Health · Gratis

Gratis, OH health

On most measures Gratis looks like Ohio as a whole. It has fewer adults facing a utility shut-off (6.5% vs 8.3%) and fewer adults facing food insecurity (11.2% vs 14.1%).

CDC PLACES 2025 · adults 18+ · CDC's estimate for Gratis
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 uses CDC’s own estimate for it. 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…

36 of every 100 Gratis adults have high blood pressure
Ohio: 37 in 100 · too close to call · margin 32.2–40.7%

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 28.6% Gratis
OH 26.9%
Sleep under 7 hoursshare of adults 36.9% Gratis
OH 37.9%
Binge drinkshare of adults 17.9% Gratis
OH 16.6%
Smoke cigarettesshare of adults 16.7% 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.

78%
Yearly checkup
OH 80%
65%
Dentist visit
OH 63%
86%
Cholesterol check
OH 86%
68%
Colon screening
OH 65%
77%
Mammogram
OH 76%
79%
Taking BP meds
OH 79%
1 in 14
working-age adults has no health insurance
Gratis 7.4% · Ohio 1 in 13 (8%)
Mind & connection

How Gratis adults are doing

1 in 3Gratis adults feel lonely
34.3% · Ohio 35% · too close to call
1 in 4Gratis adults have been diagnosed with depression
26% · Ohio 25.4% · too close to call
1 in 5Gratis adults lack social or emotional support
21.3% · Ohio 21.3% · too close to call
1 in 6Gratis adults are in frequent mental distress
18% · 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 9
Gratis adults worry about having enough food
11.2% · OH 14.1% · better
1 in 11
Gratis adults worry about keeping their housing
9.4% · OH 11.3% · about the same
1 in 15
Gratis adults were threatened with a utility shut-off
6.5% · OH 8.3% · better
1 in 16
Gratis adults lack reliable transportation
6.3% · OH 7.7% · better

8.9% of Gratis adults receive SNAP (food stamps), compared with 11.7% across Ohio.

Disability

Living with a disability

29.4%

of Gratis adults live with a disability (Ohio 29.5%). Thinking or memory is the most common.

Walking or climbing stairs13.1%
Thinking or memory14%
Hearing6.8%
Errands alone7.6%
Vision4.1%
Dressing or bathing3.4%

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.

Gratis: 40.3% Lanier: 39.1% Somers: 41% Wayne: 40.5% Madison: 41% German: 34% Jackson: 35.6% Twin: 39.3% Gasper: 39.7% Gratis: 38.9% Gratis Gratis Lanier Middletown Community Health Center - 9th Avenue · Middletown · 11.7 mi+ Centerpoint Health Middletown · Middletown · 13.1 mi+
34%41%· darker is worse for health

Obesity

#3 of 10towns on this map, healthiest first
Gratis38.9%
Lanier39.1%
Gratis40.3%
6 places to get careNearest ER 13.5 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 · 13.5 miDirections →
★Best rated nearbyDayton VA Medical Center★★★★★ · 16.2 miDirections →
+Low-cost careButler County Community Health ConsortiumMiddletown · 11.7 mi · sliding-scale feesDirections →
11.7 mi
Butler County Community Health Consortium
4 sites · nearest in Middletown
Sliding-scale fees
Directions to nearest
13.1 mi
Talbert House Health Center D/B/A Centerpoint Health
3 sites · nearest in Middletown
Sliding-scale fees
Directions to nearest
13.5 mi
Kettering Health Miamisburg
Miamisburg · ★★★★★
ER
14.9 mi
Mccullough-Hyde Memorial Hospital
Oxford · ★★★★★
ER
15.4 mi
Atrium Medical Center
Franklin · ★★★★★
ER
16.2 mi
Dayton VA Medical Center
Dayton · ★★★★★
ERVA
✓ 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 pressure36.4%32.2–40.7%37.2%about the same
High cholesterol36.5%32.2–40.9%36.7%about the same
Obesity38.9%31–47.3%37.1%about the same
Arthritis30.7%27.3–34.3%29.8%about the same
Depression26%22.4–30%25.4%about the same
Lost all teeth (65+)14.3%11.7–17%15.3%about the same
Asthma10.9%9.6–12.2%11.1%about the same
Cancer (not skin)9.2%8.2–10.2%8.7%about the same
Diabetes12%10.3–13.9%13.2%about the same
COPD8.1%6.7–9.7%8%about the same
Heart disease6.9%5.9–7.8%7.1%about the same
Stroke3.4%2.9–3.8%3.7%about the same
Habits
Smoke cigarettes16.7%13.8–20.1%15.4%about the same
Binge drink17.9%14.7–21.3%16.6%about the same
Get no exercise28.6%23.4–34.2%26.9%about the same
Sleep under 7 hours36.9%30.2–43.5%37.9%about the same
Care & screenings
Yearly checkup78.3%74.6–81.6%79.9%about the same
Dentist visit65.1%61.4–68.3%62.9%about the same
Cholesterol check86.1%83.8–88.3%86.1%about the same
Colon screening68.1%63.1–72.6%65.2%about the same
Mammogram76.8%69.3–83.1%76%about the same
Taking BP meds78.9%76–81.5%79.2%about the same
No health insurance7.4%5.5–9.6%8%about the same
Mind & connection
Feel lonely34.3%28.9–39.8%35%about the same
Lack emotional support21.3%17.6–25%21.3%about the same
Frequent mental distress18%15.8–20.2%17.5%about the same
Fair or poor health18.3%15.2–22%19.4%about the same
Frequent physical distress14.1%12.1–16.3%13.9%about the same
Everyday needs
Food insecurity11.2%8.6–13.9%14.1%better
Housing insecurity9.4%7.5–11.4%11.3%about the same
Utility shut-off threat6.5%5.4–7.7%8.3%better
No reliable transportation6.3%5.2–7.6%7.7%better
Receive SNAP8.9%6.8–11.4%11.7%
Disability
Any disability29.4%24.8–34.5%29.5%
Walking or climbing stairs13.1%10.8–15.7%13.9%
Thinking or memory14%12–16.4%13.9%
Hearing6.8%5.9–7.7%6.8%
Vision4.1%3.5–4.8%4.8%
Dressing or bathing3.4%2.8–4%3.8%
Errands alone7.6%6.4–8.9%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.
CDC's own town estimateCDC publishes Gratis directly, so these are its own figures.

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.

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Boundary source: https://tigerweb.geo.census.gov/arcgis/rest/services/TIGERweb/Places_CouSub_ConCity_SubMCD/MapServer/18 · 2025-01-01