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Grace Episcopal ChurchGrace Episcopal Church · Photo: Doug Kerr · CC BY-SA 2.0
≈ C+Health Grade
Health in Middletown · CDC PLACES 2025

Within New York, Middletown is healthier than 12% of graded towns

Middletown differs from New York on 18 of 32 measures CDC estimates: 3 better, 15 worse.

Modeled estimates for adults 18+, CDC’s own estimate for Middletown. How CDC estimates town health

What stands out · In brief

What stands out about health in Middletown

Making ends meet is harder in Middletown

1 in 4 adults worry about having enough food (25.8%), vs 17.2% across New York. Utility shut-off threats (12.9% vs 8.2%) and housing insecurity (22.6% vs 14.5%) are higher too. 22.5% of adults receive SNAP, vs 14.1% statewide. Everyday needs ↓

1 in 7 working-age adults in Middletown has no health insurance

13.8% of adults 18–64 have no health insurance, vs 7.9% across New York. Checkups ↓

More Middletown adults get no exercise

1 in 3 adults get no exercise outside work (32.3%), vs 25.9% across New York. Habits ↓

Written from the CDC, Medicare and HRSA data on this page. CDC PLACES 2025 release: modeled estimates for adults, not counts; “higher” and “lower” mean the New York figure falls outside Middletown’s likely range; at the ends of CDC’s ranges the grade could be anywhere from D to B.

Health Grade

What’s behind Middletown’s grade

On seven CDC estimates for adults, Middletown is healthier than 35% of U.S. towns, #664 of 755 in New York. Smoking holds the grade up (fewer adults who smoke than 59% of U.S. towns); no exercise pulls it down (better than 14%).

C−Self-rated health23.6% · NY 18.1% · U.S. 19.4%
C+Physical distress15% · NY 12.8% · U.S. 13%
B−Mental distress17.2% · NY 15% · U.S. 15.9%
B−Obesity35.9% · NY 28.8% · U.S. 32.9%
CDiabetes13.2% · NY 11.5% · U.S. 12%
BSmoking13.9% smoke · NY 11.3% · U.S. 11.8%
DExercise32.3% · NY 25.9% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 35%
Less healthyHealthier
New York towns we grade (755)Healthier than 12%
U.S. towns with similar incomes, $60K–$99K (10,773)Healthier than 29%

Health estimates follow income closely across the country: towns with higher household incomes usually score higher (a correlation of 0.77 across 21,157 graded towns). Middletown’s median household income is $79,346; among the 10,773 U.S. towns within 25% of that ($60K–$99K), it’s healthier than 29%, so it sits below most towns with similar incomes, too.

Where Middletown compares well: cancer, other than skin cancer, 6.1% (U.S. 7.9%).

A rough placement. CDC’s likely ranges are wide here: with every estimate at one end or the other, Middletown could be anywhere from D to B. The letter shows with “≈”.

How TownRatings grades health →

★ What stands out · 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 4
Middletown adults worry about having enough food
25.8% · NY 17.2%
Worse than NY
1 in 4
Middletown adults worry about keeping their housing
22.6% · NY 14.5%
Worse than NY
1 in 8
Middletown adults were threatened with a utility shut-off
12.9% · NY 8.2%
Worse than NY
1 in 8
Middletown adults lack reliable transportation
13% · NY 8.6%
Worse than NY

22.5% of Middletown adults receive SNAP (food stamps), compared with 14.1% across New York.

Checkups & screenings

Keeping up with care

Share of Middletown adults getting routine care. The full ring is 100%; the dark tick marks New York.

79%Yearly checkupNY 81%
58%Dentist visitNY 64%
87%Cholesterol checkNY 89%
64%Colon screeningNY 67%
79%MammogramNY 79%
75%Taking BP medsNY 77%
1 in 7
working-age adults has no health insurance
Middletown 13.8% · New York 1 in 13 (7.9%)
Habits

Everyday habits, side by side with New York

Share of adults, with the New York figure marked.

Get no exercise 32.3%NY 25.9%
Sleep under 7 hours 41.2%NY 37.9%
Binge drink 13.7%NY 16.3%
Smoke cigarettes 13.9%NY 11.3%
0%10%20%30%40%50%
Middletown, betterMiddletown, worseAbout the sameNew York
Where Middletown gets moving

7 miles of trails across 11 parks and preserves

Parks & trails →
Chronic conditions

Out of every 100 Middletown adults…

Middletown runs below NY on 2 of 12 conditions and above it on 3. Tap one to see it as people.

36 of every 100 Middletown adults have obesity
New York: 29 in 100 · worse · likely 30.3–41.6%
Better than NYWorseAbout the sameNew York
Getting care

Care in and near Middletown

2 community health centers in Middletown, plus the nearest just outside it.

HNearest ERGarnet Health Medical CenterMiddletown · 2.9 miDirections →
★Best rated nearbyGarnet Health Medical Center★★★★★ · 2.9 miDirections →
+Low-cost careCornerstone Family HealthcareMiddletown · 0.2 mi · sliding-scale feesDirections →
0.2 mi
Cornerstone Family Healthcare
4 sites · nearest in Middletown
Sliding-scale feesIn Middletown
Directions to nearest
0.2 mi
Sun River Health
2 sites · nearest in Middletown
Sliding-scale feesIn Middletown
Directions to nearest
2.9 mi
Garnet Health Medical Center
Middletown · ★★★★★
ER
13 mi
St. Anthony Community Hospital
Warwick · ★★★★★
14.5 mi
Bon Secours Community Hospital
Port Jervis · ★★★★★
ER
20 mi
Ellenville Regional Hospital
Ellenville · not rated
ERRural critical access
✓ Primary careNo HRSA shortage area covers Middletown itself
✓ Dental careMiddletown is not a shortage area
✓ Mental healthNo HRSA shortage area covers Middletown itself

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 Middletown; ≈ marks a hospital located by its town, not its street. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

Mind & connection

How Middletown adults are doing

On 1 of 4 measures, Middletown runs above New York.

1 in 3Middletown adults feel lonely
34.1% · NY 34.2% · About the same as NY
3 in 10Middletown adults lack social or emotional support
28.2% · NY 26.4% · About the same as NY
1 in 6Middletown adults have been diagnosed with depression
17.1% · NY 17.5% · About the same as NY
1 in 6Middletown adults are in frequent mental distress
17.2% · NY 15% · Worse than NY
The one neighbors can help with

1 in 3 Middletown adults feel lonely. A hello is a start.

Groups are the easiest way in: a walking group, a book club, your street.

Find a group →

If you or someone you know is struggling, call or text 988, the Suicide & Crisis Lifeline. It’s free, confidential and open 24/7.

Around town

Middletown and the towns around it

Middletown’s Health Grade ranks 3rd of 3 graded towns around it.

Wallkill: 33.1%Washington Heights: 35.8%Mechanicstown: 33.3%Wawayanda: 31.1%Mamakating: 30.4%Hamptonburgh: 29.5%Bloomingburg: 29.6%Mount Hope: 33.6%Crawford: 30.8%Montgomery: 31.2%Goshen: 29.3%Minisink: 30.4%Warwick: 29.2%Greenville: 33.5%Middletown: 35.9%MiddletownWallkillWashington HeightsMechanicstownWawayandaGarnet Health Medical Center · Middletown · 2.9 mi · 4★ MedicareHSt. Anthony Community Hospital · Warwick · 13 mi · 4★ MedicareHCornerstone Family Healthcare Middletown Dentistry · Middletown · 0.2 mi+Sun River Health Middletown · Middletown · 0.2 mi+
Healthier than NYNear NYLess healthyHHospital+Health center
Obesity
#15 of 15 towns on this map, healthiest first
Wawayanda31.1%
Wallkill33.1%
Mechanicstown33.3%
Washington Heights35.8%
Middletown35.9%
NY28.8%

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

Health next door

TownHealthObesityDiabetesSmokingFigures from
MiddletownC+35.9%13.2%13.9%CDC place
WallkillB33.1%11.6%12.1%ZIP codes
Washington Heights————
Mechanicstown————
WawayandaA−31.1%10.6%11%ZIP codes

Washington Heights and Mechanicstown: Census-designated places inside larger towns, graded as part of them. Same-state neighbors only, ordered by length of shared border.

Disability

Living with a disability

Shown without a better/worse judgment.

30.8%

of Middletown adults live with a disability (New York 27.2%). Walking or climbing stairs is the most common.

Walking or climbing stairs15.2%
Thinking or memory15.1%
Hearing5.5%
Errands alone9.5%
Vision7.3%
Dressing or bathing5%
New York

Every CDC estimate for Middletown

Share of adults, 40 measures, with CDC’s likely range.

On the 32 measures below that have a better and a worse direction, Middletown is better than New York on 3 and worse on 15; on the rest, the New York figure falls inside Middletown’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…MiddletownNYU.S.vs NY
Overall health
Fair or poor health23.6%21–26.318.1%19.4%Worse
Frequent physical distress (physical health not good 14+ days a month)15%13.4–16.712.8%13%Worse
Frequent mental distress (mental health not good 14+ days a month)17.2%15.4–19.115%15.9%Worse
Conditions
Obesity35.9%30.3–41.628.8%32.9%Worse
Diabetes13.2%11.6–1511.5%12%Worse
High blood pressure33.2%29.8–36.732.6%34.4%About the same
High cholesterol (adults screened in 5 years)33.7%30.1–37.337.7%37.1%Better
Arthritis23.5%20.9–26.224%25.3%About the same
Asthma11%9.7–12.210.3%9.9%About the same
Cancer, other than skin cancer6.1%5.6–6.77.7%7.9%Better
Coronary heart disease6%5.4–6.66.1%6.4%About the same
COPD6.6%5.9–7.46%6.3%About the same
Stroke3.6%3.3–3.93.4%3.4%About the same
Lost all teeth (ages 65+)16.9%13.9–20.212.8%12.3%Worse
Habits
Smoke cigarettes13.9%12.2–15.811.3%11.8%Worse
No exercise outside work32.3%28.2–36.425.9%24.7%Worse
Binge drinking13.7%11.3–16.116.3%15.4%Better
Sleep under 7 hours41.2%35.9–46.637.9%36%About the same
Checkups and coverage
No health insurance (ages 18–64)13.8%12–15.87.9%11%Worse
Checkup in the past year78.8%75.5–81.780.8%77.4%About the same
Dentist visit in the past year57.9%54.4–61.463.5%63.2%Worse
Cholesterol check in 5 years86.8%85.2–88.389.2%87.1%Worse
Taking blood pressure medicine (adults with high blood pressure)75%72–77.777.2%76.5%About the same
Colorectal cancer screening (ages 45–75)63.7%58.7–68.266.8%65.5%About the same
Mammogram in 2 years (women 50–74)78.8%71.9–84.478.9%76.4%About the same
Mind and connection
Ever told they have depression17.1%14.6–19.717.5%20.6%About the same
Feel lonely34.1%29.8–38.634.2%32.5%About the same
Lack social and emotional support28.2%24.8–31.826.4%23.6%About the same
Everyday needs
Worried about having enough food25.8%23–28.917.2%15%Worse
Worried about keeping housing22.6%20.2–25.214.5%12%Worse
Threatened with a utility shut-off12.9%11.4–14.58.2%7.6%Worse
Lack reliable transportation13%11.6–14.48.6%7.9%Worse
Received SNAP (food stamps)22.5%20.1–25.114.1%11.6%Higher
Disability
Any disability30.8%27.2–34.427.2%30.1%About the same
Difficulty walking or climbing stairs15.2%13.5–1713.4%13.6%Higher
Difficulty concentrating or remembering15.1%13.5–16.812.1%13.9%Higher
Hearing difficulty5.5%4.9–6.25.6%6.7%About the same
Vision difficulty7.3%6.6–7.95.2%5.4%Higher
Difficulty doing errands alone9.5%8.5–10.57.7%7.9%Higher
Difficulty dressing or bathing5%4.6–5.53.8%3.8%Higher

Each figure is the share of adults 18+ unless the label says otherwise; small numbers after it are CDC’s likely range (95% interval). “About the same” means the New York figure falls inside that range.

Questions about health in Middletown

Is Middletown a healthy place to live?

On seven CDC estimates for adults, Middletown is healthier than 35% of U.S. towns: ≈ C+ for health, #664 of 755 in New York. Among U.S. towns with similar household incomes it’s healthier than 29%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Middletown?

CDC estimates 35.9% of adults have obesity, likely between 30.3% and 41.6%, against 28.8% across New York and 32.9% nationally.

What hospital is closest to Middletown?

Garnet Health Medical Center in Middletown, 2.9 miles in a straight line from Middletown’s center point, is the nearest general hospital with an emergency room; Medicare rates it 4 of 5 stars.

How many people in Middletown have no health insurance?

CDC estimates 13.8% of adults ages 18–64 have no health insurance (likely 12–15.8%), against 7.9% across New York.

How accurate are these numbers?

They’re modeled estimates: CDC applies national survey answers to each area’s age, sex, race and education mix, so they describe who lives in Middletown more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from D to B.

Neighbors talk health

Doctors taking patients, urgent care, staying active in Middletown.

Town Square →
Ask your neighbors

Health estimates: CDC PLACES: Local Data for Better Health, 2025 release. The New York figure combines its counties, weighted by adult population. Hospitals and star ratings: Medicare Care Compare (CMS). Health centers and shortage areas: HRSA. The Health Grade is our own summary of CDC’s estimates, not an official rating. Ages: U.S. Census Bureau, American Community Survey. Town boundaries: U.S. Census Bureau. This page isn’t medical advice. In an emergency, call 911.