ZIP code
99018
in Latah, WashingtonPopulation 272
51.42/ 100
Ranked #14,252 of 32,066 US ZIPs (top 44%)
Ranked #365 of 581 Washington ZIPs (bottom 37%)
Ranked #28 of 57 Spokane-Spokane Valley, WA ZIPs (top 49%)
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.
Distance to a nursing home
20.5 mi
in the top 3.2% nationally
Lower is healthier
ST91stUS97thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare- or Medicaid-certified nursing home.
Full methodology ›Fine-particle (PM2.5) exceedance
2.2%
in the top 4.0% nationally
Lower is healthier
ST82ndUS96thDefinition & source ›
The share of days in the year when modeled fine-particle (PM2.5) pollution was above the EPA’s daily limit of 35 micrograms per cubic meter.
Full methodology ›Poverty rate
36%
in the top 4.1% nationally
Lower is healthier
ST98thUS96thDefinition & source ›
The share of residents whose income is below the federal poverty line, from the Census Bureau’s American Community Survey.
Full methodology ›Distance to an emergency room
22.2 mi
in the top 4.2% nationally
Lower is healthier
ST95thUS96thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare-certified hospital with an emergency room.
Full methodology ›Natural-disaster risk
in the bottom 6.2% nationally
Lower is healthier
ST1stUS6thDefinition & source ›
This area’s national rank on its single highest non-flood natural hazard — such as wildfire, tornado, or earthquake — in FEMA’s modeled National Risk Index; flooding is shown separately.
Full methodology ›Humid extreme heat
10.2 days/year
in the bottom 7.3% nationally
Lower is healthier
ST49thUS7thDefinition & source ›
The average number of days per year when modeled heat stress — temperature, humidity, sun, and wind combined — reaches levels hard on the body outdoors.
Full methodology ›PFAS in drinking water
9.6%
in the bottom 8.2% nationally
Lower is healthier
ST15thUS8thDefinition & source ›
The modeled probability that PFAS “forever chemicals” would be detected in untreated groundwater in this area, the source private wells draw on.
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 ›Crowded housing
7.0%
in the top 8.6% nationally
Lower is healthier
ST88thUS91stDefinition & source ›
The share of occupied homes with more than one person per room, the Census definition of crowded housing.
Full methodology ›Expected annual disaster loss
$0
in the bottom 12.3% nationally
Lower is healthier
ST9thUS12thDefinition & source ›
FEMA’s modeled estimate, in dollars per year, of the average harm to people expected from natural hazards — an annualized average, not a forecast for any single year.
Full methodology ›Median household income
$52,813
in the bottom 18% nationally
Higher is healthier
ST8thUS18thDefinition & source ›
The middle household income in this ZIP — half of households earn more, half earn less — in dollars per year.
Full methodology ›The read
Latah, Washington (ZIP 99018), by its composite score, sits in the top 44% healthiest ZIPs nationally (14,252nd) and the bottom 37% of Washington (365th).
Where the data is kindest to this area, a few readings lead the way: modeled disaster risk sits in the bottom 6.2% nationally, and humid heat lies in the bottom 7.3% nationally. Modeled pfas rests in the bottom 8.2% nationally. Modeled loud transportation noise resides at the national minimum, shared with about 22% of ZIPs. Floodplain exposure is in the bottom 11.8% nationally. On the other hand, distance to a nursing home lands in the top 3.2% nationally, modeled fine-particle stands in the top 4.0% nationally, and poverty registers in the top 4.1% nationally. Distance to an emergency room settles in the top 4.2% nationally, and crowded housing sits in the top 8.6% nationally.
For anyone unfamiliar, fine-particle is fine airborne particles about one-thirtieth the width of a hair, counted on modeled days above the EPA standard. Disaster risk is the area's national rank on its highest non-flood peril in FEMA's modeled Risk Index, like wildfire or quake. 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. For a healthier comparison close by, see ZIP 99012, 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. Compare it against the US, this state and the Spokane-Spokane Valley, WA metro area.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Risk Behavior
healthier than 85%
11%
Climate / Disaster Risk
healthier than 97%
5%
About typical
Chronic Disease Burden
healthier than 47%
21%
Preventive Care
healthier than 58%
13%
Disability
healthier than 54%
7%
Holding it back
Social Need / SDOH
healthier than 32%
16%
Environmental Hazard
healthier than 40%
14%
Mental Health
healthier than 25%
8%
Healthcare Access
healthier than 9%
5%
Lifting this score
Preventive Care
healthier than 84%
13%
Climate / Disaster Risk
healthier than 83%
5%
About typical
Environmental Hazard
healthier than 41%
14%
Risk Behavior
healthier than 53%
11%
Holding it back
Chronic Disease Burden
healthier than 23%
21%
Social Need / SDOH
healthier than 5%
16%
Mental Health
healthier than 35%
8%
Disability
healthier than 29%
7%
Healthcare Access
healthier than 10%
5%
Lifting this score
Environmental Hazard
in the top 0.00%
14%
Preventive Care
healthier than 78%
13%
Risk Behavior
healthier than 69%
11%
Climate / Disaster Risk
in the top 0.00%
5%
About typical
Mental Health
healthier than 41%
8%
Holding it back
Chronic Disease Burden
healthier than 6%
21%
Social Need / SDOH
in the bottom 0.00%
16%
Disability
healthier than 22%
7%
Healthcare Access
healthier than 3%
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
99012
Washingtonshares a border
Score 51.89
Closest healthier
99158
Washingtonshares a border
Score 57.32
Similar health profile
99009
Washington97% similar profile
Score 50.79
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 | 31.2% | 28.8–33.6 |
| High blood pressure among adults | 35.2% | 32.7–37.8 |
| Cancer (non-skin) or melanoma among adults | 10.1% | 9.2–11.1 |
| Current asthma among adults | 12.1% | 10.9–13.4 |
| Coronary heart disease among adults | 7.4% | 6.5–8.3 |
| Chronic obstructive pulmonary disease among adults | 7.3% | 6.1–8.5 |
| Depression among adults | 26.8% | 24.4–29.4 |
| Diagnosed diabetes among adults | 12.0% | 10.5–13.5 |
| High cholesterol among adults who have ever been screened | 38.4% | 35.9–41.0 |
| Obesity among adults | 35.6% | 32.1–39.4 |
| Stroke among adults | 3.8% | 3.4–4.3 |
| All teeth lost among adults aged >=65 years | 10.7% | 9.0–12.6 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 6.8% | 5.4–8.6 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 74.1% | 71.6–76.6 |
| Visits to doctor for routine checkup within the past year among adults | 75.7% | 73.4–78.1 |
| Cholesterol screening among adults | 86.0% | 84.1–87.7 |
| Colorectal cancer screening among adults aged 45–75 years | 71.2% | 68.2–74.0 |
| Visited dentist or dental clinic in the past year among adults | 66.5% | 63.9–68.9 |
| Mammography use among women aged 50-74 years | 76.7% | 71.8–81.0 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 15.4% | 13.7–17.4 |
| Current cigarette smoking among adults | 12.6% | 10.4–14.8 |
| No leisure-time physical activity among adults | 20.4% | 17.4–23.4 |
| Short sleep duration among adults | 31.7% | 28.6–34.7 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 19.1% | 16.5–21.7 |
| Frequent mental distress among adults | 17.2% | 15.3–19.1 |
| Frequent physical distress among adults | 14.6% | 12.9–16.4 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 14.7% | 12.8–16.7 |
| Any disability among adults | 30.9% | 27.7–34.3 |
| Hearing disability among adults | 8.4% | 7.5–9.4 |
| Independent living disability among adults | 8.2% | 7.1–9.4 |
| Mobility disability among adults | 14.0% | 12.0–16.1 |
| Self-care disability among adults | 3.9% | 3.4–4.5 |
| Vision disability among adults | 4.6% | 4.0–5.3 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | WA median (p10–p90) |
|---|---|---|---|
| Poverty rate | 36.0% | 10.6% (3.1–25.8%) n=32,364 | 9.6% (3.5–22.3%) n=583 |
| Uninsured 18–64 | 15.7% | 9.0% (1.5–24.3%) n=32,286 | 8.2% (1.8–22.7%) n=582 |
| No HS diploma (25+) | 2.7% | 7.9% (1.8–20.7%) n=32,505 | 7.0% (1.5–16.5%) n=588 |
| Bachelor's or higher (25+) | 25.0% | 23.3% (9.2–53.6%) n=32,505 | 27.4% (12.3–59.7%) n=588 |
| Unemployment rate (16+) | 1.9% | 3.9% (0.0–9.8%) n=32,274 | 4.5% (0.0–9.7%) n=584 |
| Households without a vehicle | 5.2% | 3.9% (0.0–12.5%) n=32,322 | 3.7% (0.0–10.2%) n=580 |
| Broadband subscription | 84.3% | 89.3% (75.1–97.1%) n=32,322 | 92.7% (81.1–97.4%) n=580 |
| Housing cost burden (≥30% income) | 37.4% | 23.7% (10.6–40.0%) n=32,322 | 28.9% (14.6–40.6%) n=580 |
| Homeownership rate | 75.7% | 78.7% (51.7–94.0%) n=32,322 | 75.2% (48.2–91.7%) n=580 |
| Crowded housing (>1 per room) | 7.0% | 1.3% (0.0–6.3%) n=32,322 | 2.6% (0.0–7.9%) n=580 |
| Foreign-born population | 0.0% | 2.6% (0.0–18.6%) n=32,553 | 6.7% (0.3–27.6%) n=588 |
| Single-parent households | 62.5% | 53.6% (37.3–74.1%) n=32,087 | 54.3% (40.5–76.0%) n=574 |
| Population 65+ | 18.8% | 19.4% (10.8–33.6%) n=32,553 | 18.9% (10.3–36.9%) n=588 |
| Median age | 46.7 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.0 yr (32.9–58.8) n=584 |
| Median household income | $52,813 | $72,070 ($46,039–$118,707) n=30,318 | $84,646 ($56,217–$132,145) n=547 |
| Median home value | $210,700 | $222,200 ($100,300–$579,820) n=30,049 | $452,750 ($241,540–$826,380) n=542 |
| Median gross rent | — | $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 | 81.5 yr ± 1.48 | 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 1.48 years of 81.5, 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