Health · Belle Fourche

Belle Fourche, SD health

Belle Fourche differs from South Dakota on 5 of 33 measures. Where it trails the state most: more older adults who have lost all their teeth (17.9% vs 12.7%) and more adults with COPD (8.2% vs 6.7%).

CDC PLACES 2025 · adults 18+ · CDC's estimate for Belle Fourche
TownTapestry Health GradeNew

Belle Fourche’s Health Grade: B−

On seven CDC health estimates for adults, Belle Fourche is healthier than 48% of U.S. towns, and than 67% of towns with similar incomes.

B-Self-rated healthB-Physical distressBMental distressBObesityB-DiabetesCSmokingC+Exercise
All U.S. towns we grade (19,420)Healthier than 48%
Less healthyHealthier
South Dakota towns we grade (87)Healthier than 21%
Towns with similar incomes, $49K–$81K (9,113)Healthier than 67%

Better than its income would suggest. Belle Fourche 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, Belle Fourche could be anywhere from D 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 South Dakota 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 Belle Fourche 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. Belle Fourche 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 Belle Fourche 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 Belle Fourche adults…

35 of every 100 Belle Fourche adults have high blood pressure
South Dakota: 33 in 100 · too close to call · margin 31.1–39.2%

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

Habits

Everyday habits, side by side with the state

Belle Fourche, betterBelle Fourche, worseToo close to callSouth Dakota
Get no exerciseshare of adults 28% Belle Fourche
SD 24.1%
Sleep under 7 hoursshare of adults 31.2% Belle Fourche
SD 29.7%
Binge drinkshare of adults 18.3% Belle Fourche
SD 18.8%
Smoke cigarettesshare of adults 16.9% Belle Fourche
SD 15.2%
0%10%20%30%40%
Care & screenings

Keeping up with care

Share of Belle Fourche adults getting routine care. The full ring is 100%; the dark tick marks South Dakota.

76%
Yearly checkup
SD 77%
65%
Dentist visit
SD 69%
84%
Cholesterol check
SD 85%
66%
Colon screening
SD 66%
77%
Mammogram
SD 77%
77%
Taking BP meds
SD 76%
1 in 10
working-age adults has no health insurance
Belle Fourche 10.3% · South Dakota 1 in 11 (8.8%)
Mind & connection

How Belle Fourche adults are doing

1 in 5Belle Fourche adults have been diagnosed with depression
21.9% · South Dakota 21.2% · too close to call
1 in 6Belle Fourche adults are in frequent mental distress
16.3% · South Dakota 15.3% · too close to call
Disability

Living with a disability

32.7%

of Belle Fourche adults live with a disability (South Dakota 30.1%). Thinking or memory is the most common.

Walking or climbing stairs14.9%
Thinking or memory15.3%
Hearing9.3%
Errands alone9%
Vision5.3%
Dressing or bathing4.2%

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

Getting care

Care in and near Belle Fourche

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

HNearest ERMonument Health Spearfish HospitalSpearfish · 11.5 miDirections →
★Best rated nearbyVA Black Hills Healthcare System★★★★★ · 26 miDirections →
+Low-cost careCommunity Health Center of the Black HillsRapid City · 51.3 mi · sliding-scale feesDirections →
11.5 mi
Monument Health Spearfish Hospital
Spearfish · ★★★★★
ER
21.3 mi
Monument Health Lead-Deadwood Hospital
Deadwood · not rated
ERRural critical access
25 mi
Monument Health Sturgis Hospital
Sturgis · not rated
ERRural critical access
26 mi
VA Black Hills Healthcare System
Fort Meade · ★★★★★
ERVA
51.3 mi
Community Health Center of the Black Hills
2 sites · nearest in Rapid City
Sliding-scale fees
Directions to nearest
90.2 mi
Horizon Health Care
5 sites · nearest in Bison
Sliding-scale fees
Directions to nearest
! Primary careBelle Fourche's county is a federal shortage area.Butte County · need score 14 of 25
✓ Dental careBelle Fourche is not a shortage area
! Mental healthBelle Fourche's county is a federal shortage area.Behavior Management Systems MHCA · need score 18 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 Belle Fourche. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

All 33 measures for Belle Fourche
MeasureBelle FourcheMarginSouth Dakota
Chronic conditions
High blood pressure35.1%31.1–39.2%33.3%about the same
High cholesterol34.6%30.6–38.9%34%about the same
Obesity35.6%28.4–43.8%35.9%about the same
Arthritis28.6%25.4–31.9%25.8%about the same
Depression21.9%18.6–25.4%21.2%about the same
Lost all teeth (65+)17.9%14.7–21.4%12.7%worse
Asthma10.7%9.4–12%10.1%about the same
Cancer (not skin)9.8%8.8–10.8%9.2%about the same
Diabetes12.2%10.4–14%11.7%about the same
COPD8.2%7.1–9.4%6.7%worse
Heart disease7.8%6.9–8.8%6.8%worse
Stroke4%3.6–4.5%3.5%worse
Habits
Smoke cigarettes16.9%14.2–19.7%15.2%about the same
Binge drink18.3%15.1–21.7%18.8%about the same
Get no exercise28%23.3–33%24.1%about the same
Sleep under 7 hours31.2%25–37.8%29.7%about the same
Care & screenings
Yearly checkup75.6%71.6–79.2%76.5%about the same
Dentist visit65.2%61.6–68.7%69.2%worse
Cholesterol check84.2%82–86.3%84.8%about the same
Colon screening66.3%60.8–71.3%65.5%about the same
Mammogram76.7%68.6–83.3%76.6%about the same
Taking BP meds76.9%73.9–79.6%75.9%about the same
No health insurance10.3%8.2–12.3%8.8%about the same
Mind & connection
Frequent mental distress16.3%14.3–18.3%15.3%about the same
Fair or poor health19.5%16.7–22.6%17.3%about the same
Frequent physical distress13.9%12.1–15.8%12.3%about the same
Disability
Any disability32.7%28.2–37.4%30.1%
Walking or climbing stairs14.9%12.8–17.3%12.9%
Thinking or memory15.3%13.3–17.4%13.7%
Hearing9.3%8.2–10.5%8.2%
Vision5.3%4.7–6%4.7%
Dressing or bathing4.2%3.7–4.7%3.5%
Errands alone9%7.8–10.2%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 Belle Fourche 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 Belle Fourche better or worse.
CDC's own town estimateCDC publishes Belle Fourche directly, so these are its own figures.

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/18 · 2025-01-01