Health · Alliance

Alliance, SD health

Alliance differs from South Dakota on 6 of 40 measures. It has more adults treating high blood pressure (79.2% vs 75.9%). Where it trails the state: more adults who have had a stroke (4.1% vs 3.5%).

CDC PLACES 2025 · adults 18+ · ZIP codes 56144, 57028, 56164
TownTapestry Health GradeNew

Not graded

Health Grades cover towns with 1,000 or more residents. CDC's estimates for a place of 11 people are less certain, so we show Alliance's figures without a grade.

Report card

How Alliance compares with South Dakota

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

Out of every 100 Alliance adults…

36 of every 100 Alliance adults have high blood pressure
South Dakota: 33 in 100 · too close to call · margin 32.5–39.3%

Bars show Alliance; the black tick is South Dakota. Tap a condition to see it as people.

Habits

Everyday habits, side by side with the state

Alliance, betterAlliance, worseToo close to callSouth Dakota
Get no exerciseshare of adults 27.3% Alliance
SD 24.1%
Sleep under 7 hoursshare of adults 29.9% Alliance
SD 29.7%
Binge drinkshare of adults 16.7% Alliance
SD 18.8%
Smoke cigarettesshare of adults 16.5% Alliance
SD 15.2%
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 South Dakota.

77%
Yearly checkup
SD 77%
65%
Dentist visit
SD 69%
86%
Cholesterol check
SD 85%
68%
Colon screening
SD 66%
79%
Mammogram
SD 77%
79%
Taking BP meds
SD 76%
1 in 11
working-age adults has no health insurance
Alliance 8.8% · South Dakota 1 in 11 (8.8%)
Mind & connection

How Alliance adults are doing

1 in 3Alliance adults feel lonely
29.5% · too close to call
1 in 4Alliance adults have been diagnosed with depression
23.1% · South Dakota 21.2% · too close to call
1 in 5Alliance adults lack social or emotional support
21.2% · too close to call
1 in 6Alliance adults are in frequent mental distress
15.5% · South Dakota 15.3% · 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 8
Alliance adults worry about having enough food
13.3% · about the same
1 in 10
Alliance adults worry about keeping their housing
10% · about the same
1 in 15
Alliance adults were threatened with a utility shut-off
6.6% · about the same
1 in 13
Alliance adults lack reliable transportation
7.9% · about the same

10.2% of Alliance adults receive SNAP (food stamps).

Disability

Living with a disability

32.3%

of Alliance adults live with a disability (South Dakota 30.1%). Walking or climbing stairs is the most common.

Walking or climbing stairs15.2%
Thinking or memory14.1%
Hearing9.2%
Errands alone8.6%
Vision5.2%
Dressing or bathing4.1%

Black tick: South Dakota. Shown without a better/worse judgment.

Around Alliance

Alliance and the towns around it

Pick a measure to shade the map. Darker is worse for health. Pins are hospitals and community health centers in and near Alliance.

Eden: 38.2% Highland: 37.1% Blinsmon: 33.8% Lone Rock: 36% Jasper: 38.2% Sweet: 39.2% Rose Dell: 37.9% Elmer: 37.7% Palisade: 37.1% Logan: 35.9% Enterprise: 34.5% Grovena: 34.9% Trent: 33.7% Union: 35.4% Alliance: 37.4% Alliance Eden Highland Blinsmon Lone Rock Pipestone County Medical Center · Pipestone · 10.4 miH Avera Flandreau Hospital - Cah · Flandreau · 11.9 miH Avera Dells Area Hospital - Cah · Dell Rapids · 12.4 miH
33.7%39.2%· darker is worse for health

Obesity

#10 of 15towns on this map, healthiest first
Blinsmon33.8%
Lone Rock36%
Highland37.1%
Alliance37.4%
Eden38.2%
6 places to get careNearest ER 10.4 mi

Nearby towns are shaded from CDC's estimates for their ZIP codes, or CDC's own figure for cities and villages.

Getting care

Care in and near Alliance

No hospital or community health center in Alliance itself. These are the nearest.

HNearest ERPipestone County Medical CenterPipestone · 10.4 miDirections →
+Low-cost careFalls Community HealthSioux Falls · 26.7 mi · sliding-scale feesDirections →
10.4 mi
Pipestone County Medical Center
Pipestone · not rated
ERRural critical access
11.9 mi
Avera Flandreau Hospital - Cah
Flandreau · not rated
ERRural critical access
12.4 mi
Avera Dells Area Hospital - Cah
Dell Rapids · not rated
ERRural critical access
20.7 mi
Sanford Luverne Medical Center
Luverne · not rated
ERRural critical access
26.7 mi
Falls Community Health
Sioux Falls · community health center
Sliding-scale fees
31.8 mi
Rural Health Care
4 sites · nearest in Brookings
Sliding-scale fees
Directions to nearest
! Primary careAlliance's county is a federal shortage area for some residents.AI/AN-Moody County · need score 7 of 25
✓ Dental careAlliance is not a shortage area
! Mental healthAlliance's county is a federal shortage area.Community Counseling Service (CCS) - MHCA 3A · 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
MeasureAllianceMarginSouth Dakota
Chronic conditions
High blood pressure35.9%32.5–39.3%33.3%about the same
High cholesterol36.3%32.7–39.9%34%about the same
Obesity37.4%30.9–44.2%35.9%about the same
Arthritis27.8%25.1–30.6%25.8%about the same
Depression23.1%20.2–26.1%21.2%about the same
Lost all teeth (65+)11.7%9.6–14%12.7%about the same
Asthma10.3%9.3–11.5%10.1%about the same
Cancer (not skin)10.2%9.3–11%9.2%worse
Diabetes12.8%11.4–14.4%11.7%about the same
COPD7.6%6.6–8.5%6.7%about the same
Heart disease7.9%7.1–8.7%6.8%worse
Stroke4.1%3.7–4.4%3.5%worse
Habits
Smoke cigarettes16.5%14.3–18.8%15.2%about the same
Binge drink16.7%14.3–19.2%18.8%about the same
Get no exercise27.3%23.5–31.3%24.1%about the same
Sleep under 7 hours29.9%24.8–35.7%29.7%about the same
Care & screenings
Yearly checkup76.6%73.6–79.5%76.5%about the same
Dentist visit64.8%61.6–67.9%69.2%worse
Cholesterol check85.6%83.9–87.2%84.8%about the same
Colon screening68.1%63.9–72.1%65.5%about the same
Mammogram78.6%72.5–83.7%76.6%about the same
Taking BP meds79.2%76.7–81.3%75.9%better
No health insurance8.8%7.4–10.3%8.8%about the same
Mind & connection
Feel lonely29.5%25.5–33.7%—about the same
Lack emotional support21.2%18.4–24.1%—about the same
Frequent mental distress15.5%14–17.2%15.3%about the same
Fair or poor health19.3%17.1–21.8%17.3%about the same
Frequent physical distress13.8%12.4–15.4%12.3%worse
Everyday needs
Food insecurity13.3%11.3–15.4%—about the same
Housing insecurity10%8.7–11.5%—about the same
Utility shut-off threat6.6%5.7–7.5%—about the same
No reliable transportation7.9%6.9–8.9%—about the same
Receive SNAP10.2%8.6–11.9%—
Disability
Any disability32.3%28.7–36.1%30.1%
Walking or climbing stairs15.2%13.4–17.2%12.9%
Thinking or memory14.1%12.5–15.7%13.7%
Hearing9.2%8.3–10.2%8.2%
Vision5.2%4.6–5.8%4.7%
Dressing or bathing4.1%3.6–4.6%3.5%
Errands alone8.6%7.6–9.7%7.8%
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 South Dakota figure falls inside it, we don't call Alliance better or worse.
Why a ZIP codeCDC publishes towns like Alliance by ZIP code. We weight the ZIP codes that cover Alliance by how much of its land each one covers.

CDC PLACES: Local Data for Better Health, 2025 release. The South Dakota 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.

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Boundary source: https://tigerweb.geo.census.gov/arcgis/rest/services/TIGERweb/Places_CouSub_ConCity_SubMCD/MapServer/15 · 2025-01-01