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Main Street Horace, North Dakota on June 3, 2024Photo: Billybob2002 · CC BY 4.0
AHealth Grade
Health in Horace · CDC PLACES 2025

On CDC estimates, Horace is healthier than 93% of U.S. towns

Horace beats North Dakota on 18 of 32 measures CDC estimates, and trails on none.

Modeled estimates for adults 18+, CDC’s own estimate for Horace. How CDC estimates town health

What stands out · In brief

What stands out about health in Horace

Horace is an active town

Only 15.6% of adults get no exercise outside work, vs 21.8% across North Dakota. Habits ↓

Against towns with similar incomes, Horace’s lead shrinks

Horace is healthier than 93% of U.S. towns, but 78% of the 3,698 towns with similar household incomes ($104K–$173K). Part of its edge is what towns with its incomes tend to have. Health Grade ↓

Stroke and COPD are less common in Horace

Horace runs below North Dakota on four chronic conditions, most of all stroke (2.2% vs 3.1%), COPD (4.2% vs 5.9%) and heart disease (4.5% vs 6.1%). A young population is part of it: only 6% of residents are 65 or older (North Dakota 17%). Conditions ↓

Fewer Horace adults struggle to make ends meet

Worries about food, housing, utility bills and getting around all run below North Dakota. 1 in 14 adults worry about having enough food, vs 1 in 9 adults statewide. Everyday needs ↓

Written from the CDC, Medicare and HRSA data on this page. CDC PLACES 2025 release: modeled estimates for adults, not counts; “higher” and “lower” mean the North Dakota figure falls outside Horace’s likely range.

Health Grade

What’s behind Horace’s grade

On seven CDC estimates for adults, Horace is healthier than 93% of U.S. towns, #2 of 23 in North Dakota. All seven estimates beat the typical U.S. town. The strongest is diabetes (fewer adults with diabetes than 98% of towns); the weakest is obesity, still better than 64%.

A+Self-rated health12.2% · ND 16.1% · U.S. 19.4%
A+Physical distress9.5% · ND 11.4% · U.S. 13%
AMental distress12.9% · ND 14.2% · U.S. 15.9%
BObesity34.3% · ND 36.5% · U.S. 32.9%
A+Diabetes7.6% · ND 9.8% · U.S. 12%
A−Smoking11.2% smoke · ND 13.1% · U.S. 11.8%
A+Exercise15.6% · ND 21.8% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 93%
Less healthyHealthier
North Dakota towns we grade (23)Healthier than 93%
U.S. towns with similar incomes, $104K–$173K (3,698)Healthier than 78%

Health estimates follow income closely across the country: towns with higher household incomes usually score higher (a correlation of 0.77 across 21,157 graded towns). Horace’s median household income is $138,578; among the 3,698 U.S. towns within 25% of that ($104K–$173K), it’s healthier than 78%, about where its income would put it.

A fairly firm grade. With every estimate at the unfavorable or the favorable end of CDC’s likely range, Horace could be anywhere from A− to A+.

How TownRatings grades health →

★ What stands out · Habits

Everyday habits, side by side with North Dakota

Share of adults, with the North Dakota figure marked.

Get no exercise 15.6%ND 21.8%
Sleep under 7 hours 31.3%ND 32.7%
Binge drink 22.8%ND 21.3%
Smoke cigarettes 11.2%ND 13.1%
0%10%20%30%40%
Horace, betterHorace, worseAbout the sameNorth Dakota
Where Horace gets moving

3 miles of trails across 2 parks and preserves

Parks & trails →
Chronic conditions

Out of every 100 Horace adults…

Horace runs below ND on 8 of 12 conditions. Tap one to see it as people.

2 of every 100 Horace adults have had a stroke
North Dakota: 3 in 100 · better · likely 1.9–2.5%
Better than NDWorseAbout the sameNorth Dakota
Why age matters in Horace

Only 6% of Horace residents are 65 or older, vs 17% across North Dakota. Heart disease, COPD and arthritis run low partly because the town is young.

Residents 65 and older

Horace6%
North Dakota17%
Everyday needs

Making ends meet

Needs that shape health as much as any doctor visit: food, housing, utilities and a way to get around.

1 in 14
Horace adults worry about having enough food
7.1% · ND 10.7%
Better than ND
1 in 15
Horace adults worry about keeping their housing
6.7% · ND 8.9%
Better than ND
1 in 24
Horace adults were threatened with a utility shut-off
4.2% · ND 5.8%
Better than ND
1 in 22
Horace adults lack reliable transportation
4.6% · ND 6.5%
Better than ND

4.1% of Horace adults receive SNAP (food stamps), compared with 6.7% across North Dakota.

Getting care

Care in and near Horace

No hospital or community health center in Horace itself. These are the nearest.

HNearest EREssentia HealthFargo · 4.2 miDirections →
★Best rated nearbySanford Medical Center Fargo★★★★★ · 8.4 miDirections →
+Low-cost careFamily Healthcare CenterFargo · 8.2 mi · sliding-scale feesDirections →
4.2 mi
Essentia Health
Fargo · ★★★★★
ER
8.2 mi
Family Healthcare Center
6 sites · nearest in Fargo
Sliding-scale fees
Directions to nearest
≈8.4 mi
Sanford Medical Center Fargo
Fargo · ★★★★★
ER
11.6 mi
Community Health Service
2 sites · nearest in Moorhead
Sliding-scale fees
Directions to nearest
12.1 mi
Fargo VA Medical Center
Fargo · ★★★★★
ERFor veterans
37.8 mi
St. Francis Medical Center
Breckenridge · not rated
ERRural critical access
✓ Primary careHorace is not a shortage area
✓ Dental careHorace is not a shortage area
✓ Mental healthHorace is not a shortage area

Hospitals: Medicare overall star ratings, 1–5. Community health centers charge on a sliding scale by income. Distances are straight-line from the center of Horace; ≈ marks a hospital located by its town, not its street. Shortage areas: HRSA Health Professional Shortage Areas.

Checkups & screenings

Keeping up with care

Share of Horace adults getting routine care. The full ring is 100%; the dark tick marks North Dakota.

75%Yearly checkupND 74%
72%Dentist visitND 65%
86%Cholesterol checkND 83%
64%Colon screeningND 65%
82%MammogramND 78%
74%Taking BP medsND 76%
1 in 20
working-age adults has no health insurance
Horace 5.1% · North Dakota 1 in 14 (7.3%)
Mind & connection

How Horace adults are doing

About the same as North Dakota on each measure.

3 in 10Horace adults feel lonely
27.8% · ND 29.6% · About the same as ND
1 in 5Horace adults lack social or emotional support
18.3% · ND 20.6% · About the same as ND
1 in 4Horace adults have been diagnosed with depression
23.8% · ND 21.3% · About the same as ND
1 in 8Horace adults are in frequent mental distress
12.9% · ND 14.2% · About the same as ND
The one neighbors can help with

3 in 10 Horace adults feel lonely. A hello is a start.

Groups are the easiest way in: a walking group, a book club, your street.

Find a group →

If you or someone you know is struggling, call or text 988, the Suicide & Crisis Lifeline. It’s free, confidential and open 24/7.

Around town

Horace and the towns around it

Horace has the best Health Grade of the 3 graded towns around it.

Stanley Township: 33.9%Fargo: 34.3%Warren Township: 34.7%Pleasant Township: 34.5%Normanna Township: 34.7%West Fargo: 34%Kurtz Township: 33.6%Frontier: 35.1%Briarwood: 33.2%Holy Cross Township: 33.5%Moorhead: 33.2%Reed Township: 34.3%Moorhead Township: 33.6%Oakport Township: 33.6%Harwood: 34.3%Addison Township: 34.6%Mapleton Township: 33.7%Oxbow: 35.7%Eagle Township: 35.6%Davenport Township: 34.8%Walcott Township: 34.8%Barnes Township: 34%Raymond Township: 33.8%Horace: 34.3%HoraceStanley TownshipFargoWarren TownshipPleasant TownshipNormanna TownshipWest FargoEssentia Health · Fargo · 4.2 mi · 3★ MedicareHSanford Medical Center Fargo · Fargo · 8.4 mi · 4★ MedicareHFargo VA Medical Center · Fargo · 12.1 mi · 5★ MedicareHFamily Healthcare South Fargo · Fargo · 8.2 mi+Community Health Service Inc. Moorhead · Moorhead · 11.6 mi+
Healthier than NDNear NDLess healthyHHospital+Health center
Obesity
#12 of 24 towns on this map, healthiest first
Stanley Township33.9%
West Fargo34%
Horace34.3%
Fargo34.3%
Pleasant Township34.5%
Warren Township34.7%
Normanna Township34.7%
ND36.5%

Nearby towns are shaded from CDC’s estimates for their ZIP codes, or CDC’s own figure for cities and villages.

Health next door

TownHealthObesityDiabetesSmokingFigures from
HoraceA34.3%7.6%11.2%CDC place
Stanley Township————
FargoA34.3%8.1%11.8%CDC place
Warren Township————
Pleasant Township————
West FargoA34%7.3%11.1%CDC place
Normanna Township————

Stanley Township, Warren Township, Pleasant Township and Normanna Township: fewer than 1,000 residents. Same-state neighbors only, ordered by length of shared border.

Disability

Living with a disability

Shown without a better/worse judgment.

20.1%

of Horace adults live with a disability (North Dakota 27.6%). Thinking or memory is the most common.

Walking or climbing stairs7.7%
Thinking or memory10.4%
Hearing5.5%
Errands alone5.3%
Vision2.8%
Dressing or bathing2.3%
North Dakota

Every CDC estimate for Horace

Share of adults, 40 measures, with CDC’s likely range.

On the 32 measures below that have a better and a worse direction, Horace is better than North Dakota on 18 and worse on 0; on the rest, the North Dakota figure falls inside Horace’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…HoraceNDU.S.vs ND
Overall health
Fair or poor health12.2%10–14.816.1%19.4%Better
Frequent physical distress (physical health not good 14+ days a month)9.5%8–11.111.4%13%Better
Frequent mental distress (mental health not good 14+ days a month)12.9%11–14.914.2%15.9%About the same
Conditions
Obesity34.3%30.1–38.636.5%32.9%About the same
Diabetes7.6%6.5–8.89.8%12%Better
High blood pressure27.6%24.7–30.331.8%34.4%Better
High cholesterol (adults screened in 5 years)32.7%29.8–35.633.8%37.1%About the same
Arthritis22.5%20.1–24.825.3%25.3%Better
Asthma9.9%8.7–11.110.1%9.9%About the same
Cancer, other than skin cancer7.2%6.5–88.2%7.9%Better
Coronary heart disease4.5%3.8–5.16.1%6.4%Better
COPD4.2%3.3–5.15.9%6.3%Better
Stroke2.2%1.9–2.53.1%3.4%Better
Lost all teeth (ages 65+)6%4.7–7.310.8%12.3%Better
Habits
Smoke cigarettes11.2%8.4–14.213.1%11.8%About the same
No exercise outside work15.6%12.7–18.921.8%24.7%Better
Binge drinking22.8%20–25.821.3%15.4%About the same
Sleep under 7 hours31.3%27.2–3532.7%36%About the same
Checkups and coverage
No health insurance (ages 18–64)5.1%3.6–6.87.3%11%Better
Checkup in the past year75.3%72–78.374.4%77.4%About the same
Dentist visit in the past year71.5%68.4–74.364.5%63.2%Better
Cholesterol check in 5 years86%83.6–88.282.7%87.1%Better
Taking blood pressure medicine (adults with high blood pressure)74.4%70.9–77.476.3%76.5%About the same
Colorectal cancer screening (ages 45–75)63.7%59.6–67.464.9%65.5%About the same
Mammogram in 2 years (women 50–74)82%76.1–86.378%76.4%About the same
Mind and connection
Ever told they have depression23.8%20.9–26.821.3%20.6%About the same
Feel lonely27.8%24.6–31.429.6%32.5%About the same
Lack social and emotional support18.3%15.5–21.420.6%23.6%About the same
Everyday needs
Worried about having enough food7.1%5.2–9.510.7%15%Better
Worried about keeping housing6.7%5.2–8.68.9%12%Better
Threatened with a utility shut-off4.2%3.3–5.25.8%7.6%Better
Lack reliable transportation4.6%3.7–5.66.5%7.9%Better
Received SNAP (food stamps)4.1%2.8–5.96.7%11.6%Lower
Disability
Any disability20.1%17.1–23.627.6%30.1%Lower
Difficulty walking or climbing stairs7.7%6.3–9.211.2%13.6%Lower
Difficulty concentrating or remembering10.4%8.6–12.612.6%13.9%About the same
Hearing difficulty5.5%4.7–6.37.8%6.7%Lower
Vision difficulty2.8%2.3–3.34.1%5.4%Lower
Difficulty doing errands alone5.3%4.4–6.57.1%7.9%Lower
Difficulty dressing or bathing2.3%1.9–2.83.1%3.8%Lower

Each figure is the share of adults 18+ unless the label says otherwise; small numbers after it are CDC’s likely range (95% interval). “About the same” means the North Dakota figure falls inside that range.

Questions about health in Horace

Is Horace a healthy place to live?

On seven CDC estimates for adults, Horace is healthier than 93% of U.S. towns: A for health, #2 of 23 in North Dakota. Among U.S. towns with similar household incomes it’s healthier than 78%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Horace?

CDC estimates 34.3% of adults have obesity, likely between 30.1% and 38.6%, against 36.5% across North Dakota and 32.9% nationally.

What hospital is closest to Horace?

Essentia Health in Fargo, 4.2 miles in a straight line from Horace’s center point, is the nearest general hospital with an emergency room; Medicare rates it 3 of 5 stars.

How many people in Horace have no health insurance?

CDC estimates 5.1% of adults ages 18–64 have no health insurance (likely 3.6–6.8%), against 7.3% across North Dakota.

How accurate are these numbers?

They’re modeled estimates: CDC applies national survey answers to each area’s age, sex, race and education mix, so they describe who lives in Horace more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from A− to A+.

Neighbors talk health

Doctors taking patients, urgent care, staying active in Horace.

Town Square →
Ask your neighbors

Health estimates: CDC PLACES: Local Data for Better Health, 2025 release. The North Dakota figure combines its counties, weighted by adult population. Hospitals and star ratings: Medicare Care Compare (CMS). Health centers and shortage areas: HRSA. The Health Grade is our own summary of CDC’s estimates, not an official rating. Ages: U.S. Census Bureau, American Community Survey. Town boundaries: U.S. Census Bureau. This page isn’t medical advice. In an emergency, call 911.