Cleveland County, NC

County

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Population

97,159

0.125% 1-year growth

US Senator

Richard Burr

Republican Party

US Senator

Thom Tillis

Republican Party

Median Age

41.9

Poverty Rate

20.2%

Median Household Income

$40,393

0.977% 1-year growth

Median Property Value

$114,300

3.44% 1-year growth

Number of Employees

39,701

1.8% 1-year decline

About

In 2018, Cleveland County, NC had a population of 97.2k people with a median age of 41.9 and a median household income of $40,393. Between 2017 and 2018 the population of Cleveland County, NC grew from 97,038 to 97,159, a 0.125% increase and its median household income grew from $40,002 to $40,393, a 0.977% increase.

The 5 largest ethnic groups in Cleveland County, NC are White (Non-Hispanic) (73%), Black or African American (Non-Hispanic) (20.8%), White (Hispanic) (1.86%), Other (Hispanic) (1.29%), and Two+ (Non-Hispanic) (1.2%). 0% of the households in Cleveland County, NC speak a non-English language at home as their primary language, and 98.5% of the residents in Cleveland County, NC are U.S. citizens.

The largest universities in Cleveland County, NC are Gardner-Webb University (1,172 degrees awarded in 2019) and Cleveland Community College (907 degrees).

In 2018, the median property value in Cleveland County, NC was $114,300, and the homeownership rate was 67.5%. Most people in Cleveland County, NC drove alone to work, and the average commute time was 23.5 minutes. The average car ownership in Cleveland County, NC was 2 cars per household.

Cleveland County, NC borders Burke County, NC, Gaston County, NC, Lincoln County, NC, Rutherford County, NC, Cherokee County, SC, and York County, SC.

United States North Carolina Shelby, 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

-5.78%

Year-over-year decline

Employment change between November 2019 and November 2020

As of November 2020, there are 145M people employed in North Carolina. This represents a -5.78% decrease in employment when compared to November 2019.

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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Civics

In the 2016 presidential election, the popular vote in Cleveland County, NC went to Donald J. Trump with 63.7% of the vote. The runner-up was Hillary Rodham Clinton (33.5%), followed by Other (2.75%). 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 (63.7%)
Republican Party
Hillary Rodham Clinton (33.5%)
Democratic Party
Other (2.75%)
Other Party

In the 2016 presidential election, the popular vote in North Carolina went to Donald J. Trump with 63.7% of the vote. The runner-up was Hillary Rodham Clinton (33.5%), followed by Other (2.75%).

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 Cleveland County, NC

63.7% 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.

Diversity

Cleveland County, NC is home to a population of 97.2k people, from which 98.5% are citizens. As of 2018, 2.4% of Cleveland County, NC residents were born outside of the country (2.33k people).

In 2018, there were 3.51 times more White (Non-Hispanic) residents (71k people) in Cleveland County, NC than any other race or ethnicity. There were 20.2k Black or African American (Non-Hispanic) and 1.81k White (Hispanic) residents, the second and third most common ethnic groups.

Race and Ethnicity

The 3 largest ethnic groups in Cleveland County, NC

White (Non-Hispanic)
71k ± 242
Black or African American (Non-Hispanic)
20.2k ± 313
White (Hispanic)
1.81k ± 349

3.41%

Hispanic Population

3.32k people

3.41% of the people in Cleveland County, NC are hispanic (3.32k people).

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

Heritage

Foreign-Born Population

2.4%

2018 Foreign-Born Population

2.33k people

2.65%

2017 Foreign-Born Population

2.57k people

As of 2018, 2.4% of Cleveland County, NC residents (2.33k people) were born outside of the United States, which is lower than the national average of 13.7%. In 2017, the percentage of foreign-born citizens in Cleveland County, NC was 2.65%, meaning that the rate has been decreasing.

The following chart shows the percentage of foreign-born residents in Cleveland 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

± 2

In 2018, the median age of all people in Cleveland County, NC was 41.9. Native-born citizens, with a median age of 42, were generally older than than foreign-born citizens, with a median age of 41. But people in Cleveland County, NC are getting getting older. In 2017, the average age of all Cleveland County, NC residents was 42.

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

98.5%

2018 Citizenship

98.4%

2017 Citizenship

As of 2018, 98.5% of Cleveland County, NC residents were US citizens, which is higher than the national average of 93.2%. In 2017, the percentage of US citizens in Cleveland County, NC was 98.4%, meaning that the rate of citizenship has been increasing.

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

Military

Veterans

Most Common Service Period

Vietnam
2,481 ± 323
Gulf War (2001-)
931 ± 276
Gulf War (1990s)
653 ± 172

Cleveland County, NC has a large population of military personnel who served in Vietnam, 2.66 times greater than any other conflict.

Economy

Median household income in Cleveland County, NC is $40,393. In 2018, the tract with the highest Median Household Income in Cleveland County, NC was Census Tract 9515.03 with a value of $53,864, followed by Census Tract 9515.02 and Census Tract 9515.01, with respective values of $52,604 and $52,074.

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 Cleveland County, NC employs 39.7k people. The largest industries in Cleveland County, NC are Manufacturing (8,178 people), Health Care & Social Assistance (5,713 people), and Retail Trade (4,972 people), and the highest paying industries are Utilities ($54,674), Management of Companies & Enterprises ($50,833), and Professional, Scientific, & Technical Services ($46,695).

Wages

Median Household Income

$40,393

2018 value

± $1,428

0.977%

1 Year Growth

± 5.21%

Households in Cleveland County, NC have a median annual income of $40,393, which is less than the median annual income of $61,937 across the entire United States. This is in comparison to a median income of $40,002 in 2017, which represents a 0.977% annual growth.

The following chart shows how the median household income in Cleveland 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 Cleveland 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 9515.03
Census Tract 9515.02
Census Tract 9515.01

In 2018, the tract with the highest Median Household Income (Total) in Cleveland County, NC was Census Tract 9515.03 with a value of $53,864, followed by Census Tract 9515.02 and Census Tract 9515.01, with respective values of $52,604 and $52,074.

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

Poverty by Age and Gender

Females 25 - 34

Largest Demographic Living in Poverty

20.2% of the population for whom poverty status is determined in Cleveland County, NC (19.3k out of 95.3k people) live below the poverty line, a number that is higher than the national average of 13.1%. The largest demographic living in poverty are Females 25 - 34, followed by Females 55 - 64 and then Females 45 - 54.

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
12,401 ± 821
Black
5,912 ± 565
Hispanic
1,064 ± 266

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

Occupations

Employment by Occupations

39.7k

2018 Value

± 1,376

-1.8%

1 Year decline

± 4.97%

From 2017 to 2018, employment in Cleveland County, NC declined at a rate of -1.8%, from 40.4k employees to 39.7k employees.

The most common job groups, by number of people living in Cleveland County, NC, are Production Occupations (5,381 people), Sales & Related Occupations (3,943 people), and Office & Administrative Support Occupations (3,784 people). This chart illustrates the share breakdown of the primary jobs held by residents of Cleveland County, NC.

Most Common

The most common jobs held by residents of Cleveland County, NC, by number of employees, are Production Occupations (5,381 people), Sales & Related Occupations (3,943 people), and Office & Administrative Support Occupations (3,784 people).

Most Specialized

Compared to other counties, Cleveland County, NC has an unusually high number of residents working as Production Occupations (2.36 times higher than expected), Installation, Maintenance, & Repair Occupations (1.62 times), and Material Moving Occupations (1.58 times).

Highest Paid

The highest paid jobs held by residents of Cleveland County, NC, by median earnings, are Architecture & Engineering Occupations ($60,833), Computer, Engineering, & Science Occupations ($52,996), and Health Diagnosing & Treating Practitioners & Other Technical Occupations ($50,337).

Industries

Employment by Industries

39.7k

2018 Value

± 1,376

-1.8%

1 Year decline

± 4.97%

From 2017 to 2018, employment in Cleveland County, NC declined at a rate of -1.8%, from 40.4k employees to 39.7k employees.

The most common employment sectors for those who live in Cleveland County, NC, are Manufacturing (8,178 people), Health Care & Social Assistance (5,713 people), and Retail Trade (4,972 people). This chart shows the share breakdown of the primary industries for residents of Cleveland County, NC, though some of these residents may live in Cleveland 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 Cleveland County, NC, by number of employees, are Manufacturing (8,178 people), Health Care & Social Assistance (5,713 people), and Retail Trade (4,972 people).

Most Specialized

Compared to other counties, Cleveland County, NC has an unusually high number of Manufacturing (2.05 times higher than expected), Utilities (1.44 times), and Retail Trade (1.11 times) industries.

Highest Paying

The highest paying industries in Cleveland County, NC, by median earnings, are Utilities ($54,674), Management of Companies & Enterprises ($50,833), and Professional, Scientific, & Technical Services ($46,695).

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).

Education

In 2019, universities in Cleveland County, NC awarded 2,079 degrees. The student population of Cleveland County, NC is skewed towards women, with 2,057 male students and 3,997 female students.

Most students graduating from Universities in Cleveland County, NC are White (1,347 and 65.2%), followed by Black or African American (472 and 22.8%), Unknown (87 and 4.21%), and Hispanic or Latino (82 and 3.97%).

The largest universities in Cleveland County, NC by number of degrees awarded are Gardner-Webb University (1,172 and 56.4%) and Cleveland Community College (907 and 43.6%).

The most popular majors in Cleveland County, NC are General Educational Leadership & Administration (284 and 13.7%), Liberal Arts & Sciences (219 and 10.5%), and Registered Nursing (179 and 8.61%).

The median tuition costs in Cleveland County, NC are $31,220 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

Registered Nursing
74 degree-majorss awarded
General Business Administration & Management
60 degree-majorss awarded
Community Psychology
43 degree-majorss awarded

In 2018, the most common concentation for Bachelors Degree recipients in Cleveland County, NC was Registered Nursing with 74 degrees awarded.

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

Universities

Largest Universities by degrees awarded

Gardner-Webb University
1,172 degrees awarded
Cleveland Community College
907 degrees awarded

$N/A

Median In-State Public

$31,220

Median Private

In 2019, the Cleveland County, NC institution with the largest number of graduating students was Gardner-Webb University with 1,172 degrees awarded.

Student Gender for Common Institutions

740

Degrees Awarded to Men

1,339

Degrees Awarded to Women

In 2019, 740 men were awarded degrees from institutions in Cleveland County, NC, which is 0.553 times less than the 1,339 female students who received degrees in the same year.

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

Student Race and Ethnicity

Most Common Student Race or Ethnicity

White
1,347 degrees awarded
Black or African American
472 degrees awarded
Unknown
87 degrees awarded

In 2019 the most common race/ethnicity group awarded degrees at institutions in Cleveland County, NC was White students. These 1,347 degrees mean that there were 2.85 times more degrees awarded to White students then the next closest race/ethnicity group, Black or African American, with 472 degrees awarded.

Housing & Living

The median property value in Cleveland County, NC was $114,300 in 2018, which is 0.498 times smaller than the national average of $229,700. Between 2017 and 2018 the median property value increased from $110,500 to $114,300, a 3.44% increase. The homeownership rate in Cleveland County, NC is 67.5%, which is higher than the national average of 63.9%. People in Cleveland County, NC have an average commute time of 23.5 minutes, and they drove alone to work. Car ownership in Cleveland County, NC is approximately the same as the national average, with an average of 2 cars per household.

Housing

Property Value

$114,300

2018 Median

± $3,270

$110,500

2017 Median

± $2,861

In 2018, the median property value in Cleveland County, NC grew to to $114,300 from the previous year's value of $110,500.

The following charts display, first, the property values in Cleveland 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 Cleveland County, NC the largest share of households have a property value in the $100k - $125k range.

Household Income

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

$40,393

Median Household Income

± $1,428

36.9k

Number of Households

± 1,292

In 2018, the median household income of the 36.9k households in Cleveland County, NC grew to $40,393 from the previous year's value of $40,002.

The following chart displays the households in Cleveland 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 < $10k range.

Property Taxes

< $800

Average Range

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

Rent vs Own

67.5%

2018 Homeownership

67.4%

2017 Homeownership

In 2018, 67.5% of the housing units in Cleveland County, NC were occupied by their owner. This percentage grew from the previous year's rate of 67.4%.

This percentage of owner-occupation is higher than the national average of 63.9%. This chart shows the ownership percentage in Cleveland County, NC compared it's parent and neighboring geographies.

Commute Time

23.5 minutes

Average Travel Time

Using averages, employees in Cleveland County, NC have a shorter commute time (23.5 minutes) than the normal US worker (25.3 minutes). Additionally, 1.37% of the workforce in Cleveland County, NC have "super commutes" in excess of 90 minutes.

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

Commuter Transportation

Most Common Commute in 2018

Drove Alone (85.2%)
Carpooled (10.1%)
Worked At Home (2.1%)

In 2018, 85.2% of workers in Cleveland County, NC drove alone to work, followed by those who carpooled to work (10.1%) and those who worked at home (2.1%).

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

Health

87.7% of the population of Cleveland County, NC has health coverage, with 41.7% on employee plans, 19.3% on Medicaid, 13.6% on Medicare, 11.5% on non-group plans, and 1.57% 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 Cleveland County, NC see 1993 patients per year on average, which represents a 4.4% increase from the previous year (1909 patients). Compare this to dentists who see 2226 patients per year, and mental health providers who see 731 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

1,993 to 1

Patient to Primary Care Physician Ratio in Cleveland County, NC

Primary care physicians in Cleveland County, NC see an average of 1,993 patients per year. This represents a 4.4% increase from the previous year (1,909 patients).

The following chart shows how the number of patients seen by primary care physicians has been changing over time in Cleveland 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

12.3%

Uninsured

41.7%

Employer Coverage

19.3%

Medicaid

13.6%

Medicare

11.5%

Non-Group

1.57%

Military or VA

Between 2017 and 2018, the percent of uninsured citizens in Cleveland County, NC declined by 5.12% from 13% to 12.3%.

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