ZIP code
98591
in Toledo, WashingtonPopulation 3,965
48.02/ 100
Ranked #18,905 of 32,066 US ZIPs (bottom 41%)
Ranked #457 of 581 Washington ZIPs (bottom 21%)
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.
Mammography
66.7%
in the bottom 5.0% nationally
Higher is healthier
ST10thUS5thDefinition & source ›
The estimated share of women aged 50–74 who had a mammogram within the past two years.
Full methodology ›Distance to a nursing home
14.8 mi
in the top 5.6% nationally
Lower is healthier
ST84thUS94thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare- or Medicaid-certified nursing home.
Full methodology ›Distance to a hazardous-chemical facility
14.8 mi
in the top 8.2% nationally
Higher is healthier
ST90thUS92ndDefinition & 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 ›Fiber broadband
96.3%
in the top 9.0% nationally
Higher is healthier
ST99thUS91stDefinition & source ›
The share of homes where fiber-optic internet service is available.
Full methodology ›Distance to an emergency room
16 mi
in the top 9.6% nationally
Lower is healthier
ST91stUS90thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare-certified hospital with an emergency room.
Full methodology ›The read
By the composite health measure, Toledo, Washington (ZIP 98591) ranks in the bottom 41% nationally (18,905th) and the bottom 21% of Washington (457th), based on limited data; treat as directional.
The picture here is genuinely mixed, with readings on both sides: distance to a hazardous-chemical facility settles in the top 8.2% nationally, and fiber broadband resides in the top 9.0% nationally. Modeled humid heat registers in the bottom 11.1% nationally. Distance to a community health center rests at the national minimum, shared with about 23% of ZIPs. Home broadband subscription stands in the top 16% nationally. On the other side, modeled mammography lies in the bottom 5.0% nationally, distance to a nursing home lands in the top 5.6% nationally, and distance to an emergency room sits in the top 9.6% nationally. Crowded housing is in the top 14.0% nationally, and modeled pfas settles in the top 16% nationally.
To spell things out, 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. Pfas is the man-made "forever chemicals" that build up in the body and environment instead of breaking down; here a modeled estimate of the chance a private well contains them. Humid heat is a modeled heat-stress measure combining temperature, humidity, sun, and wind to gauge heat on the body outdoors. Close by, ZIP 98593, just across the boundary, ranks healthier 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
Social Need / SDOH
healthier than 65%
16%
Environmental Hazard
healthier than 91%
14%
Risk Behavior
healthier than 66%
11%
Climate / Disaster RiskPartial
healthier than 99%
5%
Holding it back
Chronic Disease Burden
healthier than 31%
21%
Preventive Care
healthier than 17%
13%
Mental Health
healthier than 22%
8%
Disability
healthier than 39%
7%
Healthcare Access
healthier than 29%
5%
Lifting this score
Environmental Hazard
healthier than 80%
14%
Climate / Disaster RiskPartial
healthier than 96%
5%
Holding it back
Chronic Disease Burden
healthier than 11%
21%
Social Need / SDOH
healthier than 23%
16%
Preventive Care
healthier than 28%
13%
Risk Behavior
healthier than 16%
11%
Mental Health
healthier than 30%
8%
Disability
healthier than 18%
7%
Healthcare Access
healthier than 25%
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
98542
Washingtonshares a border
Score 44.24
Closest healthier
98593
Washingtonshares a border
Score 50.23
Similar health profile
98237
Washington97% similar profile
Score 49.14
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 | 33.3% | 30.3–36.4 |
| High blood pressure among adults | 38.1% | 34.8–41.6 |
| Cancer (non-skin) or melanoma among adults | 10.6% | 9.7–11.6 |
| Current asthma among adults | 11.7% | 10.4–13.0 |
| Coronary heart disease among adults | 7.8% | 7.0–8.7 |
| Chronic obstructive pulmonary disease among adults | 8.1% | 7.2–9.1 |
| Depression among adults | 26.8% | 23.6–30.2 |
| Diagnosed diabetes among adults | 12.8% | 11.2–14.6 |
| High cholesterol among adults who have ever been screened | 40.5% | 36.9–44.2 |
| Obesity among adults | 38.6% | 33.5–44.1 |
| Stroke among adults | 4.3% | 3.9–4.7 |
| All teeth lost among adults aged >=65 years | 14.2% | 11.7–17.0 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 8.0% | 6.6–9.4 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 76.1% | 73.2–78.8 |
| Visits to doctor for routine checkup within the past year among adults | 70.1% | 66.5–73.6 |
| Cholesterol screening among adults | 84.1% | 82.2–85.8 |
| Colorectal cancer screening among adults aged 45–75 years | 66.8% | 62.6–70.9 |
| Visited dentist or dental clinic in the past year among adults | 60.2% | 56.9–63.5 |
| Mammography use among women aged 50-74 years | 66.7% | 59.6–73.3 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 15.4% | 12.9–18.1 |
| Current cigarette smoking among adults | 14.5% | 12.5–16.6 |
| No leisure-time physical activity among adults | 22.2% | 19.1–25.7 |
| Short sleep duration among adults | 36.2% | 31.7–41.0 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 20.7% | 18.3–23.3 |
| Frequent mental distress among adults | 17.7% | 15.9–19.7 |
| Frequent physical distress among adults | 16.6% | 14.8–18.6 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 15.7% | 14.1–17.6 |
| Any disability among adults | 34.1% | 30.5–38.1 |
| Hearing disability among adults | 9.4% | 8.5–10.5 |
| Independent living disability among adults | 9.0% | 8.1–10.1 |
| Mobility disability among adults | 15.9% | 14.0–17.9 |
| Self-care disability among adults | 4.4% | 3.9–4.8 |
| Vision disability among adults | 5.2% | 4.7–5.8 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | WA median (p10–p90) |
|---|---|---|---|
| Poverty rate | 6.9% | 10.6% (3.1–25.8%) n=32,364 | 9.6% (3.5–22.3%) n=583 |
| Uninsured 18–64 | 4.6% | 9.0% (1.5–24.3%) n=32,286 | 8.2% (1.8–22.7%) n=582 |
| No HS diploma (25+) | 8.8% | 7.9% (1.8–20.7%) n=32,505 | 7.0% (1.5–16.5%) n=588 |
| Bachelor's or higher (25+) | 22.8% | 23.3% (9.2–53.6%) n=32,505 | 27.4% (12.3–59.7%) n=588 |
| Unemployment rate (16+) | 4.0% | 3.9% (0.0–9.8%) n=32,274 | 4.5% (0.0–9.7%) n=584 |
| Households without a vehicle | 1.3% | 3.9% (0.0–12.5%) n=32,322 | 3.7% (0.0–10.2%) n=580 |
| Broadband subscription | 95.7% | 89.3% (75.1–97.1%) n=32,322 | 92.7% (81.1–97.4%) n=580 |
| Housing cost burden (≥30% income) | 24.2% | 23.7% (10.6–40.0%) n=32,322 | 28.9% (14.6–40.6%) n=580 |
| Homeownership rate | 86.0% | 78.7% (51.7–94.0%) n=32,322 | 75.2% (48.2–91.7%) n=580 |
| Crowded housing (>1 per room) | 5.0% | 1.3% (0.0–6.3%) n=32,322 | 2.6% (0.0–7.9%) n=580 |
| Foreign-born population | 2.7% | 2.6% (0.0–18.6%) n=32,553 | 6.7% (0.3–27.6%) n=588 |
| Single-parent households | 62.1% | 53.6% (37.3–74.1%) n=32,087 | 54.3% (40.5–76.0%) n=574 |
| Population 65+ | 23.1% | 19.4% (10.8–33.6%) n=32,553 | 18.9% (10.3–36.9%) n=588 |
| Median age | 48.6 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.0 yr (32.9–58.8) n=584 |
| Median household income | $78,952 | $72,070 ($46,039–$118,707) n=30,318 | $84,646 ($56,217–$132,145) n=547 |
| Median home value | $471,100 | $222,200 ($100,300–$579,820) n=30,049 | $452,750 ($241,540–$826,380) n=542 |
| Median gross rent | $684 | $1,021 ($677–$1,912) n=25,670 | $1,416 ($840–$2,197) n=476 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | WA median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 78.2 yr ± 0.98 | 78.9 yr (74.7–82.8) n=31,308 | 80.2 yr (77.3–83.1) n=584 |
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 0.98 years of 78.2, 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