Health · Gratis

Gratis, OH health

Gratis differs from Ohio on 5 of 40 measures. Where it trails the state most: more adults with COPD (9.6% vs 8%) and more smokers (18% vs 15.4%).

CDC PLACES 2025 · adults 18+ · ZIP codes 45311, 45064, 45042, 45327
TownTapestry Health GradeNew

Gratis’s Health Grade: C−

On seven CDC health estimates for adults, Gratis is healthier than 22% of U.S. towns.

C+Self-rated healthCPhysical distressCMental distressC-ObesityCDiabetesC-SmokingC-Exercise
All U.S. towns we grade (19,420)Healthier than 22%
Less healthyHealthier
Ohio towns we grade (1,692)Healthier than 35%
Towns with similar incomes, $66K–$111K (9,259)Healthier than 8%

About what its income would suggest. Gratis does about as well against towns with similar incomes as against all towns.

These are estimates. At the ends of CDC’s likely ranges, Gratis could be anywhere from D to B−.
How the Health Grade works
  • Seven CDC estimates. Adults in fair or poor health, frequent physical distress, frequent mental distress, obesity, diabetes, smoking and no exercise (CDC PLACES, 2025 release). On each one a town earns the share of U.S. towns doing worse, and those shares are averaged. It’s the same score as our Healthiest towns in Ohio ranking.
  • Graded on a national curve. Every U.S. town with 1,000+ residents and all seven estimates (19,420 places) is lined up by score: A+ top 5%A next 10%A- next 10%B B+ to B−, next 30%C C+ to C−, next 30%D D and D−, bottom 15%
  • Not adjusted for income. Wealthier towns are usually healthier, and the grade shows that as it is. The similar-incomes bar compares Gratis with U.S. towns whose median household income is within 25% of its own.
  • Modeled, not measured. CDC combines national survey answers with each area’s age, sex, race and income mix. Gratis’s figures come from the ZIP codes that cover it, weighted by land area. High blood pressure is left out because it tracks age more than anything else. The confidence line recomputes the grade with every estimate at the low, then the high, end of its range.
Report card

How Gratis compares with Ohio

Each theme counts how many of its measures are better, worse or too close to call against the state. Tap one to jump to it.

Chronic conditions

Out of every 100 Gratis adults…

40 of every 100 Gratis adults have high blood pressure
Ohio: 37 in 100 · too close to call · margin 35.9–43.4%

Bars show Gratis; the black tick is Ohio. Tap a condition to see it as people.

Habits

Everyday habits, side by side with the state

Gratis, betterGratis, worseToo close to callOhio
Get no exerciseshare of adults 31% Gratis
OH 26.9%
Sleep under 7 hoursshare of adults 37.2% Gratis
OH 37.9%
Binge drinkshare of adults 16.6% Gratis
OH 16.6%
Smoke cigarettesshare of adults 18% Gratis
OH 15.4%
0%10%20%30%40%
Care & screenings

Keeping up with care

Share of Gratis adults getting routine care. The full ring is 100%; the dark tick marks Ohio.

80%
Yearly checkup
OH 80%
63%
Dentist visit
OH 63%
86%
Cholesterol check
OH 86%
66%
Colon screening
OH 65%
73%
Mammogram
OH 76%
81%
Taking BP meds
OH 79%
1 in 13
working-age adults has no health insurance
Gratis 7.7% · Ohio 1 in 13 (8%)
Mind & connection

How Gratis adults are doing

1 in 3Gratis adults feel lonely
34.1% · Ohio 35% · too close to call
1 in 4Gratis adults have been diagnosed with depression
26.4% · Ohio 25.4% · too close to call
1 in 5Gratis adults lack social or emotional support
20.9% · Ohio 21.3% · too close to call
1 in 5Gratis adults are in frequent mental distress
18.2% · Ohio 17.5% · too close to call
Everyday needs

Making ends meet

Needs that shape health as much as any doctor visit: food, housing, utilities and a way to get around.

1 in 8
Gratis adults worry about having enough food
13.2% · OH 14.1% · about the same
1 in 10
Gratis adults worry about keeping their housing
10.2% · OH 11.3% · about the same
1 in 13
Gratis adults were threatened with a utility shut-off
7.5% · OH 8.3% · about the same
1 in 14
Gratis adults lack reliable transportation
7.2% · OH 7.7% · about the same

11.3% of Gratis adults receive SNAP (food stamps), compared with 11.7% across Ohio.

Disability

Living with a disability

31.8%

of Gratis adults live with a disability (Ohio 29.5%). Walking or climbing stairs is the most common.

Walking or climbing stairs15.3%
Thinking or memory14.7%
Hearing7.8%
Errands alone8.7%
Vision4.9%
Dressing or bathing4%

Black tick: Ohio. Shown without a better/worse judgment.

Around Gratis

Gratis and the towns around it

Pick a measure to shade the map. Darker is worse for health. Pins are hospitals and community health centers in and near Gratis.

Lanier: 39.1% Somers: 41% Wayne: 40.5% Gratis: 38.9% Madison: 41% German: 34% Jackson: 35.6% Twin: 39.3% Gasper: 39.7% Israel: 41% Camden: 41.8% Milford: 38.1% Trenton: 39.8% St. Clair: 40.5% Lemon: 39.4% Middletown: 43.4% Liberty: 41.1% Franklin: 36.2% Monroe: 37.5% Woodsdale: 41.3% Fairfield: 41% Miami: 33.6% Carlisle: 36.3% Gratis: 40.3% Gratis Lanier Somers Wayne Gratis Madison German Kettering Health Miamisburg · Miamisburg · 13.3 mi · 4★ MedicareH Mccullough-Hyde Memorial Hospital · Oxford · 13.5 mi · 3★ MedicareH Atrium Medical Center · Franklin · 13.7 mi · 4★ MedicareH Fort Hamilton Hughes Memorial Hospital · Hamilton · 13.8 mi · 3★ MedicareH Middletown Community Health Center - 9th Avenue · Middletown · 9.6 mi+ Centerpoint Health Middletown · Middletown · 11.3 mi+
33.6%43.4%· darker is worse for health

Obesity

#14 of 24towns on this map, healthiest first
German34%
Gratis38.9%
Lanier39.1%
Gratis40.3%
Wayne40.5%
Somers41%
Madison41%
6 places to get careNearest ER 13.3 mi

Nearby towns are shaded from CDC's estimates for their ZIP codes, or CDC's own figure for cities and villages.

Getting care

Care in and near Gratis

No hospital or community health center in Gratis itself. These are the nearest.

HNearest ERKettering Health MiamisburgMiamisburg · 13.3 miDirections →
★Best rated nearbyAtrium Medical Center★★★★★ · 13.7 miDirections →
+Low-cost careButler County Community Health ConsortiumMiddletown · 9.6 mi · sliding-scale feesDirections →
9.6 mi
Butler County Community Health Consortium
5 sites · nearest in Middletown
Sliding-scale fees
Directions to nearest
11.3 mi
Talbert House Health Center D/B/A Centerpoint Health
3 sites · nearest in Middletown
Sliding-scale fees
Directions to nearest
13.3 mi
Kettering Health Miamisburg
Miamisburg · ★★★★★
ER
13.5 mi
Mccullough-Hyde Memorial Hospital
Oxford · ★★★★★
ER
13.7 mi
Atrium Medical Center
Franklin · ★★★★★
ER
13.8 mi
Fort Hamilton Hughes Memorial Hospital
Hamilton · ★★★★★
ER
✓ Primary careGratis is not a shortage area
✓ Dental careGratis is not a shortage area
! Mental healthGratis's county is a federal shortage area.Preble County MHCA · need score 14 of 25

Hospitals: Medicare overall star ratings, 1–5. Community health centers charge on a sliding scale by income. Distances are straight-line from the center of Gratis. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

All 40 measures for Gratis
MeasureGratisMarginOhio
Chronic conditions
High blood pressure39.6%35.9–43.4%37.2%about the same
High cholesterol38.1%34.3–42%36.7%about the same
Obesity40.3%33.5–47.1%37.1%about the same
Arthritis33.3%30.1–36.5%29.8%worse
Depression26.4%23.1–29.9%25.4%about the same
Lost all teeth (65+)16%13.3–18.9%15.3%about the same
Asthma11.1%10–12.4%11.1%about the same
Cancer (not skin)9.9%9.1–10.8%8.7%worse
Diabetes14%12.4–15.8%13.2%about the same
COPD9.6%8.4–10.7%8%worse
Heart disease8.1%7.4–9%7.1%worse
Stroke4%3.6–4.3%3.7%about the same
Habits
Smoke cigarettes18%15.6–20.5%15.4%worse
Binge drink16.6%14–19.4%16.6%about the same
Get no exercise31%26.9–35.6%26.9%about the same
Sleep under 7 hours37.2%31.5–42.9%37.9%about the same
Care & screenings
Yearly checkup79.9%76.9–82.8%79.9%about the same
Dentist visit62.5%59.1–65.6%62.9%about the same
Cholesterol check86.3%84.7–87.9%86.1%about the same
Colon screening65.8%61.4–70%65.2%about the same
Mammogram73.1%65.7–79.5%76%about the same
Taking BP meds80.5%78.1–82.8%79.2%about the same
No health insurance7.7%6.5–9.1%8%about the same
Mind & connection
Feel lonely34.1%29.5–39%35%about the same
Lack emotional support20.9%18–24.2%21.3%about the same
Frequent mental distress18.2%16.3–20.1%17.5%about the same
Fair or poor health20.8%18.3–23.5%19.4%about the same
Frequent physical distress15.4%13.7–17.2%13.9%about the same
Everyday needs
Food insecurity13.2%11.2–15.4%14.1%about the same
Housing insecurity10.2%8.7–11.8%11.3%about the same
Utility shut-off threat7.5%6.6–8.6%8.3%about the same
No reliable transportation7.2%6.3–8.2%7.7%about the same
Receive SNAP11.3%9.6–13.2%11.7%
Disability
Any disability31.8%28–35.7%29.5%
Walking or climbing stairs15.3%13.4–17.3%13.9%
Thinking or memory14.7%13–16.4%13.9%
Hearing7.8%7–8.7%6.8%
Vision4.9%4.4–5.4%4.8%
Dressing or bathing4%3.7–4.5%3.8%
Errands alone8.7%7.7–9.7%8.1%
About these numbers

How CDC estimates town health

They're modeled estimatesCDC combines a large national health survey with each area's age, sex, race and income mix to estimate local rates. Nobody surveyed Gratis door to door.
Close calls stay grayEvery figure has a margin of error. When the Ohio figure falls inside it, we don't call Gratis better or worse.
Why a ZIP codeCDC publishes towns like Gratis by ZIP code. We weight the ZIP codes that cover Gratis by how much of its land each one covers.

CDC PLACES: Local Data for Better Health, 2025 release. The Ohio figure combines its counties, weighted by adult population.

Health estimates: CDC PLACES. Hospitals and star ratings: Medicare Care Compare (CMS). Health centers and shortage areas: HRSA. Town boundaries: U.S. Census Bureau.

The door’s open

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Boundary source: https://tigerweb.geo.census.gov/arcgis/rest/services/TIGERweb/Places_CouSub_ConCity_SubMCD/MapServer/15 · 2025-01-01