ZIP code
99034
in Tumtum, WashingtonPopulation 198
45.24/ 100
Ranked #22,152 of 32,066 US ZIPs (bottom 31%)
Ranked #511 of 581 Washington ZIPs (bottom 12.1%)
Ranked #45 of 57 Spokane-Spokane Valley, WA 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.
Home broadband subscription
44.5%
in the bottom 1.1% nationally
Higher is healthier
ST1stUS1stDefinition & source ›
The share of households with a broadband internet subscription.
Full methodology ›Housing-cost burden
55.5%
in the top 1.8% nationally
Lower is healthier
ST98thUS98thDefinition & source ›
The share of households spending 30% or more of their income on housing.
Full methodology ›Homeownership rate
22.7%
in the bottom 2.2% nationally
Higher is healthier
ST3rdUS2ndDefinition & source ›
The share of occupied homes that are owned, rather than rented, by the people living in them.
Full methodology ›Poverty rate
41.4%
in the top 2.7% nationally
Lower is healthier
ST99thUS97thDefinition & source ›
The share of residents whose income is below the federal poverty line, from the Census Bureau’s American Community Survey.
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 ›PFAS in drinking water
100%
at the national maximum
Lower is healthier
ST99thUS99thDefinition & source ›
The share of residents served by public water systems where PFAS — man-made “forever chemicals” that build up in the body and environment instead of breaking down — were detected in EPA testing.
Measured from EPA records for the public water systems that serve this ZIP. Households on private wells — roughly 30% of the US population — are not covered by this measure, and this figure says nothing about their water.
Full methodology ›Distance to a nursing home
15.4 mi
in the top 5.2% nationally
Lower is healthier
ST85thUS95thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare- or Medicaid-certified nursing home.
Full methodology ›Humid extreme heat
8 days/year
in the bottom 5.2% nationally
Lower is healthier
ST36thUS5thDefinition & 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 ›Mammography
67.2%
in the bottom 5.9% nationally
Higher is healthier
ST12thUS6thDefinition & source ›
The estimated share of women aged 50–74 who had a mammogram within the past two years.
Full methodology ›Short sleep
29.9%
in the bottom 9.2% nationally
Lower is healthier
ST29thUS9thDefinition & source ›
The estimated share of adults who usually sleep less than seven hours in a 24-hour period.
Full methodology ›The read
By the composite health measure, Tumtum, Washington (ZIP 99034) ranks in the bottom 31% nationally (22,152nd) and the bottom 12.1% of Washington (511th), based on limited data; treat as directional.
A number of measures mark where this area is under strain: home broadband subscription is in the bottom 1.1% nationally, and housing-cost burden settles in the top 1.8% nationally. Poverty resides in the top 2.7% nationally, and modeled fine-particle registers in the top 4.0% nationally. PFAS in drinking water rests at the national maximum, distance to a nursing home stands in the top 5.2% nationally, and modeled mammography lies in the bottom 5.9% nationally. On the brighter side, modeled humid heat lands in the bottom 5.2% nationally. Unemployment sits at the national minimum, shared with about 15% of ZIPs. Households without a vehicle is at the national minimum, shared with about 16% of ZIPs.
To spell things out, fine-particle is fine airborne particles about one-thirtieth the width of a hair, counted on modeled days above the EPA standard. PFAS in drinking water is the family of man-made "forever chemicals" that build up in the body and environment instead of breaking down. Humid heat is a modeled heat-stress measure combining temperature, humidity, sun, and wind to gauge heat on the body outdoors. Close by, ZIP 99006, 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. 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 80%
11%
Climate / Disaster RiskPartial
healthier than 97%
5%
About typical
Environmental Hazard
healthier than 44%
14%
Mental Health
healthier than 41%
8%
Holding it back
Chronic Disease Burden
healthier than 23%
21%
Social Need / SDOH
healthier than 15%
16%
Preventive Care
healthier than 19%
13%
Disability
healthier than 26%
7%
Healthcare Access
healthier than 13%
5%
Lifting this score
Mental Health
healthier than 62%
8%
Climate / Disaster RiskPartial
healthier than 86%
5%
About typical
Environmental Hazard
healthier than 44%
14%
Holding it back
Chronic Disease Burden
healthier than 8%
21%
Social Need / SDOH
in the bottom 0.7%
16%
Preventive Care
healthier than 34%
13%
Risk Behavior
healthier than 38%
11%
Disability
healthier than 8%
7%
Healthcare Access
healthier than 12%
5%
Lifting this score
Environmental Hazard
in the top 0.00%
14%
Mental Health
healthier than 84%
8%
Climate / Disaster RiskPartial
in the top 0.00%
5%
Holding it back
Chronic Disease Burden
in the bottom 0.00%
21%
Social Need / SDOH
in the bottom 0.00%
16%
Preventive Care
healthier than 21%
13%
Risk Behavior
healthier than 38%
11%
Disability
in the bottom 0.00%
7%
Healthcare Access
healthier than 4%
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
99006
Washingtonshares a border
Score 49.06
Closest healthier
99026
Washingtonabout 0.3 mi away
Score 55.02
Similar health profile
81424
Colorado95% similar profile
Score 44.53
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 | 35.6% | 32.3–38.8 |
| High blood pressure among adults | 39.0% | 35.4–42.4 |
| Cancer (non-skin) or melanoma among adults | 11.2% | 10.0–12.5 |
| Current asthma among adults | 12.2% | 10.7–13.6 |
| Coronary heart disease among adults | 9.5% | 8.1–11.0 |
| Chronic obstructive pulmonary disease among adults | 9.7% | 7.8–12.1 |
| Depression among adults | 24.9% | 21.7–28.0 |
| Diagnosed diabetes among adults | 13.1% | 11.1–15.2 |
| High cholesterol among adults who have ever been screened | 38.7% | 35.3–42.2 |
| Obesity among adults | 35.3% | 30.7–40.1 |
| Stroke among adults | 4.7% | 4.0–5.5 |
| All teeth lost among adults aged >=65 years | 13.7% | 11.3–16.3 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 8.5% | 6.3–11.3 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 75.0% | 71.9–77.9 |
| Visits to doctor for routine checkup within the past year among adults | 72.3% | 69.1–75.7 |
| Cholesterol screening among adults | 83.3% | 80.6–85.7 |
| Colorectal cancer screening among adults aged 45–75 years | 66.4% | 62.5–70.1 |
| Visited dentist or dental clinic in the past year among adults | 65.0% | 62.0–67.9 |
| Mammography use among women aged 50-74 years | 67.2% | 60.6–73.6 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 15.2% | 13.0–17.7 |
| Current cigarette smoking among adults | 15.8% | 12.5–19.6 |
| No leisure-time physical activity among adults | 22.4% | 18.2–27.1 |
| Short sleep duration among adults | 29.9% | 26.1–33.8 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 22.0% | 18.1–26.5 |
| Frequent mental distress among adults | 16.5% | 14.2–18.7 |
| Frequent physical distress among adults | 16.7% | 14.2–19.5 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 16.1% | 13.6–18.8 |
| Any disability among adults | 36.3% | 31.3–41.4 |
| Hearing disability among adults | 10.4% | 9.0–11.8 |
| Independent living disability among adults | 9.8% | 8.1–11.8 |
| Mobility disability among adults | 17.9% | 14.7–21.4 |
| Self-care disability among adults | 5.0% | 4.1–6.1 |
| Vision disability among adults | 5.9% | 4.9–7.1 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | WA median (p10–p90) |
|---|---|---|---|
| Poverty rate | 41.4% | 10.6% (3.1–25.8%) n=32,364 | 9.6% (3.5–22.3%) n=583 |
| Uninsured 18–64 | 0.0% | 9.0% (1.5–24.3%) n=32,286 | 8.2% (1.8–22.7%) n=582 |
| No HS diploma (25+) | 0.0% | 7.9% (1.8–20.7%) n=32,505 | 7.0% (1.5–16.5%) n=588 |
| Bachelor's or higher (25+) | 11.8% | 23.3% (9.2–53.6%) n=32,505 | 27.4% (12.3–59.7%) n=588 |
| Unemployment rate (16+) | 0.0% | 3.9% (0.0–9.8%) n=32,274 | 4.5% (0.0–9.7%) n=584 |
| Households without a vehicle | 0.0% | 3.9% (0.0–12.5%) n=32,322 | 3.7% (0.0–10.2%) n=580 |
| Broadband subscription | 44.5% | 89.3% (75.1–97.1%) n=32,322 | 92.7% (81.1–97.4%) n=580 |
| Housing cost burden (≥30% income) | 55.5% | 23.7% (10.6–40.0%) n=32,322 | 28.9% (14.6–40.6%) n=580 |
| Homeownership rate | 22.7% | 78.7% (51.7–94.0%) n=32,322 | 75.2% (48.2–91.7%) n=580 |
| Crowded housing (>1 per room) | 0.0% | 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 | 43.6% | 53.6% (37.3–74.1%) n=32,087 | 54.3% (40.5–76.0%) n=574 |
| Population 65+ | 9.1% | 19.4% (10.8–33.6%) n=32,553 | 18.9% (10.3–36.9%) n=588 |
| Median age | 33.8 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.0 yr (32.9–58.8) n=584 |
| Median household income | — | $72,070 ($46,039–$118,707) n=30,318 | $84,646 ($56,217–$132,145) n=547 |
| Median home value | — | $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 | 78.7 yr ± 1.15 | 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 1.15 years of 78.7, 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