Grand Traverse County, MI

County

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2019 Population
92,181
0.474% 1-year growth
US Senator
Debbie Stabenow
Democratic Party
US Senator
Gary Peters
Democratic Party
2019 Median Age
42.8
0.233% 1-year decrease
2019 Poverty Rate
9.64%
4.43% 1-year decrease
2019 Median Household Income
$63,575
3.4% 1-year growth
2019 Median Property Value
$212,500
9.42% 1-year growth
2019 Employed Population
46,754
1.37% 1-year growth

About

In 2019, Grand Traverse County, MI had a population of 92.2k people with a median age of 42.8 and a median household income of $63,575. Between 2018 and 2019 the population of Grand Traverse County, MI grew from 91,746 to 92,181, a 0.474% increase and its median household income grew from $61,485 to $63,575, a 3.4% increase.

The 5 largest ethnic groups in Grand Traverse County, MI are White (Non-Hispanic) (92.6%), White (Hispanic) (2.22%), Two+ (Non-Hispanic) (2.08%), American Indian & Alaska Native (Non-Hispanic) (0.898%), and Black or African American (Non-Hispanic) (0.865%). 0% of the households in Grand Traverse County, MI speak a non-English language at home as their primary language.

98.6% of the residents in Grand Traverse County, MI are U.S. citizens.

The largest universities in Grand Traverse County, MI are Northwestern Michigan College (689 degrees awarded in 2019).

In 2019, the median property value in Grand Traverse County, MI was $212,500, and the homeownership rate was 76.3%. Most people in Grand Traverse County, MI drove alone to work, and the average commute time was 19.6 minutes. The average car ownership in Grand Traverse County, MI was 2 cars per household.

Diversity

Grand Traverse County, MI is home to a population of 92.2k people, from which 98.6% are citizens. As of 2019, 4.86% of Grand Traverse County, MI residents were born outside of the country (4.48k people).

In 2019, there were 41.7 times more White (Non-Hispanic) residents (85.4k people) in Grand Traverse County, MI than any other race or ethnicity. There were 2.05k White (Hispanic) and 1.91k Two+ (Non-Hispanic) residents, the second and third most common ethnic groups.

Race and Ethnicity

Race and Ethnicity

The 3 largest ethnic groups in Grand Traverse County, MI
  1. White (Non-Hispanic)
    85.4k ± 96
  2. White (Hispanic)
    2.05k ± 250
  3. Two+ (Non-Hispanic)
    1.91k ± 322
2.86%
Hispanic Population
2.64k people

In 2019, there were 41.7 times more White (Non-Hispanic) residents (85.4k people) in Grand Traverse County, MI than any other race or ethnicity. There were 2.05k White (Hispanic) and 1.91k Two+ (Non-Hispanic) residents, the second and third most common ethnic groups.

2.86% of the people in Grand Traverse County, MI are hispanic (2.64k people).

The following chart shows the 7 races represented in Grand Traverse County, MI as a share of the total population.

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Heritage

Foreign-Born Population

4.86%
2019 Foreign-Born Population
4.48k people
2.64%
2018 Foreign-Born Population
2.43k people

As of 2019, 4.86% of Grand Traverse County, MI residents (4.48k 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 Grand Traverse County, MI was 2.64%, meaning that the rate has been increasing.

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

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Age by Nativity

43
Median Native-Born Age
± 0.4
42
Median Foreign-Born Age
± 5.4

In 2019, the median age of all people in Grand Traverse County, MI was 42.8. Native-born citizens, with a median age of 43, were generally older than foreign-born citizens, with a median age of 42. But people in Grand Traverse County, MI are getting getting younger. In 2018, the average age of all Grand Traverse County, MI residents was 43.

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Global Diversity

The PUMS dataset is not available at the County level, so we are showing data for Michigan.
Most Common Origin
  1. Mexico
    80,443 ± 6,935 people
  2. India
    73,340 ± 6,624 people
  3. Iraq
    55,052 ± 5,745 people

In 2019, the most common birthplace for the foreign-born residents of Michigan was Mexico, the natal country of 80,443 Michigan residents, followed by India with 73,340 and Iraq with 55,052.

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Citizenship

98.6%
2019 Citizenship
98.6%
2018 Citizenship

As of 2019, 98.6% of Grand Traverse County, MI residents were US citizens, which is higher than the national average of 93.4%. In 2018, the percentage of US citizens in Grand Traverse County, MI was 98.6%, meaning that the rate of citizenship has been decreasing.

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

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Military

Veterans

Most Common Service Period
  1. Vietnam
    2,340 ± 235
  2. Gulf War (2001-)
    892 ± 170
  3. Gulf War (1990s)
    702 ± 177

Grand Traverse County, MI has a large population of military personnel who served in Vietnam, 2.62 times greater than any other conflict.

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COVID-19

Daily New Cases by Date

Showing data at the state level for Michigan. 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 Michigan, 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 Michigan.

This chart shows weekly unemployment insurance claims in Michigan (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 Michigan.
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 Michigan. 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 Michigan.

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Community Mobility

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

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

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Economy

Median household income in Grand Traverse County, MI is $63,575. In 2019, the tract with the highest median household income in Grand Traverse County, MI was Census Tract 5509 with a value of $102,440, followed by Census Tract 5501.01 and Census Tract 5501.02, with respective values of $81,336 and $80,096.

Males in Michigan have an average income that is 1.37 times higher than the average income of females, which is $49,622. The income inequality in Michigan (measured using the Gini index) is 0.475, which is lower than than the national average.

The economy of Grand Traverse County, MI employs 46.8k people. The largest industries in Grand Traverse County, MI are Health Care & Social Assistance (7,845 people), Retail Trade (6,649 people), and Manufacturing (5,070 people), and the highest paying industries are Utilities ($95,351), Mining, Quarrying, & Oil & Gas Extraction ($52,344), and Finance & Insurance ($51,629).

Wages

Median Household Income

$63,575
2019 value
± $1,967
3.4%
1 Year Growth
± 4.23%

Households in Grand Traverse County, MI have a median annual income of $63,575, 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 $61,485 in 2018, which represents a 3.4% annual growth.

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

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Wage by Gender in Common Jobs

The PUMS dataset is not available at the County level, so we are showing data for Michigan.
$67,777
Average Male Salary in Michigan
± $1,173
$49,622
Average Female Salary in Michigan
± $892

In 2019, full-time male employees in Michigan made 1.37 times more than female employees.

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

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Wage by Race and Ethnicity in Common Jobs

The PUMS dataset is not available at the County level, so we are showing data for Michigan.
Highest Average Salaries by Race & Ethnicity in Michigan
  1. Asian
    $66,769 ± $4,515
  2. Native Hawaiian and Other Pacific Islander
    $58,569 ± $71,898
  3. White
    $51,731 ± $750

In 2019 the highest paid race/ethnicity of Michigan workers was Asian. These workers were paid 1.14 times more than Native Hawaiian and Other Pacific Islander workers, who made the second highest salary of any race/ethnicity in Michigan.

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

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Wage Distribution

The closest comparable wage GINI for Grand Traverse County, MI is from Michigan.
0.475
2019 Wage GINI in Michigan
0.476
2018 Wage GINI in Michigan

In 2019, the income inequality in Michigan was 0.475 according to the GINI calculation of the wage distribution. Income inequality had a 0.169% decline from 2018 to 2019, which means that wage distribution grew somewhat more even. The GINI for Michigan was lower than than the national average of 0.478. In other words, wages are distributed more evenly in Michigan in comparison to the national average.

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

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Income by Location

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Race/Ethnicity
Highest Median Household Income (Total)
  1. Census Tract 5509
  2. Census Tract 5501.01
  3. Census Tract 5501.02

In 2019, the tract with the highest Median Household Income (Total) in Grand Traverse County, MI was Census Tract 5509 with a value of $102,440, followed by Census Tract 5501.01 and Census Tract 5501.02, with respective values of $81,336 and $80,096.

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

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Poverty by Age and Gender

Females 55 - 64
Largest Demographic Living in Poverty

9.64% of the population for whom poverty status is determined in Grand Traverse County, MI (8.7k out of 90.3k people) live below the poverty line, a number that is lower than the national average of 12.3%. The largest demographic living in poverty are Females 55 - 64, followed by Females 25 - 34 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.

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Poverty by Race and Ethnicity

Largest Race or Ethnicity Living in Poverty
  1. White
    8,067 ± 672
  2. Two Or More
    334 ± 175
  3. Black
    202 ± 145

The most common racial or ethnic group living below the poverty line in Grand Traverse County, MI is White, followed by Two Or More and Black.

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.

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Occupations

Employment by Occupations

46.8k
2019 Value
± 1,456
1.37%
1 Year growth
± 4.29%

From 2018 to 2019, employment in Grand Traverse County, MI grew at a rate of 1.37%, from 46.1k employees to 46.8k employees.

The most common job groups, by number of people living in Grand Traverse County, MI, are Sales & Related Occupations (6,540 people), Management Occupations (4,781 people), and Office & Administrative Support Occupations (4,728 people). This chart illustrates the share breakdown of the primary jobs held by residents of Grand Traverse County, MI.

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Most Common

The most common jobs held by residents of Grand Traverse County, MI, by number of employees, are Sales & Related Occupations (6,540 people), Management Occupations (4,781 people), and Office & Administrative Support Occupations (4,728 people).

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Most Specialized

Compared to other counties, Grand Traverse County, MI has an unusually high number of residents working as Health Diagnosing & Treating Practitioners & Other Technical Occupations (1.56 times higher than expected), Sales & Related Occupations (1.37 times), and Food Preparation & Serving Related Occupations (1.21 times).

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Highest Paid

The highest paid jobs held by residents of Grand Traverse County, MI, by median earnings, are Legal Occupations ($96,250), Law Enforcement Workers Including Supervisors ($65,313), and Life, Physical, & Social Science Occupations ($65,156).

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Industries

Employment by Industries

46.8k
2019 Value
± 1,456
1.37%
1 Year growth
± 4.29%

From 2018 to 2019, employment in Grand Traverse County, MI grew at a rate of 1.37%, from 46.1k employees to 46.8k employees.

The most common employment sectors for those who live in Grand Traverse County, MI, are Health Care & Social Assistance (7,845 people), Retail Trade (6,649 people), and Manufacturing (5,070 people). This chart shows the share breakdown of the primary industries for residents of Grand Traverse County, MI, though some of these residents may live in Grand Traverse County, MI and work somewhere else. Census data is tagged to a residential address, not a work address.

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Most Common

The most common industries in Grand Traverse County, MI, by number of employees, are Health Care & Social Assistance (7,845 people), Retail Trade (6,649 people), and Manufacturing (5,070 people).

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Most Specialized

Compared to other counties, Grand Traverse County, MI has an unusually high number of Accommodation & Food Services (1.3 times higher than expected), Retail Trade (1.27 times), and Health Care & Social Assistance (1.21 times) industries.

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Highest Paying

The highest paying industries in Grand Traverse County, MI, by median earnings, are Utilities ($95,351), Mining, Quarrying, & Oil & Gas Extraction ($52,344), and Finance & Insurance ($51,629).

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Domestic Trade

Domestic Production & Consumption

Domestic production and consumption consists of products and services shipped from Michigan to other states, or from other states to Michigan.
Top Domestic Production in Dollars
  1. $213B
  2. $50.8B
  3. $37.9B

In 2018, the top outbound Michigan product (by dollars) was Motorized vehicles with $213B, followed by Machinery ($50.8B) and Mixed freight ($37.9B).

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

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Domestic Trade Growth

Showing data for Michigan.
$636B
2018 Value in Michigan
$1.17T
Projected 2045 Value in Michigan
83.6% growth

In 2018, total outbound Michigan trade was $636B. This is expected to increase 83.6% to $1.17T by 2045.

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

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Interstate Trade

Interstate trade consists of products and services shipped from Michigan to other states, or from other states to Michigan.
Most Common Trade Partners
  1. $44B
  2. $33.2B
  3. $30.5B

In 2018, the top outbound Michigan domestic partner for goods and services (by dollars) was Ohio with $44B, followed by Indiana with $33.2B and Texas and $30.5B.

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

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Civics

In the 2016 presidential election, the popular vote in Grand Traverse County, MI went to Donald J. Trump with 53.1% of the vote. The runner-up was Hillary Rodham Clinton (40.6%), followed by Other (6.22%). The most partisan county was Missaukee County, MI with 73.6% of the vote going to Donald J. Trump running for the Republican Party.

Debbie Stabenow and Gary Peters are the senators currently representing the state of Michigan. In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

Michigan is currently represented by 14 members in the U.S. house, and members of the House of Representives are elected to 2-year terms.

Presidential Popular Vote by County

Presidential voting results are only available at the county level. Showing data for the counties inside of Michigan.
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 Grand Traverse County, MI
53.1% for the Republican Party
Most Partisan Counties in Michigan
  1. 73.6% for Donald J. Trump (Republican Party)
  2. 70.7% for Donald J. Trump (Republican Party)
  3. 69.9% for Donald J. Trump (Republican Party)

In the 2016 presidential election, the most partisan county in Michigan was Missaukee County, MI with 73.6% of the vote going to Donald J. Trump running for the Republican Party.

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

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US Senators from Michigan

Senatorial voting results are only available at the state level. Showing data for Michigan.
Debbie Stabenow
Senator from Michigan1
Assumed office on January 3, 2001
Gary Peters
Senator from Michigan2
Assumed office on January 3, 2015

Debbie Stabenow and Gary Peters are the senators currently representing Michigan.

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 Michigan over time, excluding special elections, colored by their political party.

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US Representatives from Michigan

Michigan is currently represented by 14 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 Michigan have changed over time starting in 2008.

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Education

In 2019, universities in Grand Traverse County, MI awarded 689 degrees. The student population of Grand Traverse County, MI is skewed towards women, with 1,727 male students and 1,852 female students.

Most students graduating from Universities in Grand Traverse County, MI are White (595 and 87.4%), followed by Unknown (25 and 3.67%), Two or More Races (19 and 2.79%), and Hispanic or Latino (18 and 2.64%).

The largest universities in Grand Traverse County, MI by number of degrees awarded are Northwestern Michigan College (689 and 100%).

The most popular majors in Grand Traverse County, MI are Liberal Arts & Sciences (213 and 30.9%), Registered Nursing (61 and 8.85%), and Marine Science & Merchant Marine Officer (58 and 8.42%).

The median tuition cost in Grand Traverse County, MI for a public four year colleges is $7,264 for in-state students and $9,472 for out-of-state students.

Concentrations

Most Common
  1. 52 degree-majorss awarded
  2. 213 degree-majorss awarded
  3. 61 degree-majorss awarded

In 2019, the most common concentation for Associates Degree recipients in Grand Traverse County, MI was General Studies with 52 degrees awarded.

This visualization illustrates the percentage of students graduating with a Associates Degree from schools in Grand Traverse County, MI according to their major.

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Universities

Largest Universities by degrees awarded
689 degrees awarded
$7,264
Median In-State Public

In 2019, the Grand Traverse County, MI institution with the largest number of graduating students was Northwestern Michigan College with 689 degrees awarded.

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Student Gender for Common Institutions

350
Degrees Awarded to Men
339
Degrees Awarded to Women

In 2019, 350 men were awarded degrees from institutions in Grand Traverse County, MI, which is 1.03 times more than the 339 female students who received degrees in the same year.

This chart displays the gender disparity between the institutions in Grand Traverse County, MI by degrees awarded.

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Student Race and Ethnicity

Most Common Student Race or Ethnicity
  1. White
    595 degrees awarded
  2. Unknown
    25 degrees awarded
  3. Two or More Races
    19 degrees awarded

In 2019 the most common race/ethnicity group awarded degrees at institutions in Grand Traverse County, MI was White students. These 595 degrees mean that there were 23.8 times more degrees awarded to White students then the next closest race/ethnicity group, Unknown, with 25 degrees awarded.

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Housing & Living

The median property value in Grand Traverse County, MI was $212,500 in 2019, which is 0.884 times smaller than the national average of $240,500. Between 2018 and 2019 the median property value increased from $194,200 to $212,500, a 9.42% increase. The homeownership rate in Grand Traverse County, MI is 76.3%, which is higher than the national average of 64.1%. People in Grand Traverse County, MI have an average commute time of 19.6 minutes, and they drove alone to work. Car ownership in Grand Traverse County, MI is approximately the same as the national average, with an average of 2 cars per household.

Housing

Property Value

$212,500
2019 Median
± $5,535
$194,200
2018 Median
± $4,908

In 2019, the median property value in Grand Traverse County, MI grew to to $212,500 from the previous year's value of $194,200.

The following charts display, first, the property values in Grand Traverse County, MI 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 Grand Traverse County, MI the largest share of households have a property value in the $300k - $400k range.

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Household Income

Please note that the buckets used in this visualization were not evenly distributed by ACS when publishing the data.
$63,575
Median Household Income
± $1,967
37.3k
Number of Households
± 1,248

In 2019, the median household income of the 37.3k households in Grand Traverse County, MI grew to $63,575 from the previous year's value of $61,485.

The following chart displays the households in Grand Traverse County, MI 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.

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Property Taxes

$3k+
Average Range

This chart shows the households in Grand Traverse County, MI distributed between a series of property tax buckets compared to the national averages for each bucket. In Grand Traverse County, MI the largest share of households pay taxes in the $3k+ range.

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Rent vs Own

76.3%
2019 Homeownership
76.3%
2018 Homeownership

In 2019, 76.3% of the housing units in Grand Traverse County, MI were occupied by their owner. This percentage grew from the previous year's rate of 76.3%.

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

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Commute Time

19.6 minutes
Average Travel Time

Using averages, employees in Grand Traverse County, MI have a shorter commute time (19.6 minutes) than the normal US worker (25.5 minutes). Additionally, 1.77% of the workforce in Grand Traverse County, MI have "super commutes" in excess of 90 minutes.

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

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Commuter Transportation

Most Common Commute in 2019
  1. Drove Alone (79.1%)
  2. Carpooled (9.56%)
  3. Worked At Home (6.21%)

In 2019, 79.1% of workers in Grand Traverse County, MI drove alone to work, followed by those who carpooled to work (9.56%) and those who worked at home (6.21%).

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.

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Transportation

Car Ownership

2 cars
Average Number

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

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Health

93.5% of the population of Grand Traverse County, MI has health coverage, with 48.7% on employee plans, 13.8% on Medicaid, 14.2% on Medicare, 15.1% on non-group plans, and 1.76% on military or VA plans.

Per capita personal health care spending in Michigan was $8,055 in 2014. This is a 4% increase from the previous year ($7,745).

Primary care physicians in Grand Traverse County, MI see 753 patients per year on average, which represents a 0.791% decrease from the previous year (759 patients). Compare this to dentists who see 990 patients per year, and mental health providers who see 222 patients per year.

Comparing across all counties in the state, Montmorency County has the highest prevalence of diabetes (18.6%). Additionally, Gratiot County has the highest prevalence of adult obesity (45.6%)

Patient to Clinician Ratios

753 to 1
Patient to Primary Care Physician Ratio in Grand Traverse County, MI

Primary care physicians in Grand Traverse County, MI see an average of 753 patients per year. This represents a 0.791% decrease from the previous year (759 patients).

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

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Behavioral Health Conditions

Data only available at the state level.
State with the Highest Prevalence
  1. 8.26% of the population affected
  2. 8.13% of the population affected
  3. 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.

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Access and Quality

Data only available at state level.
Most prevalent states
  1. 19.2% of adults
  2. 17.9% of adults
  3. 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.

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Health Care Spending

Data is only available at the state level. Showing data for Michigan.
$8,055
Total Per Capita Spending on Personal Health Care in Michigan
$3,950
Per Enrollee Private Health Insurance Spending on Personal Health Care
$5,915
Per Enrollee Medicaid Spending on Personal Health Care
$11,318
Per Enrollee Medicare Spending on Personal Health Care

Between 2013 and 2014, all personal health care spending per capita in Michigan (including private, Medicare, and Medicaid) grew 4%, from $7,745 to $8,055.

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

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Health Care Coverage

6.49%
Uninsured
48.7%
Employer Coverage
13.8%
Medicaid
14.2%
Medicare
15.1%
Non-Group
1.76%
Military or VA

Between 2018 and 2019, the percent of uninsured citizens in Grand Traverse County, MI declined by 6.73% from 6.96% to 6.49%.

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

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Health Risks

Data available at the county level.
Most at risk counties
  1. 18.6% prevalence
  2. 18.3% prevalence
  3. 17.1% prevalence

Montmorency County has the highest prevalence of diabetes in Michigan, at 18.6%.

The following map shows the prevalence of diabetes in Michigan by county over multiple years.

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