ZIP code
68665
in Spalding, NebraskaPopulation 638
52.35/ 100
Ranked #12,974 of 32,066 US ZIPs (top 40%)
Ranked #381 of 566 Nebraska ZIPs (bottom 33%)
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.
Elder-services access
1.3 per 1,000 residents
in the top 0.4% nationally
Higher is healthier
ST97thUS99thDefinition & source ›
The number of services for older adults and people with disabilities inside this ZIP’s boundary, per 1,000 residents.
Counted from establishments located inside this ZIP’s boundary, so one just across the line is not counted. Where a ZIP has too few residents for the density to be reliable, no value is published rather than an unreliable one.
Full methodology ›Pharmacy access
1.3 per 1,000 residents
in the top 0.5% nationally
Higher is healthier
ST99thUS99thDefinition & source ›
The number of pharmacies located inside this ZIP’s boundary, per 1,000 residents.
Counted from establishments located inside this ZIP’s boundary, so one just across the line is not counted. Where a ZIP has too few residents for the density to be reliable, no value is published rather than an unreliable one.
Full methodology ›Child-care access
1.3 per 1,000 residents
in the top 1.1% nationally
Higher is healthier
ST94thUS99thDefinition & source ›
The number of child day-care services inside this ZIP’s boundary, per 1,000 residents.
Counted from establishments located inside this ZIP’s boundary, so one just across the line is not counted. Where a ZIP has too few residents for the density to be reliable, no value is published rather than an unreliable one.
Full methodology ›Distance to a community health center
40.8 mi
in the top 2.0% nationally
Lower is healthier
ST83rdUS98thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest federally funded community health center, which serves patients regardless of ability to pay.
Full methodology ›Radon
3.6 pCi/L
in the top 4.2% nationally
Lower is healthier
ST50thUS96thDefinition & source ›
The modeled typical indoor radon level for this area, in picocuries per liter — the EPA recommends fixing a home at 4 pCi/L or above.
Modeled from indoor-radon measurements. In Alaska and Hawaii, where those measurements are not published, a US Geological Survey geologic radon-potential category stands in — a coarser input, disclosed rather than hidden.
Full methodology ›Energy-cost burden
5.6%
in the top 4.3% nationally
Lower is healthier
ST87thUS96thDefinition & 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 nursing home
14.8 mi
in the top 5.6% nationally
Lower is healthier
ST94thUS94thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare- or Medicaid-certified nursing home.
Full methodology ›Nitrate in drinking water
1.6%
in the top 5.9% nationally
Lower is healthier
ST75thUS94thDefinition & source ›
The modeled share of this area’s domestic-well groundwater at or above the federal nitrate limit of 10 milligrams per liter.
A modeled likelihood for untreated groundwater, the source drawn on by private wells, which are federally unregulated. It is not a measurement of treated water delivered by a public system, and it is not a test of any individual well.
Full methodology ›Poverty rate
1.9%
in the bottom 6.7% nationally
Lower is healthier
ST7thUS7thDefinition & source ›
The share of residents whose income is below the federal poverty line, from the Census Bureau’s American Community Survey.
Full methodology ›Loneliness
28.1%
in the bottom 7.9% nationally
Lower is healthier
ST46thUS8thDefinition & source ›
The estimated share of adults who report feeling lonely.
Full methodology ›The read
Overall, Spalding, Nebraska (ZIP 68665) lands in the top 40% healthiest ZIPs nationally (12,974th) and the bottom 33% of Nebraska (381st).
A number of measures pull each way for this area: elder services lands in the top 0.4% nationally, and pharmacy sits in the top 0.5% nationally. Childcare is in the top 1.1% nationally, and poverty settles in the bottom 6.7% nationally. Modeled loneliness resides in the bottom 7.9% nationally. Set against that, distance to a community health center registers in the top 2.0% nationally, modeled radon rests in the top 4.2% nationally, and modeled energy burden stands in the top 4.3% nationally. Distance to a nursing home lies in the top 5.6% nationally, and modeled nitrate lands in the top 5.9% nationally.
Set beside the nearby areas, elder services runs far higher than the surrounding ZIPs on this measure. A note on the terms: radon is a radioactive soil gas the EPA identifies as the top cause of lung cancer in nonsmokers. Nitrate is a groundwater compound from fertilizer, manure, and sewage, here a modeled estimate of the chance private-well levels exceed a benchmark. Distance to a community health center is a federally funded (HRSA) community health center serving everyone regardless of ability to pay. For a healthier nearby comparison, ZIP 68620, just across the boundary, ranks better overall.
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
Mental Health
healthier than 95%
8%
About typical
Chronic Disease Burden
healthier than 55%
21%
Preventive Care
healthier than 49%
13%
Risk Behavior
healthier than 46%
11%
Disability
healthier than 57%
7%
Climate / Disaster Risk
healthier than 53%
5%
Holding it back
Social Need / SDOH
healthier than 33%
16%
Environmental Hazard
healthier than 36%
14%
Healthcare Access
in the bottom 0.5%
5%
Lifting this score
Environmental Hazard
healthier than 71%
14%
Mental Health
healthier than 64%
8%
Climate / Disaster Risk
healthier than 90%
5%
About typical
Preventive Care
healthier than 41%
13%
Holding it back
Chronic Disease Burden
healthier than 38%
21%
Social Need / SDOH
healthier than 21%
16%
Risk Behavior
healthier than 27%
11%
Disability
healthier than 29%
7%
Healthcare Access
in the bottom 1.0%
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
68620
Nebraskashares a border
Score 56.24
Closest healthier
68622
Nebraskashares a border
Score 56.62
Similar health profile
69038
Nebraska99% similar profile
Score 52.09
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 | 28.7% | 25.5–31.8 |
| High blood pressure among adults | 37.8% | 33.9–41.7 |
| Cancer (non-skin) or melanoma among adults | 10.6% | 9.6–11.7 |
| Current asthma among adults | 9.1% | 8.1–10.2 |
| Coronary heart disease among adults | 8.0% | 7.1–8.9 |
| Chronic obstructive pulmonary disease among adults | 8.1% | 6.9–9.3 |
| Depression among adults | 16.7% | 14.2–19.2 |
| Diagnosed diabetes among adults | 12.6% | 10.9–14.4 |
| High cholesterol among adults who have ever been screened | 36.7% | 32.8–40.7 |
| Obesity among adults | 35.4% | 29.1–42.1 |
| Stroke among adults | 4.0% | 3.5–4.5 |
| All teeth lost among adults aged >=65 years | 12.4% | 10.1–15.1 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 8.3% | 6.8–10.0 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 81.4% | 78.8–83.7 |
| Visits to doctor for routine checkup within the past year among adults | 76.6% | 73.4–79.7 |
| Cholesterol screening among adults | 85.5% | 83.7–87.2 |
| Colorectal cancer screening among adults aged 45–75 years | 66.6% | 61.9–71.2 |
| Visited dentist or dental clinic in the past year among adults | 61.0% | 57.6–64.4 |
| Mammography use among women aged 50-74 years | 74.6% | 67.1–81.4 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 18.5% | 15.8–21.4 |
| Current cigarette smoking among adults | 14.6% | 12.4–17.1 |
| No leisure-time physical activity among adults | 28.2% | 23.8–32.9 |
| Short sleep duration among adults | 32.2% | 26.6–38.4 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 17.4% | 14.7–20.0 |
| Frequent mental distress among adults | 13.5% | 11.9–15.0 |
| Frequent physical distress among adults | 13.3% | 11.6–15.1 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 11.9% | 10.4–13.5 |
| Any disability among adults | 29.8% | 25.8–33.9 |
| Hearing disability among adults | 9.5% | 8.4–10.6 |
| Independent living disability among adults | 7.7% | 6.6–8.7 |
| Mobility disability among adults | 15.0% | 12.7–17.3 |
| Self-care disability among adults | 3.8% | 3.3–4.3 |
| Vision disability among adults | 4.8% | 4.1–5.4 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 20.1% | 17.1–23.2 |
| Food insecurity in the past 12 months among adults | 11.1% | 9.1–13.2 |
| Received food stamps in the past 12 months among adults | 8.1% | 6.6–9.9 |
| Housing insecurity in the past 12 months among adults | 8.1% | 6.8–9.4 |
| Lack of reliable transportation in the past 12 months among adults | 6.0% | 5.2–6.9 |
| Loneliness among adults | 28.1% | 23.7–32.4 |
| Utility services shut-off threat in the past 12 months among adults | 5.7% | 4.8–6.6 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | NE median (p10–p90) |
|---|---|---|---|
| Poverty rate | 1.9% | 10.6% (3.1–25.8%) n=32,364 | 8.0% (2.6–16.7%) n=578 |
| Uninsured 18–64 | 9.8% | 9.0% (1.5–24.3%) n=32,286 | 8.4% (1.6–20.4%) n=579 |
| No HS diploma (25+) | 1.5% | 7.9% (1.8–20.7%) n=32,505 | 5.2% (1.5–11.9%) n=578 |
| Bachelor's or higher (25+) | 26.5% | 23.3% (9.2–53.6%) n=32,505 | 24.4% (12.1–39.7%) n=578 |
| Unemployment rate (16+) | 5.7% | 3.9% (0.0–9.8%) n=32,274 | 1.4% (0.0–5.8%) n=579 |
| Households without a vehicle | 0.8% | 3.9% (0.0–12.5%) n=32,322 | 2.1% (0.0–7.6%) n=578 |
| Broadband subscription | 89.0% | 89.3% (75.1–97.1%) n=32,322 | 87.6% (75.9–96.3%) n=578 |
| Housing cost burden (≥30% income) | 11.4% | 23.7% (10.6–40.0%) n=32,322 | 18.5% (7.6–30.4%) n=578 |
| Homeownership rate | 88.3% | 78.7% (51.7–94.0%) n=32,322 | 80.5% (61.0–93.2%) n=578 |
| Crowded housing (>1 per room) | 1.9% | 1.3% (0.0–6.3%) n=32,322 | 0.7% (0.0–4.6%) n=578 |
| Foreign-born population | 2.0% | 2.6% (0.0–18.6%) n=32,553 | 1.1% (0.0–8.3%) n=579 |
| Single-parent households | 65.5% | 53.6% (37.3–74.1%) n=32,087 | 57.2% (42.6–77.1%) n=577 |
| Population 65+ | 27.0% | 19.4% (10.8–33.6%) n=32,553 | 21.2% (11.4–34.7%) n=579 |
| Median age | 49.5 yr | 42.2 yr (33.0–56.3) n=32,292 | 42.3 yr (33.0–56.3) n=577 |
| Median household income | $70,000 | $72,070 ($46,039–$118,707) n=30,318 | $73,386 ($53,469–$103,625) n=556 |
| Median home value | $146,500 | $222,200 ($100,300–$579,820) n=30,049 | $168,400 ($90,000–$306,740) n=533 |
| Median gross rent | $630 | $1,021 ($677–$1,912) n=25,670 | $850 ($610–$1,250) n=442 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | NE median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 79.5 yr ± 1.41 | 78.9 yr (74.7–82.8) n=31,308 | 80.1 yr (77.4–83.0) n=553 |
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 1.41 years of 79.5, 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