Washington County, PA

County

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2020 Population
207,081
0.0632% 1-year decline
US Senator
Bob Casey Jr.
Democratic Party
US Senator
Pat Toomey
Republican Party
2020 Median Age
44.5
0% 1-year change
2020 Poverty Rate
8.87%
3.91% 1-year decrease
2020 Median Household Income
$65,478
3.05% 1-year growth
2020 Median Property Value
$170,800
1.73% 1-year growth
2020 Employed Population
100,095
0.115% 1-year growth

About

In 2020, Washington County, PA had a population of 207k people with a median age of 44.5 and a median household income of $65,478. Between 2019 and 2020 the population of Washington County, PA declined from 207,212 to 207,081, a −0.0632% decrease and its median household income grew from $63,543 to $65,478, a 3.05% increase.

The 5 largest ethnic groups in Washington County, PA are White (Non-Hispanic) (91.8%), Black or African American (Non-Hispanic) (3.18%), Two+ (Non-Hispanic) (2.16%), White (Hispanic) (1.21%), and Asian (Non-Hispanic) (0.973%).

None of the households in Washington County, PA 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.

99% of the residents in Washington County, PA are U.S. citizens.

The largest universities in Washington County, PA are California University of Pennsylvania (2,311 degrees awarded in 2020), Washington & Jefferson College (402 degrees), and Penn Commercial Business/Technical School (173 degrees).

In 2020, the median property value in Washington County, PA was $170,800, and the homeownership rate was 74.9%. Most people in Washington County, PA drove alone to work, and the average commute time was 26.6 minutes. The average car ownership in Washington County, PA was 2 cars per household.

Diversity

Washington County, PA is home to a population of 207k people, from which 99% are citizens. As of 2020, 1.98% of Washington County, PA residents were born outside of the country (4.09k people).

In 2020, there were 28.9 times more White (Non-Hispanic) residents (190k people) in Washington County, PA than any other race or ethnicity. There were 6.58k Black or African American (Non-Hispanic) and 4.48k Two+ (Non-Hispanic) residents, the second and third most common ethnic groups.

Race and Ethnicity

Race and Ethnicity

The 3 largest ethnic groups in Washington County, PA
  1. White (Non-Hispanic)
    190k ± 205
  2. Black or African American (Non-Hispanic)
    6.58k ± 454
  3. Two+ (Non-Hispanic)
    4.48k ± 534
1.77%
Hispanic Population
3.66k people

In 2020, there were 28.9 times more White (Non-Hispanic) residents (190k people) in Washington County, PA than any other race or ethnicity. There were 6.58k Black or African American (Non-Hispanic) and 4.48k Two+ (Non-Hispanic) residents, the second and third most common ethnic groups.

1.77% of the people in Washington County, PA are hispanic (3.66k people).

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

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Heritage

Foreign-Born Population

1.98%
2020 Foreign-Born Population
4.09k people
1.95%
2019 Foreign-Born Population
4.04k people

As of 2020, 1.98% of Washington County, PA residents (4.09k people) were born outside of the United States, which is lower than the national average of 13.5%. In 2019, the percentage of foreign-born citizens in Washington County, PA was 1.95%, meaning that the rate has been increasing.

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

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Age by Nativity

45
Median Native-Born Age
± 0.1
42
Median Foreign-Born Age
± 2

In 2020, the median age of all people in Washington County, PA was 44.5. Native-born citizens, with a median age of 45, were generally older than foreign-born citizens, with a median age of 42. But people in Washington County, PA are getting staying the same age. In 2019, the average age of all Washington County, PA residents was 45.

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Global Diversity

The PUMS dataset is not available at the County level, so we are showing data for Pennsylvania.
Most Common Origin
  1. India
    92,750 ± 7,450 people
  2. Dominican Republic
    72,397 ± 6,587 people
  3. China
    65,642 ± 6,274 people

In 2020, the most common birthplace for the foreign-born residents of Pennsylvania was India, the natal country of 92,750 Pennsylvania residents, followed by Dominican Republic with 72,397 and China with 65,642.

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Citizenship

99%
2020 Citizenship
99.1%
2019 Citizenship

As of 2020, 99% of Washington County, PA residents were US citizens, which is higher than the national average of 93.4%. In 2019, the percentage of US citizens in Washington County, PA was 99.1%, meaning that the rate of citizenship has been decreasing.

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

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Military

Veterans

Most Common Service Period
  1. Vietnam
    5,294 ± 395
  2. Gulf War (2001-)
    1,849 ± 244
  3. Gulf War (1990s)
    1,481 ± 240

Washington County, PA has a large population of military personnel who served in Vietnam, 2.86 times greater than any other conflict.

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COVID-19

Daily New Cases by Date

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

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

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Community Mobility

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

This chart presents movement trends over time in the state of Pennsylvania 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 Washington County, PA is $65,478. In 2020, the tract with the highest Median Household Income in Washington County, PA was Census Tract 7463.02 with a value of $158,274, followed by Census Tract 7463.01 and Census Tract 7461, with respective values of $140,833 and $129,056.

Males in Pennsylvania have an average income that is 1.34 times higher than the average income of females, which is $54,196. The income inequality in Pennsylvania (measured using the Gini index) is 0.466, which is lower than than the national average.

The economy of Washington County, PA employs 100k people. The largest industries in Washington County, PA are Health Care & Social Assistance (15,850 people), Retail Trade (11,095 people), and Manufacturing (11,075 people), and the highest paying industries are Utilities ($84,355), Management of Companies & Enterprises ($80,313), and Mining, Quarrying, & Oil & Gas Extraction ($71,548).

Wages

Median Household Income

$65,478
2020 value
± $1,560
3.05%
1 Year Growth
± 3.01%

Households in Washington County, PA have a median annual income of $65,478, which is more than the median annual income of $64,994 across the entire United States. This is in comparison to a median income of $63,543 in 2019, which represents a 3.05% annual growth.

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

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Wage by Sex in Common Jobs

The PUMS dataset is not available at the County level, so we are showing data for Pennsylvania.
$72,428
Average Male Salary in Pennsylvania
± $1,115
$54,196
Average Female Salary in Pennsylvania
± $827

In 2020, full-time male employees in Pennsylvania made 1.34 times more than female employees.

This chart shows the sex-based wage disparity in the 5 most common occupations in Pennsylvania 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 Pennsylvania.
Highest Average Salaries by Race & Ethnicity in Pennsylvania
  1. Asian
    $66,664 ± $4,080
  2. Alaska Native
    $58,659 ± $80,539
  3. White
    $56,784 ± $709

In 2020 the highest paid race/ethnicity of Pennsylvania workers was Asian. These workers were paid 1.14 times more than Alaska Native workers, who made the second highest salary of any race/ethnicity in Pennsylvania.

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

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Wage Distribution

The closest comparable wage GINI for Washington County, PA is from Pennsylvania.
0.466
2020 Wage GINI in Pennsylvania
0.469
2019 Wage GINI in Pennsylvania

In 2020, the income inequality in Pennsylvania was 0.466 according to the GINI calculation of the wage distribution. Income inequality had a 0.614% decline from 2019 to 2020, which means that wage distribution grew somewhat more even. The GINI for Pennsylvania was lower than than the national average of 0.478. In other words, wages are distributed more evenly in Pennsylvania in comparison to the national average.

This chart shows the number of workers in Pennsylvania 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 7463.02
  2. Census Tract 7463.01
  3. Census Tract 7461

In 2020, the tract with the highest Median Household Income (Total) in Washington County, PA was Census Tract 7463.02 with a value of $158,274, followed by Census Tract 7463.01 and Census Tract 7461, with respective values of $140,833 and $129,056.

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

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Poverty by Age and Sex

Females 25 - 34
Largest Demographic Living in Poverty

8.87% of the population for whom poverty status is determined in Washington County, PA (17.9k out of 202k people) live below the poverty line, a number that is lower than the national average of 12.8%. The largest demographic living in poverty are Females 25 - 34, followed by Females 55 - 64 and then Females 45 - 54.

The Census Bureau uses a set of money income thresholds that vary by family size and composition to determine who classifies as impoverished. If a family's total income is less than the family's threshold than that family and every individual in it is considered to be living in poverty.

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Poverty by Race and Ethnicity

Largest Race or Ethnicity Living in Poverty
  1. White
    15,294 ± 792
  2. Black
    1,697 ± 308
  3. Two Or More
    621 ± 187

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

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

100k
2020 Value
± 2,097
0.115%
1 Year growth
± 2.82%

From 2019 to 2020, employment in Washington County, PA grew at a rate of 0.115%, from 100k employees to 100k employees.

The most common job groups, by number of people living in Washington County, PA, are Office & Administrative Support Occupations (11,919 people), Management Occupations (10,554 people), and Sales & Related Occupations (10,206 people). This chart illustrates the share breakdown of the primary jobs held by residents of Washington County, PA.

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Most Common

The most common jobs held by residents of Washington County, PA, by number of employees, are Office & Administrative Support Occupations (11,919 people), Management Occupations (10,554 people), and Sales & Related Occupations (10,206 people).

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Most Specialized

Compared to other counties, Washington County, PA has an unusually high number of residents working as Construction & Extraction Occupations (1.35 times higher than expected), Health Technologists & Technicians (1.28 times), and Health Diagnosing & Treating Practitioners & Other Technical Occupations (1.18 times).

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Highest Paid

The highest paid jobs held by residents of Washington County, PA, by median earnings, are Legal Occupations ($89,732), Architecture & Engineering Occupations ($77,192), and Computer & Mathematical Occupations ($76,551).

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Industries

Employment by Industries

100k
2020 Value
± 2,097
0.115%
1 Year growth
± 2.82%

From 2019 to 2020, employment in Washington County, PA grew at a rate of 0.115%, from 100k employees to 100k employees.

The most common employment sectors for those who live in Washington County, PA, are Health Care & Social Assistance (15,850 people), Retail Trade (11,095 people), and Manufacturing (11,075 people). This chart shows the share breakdown of the primary industries for residents of Washington County, PA, though some of these residents may live in Washington County, PA 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 Washington County, PA, by number of employees, are Health Care & Social Assistance (15,850 people), Retail Trade (11,095 people), and Manufacturing (11,075 people).

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Most Specialized

Compared to other counties, Washington County, PA has an unusually high number of Mining, Quarrying, & Oil & Gas Extraction (4.7 times higher than expected), Utilities (1.55 times), and Construction (1.24 times) industries.

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Highest Paying

The highest paying industries in Washington County, PA, by median earnings, are Utilities ($84,355), Management of Companies & Enterprises ($80,313), and Mining, Quarrying, & Oil & Gas Extraction ($71,548).

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Domestic Trade

Domestic Production & Consumption

Domestic production and consumption consists of products and services shipped from Pennsylvania to other states, or from other states to Pennsylvania.
Top Domestic Production in Dollars
  1. $110B
  2. $74.2B
  3. $44.2B

In 2020, the top outbound Pennsylvania product (by dollars) was Pharmaceuticals with $110B, followed by Mixed freight ($74.2B) and Electronics ($44.2B).

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

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Domestic Trade Growth

Showing data for Pennsylvania.
$734B
2020 Value in Pennsylvania
$1.46T
Projected 2050 Value in Pennsylvania
99.3% growth

In 2020, total outbound Pennsylvania trade was $734B. This is expected to increase 99.3% to $1.46T by 2050.

The following chart shows how the domestic outbound Pennsylvania 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 Pennsylvania to other states, or from other states to Pennsylvania.
Most Common Trade Partners
  1. $73.5B
  2. $71.1B
  3. $36.8B

In 2020, the top outbound Pennsylvania domestic partner for goods and services (by dollars) was New Jersey with $73.5B, followed by New York with $71.1B and Ohio and $36.8B.

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

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Civics

In the 2020 presidential election, the popular vote in Washington County, PA went to Donald J. Trump with 60.8% of the vote. The runner-up was Joseph R Biden Jr. (38.1%), followed by Jo Jorgensen (1.11%). The most partisan county was Fulton County, PA with 85.5% of the vote going to Donald J. Trump running for the Republican Party.

Bob Casey Jr. and Pat Toomey are the senators currently representing the state of Pennsylvania. In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

Pennsylvania is currently represented by 18 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 Pennsylvania.
Donald J. Trump
Popular Vote for Washington County, PA
60.8% for the Republican Party
Most Partisan Counties in Pennsylvania
  1. 85.5% for Donald J. Trump (Republican Party)
  2. 83.5% for Donald J. Trump (Republican Party)
  3. 81.4% for Joseph R Biden Jr. (Democratic Party)

In the 2020 presidential election, the most partisan county in Pennsylvania was Fulton County, PA with 85.5% of the vote going to Donald J. Trump running for the Republican Party.

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

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US Senators from Pennsylvania

Senatorial voting results are only available at the state level. Showing data for Pennsylvania.
Bob Casey Jr.
Senator from Pennsylvania1
Assumed office on January 3, 2007
Pat Toomey
Senator from Pennsylvania3
Assumed office on January 3, 2011

Bob Casey Jr. and Pat Toomey are the senators currently representing Pennsylvania.

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

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US Representatives from Pennsylvania

Pennsylvania is currently represented by 18 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 Pennsylvania have changed over time starting in 2008.

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Education

In 2020, universities in Washington County, PA awarded 2,938 degrees. The student population of Washington County, PA is skewed towards women, with 3,434 male students and 4,945 female students.

Most students graduating from Universities in Washington County, PA are White (2,282 and 78.6%), followed by Black or African American (242 and 8.34%), Unknown (141 and 4.86%), and Hispanic or Latino (98 and 3.38%).

The largest universities in Washington County, PA by number of degrees awarded are California University of Pennsylvania (2,311 and 78.7%), Washington & Jefferson College (402 and 13.7%), and Penn Commercial Business/Technical School (173 and 5.89%).

The most popular majors in Washington County, PA are Sport & Fitness Management (289 and 9.84%), Registered Nursing (222 and 7.56%), and General Business Administration & Management (175 and 5.96%).

The median tuition costs in Washington County, PA are $49,612 for private four year colleges, and $7,716 and $11,574 respectively, for public four year colleges for in-state students and out-of-state students.

Concentrations

Most Common
  1. 156 degree-majorss awarded
  2. 95 degree-majorss awarded
  3. 90 degree-majorss awarded

In 2020, the most common concentation for Bachelors Degree recipients in Washington County, PA was Registered Nursing with 156 degrees awarded.

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

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Universities

Largest Universities by degrees awarded
  1. 2,311 degrees awarded
  2. 402 degrees awarded
  3. 173 degrees awarded
$7,716
Median In-State Public
$49,612
Median Private

In 2020, the Washington County, PA institution with the largest number of graduating students was California University of Pennsylvania with 2,311 degrees awarded.

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Student Sex for Common Institutions

1,210
Degrees Awarded to Men
1,728
Degrees Awarded to Women

In 2020, 1,210 men were awarded degrees from institutions in Washington County, PA, which is 0.7 times less than the 1,728 female students who received degrees in the same year.

This chart displays the sex disparity between the institutions in Washington County, PA by degrees awarded.

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Student Race and Ethnicity

Most Common Student Race or Ethnicity
  1. White
    2,282 degrees awarded
  2. Black or African American
    242 degrees awarded
  3. Unknown
    141 degrees awarded

In 2020 the most common race/ethnicity group awarded degrees at institutions in Washington County, PA was White students. These 2,282 degrees mean that there were 9.43 times more degrees awarded to White students then the next closest race/ethnicity group, Black or African American, with 242 degrees awarded.

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Housing & Living

The median property value in Washington County, PA was $170,800 in 2020, which is 0.743 times smaller than the national average of $229,800. Between 2019 and 2020 the median property value increased from $167,900 to $170,800, a 1.73% increase. The homeownership rate in Washington County, PA is 74.9%, which is higher than the national average of 64.4%. People in Washington County, PA have an average commute time of 26.6 minutes, and they drove alone to work. Car ownership in Washington County, PA is approximately the same as the national average, with an average of 2 cars per household.

Housing

Property Value

$170,800
2020 Median
± $2,990
$167,900
2019 Median
± $2,118

In 2020, the median property value in Washington County, PA grew to to $170,800 from the previous year's value of $167,900.

The following charts display, first, the property values in Washington County, PA 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 Washington County, PA the largest share of households have a property value in the $200k - $250k 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.
$65,478
Median Household Income
± $1,560
85.2k
Number of Households
± 1,885

In 2020, the median household income of the 85.2k households in Washington County, PA grew to $65,478 from the previous year's value of $63,543.

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

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Rent vs Own

74.9%
2020 Homeownership
75.6%
2019 Homeownership

In 2020, 74.9% of the housing units in Washington County, PA were occupied by their owner. This percentage declined from the previous year's rate of 75.6%.

This percentage of owner-occupation is higher than the national average of 64.4%. This chart shows the ownership percentage in Washington County, PA compared it's parent and neighboring geographies.

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Commute Time

26.6 minutes
Average Travel Time

Using averages, employees in Washington County, PA have a shorter commute time (26.6 minutes) than the normal US worker (26.9 minutes). Additionally, 1.78% of the workforce in Washington County, PA have "super commutes" in excess of 90 minutes.

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

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Commuter Transportation

Most Common Commute in 2020
  1. Drove Alone (80.9%)
  2. Carpooled (7.51%)
  3. Worked At Home (7.09%)

In 2020, 80.9% of workers in Washington County, PA drove alone to work, followed by those who carpooled to work (7.51%) and those who worked at home (7.09%).

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

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Health

96.3% of the population of Washington County, PA has health coverage, with 52.4% on employee plans, 13.7% on Medicaid, 16.4% on Medicare, 12.8% on non-group plans, and 0.957% on military or VA plans.

Per capita personal health care spending in Pennsylvania was $9,258 in 2014. This is a 4.29% increase from the previous year ($8,877).

Primary care physicians in Washington County, PA see 1280 patients per year on average, which represents a 1.84% decrease from the previous year (1304 patients). Compare this to dentists who see 1467 patients per year, and mental health providers who see 866 patients per year.

Comparing across all counties in the state, Huntingdon County has the highest prevalence of diabetes (20.6%). Additionally, Armstrong County has the highest prevalence of adult obesity (44%)

Patient to Clinician Ratios

1,280 to 1
Patient to Primary Care Physician Ratio in Washington County, PA

Primary care physicians in Washington County, PA see an average of 1,280 patients per year. This represents a 1.84% decrease from the previous year (1,304 patients).

The following chart shows how the number of patients seen by primary care physicians has been changing over time in Washington County, PA 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 Pennsylvania.
$9,258
Total Per Capita Spending on Personal Health Care in Pennsylvania
$4,634
Per Enrollee Private Health Insurance Spending on Personal Health Care
$9,407
Per Enrollee Medicaid Spending on Personal Health Care
$11,243
Per Enrollee Medicare Spending on Personal Health Care

Between 2013 and 2014, all personal health care spending per capita in Pennsylvania (including private, Medicare, and Medicaid) grew 4.29%, from $8,877 to $9,258.

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

3.72%
Uninsured
52.4%
Employer Coverage
13.7%
Medicaid
16.4%
Medicare
12.8%
Non-Group
0.957%
Military or VA

Between 2019 and 2020, the percent of uninsured citizens in Washington County, PA declined by 3.55% from 3.86% to 3.72%.

The following chart shows how the percent of uninsured individuals in Washington County, PA 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. 20.6% prevalence
  2. 19.3% prevalence
  3. 19.3% prevalence

Huntingdon County has the highest prevalence of diabetes in Pennsylvania, at 20.6%.

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

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