Johnson County, KS

County

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2019 Population

602,401

0.811% 1-year growth

US Senator

Jerry Moran

Republican Party

US Senator

Roger Marshall

Republican Party

2019 Median Age

37.8

0% 1-year change

2019 Poverty Rate

5.37%

3.87% 1-year decrease

2019 Median Household Income

$91,771

5.79% 1-year growth

2019 Median Property Value

$290,100

4.62% 1-year growth

2019 Employed Population

332,024

1.56% 1-year growth

About

In 2019, Johnson County, KS had a population of 602k people with a median age of 37.8 and a median household income of $91,771. Between 2018 and 2019 the population of Johnson County, KS grew from 597,555 to 602,401, a 0.811% increase and its median household income grew from $86,746 to $91,771, a 5.79% increase.

The 5 largest ethnic groups in Johnson County, KS are White (Non-Hispanic) (79.3%), White (Hispanic) (5.49%), Asian (Non-Hispanic) (5.16%), Black or African American (Non-Hispanic) (4.68%), and Two+ (Non-Hispanic) (2.64%). 0% of the households in Johnson County, KS speak a non-English language at home as their primary language.

95.3% of the residents in Johnson County, KS are U.S. citizens.

The largest universities in Johnson County, KS are Johnson County Community College (3,168 degrees awarded in 2019), Grantham University (1,830 degrees), and MidAmerica Nazarene University (623 degrees).

In 2019, the median property value in Johnson County, KS was $290,100, and the homeownership rate was 69.5%. Most people in Johnson County, KS drove alone to work, and the average commute time was 19.8 minutes. The average car ownership in Johnson County, KS was 2 cars per household.

Johnson County, KS borders Douglas County, KS, Franklin County, KS, Leavenworth County, KS, Miami County, KS, Wyandotte County, KS, Cass County, MO, and Jackson County, MO.

About the photo: Sunset at Shawnee Mission Park

Photo by kansasphoto

United States Kansas Kansas City, MO-KS

Diversity

Johnson County, KS is home to a population of 602k people, from which 95.3% are citizens. As of 2019, 8.7% of Johnson County, KS residents were born outside of the country (52.4k people).

In 2019, there were 14.4 times more White (Non-Hispanic) residents (478k people) in Johnson County, KS than any other race or ethnicity. There were 33.1k White (Hispanic) and 31.1k Asian (Non-Hispanic) residents, the second and third most common ethnic groups.

Race and Ethnicity

The 3 largest ethnic groups in Johnson County, KS

White (Non-Hispanic)
478k ± 252
White (Hispanic)
33.1k ± 3.39k
Asian (Non-Hispanic)
31.1k ± 1.58k

7.92%

Hispanic Population

47.7k people

7.92% of the people in Johnson County, KS are hispanic (47.7k people).

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

Heritage

Foreign-Born Population

8.7%

2019 Foreign-Born Population

52.4k people

8.54%

2018 Foreign-Born Population

51.1k people

As of 2019, 8.7% of Johnson County, KS residents (52.4k people) were born outside of the United States, which is lower than the national average of 13.7%. In 2018, the percentage of foreign-born citizens in Johnson County, KS was 8.54%, meaning that the rate has been increasing.

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

Age by Nativity

Median Native-Born Age

± 0.4

Median Foreign-Born Age

± 1.4

In 2019, the median age of all people in Johnson County, KS was 37.8. Native-born citizens, with a median age of 37, were generally younger than foreign-born citizens, with a median age of 41. But people in Johnson County, KS are getting staying the same age. In 2018, the average age of all Johnson County, KS residents was 38.

Global Diversity

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

Most Common Origin

Mexico
79,283 ± 6,818 people
India
10,437 ± 2,504 people
Vietnam
9,902 ± 2,439 people

In 2019, the most common birthplace for the foreign-born residents of Kansas was Mexico, the natal country of 79,283 Kansas residents, followed by India with 10,437 and Vietnam with 9,902.

Citizenship

95.3%

2019 Citizenship

95.5%

2018 Citizenship

As of 2019, 95.3% of Johnson County, KS residents were US citizens, which is higher than the national average of 93.4%. In 2018, the percentage of US citizens in Johnson County, KS was 95.5%, meaning that the rate of citizenship has been decreasing.

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

Military

Veterans

Most Common Service Period

Vietnam
9,738 ± 1,301
Gulf War (2001-)
6,173 ± 1,344
Gulf War (1990s)
4,269 ± 1,033

Johnson County, KS has a large population of military personnel who served in Vietnam, 1.58 times greater than any other conflict.

COVID-19

Daily New Cases by Date

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

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

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 Kansas. 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 Kansas.

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Community Mobility

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

This chart presents movement trends over time in the state of Kansas 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 Johnson County, KS is $91,771. In 2019, the tract with the highest median household income in Johnson County, KS was Census Tract 508 with a value of $250,001, followed by Census Tract 534.24 and Census Tract 534.23, with respective values of $224,896 and $197,500.

Males in Kansas have an average income that is 1.4 times higher than the average income of females, which is $45,960. The income inequality in Kansas (measured using the Gini index) is 0.454, which is lower than than the national average.

The economy of Johnson County, KS employs 332k people. The largest industries in Johnson County, KS are Health Care & Social Assistance (49,558 people), Professional, Scientific, & Technical Services (44,898 people), and Retail Trade (34,484 people), and the highest paying industries are Utilities ($89,233), Professional, Scientific, & Technical Services ($77,204), and Finance & Insurance ($70,677).

Wages

Median Household Income

$91,771

2019 value

± $1,698

5.79%

1 Year Growth

± 2.84%

Households in Johnson County, KS have a median annual income of $91,771, which is more than the median annual income of $65,712 across the entire United States. This is in comparison to a median income of $86,746 in 2018, which represents a 5.79% annual growth.

The following chart shows how the median household income in Johnson County, KS 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 Kansas.

$64,337

Average Male Salary in Kansas

± $1,898

$45,960

Average Female Salary in Kansas

± $1,398

In 2019, full-time male employees in Kansas made 1.4 times more than female employees.

This chart shows the gender-based wage disparity in the 5 most common occupations in Kansas 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 Kansas.

Highest Average Salaries by Race & Ethnicity in Kansas

Native Hawaiian and Other Pacific Islander
$121,729 ± $143,819
Asian
$51,452 ± $6,488
White
$50,192 ± $1,226

In 2019 the highest paid race/ethnicity of Kansas workers was Native Hawaiian and Other Pacific Islander. These workers were paid 2.37 times more than Asian workers, who made the second highest salary of any race/ethnicity in Kansas.

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

Wage Distribution

The closest comparable wage GINI for Johnson County, KS is from Kansas.

0.454

2019 Wage GINI in Kansas

0.464

2018 Wage GINI in Kansas

In 2019, the income inequality in Kansas was 0.454 according to the GINI calculation of the wage distribution. Income inequality had a 2.18% decline from 2018 to 2019, which means that wage distribution grew somewhat more even. The GINI for Kansas was lower than than the national average of 0.478. In other words, wages are distributed more evenly in Kansas in comparison to the national average.

This chart shows the number of workers in Kansas 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 508
Census Tract 534.24
Census Tract 534.23

In 2019, the tract with the highest Median Household Income (Total) in Johnson County, KS was Census Tract 508 with a value of $250,001, followed by Census Tract 534.24 and Census Tract 534.23, with respective values of $224,896 and $197,500.

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

Poverty by Age and Gender

Females 18 - 24

Largest Demographic Living in Poverty

5.37% of the population for whom poverty status is determined in Johnson County, KS (31.4k out of 586k 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 18 - 24, 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.

Poverty by Race and Ethnicity

Largest Race or Ethnicity Living in Poverty

White
22,567 ± 1,100
Hispanic
6,068 ± 602
Black
3,852 ± 531

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

Occupations

Employment by Occupations

332k

2019 Value

± 9,202

1.56%

1 Year growth

± 3.82%

From 2018 to 2019, employment in Johnson County, KS grew at a rate of 1.56%, from 327k employees to 332k employees.

The most common job groups, by number of people living in Johnson County, KS, are Management Occupations (47,723 people), Sales & Related Occupations (35,473 people), and Office & Administrative Support Occupations (31,581 people). This chart illustrates the share breakdown of the primary jobs held by residents of Johnson County, KS.

Most Common

The most common jobs held by residents of Johnson County, KS, by number of employees, are Management Occupations (47,723 people), Sales & Related Occupations (35,473 people), and Office & Administrative Support Occupations (31,581 people).

Most Specialized

Compared to other counties, Johnson County, KS has an unusually high number of residents working as Computer & Mathematical Occupations (1.73 times higher than expected), Business & Financial Operations Occupations (1.62 times), and Health Diagnosing & Treating Practitioners & Other Technical Occupations (1.57 times).

Highest Paid

The highest paid jobs held by residents of Johnson County, KS, by median earnings, are Legal Occupations ($110,103), Management Occupations ($82,654), and Computer & Mathematical Occupations ($80,371).

Industries

Employment by Industries

332k

2019 Value

± 9,202

1.56%

1 Year growth

± 3.82%

From 2018 to 2019, employment in Johnson County, KS grew at a rate of 1.56%, from 327k employees to 332k employees.

The most common employment sectors for those who live in Johnson County, KS, are Health Care & Social Assistance (49,558 people), Professional, Scientific, & Technical Services (44,898 people), and Retail Trade (34,484 people). This chart shows the share breakdown of the primary industries for residents of Johnson County, KS, though some of these residents may live in Johnson County, KS and work somewhere else. Census data is tagged to a residential address, not a work address.

Most Common

The most common industries in Johnson County, KS, by number of employees, are Health Care & Social Assistance (49,558 people), Professional, Scientific, & Technical Services (44,898 people), and Retail Trade (34,484 people).

Most Specialized

Compared to other counties, Johnson County, KS has an unusually high number of Professional, Scientific, & Technical Services (1.77 times higher than expected), Finance & Insurance (1.69 times), and Information (1.6 times) industries.

Highest Paying

The highest paying industries in Johnson County, KS, by median earnings, are Utilities ($89,233), Professional, Scientific, & Technical Services ($77,204), and Finance & Insurance ($70,677).

Domestic Trade

Domestic Production & Consumption

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

Top Domestic Production in Dollars

In 2018, the top outbound Kansas product (by dollars) was Cereal grains with $30.4B, followed by Mixed freight ($30B) and Coal-n.e.c. ($20.2B).

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

Domestic Trade Growth

Showing data for Kansas.

$263B

2018 Value in Kansas

$404B

Projected 2045 Value in Kansas

53.5% growth

In 2018, total outbound Kansas trade was $263B. This is expected to increase 53.5% to $404B by 2045.

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

Interstate Trade

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

Most Common Trade Partners

Missouri
$25.9B
Texas
$23.5B
Nebraska
$17.9B

In 2018, the top outbound Kansas domestic partner for goods and services (by dollars) was Missouri with $25.9B, followed by Texas with $23.5B and Nebraska and $17.9B.

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

Civics

In the 2016 presidential election, the popular vote in Johnson County, KS went to Donald J. Trump with 47.4% of the vote. The runner-up was Hillary Rodham Clinton (44.8%), followed by Other (7.84%). The most partisan county was Wallace County, KS with 90.4% of the vote going to Donald J. Trump running for the Republican Party.

Jerry Moran and Roger Marshall are the senators currently representing the state of Kansas. In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

Kansas is currently represented by 4 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 (47.4%)
Republican Party
Hillary Rodham Clinton (44.8%)
Democratic Party
Other (7.84%)
Other Party

In the 2016 presidential election, the popular vote in Kansas went to Donald J. Trump with 47.4% of the vote. The runner-up was Hillary Rodham Clinton (44.8%), followed by Other (7.84%).

The following chart shows the popular vote results in Kansas 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 Kansas.

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 Johnson County, KS

47.4% for the Republican Party

Most Partisan Counties in Kansas

Wallace County, KS
90.4% for Donald J. Trump (Republican Party)
Sheridan County, KS
87.1% for Donald J. Trump (Republican Party)
Gove County, KS
84.9% for Donald J. Trump (Republican Party)

In the 2016 presidential election, the most partisan county in Kansas was Wallace County, KS with 90.4% of the vote going to Donald J. Trump running for the Republican Party.

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

US Senators from Kansas

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

Jerry Moran

Senator from Kansas

Assumed office on January 3, 2011

Roger Marshall

Senator from Kansas

Assumed office on January 3, 2021

Jerry Moran and Roger Marshall are the senators currently representing Kansas.

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

US Representatives from Kansas

Kansas is currently represented by 4 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 Kansas have changed over time starting in 2008.

Education

In 2019, universities in Johnson County, KS awarded 6,212 degrees. The student population of Johnson County, KS is skewed towards women, with 13,367 male students and 15,676 female students.

Most students graduating from Universities in Johnson County, KS are White (3,813 and 62.5%), followed by Black or African American (942 and 15.5%), Hispanic or Latino (458 and 7.51%), and Unknown (369 and 6.05%).

The largest universities in Johnson County, KS by number of degrees awarded are Johnson County Community College (3,168 and 51%), Grantham University (1,830 and 29.5%), and MidAmerica Nazarene University (623 and 10%).

The most popular majors in Johnson County, KS are Liberal Arts & Sciences (1,408 and 22.7%), General Business Administration & Management (612 and 9.85%), and Nursing Assistant & Patient Care Assistant (610 and 9.82%).

The median tuition cost in Johnson County, KS for private four year colleges is $13,188.

Concentrations

Most Common

General Business Administration & Management
205 degree-majorss awarded
Criminal Justice - Law Enforcement Administration
150 degree-majorss awarded
Liberal Arts & Sciences
1,386 degree-majorss awarded

In 2019, the most common concentation for Associates Degree recipients in Johnson County, KS was General Business Administration & Management with 205 degrees awarded.

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

Universities

Largest Universities by degrees awarded

Johnson County Community College
3,168 degrees awarded
Grantham University
1,830 degrees awarded
MidAmerica Nazarene University
623 degrees awarded

$13,188

Median Private

In 2019, the Johnson County, KS institution with the largest number of graduating students was Johnson County Community College with 3,168 degrees awarded.

Student Gender for Common Institutions

2,733

Degrees Awarded to Men

3,479

Degrees Awarded to Women

In 2019, 2,733 men were awarded degrees from institutions in Johnson County, KS, which is 0.786 times less than the 3,479 female students who received degrees in the same year.

This chart displays the gender disparity between the top 5 institutions in Johnson County, KS by degrees awarded.

Student Race and Ethnicity

Most Common Student Race or Ethnicity

White
3,813 degrees awarded
Black or African American
942 degrees awarded
Hispanic or Latino
458 degrees awarded

In 2019 the most common race/ethnicity group awarded degrees at institutions in Johnson County, KS was White students. These 3,813 degrees mean that there were 4.05 times more degrees awarded to White students then the next closest race/ethnicity group, Black or African American, with 942 degrees awarded.

Housing & Living

The median property value in Johnson County, KS was $290,100 in 2019, which is 1.21 times larger than the national average of $240,500. Between 2018 and 2019 the median property value increased from $277,300 to $290,100, a 4.62% increase. The homeownership rate in Johnson County, KS is 69.5%, which is higher than the national average of 64.1%. People in Johnson County, KS have an average commute time of 19.8 minutes, and they drove alone to work. Car ownership in Johnson County, KS is approximately the same as the national average, with an average of 2 cars per household.

Housing

Property Value

$290,100

2019 Median

± $4,220

$277,300

2018 Median

± $4,906

In 2019, the median property value in Johnson County, KS grew to to $290,100 from the previous year's value of $277,300.

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

Household Income

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

$91,771

Median Household Income

± $1,698

232k

Number of Households

± 6,902

In 2019, the median household income of the 232k households in Johnson County, KS grew to $91,771 from the previous year's value of $86,746.

The following chart displays the households in Johnson County, KS 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

$3k+

Average Range

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

Rent vs Own

69.5%

2019 Homeownership

68.7%

2018 Homeownership

In 2019, 69.5% of the housing units in Johnson County, KS were occupied by their owner. This percentage grew from the previous year's rate of 68.7%.

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

Commute Time

19.8 minutes

Average Travel Time

Using averages, employees in Johnson County, KS have a shorter commute time (19.8 minutes) than the normal US worker (26 minutes). Additionally, 0.847% of the workforce in Johnson County, KS have "super commutes" in excess of 90 minutes.

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

Commuter Transportation

Most Common Commute in 2019

Drove Alone (84.2%)
Worked At Home (8.05%)
Carpooled (5.92%)

In 2019, 84.2% of workers in Johnson County, KS drove alone to work, followed by those who worked at home (8.05%) and those who carpooled to work (5.92%).

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

Health

93.9% of the population of Johnson County, KS has health coverage, with 65.1% on employee plans, 5.16% on Medicaid, 11.7% on Medicare, 10.9% on non-group plans, and 1.06% on military or VA plans.

Per capita personal health care spending in Kansas was $7,651 in 2014. This is a 2.99% increase from the previous year ($7,429).

Primary care physicians in Johnson County, KS see 810 patients per year on average, which represents a 0.613% decrease from the previous year (815 patients). Compare this to dentists who see 1154 patients per year, and mental health providers who see 414 patients per year.

Comparing across all counties in the state, Elk County has the highest prevalence of diabetes (22.5%). Additionally, Osage County has the highest prevalence of adult obesity (42.4%)

Patient to Clinician Ratios

810 to 1

Patient to Primary Care Physician Ratio in Johnson County, KS

Primary care physicians in Johnson County, KS see an average of 810 patients per year. This represents a 0.613% decrease from the previous year (815 patients).

The following chart shows how the number of patients seen by primary care physicians has been changing over time in Johnson County, KS 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 Kansas.

$7,651

Total Per Capita Spending on Personal Health Care in Kansas

$4,855

Per Enrollee Private Health Insurance Spending on Personal Health Care

$6,736

Per Enrollee Medicaid Spending on Personal Health Care

$10,126

Per Enrollee Medicare Spending on Personal Health Care

Between 2013 and 2014, all personal health care spending per capita in Kansas (including private, Medicare, and Medicaid) grew 2.99%, from $7,429 to $7,651.

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

Health Care Coverage

6.1%

Uninsured

65.1%

Employer Coverage

5.16%

Medicaid

11.7%

Medicare

10.9%

Non-Group

1.06%

Military or VA

Between 2018 and 2019, the percent of uninsured citizens in Johnson County, KS declined by 6.84% from 6.55% to 6.1%.

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