The quick read

Reading Spearfish, SD beyond the headline numbers

Spearfish sits inside Lawrence County, South Dakota, at roughly 44.49°N, -103.86°W. Its population of 27,233 and median household income of $73,384 are the two most quoted figures, but in isolation they hide the shape of the city. A median home value of $346,500 paired with median rent of $938 is the starting point for a price-to-income read that tells you how stretched a typical household is before any other cost of living factor is considered. The 11.6% poverty rate next to that income figure is the better signal — two cities with identical medians can have very different lived realities depending on the income distribution underneath.

Health and healthcare access are the next layer most residents and prospective movers actually care about. CDC PLACES indicators for Spearfish show the highest-prevalence measure is high blood pressure at 33%, followed by obesity at 32.7%. Within the city boundary, CMS Hospital Compare tracks 2 hospitals with an average rating of null/5 and 0 carrying emergency departments — the ER count is the more actionable figure if you are evaluating a move because it defines the effective trauma radius.

Areazine reconstructs these layers from U.S. Census ACS (Place geography), CDC PLACES, and CMS Hospital Compare — each updated on its own cadence — and pairs them with live alerts from FEMA, NOAA, FDA, and CPSC scoped to the Spearfish area. The comparison bars next to each metric anchor the number against a national reference, which is the fastest way to tell whether Spearfish is an outlier on a given dimension before drilling into the raw value.