Photo: Southeast Region-Department of Natural Resources · Public domainOn CDC estimates, Royal City is healthier than 14% of U.S. towns
Royal City differs from Washington on 24 of 31 measures CDC estimates: 3 better, 21 worse.
Modeled estimates for adults 18+, CDC’s own estimate for Royal City. How CDC estimates town health
What stands out about health in Royal City
More Royal City adults get no exercise
1 in 3 adults get no exercise outside work (34.8%), about twice the Washington rate. Habits ↓
Dental care lags in Royal City
40.2% of adults saw a dentist this year, vs 67% across Washington. Among those 65 and older, 25.7% have lost all their teeth (Washington 9%). Checkups ↓
Making ends meet is harder in Royal City
1 in 3 adults worry about having enough food (35.2%), 3 times the Washington rate. Utility shut-off threats (15% vs 5.1%) and housing insecurity (27.7% vs 9.9%) are higher too. 41.6% of adults receive SNAP, vs 11% statewide. Everyday needs ↓
Royal City is healthier than its income would predict
Against all U.S. towns, Royal City is healthier than 14%. Against the 5,949 towns with similar household incomes ($38K–$63K), it’s healthier than 35%. Health Grade ↓
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 Washington figure falls outside Royal City’s likely range; at the ends of CDC’s ranges the grade could be anywhere from D− to C+.
What’s behind Royal City’s grade
On seven CDC estimates for adults, Royal City is healthier than 14% of U.S. towns. Smoking holds the grade up (fewer adults who smoke than 52% of U.S. towns); fair or poor health pulls it down (better than 3%).
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). Royal City’s median household income is $50,478; among the 5,949 U.S. towns within 25% of that ($38K–$63K), it’s healthier than 35%, so it sits below most towns with similar incomes, too.
Where Royal City compares well: high cholesterol (adults screened in 5 years), 30.5% (U.S. 37.1%); arthritis, 18.5% (U.S. 25.3%); cancer, other than skin cancer, 3.5% (U.S. 7.9%).
Everyday habits, side by side with Washington
Share of adults, with the Washington figure marked.
2 miles of trails across 1 park or preserve
Keeping up with care
Share of Royal City adults getting routine care. The full ring is 100%; the dark tick marks Washington.
Making ends meet
Needs that shape health as much as any doctor visit: food, housing, utilities and a way to get around.
41.6% of Royal City adults receive SNAP (food stamps), compared with 11% across Washington.
Out of every 100 Royal City adults…
Royal City runs below WA on 3 of 12 conditions and above it on 3. Tap one to see it as people.
Only 6% of Royal City residents are 65 or older, vs 17% across Washington. Arthritis and cancer run low partly because the town is young.
Care in and near Royal City
No hospital or community health center in Royal City itself. These are the nearest.
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 Royal City; ≈ 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).
How Royal City adults are doing
On 2 of 3 measures, Royal City runs above Washington.
A hello is a start.
Groups are the easiest way in: a walking group, a book club, your street.
If you or someone you know is struggling, call or text 988, the Suicide & Crisis Lifeline. It’s free, confidential and open 24/7.
Royal City and the towns around it
How health changes across the town line.
Health next door
| Town | Health | Obesity | Diabetes | Smoking | Figures from |
|---|---|---|---|---|---|
| Royal City | D | 43.8% | 12.6% | 14.6% | CDC place |
Same-state neighbors only, ordered by length of shared border.
Living with a disability
Shown without a better/worse judgment.
of Royal City adults live with a disability (Washington 27.1%). Thinking or memory is the most common.
Every CDC estimate for Royal City
Share of adults, 39 measures, with CDC’s likely range.
On the 31 measures below that have a better and a worse direction, Royal City is better than Washington on 3 and worse on 21; on the rest, the Washington figure falls inside Royal City’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.
| Adults who… | Royal City | WA | U.S. | vs WA |
|---|---|---|---|---|
| Overall health | ||||
| Fair or poor health | 33.1%27.9–38.6 | 16.3% | 19.4% | Worse |
| Frequent physical distress (physical health not good 14+ days a month) | 17.2%14.9–19.8 | 12.4% | 13% | Worse |
| Frequent mental distress (mental health not good 14+ days a month) | 19.5%17–22.1 | 16.4% | 15.9% | Worse |
| Conditions | ||||
| Obesity | 43.8%38.5–49.4 | 30.6% | 32.9% | Worse |
| Diabetes | 12.6%10.9–14.5 | 9.5% | 12% | Worse |
| High blood pressure | 28.4%25.6–31.5 | 30.5% | 34.4% | About the same |
| High cholesterol (adults screened in 5 years) | 30.5%27.4–33.9 | 34.9% | 37.1% | Better |
| Arthritis | 18.5%16.5–20.8 | 24.4% | 25.3% | Better |
| Asthma | 10.4%9.2–11.7 | 10.7% | 9.9% | About the same |
| Cancer, other than skin cancer | 3.5%3.1–3.9 | 7.9% | 7.9% | Better |
| Coronary heart disease | 5.1%4.4–5.8 | 5.4% | 6.4% | About the same |
| COPD | 5.1%4.4–6 | 5.1% | 6.3% | About the same |
| Stroke | 2.9%2.6–3.3 | 2.9% | 3.4% | About the same |
| Lost all teeth (ages 65+) | 25.7%21.8–29.8 | 9% | 12.3% | Worse |
| Habits | ||||
| Smoke cigarettes | 14.6%11.7–17.8 | 10.1% | 11.8% | Worse |
| No exercise outside work | 34.8%29.5–40.5 | 17.9% | 24.7% | Worse |
| Binge drinking | 17.5%14.8–20.6 | 16.6% | 15.4% | About the same |
| Sleep under 7 hours | 36.9%32.6–41.4 | 31.8% | 36% | Worse |
| Checkups and coverage | ||||
| No health insurance (ages 18–64) | 34.5%27–42.7 | 8.4% | 11% | Worse |
| Checkup in the past year | 63.5%59.3–67.9 | 70.7% | 77.4% | Worse |
| Dentist visit in the past year | 40.2%37.1–43.2 | 67% | 63.2% | Worse |
| Cholesterol check in 5 years | 71.7%67.4–76.1 | 84% | 87.1% | Worse |
| Taking blood pressure medicine (adults with high blood pressure) | 61.7%58.3–65.3 | 70.7% | 76.5% | Worse |
| Colorectal cancer screening (ages 45–75) | 42.4%38.1–46.6 | 66.2% | 65.5% | Worse |
| Mammogram in 2 years (women 50–74) | 59.2%51.4–66.8 | 74.2% | 76.4% | Worse |
| Mind and connection | ||||
| Ever told they have depression | 22.4%19.5–25.6 | 25.1% | 20.6% | About the same |
| Lack social and emotional support | 37.5%33.8–41 | 28% | 23.6% | Worse |
| Everyday needs | ||||
| Worried about having enough food | 35.2%32.4–38 | 10.2% | 15% | Worse |
| Worried about keeping housing | 27.7%25.1–30.4 | 9.9% | 12% | Worse |
| Threatened with a utility shut-off | 15%13.3–16.8 | 5.1% | 7.6% | Worse |
| Lack reliable transportation | 19.2%17.5–20.8 | 7.2% | 7.9% | Worse |
| Received SNAP (food stamps) | 41.6%38.7–44.3 | 11% | 11.6% | Higher |
| Disability | ||||
| Any disability | 39.3%34–45 | 27.1% | 30.1% | Higher |
| Difficulty walking or climbing stairs | 15.6%13.2–18.2 | 10.9% | 13.6% | Higher |
| Difficulty concentrating or remembering | 23.1%19.4–27 | 13.5% | 13.9% | Higher |
| Hearing difficulty | 6.4%5.6–7.3 | 6.4% | 6.7% | About the same |
| Vision difficulty | 10.2%8.6–11.9 | 4.1% | 5.4% | Higher |
| Difficulty doing errands alone | 11.3%9.5–13.3 | 6.8% | 7.9% | Higher |
| Difficulty dressing or bathing | 6%5–6.9 | 3.1% | 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 Washington figure falls inside that range.
Questions about health in Royal City
Is Royal City a healthy place to live?
On seven CDC estimates for adults, Royal City is healthier than 14% of U.S. towns: D for health. Among U.S. towns with similar household incomes it’s healthier than 35%. These are modeled estimates of who lives there, not a measure of local care or habits alone.
What is the obesity rate in Royal City?
CDC estimates 43.8% of adults have obesity, likely between 38.5% and 49.4%, against 30.6% across Washington and 32.9% nationally.
What hospital is closest to Royal City?
Othello Community Hospital in Othello, 22.6 miles in a straight line from Royal City’s center point, is the nearest general hospital with an emergency room; it has no Medicare star rating.
How many people in Royal City have no health insurance?
CDC estimates 34.5% of adults ages 18–64 have no health insurance (likely 27–42.7%), against 8.4% across Washington.
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 Royal City more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from D− to C+.
Neighbors talk health
Doctors taking patients, urgent care, staying active in Royal City.
Health estimates: CDC PLACES: Local Data for Better Health, 2025 release. The Washington 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.