Little information exists on the management and range health (RH) of northern temperate pastures, where health is defined as the ability to sustain ecosystem function. We surveyed 102 pastures for RH and their associated managers during 2012–2013 across central Alberta, Canada. Pastures were generally diverse mixes of introduced grasses and contained few legumes, despite most (55%) being seeded to legumes. The majority of pastures were healthy (mean RH score = 78.8% ± 1.3%), with 2.9% having scores <50%. Criteria reducing scores were noxious weeds, bare soil, and evidence of erosion. Most pastures had a reported history of cultivation (75.5%), with those previously cultivated and seeded to introduced forage having greater stocking rates [6.18 ± 0.91 animal-unit-months (AUM) ha^-1] compared with those lacking cultivation (2.14 ± 2.91 AUM ha^-1). Farms with horses or mixed livestock tended to practice year-round continuous grazing and supplemental hay feeding. Stocking rates on continuous and rotationally grazed pastures were similar regardless of grazing season, with the highest stocking on pastures used year-round (19.54 ± 2.03 AUM ha^-1) or throughout the dormant season (20.29 ± 3.10 AUM ha^-1). Use of management inputs was variable, with manuring and harrowing common and fertilizing, over-seeding, and aerating infrequent. Herbicide use was reported on 15.7% of pastures, despite 83.3% containing noxious weeds. Use of prescribed fire was rare, although 36.3% of pastures had evidence of fire. Industrial disturbances were reported on 48.3% of pastures. Overall, these results indicate that these pastures experience complex management and the limited decline in RH is due to high stocking under year-long grazing.