ZIP code
59035
in Fort Smith, MontanaPopulation 180
34.27/ 100
Ranked #29,636 of 32,066 US ZIPs (bottom 7.6%)
Ranked #319 of 341 Montana ZIPs (bottom 6.5%)
Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.
What defines this ZIP
Metrics where this ZIP sits in the tails of the national distribution — the ones that most set it apart. Select any tile for its definition and methodology.
Energy-cost burden
6.9%
in the top 1.2% nationally
Lower is healthier
ST91stUS99thDefinition & source ›
The modeled share of household income spent on home energy bills — electricity, gas, and heating fuels.
A modeled share of household income spent on home energy. Estimates that hit the model’s 100% ceiling are suppressed rather than published, because at that point the figure reflects the model’s limit rather than a measured burden.
Full methodology ›Distance to a hazardous-chemical facility
28.9 mi
in the top 2.2% nationally
Higher is healthier
ST91stUS98thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest facility that handles enough hazardous chemicals to require an EPA risk-management plan for accidental releases.
Full methodology ›Distance to a nursing home
22.8 mi
in the top 2.6% nationally
Lower is healthier
ST80thUS97thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare- or Medicaid-certified nursing home.
Full methodology ›Mammography
65.7%
in the bottom 3.6% nationally
Higher is healthier
ST4thUS4thDefinition & source ›
The estimated share of women aged 50–74 who had a mammogram within the past two years.
Full methodology ›Distance to an emergency room
26.2 mi
in the top 2.7% nationally
Lower is healthier
ST91stUS97thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare-certified hospital with an emergency room.
Full methodology ›Air-toxics cancer risk
10 per million
in the bottom 2.8% nationally
Lower is healthier
ST1stUS3rdDefinition & source ›
The EPA’s modeled estimate of added lifetime cancer risk from breathing outdoor air toxics, in cases per million people exposed over a lifetime.
Full methodology ›Unemployment rate
16.7%
in the top 3.0% nationally
Lower is healthier
ST95thUS97thDefinition & source ›
The share of the civilian labor force that is unemployed.
Full methodology ›Slow internet speeds
2.4%
in the top 4.8% nationally
Lower is healthier
ST77thUS95thDefinition & source ›
The share of homes whose fastest available download speed is under 10 Mbps.
Full methodology ›Poverty rate
32.8%
in the top 5.4% nationally
Lower is healthier
ST94thUS95thDefinition & source ›
The share of residents whose income is below the federal poverty line, from the Census Bureau’s American Community Survey.
Full methodology ›Households without a vehicle
16.8%
in the top 6.0% nationally
Lower is healthier
ST97thUS94thDefinition & source ›
The share of households with no vehicle available.
Full methodology ›The read
Fort Smith, Montana (ZIP 59035), on the composite measure, lands in the bottom 7.6% nationally (29,636th) and the bottom 6.5% of Montana (319th), based on limited data; treat as directional.
Where the data speaks clearest about this place, it leads: modeled energy burden rests in the top 1.2% nationally, distance to a nursing home sits in the top 2.6% nationally, and modeled mammography registers in the bottom 3.6% nationally. Distance to an emergency room lands in the top 2.7% nationally, unemployment resides in the top 3.0% nationally, and slow internet speeds lies in the top 4.8% nationally. Poverty settles in the top 5.4% nationally, and households without a vehicle stands in the top 6.0% nationally. Better still, distance to a hazardous-chemical facility is in the top 2.2% nationally, and modeled air-toxics cancer risk rests in the bottom 2.8% nationally.
Set against the neighboring ZIPs, distance to a hazardous-chemical facility runs far higher than the surrounding ZIPs on this measure. In everyday language, distance to a hazardous-chemical facility is a plant handling large amounts of hazardous chemicals that must file an EPA risk-management plan for accidental releases. Air-toxics cancer risk is a modeled EPA estimate of added lifetime cancer risk from breathing outdoor air, per million people. Energy burden is the share of household income that goes to home energy bills. A healthier neighbor overall sits at ZIP 59014, just across the boundary.
What’s driving this score
Nine domains make up the ZipVitals Score — here is how this ZIP does on each, and how much each one counts.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Environmental Hazard
healthier than 95%
14%
Climate / Disaster RiskPartial
healthier than 94%
5%
Holding it back
Chronic Disease Burden
healthier than 16%
21%
Social Need / SDOH
healthier than 1%
16%
Preventive Care
healthier than 8%
13%
Risk Behavior
healthier than 13%
11%
Mental Health
healthier than 21%
8%
Disability
healthier than 11%
7%
Healthcare Access
healthier than 2%
5%
Lifting this score
Environmental Hazard
healthier than 97%
14%
Holding it back
Chronic Disease Burden
healthier than 7%
21%
Social Need / SDOH
healthier than 1%
16%
Preventive Care
healthier than 5%
13%
Risk Behavior
healthier than 4%
11%
Mental Health
healthier than 16%
8%
Disability
healthier than 4%
7%
Climate / Disaster RiskPartial
healthier than 39%
5%
Healthcare Access
healthier than 12%
5%
“Share” is how much of this ZIP’s score the domain accounts for. Percentages are rounded; higher is healthier in every domain. How the score works, and who it compares you with ›
Nearby & similar ZIPs
Editorially selected — see how this ZIP compares to nearby and similar places.
Nearby
59014
Montanashares a border
Score 45.51
Closest healthier
59075
Montanashares a border
Score 34.88
Similar health profile
59411
Montana97% similar profile
Score 33.28
How these were chosen: only ZIPs with a published Score appear — a nearby ZIP with too little data to score won’t. Nearby means closest by distance between ZIP boundaries, which can cross state lines. A similar health profile is a close match across the nine Score domains, not similar demographics. Distances are measured between ZIP boundaries — ZIPs that touch share a border. How distance is measured
Evidence
Every measure this page draws on, by source. Collapsed by default — the full data stays in the page for search engines either way.
Health OutcomesCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Arthritis among adults | 32.4% | 28.9–35.9 |
| High blood pressure among adults | 40.2% | 36.1–44.1 |
| Cancer (non-skin) or melanoma among adults | 9.1% | 8.2–10.1 |
| Current asthma among adults | 12.8% | 11.4–14.4 |
| Coronary heart disease among adults | 9.4% | 8.3–10.6 |
| Chronic obstructive pulmonary disease among adults | 11.1% | 9.6–12.8 |
| Depression among adults | 24.5% | 21.1–27.9 |
| Diagnosed diabetes among adults | 16.0% | 13.8–18.1 |
| High cholesterol among adults who have ever been screened | 35.2% | 31.3–39.3 |
| Obesity among adults | 36.0% | 30.1–42.1 |
| Stroke among adults | 5.4% | 4.8–6.0 |
| All teeth lost among adults aged >=65 years | 24.1% | 20.2–28.0 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 11.0% | 8.9–13.6 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 76.2% | 72.6–79.6 |
| Visits to doctor for routine checkup within the past year among adults | 72.8% | 68.8–76.7 |
| Cholesterol screening among adults | 82.9% | 80.5–85.2 |
| Colorectal cancer screening among adults aged 45–75 years | 57.0% | 51.7–61.8 |
| Visited dentist or dental clinic in the past year among adults | 50.6% | 46.8–54.0 |
| Mammography use among women aged 50-74 years | 65.7% | 57.5–73.0 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 17.3% | 14.3–20.6 |
| Current cigarette smoking among adults | 23.8% | 20.3–27.2 |
| No leisure-time physical activity among adults | 27.3% | 22.8–31.7 |
| Short sleep duration among adults | 35.7% | 30.5–40.8 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 27.3% | 23.8–31.2 |
| Frequent mental distress among adults | 19.5% | 17.2–21.9 |
| Frequent physical distress among adults | 19.2% | 16.9–21.6 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 17.6% | 15.4–19.9 |
| Any disability among adults | 36.9% | 32.2–41.4 |
| Hearing disability among adults | 11.4% | 10.1–12.8 |
| Independent living disability among adults | 11.8% | 10.3–13.3 |
| Mobility disability among adults | 19.8% | 17.1–22.6 |
| Self-care disability among adults | 6.3% | 5.5–7.2 |
| Vision disability among adults | 8.0% | 7.1–9.1 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 24.4% | 20.9–28.5 |
| Food insecurity in the past 12 months among adults | 21.1% | 17.7–25.0 |
| Received food stamps in the past 12 months among adults | 16.9% | 13.9–20.3 |
| Housing insecurity in the past 12 months among adults | 15.4% | 12.9–18.1 |
| Lack of reliable transportation in the past 12 months among adults | 12.7% | 11.0–14.7 |
| Loneliness among adults | 33.2% | 28.7–38.1 |
| Utility services shut-off threat in the past 12 months among adults | 12.5% | 10.7–14.5 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | MT median (p10–p90) |
|---|---|---|---|
| Poverty rate | 32.8% | 10.6% (3.1–25.8%) n=32,364 | 9.7% (1.9–27.5%) n=360 |
| Uninsured 18–64 | 45.2% | 9.0% (1.5–24.3%) n=32,286 | 11.1% (0.0–33.1%) n=357 |
| No HS diploma (25+) | 0.0% | 7.9% (1.8–20.7%) n=32,505 | 4.7% (0.0–14.1%) n=360 |
| Bachelor's or higher (25+) | 8.4% | 23.3% (9.2–53.6%) n=32,505 | 26.6% (12.3–46.1%) n=360 |
| Unemployment rate (16+) | 16.7% | 3.9% (0.0–9.8%) n=32,274 | 1.8% (0.0–10.2%) n=357 |
| Households without a vehicle | 16.8% | 3.9% (0.0–12.5%) n=32,322 | 1.7% (0.0–9.5%) n=360 |
| Broadband subscription | 72.6% | 89.3% (75.1–97.1%) n=32,322 | 87.3% (72.1–100.0%) n=360 |
| Housing cost burden (≥30% income) | 38.9% | 23.7% (10.6–40.0%) n=32,322 | 21.1% (7.3–37.2%) n=360 |
| Homeownership rate | 93.7% | 78.7% (51.7–94.0%) n=32,322 | 78.0% (56.9–95.8%) n=360 |
| Crowded housing (>1 per room) | 6.3% | 1.3% (0.0–6.3%) n=32,322 | 0.9% (0.0–6.6%) n=360 |
| Foreign-born population | 0.0% | 2.6% (0.0–18.6%) n=32,553 | 0.9% (0.0–4.9%) n=360 |
| Single-parent households | 33.3% | 53.6% (37.3–74.1%) n=32,087 | 61.3% (39.9–84.5%) n=356 |
| Population 65+ | 37.8% | 19.4% (10.8–33.6%) n=32,553 | 24.0% (12.9–44.0%) n=360 |
| Median age | 41.8 yr | 42.2 yr (33.0–56.3) n=32,292 | 46.0 yr (32.9–62.3) n=358 |
| Median household income | $51,726 | $72,070 ($46,039–$118,707) n=30,318 | $66,875 ($44,980–$95,192) n=321 |
| Median home value | $139,400 | $222,200 ($100,300–$579,820) n=30,049 | $292,450 ($127,430–$548,550) n=312 |
| Median gross rent | — | $1,021 ($677–$1,912) n=25,670 | $877 ($544–$1,329) n=213 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | MT median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 79.0 yr ± 3.43 | 78.9 yr (74.7–82.8) n=31,308 | 79.7 yr (76.7–83.7) n=358 |
About the ± — it’s this estimate’s give-or-take (statisticians call it the standard error). The true life expectancy for this ZIP most likely falls within 3.43 years of 79.0, and it’s very unlikely to be off by more than twice that.
More ZIPs to explore ▾More ZIPs to explore ▴
How these lists were built: they draw only from ZIPs that have a published Score, so ZIPs with too little data to score are not listed. Distance-based lists use distance between ZIP boundaries with no state filter, so an out-of-state ZIP can appear. Statistically similar means a close match across the nine Score domains, not a demographic match: the measure is the cosine similarity between two ZIPs’ domain scores, taken over the domains both ZIPs have data for and only where that overlap covers at least six of the nine — and where no ZIP clears that minimum-overlap floor, that list is left out rather than filled with a weak match. How distance is measured