Alamance County, NC

County

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2019 Population

163,324

1.71% 1-year growth

US Senator

Richard Burr

Republican Party

US Senator

Thom Tillis

Republican Party

2019 Median Age

39.1

1.01% 1-year decrease

2019 Poverty Rate

16.1%

4.12% 1-year decrease

2019 Median Household Income

$49,688

8.64% 1-year growth

2019 Median Property Value

$154,800

4.74% 1-year growth

2019 Employed Population

77,665

2.72% 1-year growth

About

In 2019, Alamance County, NC had a population of 163k people with a median age of 39.1 and a median household income of $49,688. Between 2018 and 2019 the population of Alamance County, NC grew from 160,576 to 163,324, a 1.71% increase and its median household income grew from $45,735 to $49,688, a 8.64% increase.

The 5 largest ethnic groups in Alamance County, NC are White (Non-Hispanic) (64.1%), Black or African American (Non-Hispanic) (19.4%), Other (Hispanic) (6.06%), White (Hispanic) (5.71%), and Two+ (Non-Hispanic) (1.93%). 0% of the households in Alamance County, NC speak a non-English language at home as their primary language, and 94.7% of the residents in Alamance County, NC are U.S. citizens.

The largest universities in Alamance County, NC are Elon University (1,941 degrees awarded in 2019), Alamance Community College (918 degrees), and Beyond Measure Barbering Institute (19 degrees).

In 2019, the median property value in Alamance County, NC was $154,800, and the homeownership rate was 65.2%. Most people in Alamance County, NC drove alone to work, and the average commute time was 23.4 minutes. The average car ownership in Alamance County, NC was 2 cars per household.

Alamance County, NC borders Caswell County, NC, Chatham County, NC, Guilford County, NC, Orange County, NC, Randolph County, NC, and Rockingham County, NC.

United States North Carolina Burlington, NC

COVID-19

Daily New Cases by Date

Showing data at the state level for North Carolina. Hospitalization data for some states may be delayed or not reported.

Y-Axis

This chart shows the number of COVID-19 daily new cases by date in North Carolina, as a 7-day rolling average, compared with the four states with the most similar number of confirmed cases.

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Unemployment Insurance Claims

Data is only available at the state level. Showing data for North Carolina.

This chart shows weekly unemployment insurance claims in North Carolina (not-seasonally adjusted) compared with the four states with the most similar impact.

The most recent data point uses Advance State Claims data, which can be revised in subsequent weeks.

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Employment by Industry Sector

Data is only available at the state level. Showing data for North Carolina.

Start Year

Y-Axis

8.45%

Year-over-year growth

Employment change between May 2020 and May 2021

As of May 2021, there are 145M people employed in North Carolina. This represents a 8.45% increase in employment when compared to May 2020.

The following chart shows monthly employment numbers for each industry sector in North Carolina.

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Community Mobility

Data is only available at the state level. Showing data for North Carolina.

This chart presents movement trends over time in the state of North Carolina across different categories of places such as retail and recreation, groceries and pharmacies, parks, transit stations, workplaces, and residential.

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Diversity

Alamance County, NC is home to a population of 163k people, from which 94.7% are citizens. As of 2019, 25.6% of Alamance County, NC residents were born outside of the country (41.8k people).

In 2019, there were 3.3 times more White (Non-Hispanic) residents (105k people) in Alamance County, NC than any other race or ethnicity. There were 31.7k Black or African American (Non-Hispanic) and 9.9k Other (Hispanic) residents, the second and third most common ethnic groups.

Race and Ethnicity

The 3 largest ethnic groups in Alamance County, NC

White (Non-Hispanic)
105k ± 92
Black or African American (Non-Hispanic)
31.7k ± 448
Other (Hispanic)
9.9k ± 1k

12.6%

Hispanic Population

20.5k people

12.6% of the people in Alamance County, NC are hispanic (20.5k people).

The following chart shows the 7 races represented in Alamance County, NC as a share of the total population.

Heritage

Foreign-Born Population

25.6%

2019 Foreign-Born Population

41.8k people

7.92%

2018 Foreign-Born Population

12.7k people

As of 2019, 25.6% of Alamance County, NC residents (41.8k people) were born outside of the United States, which is lower than the national average of 34%. In 2018, the percentage of foreign-born citizens in Alamance County, NC was 7.92%, meaning that the rate has been increasing.

The following chart shows the percentage of foreign-born residents in Alamance County, NC compared to that of it's neighboring and parent geographies.

Age by Nativity

Median Native-Born Age

± 0.4

Median Foreign-Born Age

± 1

In 2019, the median age of all people in Alamance County, NC was 39.1. Native-born citizens, with a median age of 39, were generally younger than foreign-born citizens, with a median age of 40. But people in Alamance County, NC are getting getting younger. In 2018, the average age of all Alamance County, NC residents was 40.

Global Diversity

The PUMS dataset is not available at the County level, so we are showing data for North Carolina.

Most Common Origin

Mexico
229,947 ± 11,640 people
India
70,805 ± 6,510 people
Honduras
36,544 ± 4,685 people

In 2019, the most common birthplace for the foreign-born residents of North Carolina was Mexico, the natal country of 229,947 North Carolina residents, followed by India with 70,805 and Honduras with 36,544.

Citizenship

94.7%

2019 Citizenship

94.5%

2018 Citizenship

As of 2019, 94.7% of Alamance County, NC residents were US citizens, which is higher than the national average of 93.4%. In 2018, the percentage of US citizens in Alamance County, NC was 94.5%, meaning that the rate of citizenship has been increasing.

The following chart shows US citizenship percentages in Alamance County, NC compared to that of it's neighboring and parent geographies.

Military

Veterans

Most Common Service Period

Vietnam
3,266 ± 304
Gulf War (2001-)
1,207 ± 201
Gulf War (1990s)
1,155 ± 213

Alamance County, NC has a large population of military personnel who served in Vietnam, 2.71 times greater than any other conflict.

Economy

Median household income in Alamance County, NC is $49,688. In 2019, the tract with the highest Median Household Income in Alamance County, NC was Census Tract 206.01 with a value of $89,306, followed by Census Tract 217.01 and Census Tract 219.01, with respective values of $82,963 and $71,639.

Males in North Carolina have an average income that is 1.33 times higher than the average income of females, which is $47,862. The income inequality in North Carolina (measured using the Gini index) is 0.472, which is lower than than the national average.

The economy of Alamance County, NC employs 77.7k people. The largest industries in Alamance County, NC are Health Care & Social Assistance (12,521 people), Manufacturing (11,920 people), and Retail Trade (9,615 people), and the highest paying industries are Management of Companies & Enterprises ($60,250), Professional, Scientific, & Technical Services ($51,227), and Information ($50,853).

Wages

Median Household Income

$49,688

2019 value

± $1,485

8.64%

1 Year Growth

± 3.82%

Households in Alamance County, NC have a median annual income of $49,688, which is less than the median annual income of $65,712 across the entire United States. This is in comparison to a median income of $45,735 in 2018, which represents a 8.64% annual growth.

The following chart shows how the median household income in Alamance County, NC compares to that of its neighboring and parent geographies.

Wage by Gender in Common Jobs

The PUMS dataset is not available at the County level, so we are showing data for North Carolina.

$63,585

Average Male Salary in North Carolina

± $1,168

$47,862

Average Female Salary in North Carolina

± $855

In 2019, full-time male employees in North Carolina made 1.33 times more than female employees.

This chart shows the gender-based wage disparity in the 5 most common occupations in North Carolina by number of full-time employees.

Wage by Race and Ethnicity in Common Jobs

The PUMS dataset is not available at the County level, so we are showing data for North Carolina.

Highest Average Salaries by Race & Ethnicity in North Carolina

Asian
$64,719 ± $4,583
White
$53,494 ± $850
Native Hawaiian and Other Pacific Islander
$42,933 ± $24,629

In 2019 the highest paid race/ethnicity of North Carolina workers was Asian. These workers were paid 1.21 times more than White workers, who made the second highest salary of any race/ethnicity in North Carolina.

This chart shows the race- and ethnicity-based wage disparities in the 5 most common occupations in North Carolina by number of full-time employees.

Wage Distribution

The closest comparable wage GINI for Alamance County, NC is from North Carolina.

0.472

2019 Wage GINI in North Carolina

0.473

2018 Wage GINI in North Carolina

In 2019, the income inequality in North Carolina was 0.472 according to the GINI calculation of the wage distribution. Income inequality had a 0.0599% decline from 2018 to 2019, which means that wage distribution grew somewhat more even. The GINI for North Carolina was lower than than the national average of 0.478. In other words, wages are distributed more evenly in North Carolina in comparison to the national average.

This chart shows the number of workers in North Carolina across various wage buckets compared to the national average.

Income by Location

Use the dropdown to filter by race/ethnicity.

Race/Ethnicity

Highest Median Household Income (Total)

Census Tract 206.01
Census Tract 217.01
Census Tract 219.01

In 2019, the tract with the highest Median Household Income (Total) in Alamance County, NC was Census Tract 206.01 with a value of $89,306, followed by Census Tract 217.01 and Census Tract 219.01, with respective values of $82,963 and $71,639.

The following map shows all of the tracts in Alamance County, NC colored by their Median Household Income (Total).

Poverty by Age and Gender

Females 25 - 34

Largest Demographic Living in Poverty

16.1% of the population for whom poverty status is determined in Alamance County, NC (25.6k out of 159k people) live below the poverty line, a number that is higher than the national average of 12.3%. The largest demographic living in poverty are Females 25 - 34, followed by Females 18 - 24 and then Females 35 - 44.

The Census Bureau uses a set of money income thresholds that vary by family size and composition to determine who classifies as impoverished. If a family's total income is less than the family's threshold than that family and every individual in it is considered to be living in poverty.

Poverty by Race and Ethnicity

Largest Race or Ethnicity Living in Poverty

White
13,473 ± 880
Black
8,097 ± 723
Hispanic
5,610 ± 536

The most common racial or ethnic group living below the poverty line in Alamance County, NC is White, followed by Black and Hispanic.

Occupations

Employment by Occupations

77.7k

2019 Value

± 1,939

2.72%

1 Year growth

± 3.46%

From 2018 to 2019, employment in Alamance County, NC grew at a rate of 2.72%, from 75.6k employees to 77.7k employees.

The most common job groups, by number of people living in Alamance County, NC, are Office & Administrative Support Occupations (9,143 people), Sales & Related Occupations (7,822 people), and Production Occupations (7,791 people). This chart illustrates the share breakdown of the primary jobs held by residents of Alamance County, NC.

Most Common

The most common jobs held by residents of Alamance County, NC, by number of employees, are Office & Administrative Support Occupations (9,143 people), Sales & Related Occupations (7,822 people), and Production Occupations (7,791 people).

Most Specialized

Compared to other counties, Alamance County, NC has an unusually high number of residents working as Production Occupations (1.77 times higher than expected), Health Technologists & Technicians (1.51 times), and Installation, Maintenance, & Repair Occupations (1.28 times).

Highest Paid

The highest paid jobs held by residents of Alamance County, NC, by median earnings, are Computer & Mathematical Occupations ($69,245), Architecture & Engineering Occupations ($65,735), and Computer, Engineering, & Science Occupations ($64,940).

Industries

Employment by Industries

77.7k

2019 Value

± 1,939

2.72%

1 Year growth

± 3.46%

From 2018 to 2019, employment in Alamance County, NC grew at a rate of 2.72%, from 75.6k employees to 77.7k employees.

The most common employment sectors for those who live in Alamance County, NC, are Health Care & Social Assistance (12,521 people), Manufacturing (11,920 people), and Retail Trade (9,615 people). This chart shows the share breakdown of the primary industries for residents of Alamance County, NC, though some of these residents may live in Alamance County, NC and work somewhere else. Census data is tagged to a residential address, not a work address.

Most Common

The most common industries in Alamance County, NC, by number of employees, are Health Care & Social Assistance (12,521 people), Manufacturing (11,920 people), and Retail Trade (9,615 people).

Most Specialized

Compared to other counties, Alamance County, NC has an unusually high number of Manufacturing (1.53 times higher than expected), Construction (1.18 times), and Health Care & Social Assistance (1.16 times) industries.

Highest Paying

The highest paying industries in Alamance County, NC, by median earnings, are Management of Companies & Enterprises ($60,250), Professional, Scientific, & Technical Services ($51,227), and Information ($50,853).

Domestic Trade

Domestic Production & Consumption

Domestic production and consumption consists of products and services shipped from North Carolina to other states, or from other states to North Carolina.

Top Domestic Production in Dollars

In 2018, the top outbound North Carolina product (by dollars) was Mixed freight with $54.1B, followed by Pharmaceuticals ($40B) and Machinery ($36.8B).

The following chart shows the share of these products in relation to all outbound North Carolina products.

Domestic Trade Growth

Showing data for North Carolina.

$430B

2018 Value in North Carolina

$840B

Projected 2045 Value in North Carolina

95.4% growth

In 2018, total outbound North Carolina trade was $430B. This is expected to increase 95.4% to $840B by 2045.

The following chart shows how the domestic outbound North Carolina trade is projected to change in comparison to its neighboring states.

Interstate Trade

Interstate trade consists of products and services shipped from North Carolina to other states, or from other states to North Carolina.

Most Common Trade Partners

Georgia
$28.2B
South Carolina
$27.5B
Virginia
$24.4B

In 2018, the top outbound North Carolina domestic partner for goods and services (by dollars) was Georgia with $28.2B, followed by South Carolina with $27.5B and Virginia and $24.4B.

The following map shows the amount of trade that North Carolina shares with each state (excluding itself).

Civics

In the 2016 presidential election, the popular vote in Alamance County, NC went to Donald J. Trump with 54.5% of the vote. The runner-up was Hillary Rodham Clinton (41.9%), followed by Other (3.53%). The most partisan county was Graham County, NC with 78.8% of the vote going to Donald J. Trump running for the Republican Party.

Richard Burr and Thom Tillis are the senators currently representing the state of North Carolina. In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

North Carolina is currently represented by 13 members in the U.S. house, and members of the House of Representives are elected to 2-year terms.

Presidential Popular Vote Over Time

Showing data up to the 2016 election. Updated election results are currently being processed, and will be released in the coming months.

2016 Election Results

Donald J. Trump (54.5%)
Republican Party
Hillary Rodham Clinton (41.9%)
Democratic Party
Other (3.53%)
Other Party

In the 2016 presidential election, the popular vote in North Carolina went to Donald J. Trump with 54.5% of the vote. The runner-up was Hillary Rodham Clinton (41.9%), followed by Other (3.53%).

The following chart shows the popular vote results in North Carolina for each registered party from 1976 to 2016.

Presidential Popular Vote by County

Presidential voting results are only available at the county level. Showing data for the counties inside of North Carolina.

Showing data up to the 2016 election. Updated election results are currently being processed, and will be released in the coming months.

Donald J. Trump

Popular Vote for Alamance County, NC

54.5% for the Republican Party

Most Partisan Counties in North Carolina

Graham County, NC
78.8% for Donald J. Trump (Republican Party)
Yadkin County, NC
78.8% for Donald J. Trump (Republican Party)
Durham County, NC
77.7% for Hillary Rodham Clinton (Democratic Party)

In the 2016 presidential election, the most partisan county in North Carolina was Graham County, NC with 78.8% of the vote going to Donald J. Trump running for the Republican Party.

The following map shows the counties in North Carolina colored by their party leaning.

US Senators from North Carolina

Senatorial voting results are only available at the state level. Showing data for North Carolina.

Richard Burr

Senator from North Carolina

Assumed office on January 3, 2005

Thom Tillis

Senator from North Carolina

Assumed office on January 3, 2015

Richard Burr and Thom Tillis are the senators currently representing North Carolina.

In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

The following chart shows elected senators in North Carolina over time, excluding special elections, colored by their political party.

US Representatives from North Carolina

North Carolina is currently represented by 13 members in the U.S. house.

Members of the House of Representives are elected to 2-year terms, and the following chart shows the how the members for North Carolina have changed over time starting in 2008.

Education

In 2019, universities in Alamance County, NC awarded 2,878 degrees. The student population of Alamance County, NC is skewed towards women, with 4,444 male students and 7,011 female students.

Most students graduating from Universities in Alamance County, NC are White (2,072 and 74.6%), followed by Black or African American (263 and 9.47%), Hispanic or Latino (246 and 8.86%), and Two or More Races (75 and 2.7%).

The largest universities in Alamance County, NC by number of degrees awarded are Elon University (1,941 and 67.4%), Alamance Community College (918 and 31.9%), and Beyond Measure Barbering Institute (19 and 0.66%).

The most popular majors in Alamance County, NC are Liberal Arts & Sciences (274 and 9.52%), General Finance (199 and 6.91%), and General Business Administration & Management (174 and 6.05%).

The median tuition costs in Alamance County, NC are $36,082 for private four year colleges, and $N/A and $N/A respectively, for public four year colleges for in-state students and out-of-state students.

Concentrations

Most Common

Public Relations, Advertising, & Applied Communication
155 degree-majorss awarded
General Marketing & Marketing Management
131 degree-majorss awarded
General Finance
199 degree-majorss awarded

In 2018, the most common concentation for Bachelors Degree recipients in Alamance County, NC was Public Relations, Advertising, & Applied Communication with 155 degrees awarded.

This visualization illustrates the percentage of students graduating with a Bachelors Degree from schools in Alamance County, NC according to their major.

Universities

Largest Universities by degrees awarded

Elon University
1,941 degrees awarded
Alamance Community College
918 degrees awarded
Beyond Measure Barbering Institute
19 degrees awarded

$N/A

Median In-State Public

$36,082

Median Private

In 2019, the Alamance County, NC institution with the largest number of graduating students was Elon University with 1,941 degrees awarded.

Student Gender for Common Institutions

1,122

Degrees Awarded to Men

1,756

Degrees Awarded to Women

In 2019, 1,122 men were awarded degrees from institutions in Alamance County, NC, which is 0.639 times less than the 1,756 female students who received degrees in the same year.

This chart displays the gender disparity between the institutions in Alamance County, NC by degrees awarded.

Student Race and Ethnicity

Most Common Student Race or Ethnicity

White
2,072 degrees awarded
Black or African American
263 degrees awarded
Hispanic or Latino
246 degrees awarded

In 2019 the most common race/ethnicity group awarded degrees at institutions in Alamance County, NC was White students. These 2,072 degrees mean that there were 7.88 times more degrees awarded to White students then the next closest race/ethnicity group, Black or African American, with 263 degrees awarded.

Housing & Living

The median property value in Alamance County, NC was $154,800 in 2019, which is 0.644 times smaller than the national average of $240,500. Between 2018 and 2019 the median property value increased from $147,800 to $154,800, a 4.74% increase. The homeownership rate in Alamance County, NC is 65.2%, which is higher than the national average of 64.1%. People in Alamance County, NC have an average commute time of 23.4 minutes, and they drove alone to work. Car ownership in Alamance County, NC is approximately the same as the national average, with an average of 2 cars per household.

Housing

Property Value

$154,800

2019 Median

± $2,576

$147,800

2018 Median

± $2,706

In 2019, the median property value in Alamance County, NC grew to to $154,800 from the previous year's value of $147,800.

The following charts display, first, the property values in Alamance County, NC compared to it's parent and neighbor geographies and, second, owner-occupied housing units distributed between a series of property value buckets compared to the national averages for each bucket. In Alamance County, NC the largest share of households have a property value in the $150k - $175k range.

Household Income

Please note that the buckets used in this visualization were not evenly distributed by ACS when publishing the data.

$49,688

Median Household Income

± $1,485

64.4k

Number of Households

± 1,686

In 2019, the median household income of the 64.4k households in Alamance County, NC grew to $49,688 from the previous year's value of $45,735.

The following chart displays the households in Alamance County, NC distributed between a series of income buckets compared to the national averages for each bucket. The largest share of households have an income in the $75k - $100k range.

Property Taxes

$800 - $1,499

Average Range

This chart shows the households in Alamance County, NC distributed between a series of property tax buckets compared to the national averages for each bucket. In Alamance County, NC the largest share of households pay taxes in the $800 - $1,499 range.

Rent vs Own

65.2%

2019 Homeownership

65%

2018 Homeownership

In 2019, 65.2% of the housing units in Alamance County, NC were occupied by their owner. This percentage grew from the previous year's rate of 65%.

This percentage of owner-occupation is higher than the national average of 64.1%. This chart shows the ownership percentage in Alamance County, NC compared it's parent and neighboring geographies.

Commute Time

23.4 minutes

Average Travel Time

Using averages, employees in Alamance County, NC have a shorter commute time (23.4 minutes) than the normal US worker (25.5 minutes). Additionally, 1.63% of the workforce in Alamance County, NC have "super commutes" in excess of 90 minutes.

The chart below shows how the median household income in Alamance County, NC compares to that of it's neighboring and parent geographies.

Commuter Transportation

Most Common Commute in 2019

Drove Alone (85.8%)
Carpooled (8.71%)
Worked At Home (3.27%)

In 2019, 85.8% of workers in Alamance County, NC drove alone to work, followed by those who carpooled to work (8.71%) and those who worked at home (3.27%).

The following chart shows the number of households using each mode of transportation over time, using a logarithmic scale on the y-axis to help better show variations in the smaller means of commuting.

Transportation

Car Ownership

2 cars

Average Number

The following chart displays the households in Alamance County, NC distributed between a series of car ownership buckets compared to the national averages for each bucket. The largest share of households in Alamance County, NC have 2 cars, followed by 3 cars.

Health

88.8% of the population of Alamance County, NC has health coverage, with 46% on employee plans, 16.7% on Medicaid, 13.1% on Medicare, 12% on non-group plans, and 1.02% on military or VA plans.

Per capita personal health care spending in North Carolina was $7,264 in 2014. This is a 3.37% increase from the previous year ($7,027).

Primary care physicians in Alamance County, NC see 2280 patients per year on average, which represents a 5.31% increase from the previous year (2165 patients). Compare this to dentists who see 1926 patients per year, and mental health providers who see 681 patients per year.

Comparing across all counties in the state, Jones County has the highest prevalence of diabetes (27.2%). Additionally, Bladen County has the highest prevalence of adult obesity (49.1%)

Patient to Clinician Ratios

2,280 to 1

Patient to Primary Care Physician Ratio in Alamance County, NC

Primary care physicians in Alamance County, NC see an average of 2,280 patients per year. This represents a 5.31% increase from the previous year (2,165 patients).

The following chart shows how the number of patients seen by primary care physicians has been changing over time in Alamance County, NC in comparison to its neighboring geographies.

Behavioral Health Conditions

Data only available at the state level.

State with the Highest Prevalence

West Virginia
8.26% of the population affected
Arkansas
8.13% of the population affected
New Hampshire
7.98% of the population affected

In 2016, West Virginia had the highest prevalence of adults with major depressive episode, with 8.26% of the population affected. The second highest is Arkansas (8.13%), followed by New Hampshire (7.98%).

The following map shows the percent of individuals with major depressive episode by state over multiple years.

Social Needs

Data only available at the state level.

Most prevalent states

California
35,798 individuals
New York
5,087 individuals
Florida
4,915 individuals

In 2017, California had the highest estimated number of chronically homeless individuals in the nation, at 35,798. New York has the second highest (5,087), followed by Florida (4,915).

The following map shows the estimated number of chronically homeless individuals by state over multiple years.

Access and Quality

Data only available at state level.

Most prevalent states

Mississippi
19.2% of adults
Texas
17.9% of adults
Louisiana
17.6% of adults

In 2016, Mississippi had the highest prevalence of adults who haven't seen a doctor in the past 12 months due to cost, at 19.2%. It is followed by Texas (17.9%) and Louisiana (17.6%).

The following map shows the prevalence of adults who haven't seen a doctor in the past 12 months due to cost by state over multiple years.

Health Care Spending

Data is only available at the state level. Showing data for North Carolina.

$7,264

Total Per Capita Spending on Personal Health Care in North Carolina

$3,859

Per Enrollee Private Health Insurance Spending on Personal Health Care

$7,225

Per Enrollee Medicaid Spending on Personal Health Care

$10,260

Per Enrollee Medicare Spending on Personal Health Care

Between 2013 and 2014, all personal health care spending per capita in North Carolina (including private, Medicare, and Medicaid) grew 3.37%, from $7,027 to $7,264.

The following chart shows how this spending changed over time in comparison to Medicaid, Medicare, and private insurance spending, per enrollee.

Health Care Coverage

11.2%

Uninsured

46%

Employer Coverage

16.7%

Medicaid

13.1%

Medicare

12%

Non-Group

1.02%

Military or VA

Between 2018 and 2019, the percent of uninsured citizens in Alamance County, NC declined by 5.8% from 11.9% to 11.2%.

The following chart shows how the percent of uninsured individuals in Alamance County, NC changed over time compared with the percent of individuals enrolled in various types of health insurance.