Spokane County (East Central)--Greater Spokane Valley City PUMA, WA

Public Use Microdata Area (PUMA)

Add Comparison

2023 Population

149,257

0.687% 1-year growth

US Senator

Patty Murray

Democratic Party

US Senator

Maria Cantwell

Democratic Party

2023 Median Age

38.6

1.05% 1-year increase

2023 Poverty Rate

10.6%

8.2% 1-year increase

2023 Median Household Income

$77,605

5.11% 1-year growth

2023 Median Property Value

$380,800

11.3% 1-year growth

2022 Employed Population

68,450

2.34% 1-year growth

About

In 2023, Spokane County (East Central)--Greater Spokane Valley City PUMA, WA had a population of 149k people with a median age of 38.6 and a median household income of $77,605. Between 2022 and 2023 the population of Spokane County (East Central)--Greater Spokane Valley City PUMA, WA grew from 148,238 to 149,257, a 0.687% increase and its median household income grew from $73,835 to $77,605, a 5.11% increase.

The 5 largest ethnic groups in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA are White (Non-Hispanic) (84.1%), Two+ (Non-Hispanic) (5.07%), White (Hispanic) (2.42%), Two+ (Hispanic) (2.38%), and Asian (Non-Hispanic) (1.7%).

7% of the households in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA reported speaking a non-English language at home as their primary shared language. This does not consider the potential multi-lingual nature of households, but only the primary self-reported language spoken by all members of the household.

98.1% of the residents in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA are U.S. citizens.

The largest universities in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA are Carrington College-Spokane (251 degrees awarded in 2022), Studio Beauty School (92 degrees), and Paul Mitchell the School-Spokane (72 degrees).

In 2023, the median property value in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA was $380,800, and the homeownership rate was 62.9%.

Most people in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA drove alone to work, and the average commute time was 21.2 minutes. The average car ownership in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA was 2 cars per household.

Spokane County (East Central)--Greater Spokane Valley City PUMA, WA borders Kootenai County (Northeast)--Coeur d'Alene, Post Falls & Hayden Cities PUMA, ID, Spokane County (Outer)--Cheney City PUMA, WA, Spokane County (South Central)--Spokane City (South) PUMA, WA, and Spokane County (North Central)--Spokane City (North) PUMA, WA.

United States Idaho Washington

Population & Diversity

Spokane County (East Central)--Greater Spokane Valley City PUMA, WA is home to a population of 149k people, from which 98.1% are citizens. As of 2023, 4.65% of Spokane County (East Central)--Greater Spokane Valley City PUMA, WA residents were born outside of the country (6.94k people).

In 2023, there were 16.6 times more White (Non-Hispanic) residents (126k people) in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA than any other race or ethnicity. There were 7.57k Two+ (Non-Hispanic) and 3.61k White (Hispanic) residents, the second and third most common ethnic groups.

The most common non-English languages spoken as the primary langauge in households in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA are Spanish (2,796 households), Russian (2,583 households), and Vietnamese (806 households).

Population & Diversity

Residents by Gender and Age

RACE/ETHNICITY

75,722

Women

51.3%

71,957

Men

48.7%

The resident population of United States in 2022 was 147,679 inhabitants, with 48.7% men, and 51.3% women.

The visualization shows the distribution of the residents by gender and age in the United States.

With the upper buttons you can add a filter by race.

Citizenship

98.1%

2023 Citizenship

98.1%

2022 Citizenship

As of 2023, 98.1% of Spokane County (East Central)--Greater Spokane Valley City PUMA, WA residents were US citizens, which is higher than the national average of 93.4%. In 2022, the percentage of US citizens in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA was 98.1%, meaning that the rate of citizenship has been decreasing.

The following chart shows US citizenship percentages in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA compared to that of it's neighboring and parent geographies.

Diversity

Race and Ethnicity

The 3 largest ethnic groups in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA

White (Non-Hispanic)
126k ± 2.46k
Two+ (Non-Hispanic)
7.57k ± 911
White (Hispanic)
3.61k ± 830

6.68%

Hispanic Population

9.97k people

6.68% of the people in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA are hispanic (9.97k people).

The following chart shows the 7 races represented in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA as a share of the total population.

Global Diversity

Most Common Origin

Mexico
1,086 ± 806 people
Canada
996 ± 772 people
Vietnam
879 ± 726 people

In 2022, the most common birthplace for the foreign-born residents of Spokane County (East Central)--Greater Spokane Valley City PUMA, WA was Mexico, the natal country of 1,086 Spokane County (East Central)--Greater Spokane Valley City PUMA, WA residents, followed by Canada with 996 and Vietnam with 879.

Foreign-Born Population

4.65%

2023 Foreign-Born Population

6.94k people

4.92%

2022 Foreign-Born Population

7.3k people

As of 2023, 4.65% of Spokane County (East Central)--Greater Spokane Valley City PUMA, WA residents (6.94k people) were born outside of the United States, which is lower than the national average of 13.8%. In 2022, the percentage of foreign-born citizens in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA was 4.92%, meaning that the rate has been decreasing.

The following chart shows the percentage of foreign-born residents in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA compared to that of it's neighboring and parent geographies.

Non-English Households

Most Common Non-English Languages

Spanish
2,796 households (2.01%)
Russian
2,583 households (1.85%)
Vietnamese
806 households (0.579%)

7% of the households in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA reported speaking a non-English language at home as their primary shared language, which is lower than the national average of 22%. This does not consider the potential multi-lingual nature of households, but only the primary self-reported language spoken by all members of the household.

In 2023, the most common non-English language spoken in households in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA was Spanish. 2.01% of the households in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA reported speaking Spanish at home as the primary shared language between all members living in the household.

Military

Veterans

Most Common Service Period

Vietnam
3,564 ± 435
Gulf War (2001-)
2,322 ± 417
Gulf War (1990s)
1,528 ± 403

Spokane County (East Central)--Greater Spokane Valley City PUMA, WA has a large population of military personnel who served in Vietnam, 1.53 times greater than any other conflict.

Economy

The economy of Spokane County (East Central)--Greater Spokane Valley City PUMA, WA employs 68.5k people. The largest industries in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA are Construction (5,647 people), Elementary & secondary schools (4,085 people), and Restaurants & Food Services (3,271 people), and the highest paying industries are Nondepository credit & related activities ($217,719), Other health care services ($140,781), and Offices of physicians ($140,163).

Males in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA have an average income that is 1.28 times higher than the average income of females, which is $57,350. The income inequality in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA (measured using the Gini index) is 0.436, which is lower than than the national average.

Employment

Workforce Diversity

Measure

RACE/ETHNICITY

30,428

Women

48.3%

32,601

Men

51.7%

The workforce of Spokane County (East Central)--Greater Spokane Valley City PUMA, WA in 2020 was 63,029 people, with 48.3% woman, and 51.7% men.

The visualization shows the distribution of the workforce by gender and age in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA.

With the upper buttons you can see the distribution of the average salary and add a filter by race.

Occupations

68.5k

2022 Value

2.34%

1 Year growth

± 2.34%

From 2021 to 2022, employment in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA grew at a rate of 2.34%, from 66.9k employees to 68.5k employees.

The most common job groups, by number of people living in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA, are Registered nurses (1,871 people), Other managers (1,750 people), and Firstline supervisors of retail sales workers (1,631 people). This chart illustrates the share breakdown of the primary jobs held by residents of Spokane County (East Central)--Greater Spokane Valley City PUMA, WA.

Unemployment Insurance Claims

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

This chart shows weekly unemployment insurance claims in Washington (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.

View Full Dashboard

Industries

Employment by Industries

68.5k

2022 Value

2.34%

1 Year growth

± 2.34%

From 2021 to 2022, employment in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA grew at a rate of 2.34%, from 66.9k employees to 68.5k employees.

The most common employment sectors for those who live in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA, are Construction (5,647 people), Elementary & secondary schools (4,085 people), and Restaurants & Food Services (3,271 people). This chart shows the share breakdown of the primary industries for residents of Spokane County (East Central)--Greater Spokane Valley City PUMA, WA, though some of these residents may live in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA and work somewhere else. Census data is tagged to a residential address, not a work address.

Median Earnings by Industry

$54,359

Median earning men ± $2,414

$40,145

Median earning women ± $2,086

The industries with the best median earnings for men in 2023 are Public Administration ($80,411), Finance & Insurance, & Real Estate & Rental & Leasing ($72,902), and Information ($69,435).

The industries with the best median earnings for women in 2023 are Finance & Insurance, & Real Estate & Rental & Leasing ($56,988), Public Administration ($50,617), and Professional, Scientific, & Management, & Administrative & Waste Management Services ($47,169).

Employment by Industry Sector

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

Y-Axis

3.01%

Year-over-year growth

Employment change between February 2022 and February 2023

As of February 2023, there are 836k people employed in Idaho. This represents a 3.01% increase in employment when compared to February 2022.

Right after the beginning of the COVID-19 pandemic, during April 2020, a general dip can be seen across industry sectors, resulting in an overall decline in employment by 8.06%.

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

Civics

In the 2024 presidential election, the popular vote in Washington went to Kamala Harris with 57.2% of the vote. The runner-up was Donald J. Trump (39%), followed by Robert Kennedy (1.4%).

Patty Murray and Maria Cantwell are the senators currently representing the state of Washington. In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

Washington is currently represented by 10 members in the U.S. house, and members of the House of Representives are elected to 2-year terms.

Presidential Elections

Presidential Popular Vote Over Time

Voting results are not available for Spokane County (East Central)--Greater Spokane Valley City PUMA, WA. Showing the available data for Washington.

2024 Election Results

Kamala Harris (57.2%)
Democratic Party
Donald J. Trump (39%)
Republican Party
Robert Kennedy (1.4%)
Independent Party

In the 2024 presidential election, the popular vote in Washington went to Kamala Harris with 57.2% of the vote. The runner-up was Donald J. Trump (39%), followed by Robert Kennedy (1.4%).

The following chart shows the popular vote results in Washington for each registered party from 1976 to 2024.

Senator Elections

US Senators from Washington

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

Patty Murray

Senator from Washington

Assumed office on January 3, 1993

Maria Cantwell

Senator from Washington

Assumed office on January 3, 2001

Patty Murray and Maria Cantwell are the senators currently representing Washington.

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

US Representative Elections

US Representatives from Washington

Washington is currently represented by 10 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 Washington have changed over time starting in 2008.

Education

In 2022, universities in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA awarded 415 degrees. The student population of Spokane County (East Central)--Greater Spokane Valley City PUMA, WA in 2022 is skewed towards women, with 86 male students and 485 female students.

Most students graduating from Universities in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA are White (274 and 66%), followed by Hispanic or Latino (63 and 15.2%), Unknown (31 and 7.47%), and Two or More Races (16 and 3.86%).

The largest universities in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA by number of degrees awarded are Carrington College-Spokane (251 and 60.5%), Studio Beauty School (92 and 22.2%), and Paul Mitchell the School-Spokane (72 and 17.3%).

The most popular majors in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA are Medical Assistant (102 and 24.6%), Aesthetician & Skin Care Specialist (59 and 14.2%), and General Cosmetology (52 and 12.5%).

Admissions & Enrollments

Applicants, Admissions & Enrolled

Measure

In 2018 in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA, the percentage of applicants admitted was 87.4%, while the percentage of admitted who enrolled was 75%. The number of students enrolled in 2022 was 571 (15.1% men and 84.9% women).

The line chart shows the evolution of the percentage of applicants admitted, admitted who enrolled or the number of students enrolled according to the option selected in the upper button.

Enrollments by Gender and Races

In 2022 there were 571 students enrolled in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA, 15.1% men and 84.9% women.

By race, the largest number of students enrolled was concentrated in White with 364 records, of which 88.5% were women and 11.5% men.

Completions

Concentrations

Most Common

General Cosmetology
52 degrees awarded
Massage Therapy
28 degrees awarded
Medical Assistant
102 degrees awarded

In 2022, the most common concentation for 1 to 2 Year Postsecondary Certificate recipients in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA was General Cosmetology with 52 degrees awarded.

This visualization illustrates the percentage of students graduating with a 1 to 2 Year Postsecondary Certificate from schools in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA according to their major.

Universities

Gender

Race

Largest Universities by degrees awarded

Carrington College-Spokane
251 degrees awarded
Studio Beauty School
92 degrees awarded
Paul Mitchell the School-Spokane
72 degrees awarded

In 2022, the institution with the largest number of graduating students was Carrington College-Spokane with 251 degrees awarded.

Student Diversity

In 2022, 56 men were awarded degrees from institutions in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA, which is 0.156 times less than the 359 female students who received degrees in the same year.

In 2022 the most common race/ethnicity group awarded degrees at institutions was White students. These 274 degrees mean that there were 4.35 times more degrees awarded to White students then the next closest race/ethnicity group, Hispanic or Latino, with 63 degrees awarded.

Awarded Degrees over Time

The graph shows the evolution of awarded degrees by degrees. Under the paragraphs, the average number of awarded degrees by university in each degree is shown.

Working Population

Educational Pyramid

Measure

In 2022, 0.707% of men over 25 years of age had not completed any academic degree (no schooling), while 0.479% of women were in the same situation.

This visualization shows the gender distribution of the population according to the academic level reached.

Educational Attainment

Race

The most common educational levels obtained by the working population of Spokane County (East Central)--Greater Spokane Valley City PUMA, WA in 2022 were High School or Equivalent (32.5k), Some college (29k), and Bachelors Degree (21.4k).

This visualization illustrates the percentage distribution of the population according to the highest educational level reached. You can filter the data by race by using the selector above.

Housing & Living

The median property value in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA was $380,800 in 2023, which is 1.26 times larger than the national average of $303,400. Between 2022 and 2023 the median property value increased from $342,200 to $380,800, a 11.3% increase. The homeownership rate in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA is 62.9%, which is approximately the same as the national average of 65%.

People in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA have an average commute time of 21.2 minutes, and they drove alone to work. Car ownership in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA is approximately the same as the national average, with an average of 2 cars per household.

Median household income in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA is $77,605. In 2023, the PUMA with the highest Median Household Income in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA was King County (Central)--Sammamish, Issaquah, Mercer Island & Newcastle Cities PUMA, WA with a value of $192,778, followed by King County (Northeast)--Snoqualmie City, Cottage Lake, Union Hill & Novelty Hill PUMA, WA and King County (Northwest Central)--Greater Bellevue City PUMA, WA, with respective values of $175,297 and $163,708.

Housing

Property

$380,800

Median Property Value 2023

±$7,630

$37,337

Median Property Taxes

±$1,391

The following chart display owner-occupied housing units distributed between a series of property tax buckets compared to the national averages for each bucket. In Spokane County (East Central)--Greater Spokane Valley City PUMA, WA the largest share of households pay taxes in the $3k+ range.

The chart underneath the paragraph shows the property taxes in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA compared to it's parent and neighbor geographies.

Rent vs Own

62.9%

Homeownership

2023

67%

Homeowners with Mortgage

2023

In 2023, 62.9% of the housing units in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA were occupied by their owner. This percentage declined from the previous year's rate of 63.1%.

This chart shows the percentage of owner in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA compared it's parent and neighboring geographies.

Equity

Income by Location

Use the dropdown to filter by race/ethnicity.

Race/Ethnicity

Highest Median Household Income (Total)

In 2023, the PUMA with the highest Median Household Income (Total) in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA was King County (Central)--Sammamish, Issaquah, Mercer Island & Newcastle Cities PUMA, WA with a value of $192,778, followed by King County (Northeast)--Snoqualmie City, Cottage Lake, Union Hill & Novelty Hill PUMA, WA and King County (Northwest Central)--Greater Bellevue City PUMA, WA, with respective values of $175,297 and $163,708.

The following map shows all of the PUMAs in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA colored by their Median Household Income (Total).

Household Income

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

$77,605

Median Household Income

± $2,257

59.3k

Number of Households

± 2,117

In 2023, the median household income of the 59.3k households in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA grew to $77,605 from the previous year's value of $73,835.

The following chart displays the households in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA 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.

Wage Distribution

0.436

2022 Wage GINI in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA

0.431

2021 Wage GINI in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA

In 2022, the income inequality in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA was 0.436 according to the GINI calculation of the wage distribution. Income inequality had a 1.06% growth from 2021 to 2022, which means that wage distribution grew somewhat less even. The GINI for Spokane County (East Central)--Greater Spokane Valley City PUMA, WA was lower than than the national average of 0.478. In other words, wages are distributed more evenly in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA in comparison to the national average.

This chart shows the number of workers in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA across various wage buckets compared to the national average.

Transportation

Commuter Transportation

Most Common Commute in 2023

Drove Alone (73.1%)
Worked At Home (14.5%)
Carpooled (8.86%)

In 2023, 73.1% of workers in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA drove alone to work, followed by those who worked at home (14.5%) and those who carpooled to work (8.86%).

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.

Commute Time

21.2 minutes

Average Travel Time

Using averages, employees in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA have a shorter commute time (21.2 minutes) than the normal US worker (26.6 minutes). Additionally, 1.14% of the workforce in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA have "super commutes" in excess of 90 minutes.

The chart below shows how the median household income in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA compares to that of it's neighboring and parent geographies.

Car Ownership

2 cars

Average Number

The following chart displays the households in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA distributed between a series of car ownership buckets compared to the national averages for each bucket. The largest share of households in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA have 2 cars.

Poverty

Poverty & Diversity

10.6% of the population for whom poverty status is determined in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA (15.7k out of 147k people) live below the poverty line, a number that is lower than the national average of 12.4%. The largest demographic living in poverty are Females 25 - 34, followed by Females 35 - 44 and then Females 45 - 54.

The most common racial or ethnic group living below the poverty line in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA is White, followed by Two Or More and Hispanic.

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.

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.

Health

94.6% of the population of Spokane County (East Central)--Greater Spokane Valley City PUMA, WA has health coverage, with 45.3% on employee plans, 21.3% on Medicaid, 13.3% on Medicare, 13.2% on non-group plans, and 1.61% on military or VA plans.

Primary care physicians in Washington see 1184 patients per year on average, which represents a 0.68% increase from the previous year (1176 patients). Compare this to dentists who see 1175 patients per year, and mental health providers who see 215 patients per year.

Coverage

Patient to Clinician Ratios

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

1,184 to 1

Patient to Primary Care Physician Ratio in Washington

Primary care physicians in Washington see an average of 1,184 patients per year. This represents a 0.68% increase from the previous year (1,176 patients).

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

Health Care Diversity

In 2023, insured persons according to age ranges were distributed in 23.8% under 18 years, 21.3% between 18 and 34 years, 37.2% between 35 and 64 years, and 17.7% over 64 years.

By gender, of the total number of insured persons, 48.4% were men and 51.6% were women.

The following chart shows the number of people with health coverage by gender.

Uninsured People

5.42%

Uninsured

45.3%

Employer Coverage

21.3%

Medicaid

13.3%

Medicare

13.2%

Non-Group

1.61%

Military or VA

Between 2022 and 2023, the percent of uninsured citizens in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA declined by 2.19% from 5.54% to 5.42%.

The following chart shows how the percent of uninsured individuals in Spokane County (East Central)--Greater Spokane Valley City PUMA, WA changed over time compared with the percent of individuals enrolled in various types of health insurance.