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ZipVitals

ZIP code

69033

in Imperial, NebraskaPopulation 2,610

53.19/ 100

Ranked #11,792 of 32,066 US ZIPs (top 37%)

Ranked #330 of 566 Nebraska ZIPs (bottom 42%)

Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.

Robust across all 9 health domains

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.

Distance to a community health center

65.4 mi

in the top 0.4% nationally

Lower is healthier

ST96th
US99th
Definition & 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 ›

Child-care access

1.6 per 1,000 residents

in the top 0.7% nationally

Higher is healthier

ST97th
US99th
Definition & 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 ›

Elder-services access

0.39 per 1,000 residents

in the top 3.4% nationally

Higher is healthier

ST84th
US97th
Definition & 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 ›

Nitrate in drinking water

7.4%

in the top 3.5% nationally

Lower is healthier

ST92nd
US97th
Definition & 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 ›

Recreation access

1.2 per 1,000 residents

in the top 6.4% nationally

Higher is healthier

ST95th
US94th
Definition & source ›

The number of places for physical recreation — gyms, sports, and fitness venues — 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

0.39 per 1,000 residents

in the top 8.7% nationally

Higher is healthier

ST83rd
US91st
Definition & 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 ›

Industrial-pollution burden

in the bottom 8.8% nationally

Lower is healthier

ST6th
US9th
Definition & source ›

The EPA’s modeled screening score for industrial chemical releases, weighting the amounts released by their toxicity and how many people live nearby — a relative comparison score, not a measured exposure.

Full methodology ›

Tree cover

0.00%

in the bottom 10.3% nationally

Higher is healthier

ST7th
US10th
Definition & source ›

The share of this ZIP’s land area covered by forest.

Full methodology ›

Energy-cost burden

5.1%

in the top 8.7% nationally

Lower is healthier

ST79th
US91st
Definition & 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 ›

Dry extreme heat

38.3 days/year

in the top 12.3% nationally

Lower is healthier

ST95th
US88th
Definition & source ›

The average number of days per year with a modeled daily high of at least 95 °F.

Full methodology ›

The read

In its overall standing, Imperial, Nebraska (ZIP 69033) lands in the top 37% healthiest ZIPs nationally (11,792nd) and the bottom 42% of Nebraska (330th).

continue reading

Taken together, the data gives a genuinely mixed reading: childcare stands in the top 0.7% nationally, and elder services rests in the top 3.4% nationally. Distance to an emergency room registers at the national minimum, shared with about 11% of ZIPs. Recreation resides in the top 6.4% nationally, and pharmacy settles in the top 8.7% nationally. Modeled industrial-pollution burden is in the bottom 8.8% nationally, and short sleep sits in the bottom 10.5% nationally. On the other side, distance to a community health center lands in the top 0.4% nationally, and modeled nitrate lies in the top 3.5% nationally. Modeled tree cover stands in the bottom 10.3% nationally.

Put simply, nitrate is a groundwater compound from fertilizer, manure, and sewage, here a modeled estimate of the chance private-well levels exceed a benchmark. Industrial-pollution burden is the EPA's modeled screening score weighting industrial chemical releases by their toxicity and how many people live nearby. Distance to a community health center is a federally funded (HRSA) community health center serving everyone regardless of ability to pay. On the overall standing, ZIP 69023, just across the boundary, ranks healthier.

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.

Compare within

Lifting this score

Environmental Hazard

healthier than 68%

14%

Mental Health

healthier than 96%

8%

About typical

Chronic Disease Burden

healthier than 54%

21%

Social Need / SDOH

healthier than 42%

16%

Risk Behavior

healthier than 51%

11%

Disability

healthier than 50%

7%

Climate / Disaster Risk

healthier than 55%

5%

Holding it back

Preventive Care

healthier than 37%

13%

Healthcare Access

healthier than 3%

5%

Lifting this score

Environmental Hazard

healthier than 96%

14%

Mental Health

healthier than 70%

8%

Climate / Disaster Risk

healthier than 93%

5%

Holding it back

Chronic Disease Burden

healthier than 37%

21%

Social Need / SDOH

healthier than 31%

16%

Preventive Care

healthier than 21%

13%

Risk Behavior

healthier than 38%

11%

Disability

healthier than 22%

7%

Healthcare Access

healthier than 21%

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.

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
MeasureCrude prevalence95% CI
Arthritis among adults28.5%25.2–32.0
High blood pressure among adults36.3%32.2–40.5
Cancer (non-skin) or melanoma among adults10.2%9.2–11.3
Current asthma among adults9.3%8.2–10.5
Coronary heart disease among adults7.9%6.9–9.1
Chronic obstructive pulmonary disease among adults7.7%6.4–9.2
Depression among adults16.6%13.9–19.6
Diagnosed diabetes among adults12.5%10.7–14.5
High cholesterol among adults who have ever been screened36.1%31.9–40.5
Obesity among adults37.3%30.1–44.6
Stroke among adults4.0%3.5–4.6
All teeth lost among adults aged >=65 years15.7%12.9–18.6
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years11.4%9.3–13.8
Taking medicine to control high blood pressure among adults with high blood pressure81.1%78.3–83.6
Visits to doctor for routine checkup within the past year among adults76.3%72.6–79.8
Cholesterol screening among adults85.0%83.0–86.9
Colorectal cancer screening among adults aged 45–75 years59.6%54.4–64.5
Visited dentist or dental clinic in the past year among adults63.3%59.9–66.6
Mammography use among women aged 50-74 years77.3%70.1–83.5
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults18.3%15.3–21.7
Current cigarette smoking among adults14.1%11.5–16.9
No leisure-time physical activity among adults30.2%25.1–35.7
Short sleep duration among adults30.2%24.5–36.1
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults18.1%15.2–21.5
Frequent mental distress among adults13.4%11.7–15.3
Frequent physical distress among adults13.3%11.4–15.5
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults12.4%10.6–14.5
Any disability among adults31.3%27.0–36.2
Hearing disability among adults9.7%8.5–11.1
Independent living disability among adults8.0%6.7–9.4
Mobility disability among adults15.3%12.8–18.2
Self-care disability among adults4.0%3.4–4.7
Vision disability among adults5.3%4.6–6.2
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults20.1%16.7–23.8
Food insecurity in the past 12 months among adults13.0%10.4–15.9
Received food stamps in the past 12 months among adults9.1%7.2–11.2
Housing insecurity in the past 12 months among adults9.6%7.9–11.6
Lack of reliable transportation in the past 12 months among adults6.8%5.7–8.0
Loneliness among adults29.1%24.1–34.3
Utility services shut-off threat in the past 12 months among adults6.5%5.5–7.7
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)NE median (p10–p90)
Poverty rate6.4%10.6% (3.1–25.8%) n=32,3648.0% (2.6–16.7%) n=578
Uninsured 18–6418.6%9.0% (1.5–24.3%) n=32,2868.4% (1.6–20.4%) n=579
No HS diploma (25+)14.4%7.9% (1.8–20.7%) n=32,5055.2% (1.5–11.9%) n=578
Bachelor's or higher (25+)24.2%23.3% (9.2–53.6%) n=32,50524.4% (12.1–39.7%) n=578
Unemployment rate (16+)1.5%3.9% (0.0–9.8%) n=32,2741.4% (0.0–5.8%) n=579
Households without a vehicle1.4%3.9% (0.0–12.5%) n=32,3222.1% (0.0–7.6%) n=578
Broadband subscription87.9%89.3% (75.1–97.1%) n=32,32287.6% (75.9–96.3%) n=578
Housing cost burden (≥30% income)23.1%23.7% (10.6–40.0%) n=32,32218.5% (7.6–30.4%) n=578
Homeownership rate80.9%78.7% (51.7–94.0%) n=32,32280.5% (61.0–93.2%) n=578
Crowded housing (>1 per room)0.0%1.3% (0.0–6.3%) n=32,3220.7% (0.0–4.6%) n=578
Foreign-born population7.0%2.6% (0.0–18.6%) n=32,5531.1% (0.0–8.3%) n=579
Single-parent households61.9%53.6% (37.3–74.1%) n=32,08757.2% (42.6–77.1%) n=577
Population 65+22.5%19.4% (10.8–33.6%) n=32,55321.2% (11.4–34.7%) n=579
Median age45.4 yr42.2 yr (33.0–56.3) n=32,29242.3 yr (33.0–56.3) n=577
Median household income$67,135$72,070 ($46,039–$118,707) n=30,318$73,386 ($53,469–$103,625) n=556
Median home value$171,300$222,200 ($100,300–$579,820) n=30,049$168,400 ($90,000–$306,740) n=533
Median gross rent$926$1,021 ($677–$1,912) n=25,670$850 ($610–$1,250) n=442
Life expectancyNCHS / RWJF USALEEP · model-based
MeasureValueUS median (p10–p90)NE median (p10–p90)
Life expectancy at birth78.5 yr ± 1.2578.9 yr (74.7–82.8) n=31,30880.1 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 1.25 years of 78.5, and it’s very unlikely to be off by more than twice that.

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