Shelby County, TN

County

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2019 Population

937,166

0.15% 1-year growth

US Senator

Marsha Blackburn

Republican Party

US Senator

Bill Hagerty

Republican Party

2019 Median Age

35.9

0.278% 1-year decrease

2019 Poverty Rate

19.3%

6.21% 1-year decrease

2019 Median Household Income

$52,614

10.8% 1-year growth

2019 Median Property Value

$170,900

8.37% 1-year growth

2019 Employed Population

440,856

2.4% 1-year growth

About

In 2019, Shelby County, TN had a population of 937k people with a median age of 35.9 and a median household income of $52,614. Between 2018 and 2019 the population of Shelby County, TN grew from 935,764 to 937,166, a 0.15% increase and its median household income grew from $47,500 to $52,614, a 10.8% increase.

The 5 largest ethnic groups in Shelby County, TN are Black or African American (Non-Hispanic) (53.7%), White (Non-Hispanic) (35.2%), White (Hispanic) (3.82%), Asian (Non-Hispanic) (2.75%), and Other (Hispanic) (2.45%). 0% of the households in Shelby County, TN speak a non-English language at home as their primary language.

96.4% of the residents in Shelby County, TN are U.S. citizens.

The largest universities in Shelby County, TN are University of Memphis (4,621 degrees awarded in 2020), Southwest Tennessee Community College (1,113 degrees), and The University of Tennessee Health Science Center (1,007 degrees).

In 2019, the median property value in Shelby County, TN was $170,900, and the homeownership rate was 54.2%. Most people in Shelby County, TN drove alone to work, and the average commute time was 22.3 minutes. The average car ownership in Shelby County, TN was 2 cars per household.

Shelby County, TN borders Crittenden County, AR, Mississippi County, AR, DeSoto County, MS, Marshall County, MS, Fayette County, TN, and Tipton County, TN.

About the photo: skyline

Photo by Nicolas Henderson

United States Tennessee Memphis, TN-MS-AR

Diversity

Shelby County, TN is home to a population of 937k people, from which 96.4% are citizens. As of 2019, 6.53% of Shelby County, TN residents were born outside of the country (61.2k people).

In 2019, there were 1.52 times more Black or African American (Non-Hispanic) residents (503k people) in Shelby County, TN than any other race or ethnicity. There were 330k White (Non-Hispanic) and 35.8k White (Hispanic) residents, the second and third most common ethnic groups.

Race and Ethnicity

The 3 largest ethnic groups in Shelby County, TN

Black or African American (Non-Hispanic)
503k ± 2.85k
White (Non-Hispanic)
330k ± 604
White (Hispanic)
35.8k ± 5.8k

6.63%

Hispanic Population

62.1k people

6.63% of the people in Shelby County, TN are hispanic (62.1k people).

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

Heritage

Foreign-Born Population

6.53%

2019 Foreign-Born Population

61.2k people

6.46%

2018 Foreign-Born Population

60.5k people

As of 2019, 6.53% of Shelby County, TN residents (61.2k 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 Shelby County, TN was 6.46%, meaning that the rate has been increasing.

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

Age by Nativity

Median Native-Born Age

± 0.2

Median Foreign-Born Age

± 1.9

In 2019, the median age of all people in Shelby County, TN was 35.9. Native-born citizens, with a median age of 35, were generally younger than foreign-born citizens, with a median age of 42. But people in Shelby County, TN are getting getting younger. In 2018, the average age of all Shelby County, TN residents was 36.

Global Diversity

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

Most Common Origin

Mexico
90,399 ± 7,333 people
India
25,162 ± 3,887 people
Guatemala
22,860 ± 3,706 people

In 2019, the most common birthplace for the foreign-born residents of Tennessee was Mexico, the natal country of 90,399 Tennessee residents, followed by India with 25,162 and Guatemala with 22,860.

Citizenship

96.4%

2019 Citizenship

95.6%

2018 Citizenship

As of 2019, 96.4% of Shelby County, TN residents were US citizens, which is higher than the national average of 93.4%. In 2018, the percentage of US citizens in Shelby County, TN was 95.6%, meaning that the rate of citizenship has been increasing.

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

Military

Veterans

Most Common Service Period

Vietnam
16,438 ± 1,805
Gulf War (2001-)
10,008 ± 2,599
Gulf War (1990s)
8,077 ± 1,725

Shelby County, TN has a large population of military personnel who served in Vietnam, 1.64 times greater than any other conflict.

COVID-19

Daily New Cases by Date

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

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

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 Tennessee. 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 Tennessee.

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Community Mobility

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

This chart presents movement trends over time in the state of Tennessee 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 Shelby County, TN is $52,614. In 2019, the tract with the highest Median Household Income in Shelby County, TN was Census Tract 213.53 with a value of $175,938, followed by Census Tract 215.40 and Census Tract 213.11, with respective values of $145,934 and $132,955.

Males in Tennessee have an average income that is 1.35 times higher than the average income of females, which is $46,943. The income inequality in Tennessee (measured using the Gini index) is 0.466, which is lower than than the national average.

The economy of Shelby County, TN employs 441k people. The largest industries in Shelby County, TN are Health Care & Social Assistance (61,443 people), Transportation & Warehousing (58,279 people), and Retail Trade (43,844 people), and the highest paying industries are Utilities ($61,001), Management of Companies & Enterprises ($56,403), and Finance & Insurance ($55,443).

Wages

Median Household Income

$52,614

2019 value

± $2,477

10.8%

1 Year Growth

± 5.91%

Households in Shelby County, TN have a median annual income of $52,614, 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 $47,500 in 2018, which represents a 10.8% annual growth.

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

Wage by Sex in Common Jobs

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

$63,562

Average Male Salary in Tennessee

± $1,473

$46,943

Average Female Salary in Tennessee

± $1,064

In 2019, full-time male employees in Tennessee made 1.35 times more than female employees.

This chart shows the sex-based wage disparity in the 5 most common occupations in Tennessee 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 Tennessee.

Highest Average Salaries by Race & Ethnicity in Tennessee

Asian
$76,106 ± $10,142
White
$51,338 ± $973
Two or More Races
$42,464 ± $7,062

In 2019 the highest paid race/ethnicity of Tennessee workers was Asian. These workers were paid 1.48 times more than White workers, who made the second highest salary of any race/ethnicity in Tennessee.

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

Wage Distribution

The closest comparable wage GINI for Shelby County, TN is from Tennessee.

0.466

2019 Wage GINI in Tennessee

0.464

2018 Wage GINI in Tennessee

In 2019, the income inequality in Tennessee was 0.466 according to the GINI calculation of the wage distribution. Income inequality had a 0.472% growth from 2018 to 2019, which means that wage distribution grew somewhat less even. The GINI for Tennessee was lower than than the national average of 0.478. In other words, wages are distributed more evenly in Tennessee in comparison to the national average.

This chart shows the number of workers in Tennessee 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 213.53
Census Tract 215.40
Census Tract 213.11

In 2019, the tract with the highest Median Household Income (Total) in Shelby County, TN was Census Tract 213.53 with a value of $175,938, followed by Census Tract 215.40 and Census Tract 213.11, with respective values of $145,934 and $132,955.

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

Poverty by Age and Sex

Females 25 - 34

Largest Demographic Living in Poverty

19.3% of the population for whom poverty status is determined in Shelby County, TN (178k out of 918k 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 Males < 5 and then Males 6 - 11.

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

Black
130,392 ± 2,939
White
34,337 ± 1,468
Hispanic
16,651 ± 982

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

Occupations

Employment by Occupations

441k

2019 Value

± 13,524

2.4%

1 Year growth

± 4.12%

From 2018 to 2019, employment in Shelby County, TN grew at a rate of 2.4%, from 431k employees to 441k employees.

The most common job groups, by number of people living in Shelby County, TN, are Office & Administrative Support Occupations (57,469 people), Sales & Related Occupations (42,039 people), and Management Occupations (40,150 people). This chart illustrates the share breakdown of the primary jobs held by residents of Shelby County, TN.

Most Common

The most common jobs held by residents of Shelby County, TN, by number of employees, are Office & Administrative Support Occupations (57,469 people), Sales & Related Occupations (42,039 people), and Management Occupations (40,150 people).

Most Specialized

Compared to other counties, Shelby County, TN has an unusually high number of residents working as Material Moving Occupations (2.38 times higher than expected), Law Enforcement Workers Including Supervisors (1.66 times), and Fire Fighting & Prevention, & Other Protective Service Workers Including Supervisors (1.31 times).

Highest Paid

The highest paid jobs held by residents of Shelby County, TN, by median earnings, are Legal Occupations ($81,505), Life, Physical, & Social Science Occupations ($78,884), and Architecture & Engineering Occupations ($74,598).

Industries

Employment by Industries

441k

2019 Value

± 13,524

2.4%

1 Year growth

± 4.12%

From 2018 to 2019, employment in Shelby County, TN grew at a rate of 2.4%, from 431k employees to 441k employees.

The most common employment sectors for those who live in Shelby County, TN, are Health Care & Social Assistance (61,443 people), Transportation & Warehousing (58,279 people), and Retail Trade (43,844 people). This chart shows the share breakdown of the primary industries for residents of Shelby County, TN, though some of these residents may live in Shelby County, TN and work somewhere else. Census data is tagged to a residential address, not a work address.

Most Common

The most common industries in Shelby County, TN, by number of employees, are Health Care & Social Assistance (61,443 people), Transportation & Warehousing (58,279 people), and Retail Trade (43,844 people).

Most Specialized

Compared to other counties, Shelby County, TN has an unusually high number of Transportation & Warehousing (2.72 times higher than expected), Administrative & Support & Waste Management Services (1.27 times), and Wholesale Trade (1.27 times) industries.

Highest Paying

The highest paying industries in Shelby County, TN, by median earnings, are Utilities ($61,001), Management of Companies & Enterprises ($56,403), and Finance & Insurance ($55,443).

Domestic Trade

Domestic Production & Consumption

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

Top Domestic Production in Dollars

In 2020, the top outbound Tennessee product (by dollars) was Electronics with $66B, followed by Mixed freight ($49B) and Pharmaceuticals ($47B).

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

Domestic Trade Growth

Showing data for Tennessee.

$498B

2020 Value in Tennessee

$1.05T

Projected 2050 Value in Tennessee

111% growth

In 2020, total outbound Tennessee trade was $498B. This is expected to increase 111% to $1.05T by 2050.

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

Interstate Trade

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

Most Common Trade Partners

Georgia
$36.6B
Texas
$29.5B
California
$26.2B

In 2020, the top outbound Tennessee domestic partner for goods and services (by dollars) was Georgia with $36.6B, followed by Texas with $29.5B and California and $26.2B.

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

Civics

In the 2020 presidential election, the popular vote in Shelby County, TN went to Joseph R Biden Jr. with 64.4% of the vote. The runner-up was Donald J. Trump (34%), followed by Other (1.61%). The most partisan county was Scott County, TN with 88.4% of the vote going to Donald J. Trump running for the Republican Party.

Marsha Blackburn and Bill Hagerty are the senators currently representing the state of Tennessee. In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

Tennessee is currently represented by 9 members in the U.S. house, and members of the House of Representives are elected to 2-year terms.

Presidential Popular Vote Over Time

2020 Election Results

Joseph R Biden Jr. (64.4%)
Democratic Party
Donald J. Trump (34%)
Republican Party
Other (1.61%)
Other Party

In the 2020 presidential election, the popular vote in Shelby County, TN went to Joseph R Biden Jr. with 64.4% of the vote. The runner-up was Donald J. Trump (34%), followed by Other (1.61%).

The following chart shows the popular vote results in Shelby County, TN for each registered party from 1976 to 2020.

Presidential Popular Vote by County

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

Joseph R Biden Jr.

Popular Vote for Shelby County, TN

64.4% for the Democratic Party

Most Partisan Counties in Tennessee

Scott County, TN
88.4% for Donald J. Trump (Republican Party)
Wayne County, TN
86.9% for Donald J. Trump (Republican Party)
Hancock County, TN
86.4% for Donald J. Trump (Republican Party)

In the 2020 presidential election, the most partisan county in Tennessee was Scott County, TN with 88.4% of the vote going to Donald J. Trump running for the Republican Party.

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

US Senators from Tennessee

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

Marsha Blackburn

Senator from Tennessee

Assumed office on January 3, 2019

Bill Hagerty

Senator from Tennessee

Assumed office on January 3, 2021

Marsha Blackburn and Bill Hagerty are the senators currently representing Tennessee.

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

US Representatives from Tennessee

Tennessee is currently represented by 9 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 Tennessee have changed over time starting in 2008.

Education

In 2020, universities in Shelby County, TN awarded 10,827 degrees. The student population of Shelby County, TN is skewed towards women, with 16,880 male students and 30,889 female students.

Most students graduating from Universities in Shelby County, TN are White (4,873 and 46.2%), followed by Black or African American (3,949 and 37.4%), Hispanic or Latino (484 and 4.59%), and Unknown (478 and 4.53%).

The largest universities in Shelby County, TN by number of degrees awarded are University of Memphis (4,621 and 42.7%), Southwest Tennessee Community College (1,113 and 10.3%), and The University of Tennessee Health Science Center (1,007 and 9.3%).

The most popular majors in Shelby County, TN are Liberal Arts & Sciences (762 and 7.04%), Registered Nursing (670 and 6.19%), and General Business Administration & Management (586 and 5.41%).

The median tuition costs in Shelby County, TN are $15,498 for private four year colleges, and $8,799 and $16,761 respectively, for public four year colleges for in-state students and out-of-state students.

Concentrations

Most Common

General Business Administration & Management
305 degree-majorss awarded
Registered Nursing
475 degree-majorss awarded
Kinesiology & Exercise Science
343 degree-majorss awarded

In 2020, the most common concentation for Bachelors Degree recipients in Shelby County, TN was General Business Administration & Management with 305 degrees awarded.

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

Universities

Largest Universities by degrees awarded

University of Memphis
4,621 degrees awarded
Southwest Tennessee Community College
1,113 degrees awarded
The University of Tennessee Health Science Center
1,007 degrees awarded

$8,799

Median In-State Public

$15,498

Median Private

In 2020, the Shelby County, TN institution with the largest number of graduating students was University of Memphis with 4,621 degrees awarded.

Student Sex for Common Institutions

3,887

Degrees Awarded to Men

6,940

Degrees Awarded to Women

In 2020, 3,887 men were awarded degrees from institutions in Shelby County, TN, which is 0.56 times less than the 6,940 female students who received degrees in the same year.

This chart displays the sex disparity between the institutions in Shelby County, TN by degrees awarded.

Student Race and Ethnicity

Most Common Student Race or Ethnicity

White
4,873 degrees awarded
Black or African American
3,949 degrees awarded
Hispanic or Latino
484 degrees awarded

In 2020 the most common race/ethnicity group awarded degrees at institutions in Shelby County, TN was White students. These 4,873 degrees mean that there were 1.23 times more degrees awarded to White students then the next closest race/ethnicity group, Black or African American, with 3,949 degrees awarded.

Housing & Living

The median property value in Shelby County, TN was $170,900 in 2019, which is 0.711 times smaller than the national average of $240,500. Between 2018 and 2019 the median property value increased from $157,700 to $170,900, a 8.37% increase. The homeownership rate in Shelby County, TN is 54.2%, which is lower than the national average of 64.1%. People in Shelby County, TN have an average commute time of 22.3 minutes, and they drove alone to work. Car ownership in Shelby County, TN is approximately the same as the national average, with an average of 2 cars per household.

Housing

Property Value

$170,900

2019 Median

± $5,751

$157,700

2018 Median

± $4,499

In 2019, the median property value in Shelby County, TN grew to to $170,900 from the previous year's value of $157,700.

The following charts display, first, the property values in Shelby County, TN 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 Shelby County, TN the largest share of households have a property value in the $200k - $250k range.

Household Income

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

$52,614

Median Household Income

± $2,477

354k

Number of Households

± 11,090

In 2019, the median household income of the 354k households in Shelby County, TN grew to $52,614 from the previous year's value of $47,500.

The following chart displays the households in Shelby County, TN 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 Shelby County, TN distributed between a series of property tax buckets compared to the national averages for each bucket. In Shelby County, TN the largest share of households pay taxes in the $3k+ range.

Rent vs Own

54.2%

2019 Homeownership

55%

2018 Homeownership

In 2019, 54.2% of the housing units in Shelby County, TN were occupied by their owner. This percentage declined from the previous year's rate of 55%.

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

Commute Time

22.3 minutes

Average Travel Time

Using averages, employees in Shelby County, TN have a shorter commute time (22.3 minutes) than the normal US worker (26 minutes). Additionally, 1.34% of the workforce in Shelby County, TN have "super commutes" in excess of 90 minutes.

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

Commuter Transportation

Most Common Commute in 2019

Drove Alone (84.1%)
Carpooled (9.13%)
Worked At Home (3.4%)

In 2019, 84.1% of workers in Shelby County, TN drove alone to work, followed by those who carpooled to work (9.13%) and those who worked at home (3.4%).

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

Health

87.9% of the population of Shelby County, TN has health coverage, with 47.5% on employee plans, 18.8% on Medicaid, 9.7% on Medicare, 9.96% on non-group plans, and 1.97% on military or VA plans.

Per capita personal health care spending in Tennessee was $7,372 in 2014. This is a 3.74% increase from the previous year ($7,106).

Primary care physicians in Shelby County, TN see 1161 patients per year on average, which represents a 3.01% decrease from the previous year (1197 patients). Compare this to dentists who see 1358 patients per year, and mental health providers who see 669 patients per year.

Comparing across all counties in the state, DeKalb County and Lauderdale County have the highest prevalence of diabetes (21.5%). Additionally, Lauderdale County has the highest prevalence of adult obesity (47.4%)

Patient to Clinician Ratios

1,161 to 1

Patient to Primary Care Physician Ratio in Shelby County, TN

Primary care physicians in Shelby County, TN see an average of 1,161 patients per year. This represents a 3.01% decrease from the previous year (1,197 patients).

The following chart shows how the number of patients seen by primary care physicians has been changing over time in Shelby County, TN 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 Tennessee.

$7,372

Total Per Capita Spending on Personal Health Care in Tennessee

$4,680

Per Enrollee Private Health Insurance Spending on Personal Health Care

$5,677

Per Enrollee Medicaid Spending on Personal Health Care

$10,371

Per Enrollee Medicare Spending on Personal Health Care

Between 2013 and 2014, all personal health care spending per capita in Tennessee (including private, Medicare, and Medicaid) grew 3.74%, from $7,106 to $7,372.

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

Health Care Coverage

12.1%

Uninsured

47.5%

Employer Coverage

18.8%

Medicaid

9.7%

Medicare

9.96%

Non-Group

1.97%

Military or VA

Between 2018 and 2019, the percent of uninsured citizens in Shelby County, TN declined by 6.21% from 12.9% to 12.1%.

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