Hearing | 8.6% | 7.6–9.6% | 7.3% | |
| Vision | 5.3% | 4.6–5.9% | 4.4% | |
| Dressing or bathing | 3.9% | 3.5–4.4% | 3.2% | |
| Errands alone | 8.2% | 7.1–9.3% | 6.9% | |
About these numbers
How CDC estimates town health
They're modeled estimatesCDC combines a large national health survey with each area's age, sex, race and income mix to estimate local rates. Nobody surveyed Alliance door to door.
Close calls stay grayEvery figure has a margin of error. When the Nebraska figure falls inside it, we don't call Alliance better or worse.
CDC's own town estimateCDC publishes Alliance directly, so these are its own figures.
CDC PLACES: Local Data for Better Health, 2025 release. The Nebraska figure combines its counties, weighted by adult population.
Health estimates: CDC PLACES. Hospitals and star ratings: Medicare Care Compare (CMS). Health centers and shortage areas: HRSA. Town boundaries: U.S. Census Bureau.