ZIP code
99103
in Almira, WashingtonPopulation 556
51.47/ 100
Ranked #14,174 of 32,066 US ZIPs (top 44%)
Ranked #362 of 581 Washington ZIPs (bottom 38%)
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.
Fine-particle (PM2.5) exceedance
2.5%
in the top 3.4% nationally
Lower is healthier
ST90thUS97thDefinition & 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 ›Distance to a nursing home
14.5 mi
in the top 5.8% 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 ›Humid extreme heat
9.1 days/year
in the bottom 6.2% nationally
Lower is healthier
ST41stUS6thDefinition & 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 ›Walkability
1.9 intersections/sq mi
in the bottom 6.7% nationally
Higher is healthier
ST13thUS7thDefinition & source ›
The number of street intersections per square mile — a standard street-connectivity measure; denser networks correlate with more walkable neighborhoods.
Full methodology ›Nitrate in drinking water
0.19%
in the top 7.9% nationally
Lower is healthier
ST91stUS92ndDefinition & 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 ›Median household income
$53,125
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
Almira, Washington (ZIP 99103), by its composite score, sits in the top 44% healthiest ZIPs nationally (14,174th) and the bottom 38% of Washington (362nd), based on limited data; treat as directional.
The clearest bright points in the data come first here: modeled humid heat rests in the bottom 6.2% nationally, and industrial-pollution burden resides in the bottom 12.2% nationally. Modeled transportation noise is in the bottom 13.3% nationally. By contrast, modeled fine-particle lands in the top 3.4% nationally, distance to a nursing home stands in the top 5.8% nationally, and walkability registers in the bottom 6.7% nationally. Modeled nitrate settles in the top 7.9% nationally, mammography sits in the bottom 10.1% nationally, and arsenic lies in the top 12.5% nationally. Distance to a community health center rests in the top 13.6% 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. 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. For a healthier comparison close by, see ZIP 98832, 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.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Risk Behavior
healthier than 78%
11%
Climate / Disaster RiskPartial
healthier than 96%
5%
About typical
Chronic Disease Burden
healthier than 51%
21%
Social Need / SDOH
healthier than 53%
16%
Environmental Hazard
healthier than 40%
14%
Mental Health
healthier than 43%
8%
Disability
healthier than 52%
7%
Holding it back
Preventive Care
healthier than 30%
13%
Healthcare Access
healthier than 9%
5%
Lifting this score
Mental Health
healthier than 64%
8%
Climate / Disaster RiskPartial
healthier than 81%
5%
About typical
Environmental Hazard
healthier than 41%
14%
Preventive Care
healthier than 53%
13%
Holding it back
Chronic Disease Burden
healthier than 25%
21%
Social Need / SDOH
healthier than 15%
16%
Risk Behavior
healthier than 35%
11%
Disability
healthier than 28%
7%
Healthcare Access
healthier than 10%
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
98832
Washingtonshares a border
Score 54.56
Closest healthier
98860
Washingtonabout 1.0 mi away
Score 52.73
Similar health profile
84064
Utah94% similar profile
Score 54.06
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 | 31.4% | 28.5–34.4 |
| High blood pressure among adults | 35.2% | 31.7–38.6 |
| Cancer (non-skin) or melanoma among adults | 10.2% | 9.3–11.1 |
| Current asthma among adults | 11.4% | 10.2–12.7 |
| Coronary heart disease among adults | 7.5% | 6.6–8.4 |
| Chronic obstructive pulmonary disease among adults | 7.2% | 6.2–8.3 |
| Depression among adults | 24.1% | 21.1–27.4 |
| Diagnosed diabetes among adults | 11.0% | 9.6–12.6 |
| High cholesterol among adults who have ever been screened | 37.6% | 34.2–41.0 |
| Obesity among adults | 38.5% | 32.9–44.2 |
| Stroke among adults | 3.8% | 3.4–4.3 |
| All teeth lost among adults aged >=65 years | 8.2% | 6.8–9.7 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 7.3% | 5.9–8.9 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 74.3% | 71.2–77.0 |
| Visits to doctor for routine checkup within the past year among adults | 73.6% | 70.0–76.8 |
| Cholesterol screening among adults | 84.7% | 82.7–86.6 |
| Colorectal cancer screening among adults aged 45–75 years | 69.4% | 65.3–73.2 |
| Visited dentist or dental clinic in the past year among adults | 65.7% | 62.7–68.6 |
| Mammography use among women aged 50-74 years | 68.9% | 62.0–75.1 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 17.5% | 14.8–20.3 |
| Current cigarette smoking among adults | 12.8% | 10.6–15.0 |
| No leisure-time physical activity among adults | 20.4% | 17.1–24.0 |
| Short sleep duration among adults | 31.1% | 26.8–35.6 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 18.6% | 16.2–21.4 |
| Frequent mental distress among adults | 16.9% | 15.0–18.9 |
| Frequent physical distress among adults | 14.6% | 12.8–16.5 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 15.0% | 13.1–17.0 |
| Any disability among adults | 33.0% | 29.1–37.2 |
| Hearing disability among adults | 8.6% | 7.7–9.7 |
| Independent living disability among adults | 8.2% | 7.2–9.3 |
| Mobility disability among adults | 14.6% | 12.6–16.8 |
| Self-care disability among adults | 3.9% | 3.5–4.5 |
| Vision disability among adults | 4.6% | 4.1–5.2 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | WA median (p10–p90) |
|---|---|---|---|
| Poverty rate | 14.4% | 10.6% (3.1–25.8%) n=32,364 | 9.6% (3.5–22.3%) n=583 |
| Uninsured 18–64 | 0.3% | 9.0% (1.5–24.3%) n=32,286 | 8.2% (1.8–22.7%) n=582 |
| No HS diploma (25+) | 6.6% | 7.9% (1.8–20.7%) n=32,505 | 7.0% (1.5–16.5%) n=588 |
| Bachelor's or higher (25+) | 22.6% | 23.3% (9.2–53.6%) n=32,505 | 27.4% (12.3–59.7%) n=588 |
| Unemployment rate (16+) | 0.4% | 3.9% (0.0–9.8%) n=32,274 | 4.5% (0.0–9.7%) n=584 |
| Households without a vehicle | 3.6% | 3.9% (0.0–12.5%) n=32,322 | 3.7% (0.0–10.2%) n=580 |
| Broadband subscription | 84.4% | 89.3% (75.1–97.1%) n=32,322 | 92.7% (81.1–97.4%) n=580 |
| Housing cost burden (≥30% income) | 27.2% | 23.7% (10.6–40.0%) n=32,322 | 28.9% (14.6–40.6%) n=580 |
| Homeownership rate | 75.0% | 78.7% (51.7–94.0%) n=32,322 | 75.2% (48.2–91.7%) n=580 |
| Crowded housing (>1 per room) | 3.6% | 1.3% (0.0–6.3%) n=32,322 | 2.6% (0.0–7.9%) n=580 |
| Foreign-born population | 1.6% | 2.6% (0.0–18.6%) n=32,553 | 6.7% (0.3–27.6%) n=588 |
| Single-parent households | 66.4% | 53.6% (37.3–74.1%) n=32,087 | 54.3% (40.5–76.0%) n=574 |
| Population 65+ | 21.6% | 19.4% (10.8–33.6%) n=32,553 | 18.9% (10.3–36.9%) n=588 |
| Median age | 42.4 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.0 yr (32.9–58.8) n=584 |
| Median household income | $53,125 | $72,070 ($46,039–$118,707) n=30,318 | $84,646 ($56,217–$132,145) n=547 |
| Median home value | $230,900 | $222,200 ($100,300–$579,820) n=30,049 | $452,750 ($241,540–$826,380) n=542 |
| Median gross rent | $957 | $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 | 82.4 yr ± 1.54 | 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 1.54 years of 82.4, 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