.svg)
.avif)
With roughly one in eight Americans now using GLP-1 medications for weight loss, their rapid adoption is shaping up to be one of the most consequential behavioral shifts in recent memory – with wide-ranging implications for businesses tied to how people spend their time and money.
We analyzed the data to understand how GLP-1 usage may be influencing real-world retail and dining foot traffic. How is grocery store visitation changing? What’s happening in limited-service dining? And which other categories are gaining from a heightened focus on health and wellness – further accelerating trends that began to take hold after the pandemic?
Research from Cornell University shows that GLP-1 users reduce household grocery spending by an average of 5.3% within six months of starting a medication, with the most significant pullbacks concentrated in calorie-dense, processed categories. At the same time, a handful of health-oriented foods – including yogurt, fresh fruit, nutrition bars, and meat snacks – are seeing increased spend.
And foot traffic data points to a parallel shift in where consumers are shopping, with a growing share of grocery visits flowing toward fresh-format stores like Trader Joe’s and Sprouts Farmers Market that emphasize high-quality perishables, curated health-oriented assortments, and an elevated in-store experience. While this pivot has been underway for several years, reflecting a broader post-pandemic focus on health and wellness, its recent acceleration coincides with the rise in GLP-1 use.
From Q1 2022 to Q1 2026, these chains steadily expanded their share of overall grocery foot traffic, with momentum accelerating beginning in Q1 2024, even as some experienced per-store softness amid a challenging consumer environment. Over the same period, the median household income within fresh-format chains’ captured markets, which had remained largely stable through early 2024, began to decline. This trend suggests a broadening customer base, as households across income brackets increasingly prioritize higher-quality food and allocate a larger share of their grocery trips to fresh formats.
The reallocation of spending also extends beyond the grocery aisle. Foot traffic data points to a meaningful reordering of food-away-from-home visits over the past three years, with healthier dining segments outperforming more indulgent ones – underscoring a broader shift toward more nutritious options that GLP-1 adoption may be helping to reinforce.
Frozen yogurt chains outpaced ice cream shops in year-over-year visit growth in both 2024 and 2025, as consumers gravitated toward lighter frozen treats. Smoothie and juice chains also captured growing demand, buoyed by expanding footprints from brands like Tropical Smoothie Cafe, Smoothie King, and Playa Bowls, while fast-casual similarly pulled ahead of QSR.
Fitness participation has been on the rise since the pandemic, and the data suggests gym habits are becoming more consistent over time – a trend that GLP-1 users, who often incorporate structured exercise into their routines, may be helping to reinforce.
Between Q1 2023 and Q1 2026, the share of visitors to leading gyms stopping by at least three times in an average month rose from 44.8% to 46.8%, while the share visiting at least four times rose from 37.3% to 39.1%. For a growing segment of the population, going to the gym has become a regular part of the weekly routine – with implications for fitness brands and the broader ecosystem of health-oriented businesses competing for this newly routine-driven consumer.
As consumers deepen their focus on health and fitness, the body transformations associated with GLP-1 use are also reshaping apparel demand. Alongside a growing need for wardrobe replenishment, GLP-1 users are investing more in their appearance and rediscovering the experience of shopping for clothes.
And this trend aligns with recent foot traffic data. Even as discretionary spending continues to face headwinds in a challenging macroeconomic environment, clothing retailers are seeing consistent year-over-year visit growth, driven in large part by the off-price sector – with each year outpacing the broader discretionary retail category by a widening margin. Apparel is pulling away from the pack, likely driven in part by a consumer whose relationship with their body – and with shopping – has fundamentally changed.
The GLP-1 era is still in its early stages – but as programs like Amazon’s new GLP-1 management program expand access, these drugs are likely to continue reshaping shopping behavior in the months and years ahead. The data points to a consumer who is eating differently, moving more, and spending in ways that reflect a new set of priorities, further amplifying the focus on health and wellness that has emerged over the past several years.
For more data-driven retail and dining insights, visit Placer.ai/anchor.
Sprouts Farmers Market entered 2026 expecting a challenging quarter – and Q1 foot traffic trends bore that out. Against a Q1 2025 comparison where comps surged 11.7% year over year (YoY), the company guided Q1 2026 comparable sales to decline between -3.0% and -1.0%, citing both the tough lap and continued pressure on grocery shoppers from elevated food prices. And same-store visits also dropped, falling between -3.0% and -6.0% YoY in Q1.
Still, overall foot traffic rose 1.8%, supported by the 37 stores opened in fiscal 2025 and additional locations added in early 2026, which helped offset softness at existing stores.
Against this backdrop, Sprouts is making several forward-looking investments that could support a traffic recovery later this year. Continued expansion, a new loyalty program launched in 2025, and ongoing merchandising innovation – alongside its transition to self-distribution for fresh meat – all position the company to compete on both quality and value as macro conditions evolve.
Will Sprouts return to same-store visit growth in Q2?
Visit Placer.ai/anchor to find out.
Placer.ai leverages a panel of tens of millions of devices and utilizes machine learning to make estimations for visits to locations across the US. The data is trusted by thousands of industry leaders who leverage Placer.ai for insights into foot traffic, demographic breakdowns, retail sale predictions, migration trends, site selection, and more.
.avif)
In February 2026, Chipotle unveiled its "Recipe for Growth" plan to reverse declining sales by improving operations, boosting marketing, and refreshing its menu. And though the plan has only been in place for a couple of months, traffic data suggests that it may already be having a positive impact on foot traffic to the chain.
After three consecutive quarters of year-over-year declines in average visits per location, Chipotle's foot traffic trends are showing signs of recovery. In Q1 2026, average visits per location were nearly flat (-0.2% YoY), while overall visits grew 5.8% – the strongest growth seen over the past year.
Several branding and menu innovations likely contributed to Chipotle's traffic recovery, including the high protein menu launched in late December 2025 and partnerships with athletes and sporting events. The biggest single driver, however, appears to have been the return of Chicken al Pastor on February 10, 2026 – a fan-favorite protein that had generated more social media requests for its comeback than any other LTO in the chain's history. In the month of its launch, overall visits rose 10.1% YoY and same-store visits grew 5.1%.
Still, the following month, overall visits were up just 3.6% and same-store visits were flat – suggesting that popular menu items can generate meaningful visit spikes, but those spikes may not automatically translate into lasting traffic bumps.
Chipotle appears to be leaning into this dynamic rather than fighting it. Starting April 28, the chain is rotating out Chicken al Pastor in favor of Honey Chicken – its best-performing LTO ever – effectively betting that a steady drumbeat of novelty and scarcity can sustain traffic where any single item cannot.
Another pillar of the company's "Back to Growth" plan entailed creating "new occasions that drive demand into our restaurants" – and Chipotle seems to have accomplished just that with its successful "Tatted Like a Chipotle Bag" BOGO promotion.
On March 13, 2026, from 3 to 4 PM local time, Chipotle offered an in-store BOGO entrée to any customer sporting a tattoo – real, temporary, or hand-drawn – a nod to the iconic tattoo-style graphics on a Chipotle bag. The one-hour activation drove a 55.3% spike in visits above the year-to-date average, with the highest daily visit count recorded since Placer.ai began tracking Chipotle's traffic in 2018. Chipotle also reported March 13th 2026 as the highest daily sales day in the chain's history.
That a single one-hour, in-store promotion could shatter the chain's all-time sales record speaks to the power of Chipotle's brand equity and the effectiveness of leaning into what makes it culturally distinct.
The early results suggest that Chipotle's 'Recipe for Growth' is already working – Q1's traffic recovery was built on a potent mix of menu innovation, viral activations, and renewed cultural relevance. But while the chain's strategy of cycling LTOs and engineering shareable moments has clearly rekindled consumer excitement – whether this delivers consistent same-store visit growth will be the real measure of "Recipe for Growth" success.
For more data-driven dining insights, visit placer.ai/anchor
After a strong Q4 2025 that delivered record single-day sales and one of the largest digital acquisition events in McDonald's history, Q1 2026 posed a harder test. Severe weather, pressure on lower-income consumers, and rising gas prices all weighed on the QSR category. So how did McDonald’s perform in Q1? We dove into the data to find out.
Q1 2026 visits to McDonald’s rose 0.6% year over year (YoY), with average visits per location essentially flat at 0.1%. Given Winter Storm Fern’s outsized impact on January traffic and a consumer environment that grew more selective as the quarter progressed, finishing Q1 in positive territory is a meaningful result.
That resilience reflects momentum built in Q4 2025, when McDonald’s delivered across all three of the pillars the company has identified as central to the brand's recovery: value, marketing, and menu. The September 2025 relaunch of Extra Value Meals helped reestablish McDonald’s value positioning, while MONOPOLY – returning to U.S. restaurants for the first time in nearly a decade – became one of the brand’s largest digital customer acquisition events ever. Meanwhile, the December 2025 Grinch Meal, featuring Dill Pickle McShaker Fries and collectible holiday socks, drove the highest single sales day in company history.
McDonald’s carried that strategy into Q1, bringing back the Shamrock Shake in February and launching the Big Arch Burger nationally in March. But in a quarter shaped by weather disruption and more cautious consumer spending, these initiatives generated more muted traffic responses than Q4’s record-setting activations.
The chart below illustrates McDonald’s uneven performance throughout the quarter. January same-store visits fell 1.3% YoY, due in part to Winter Storm Fern, which swept across more than 30 states late in the month, disrupting operations and driving temporary restaurant closures. February rebounded to +3.8% YoY, supported by pent-up demand and the return of the Shamrock Shake, which delivered a modest but discernable lift during its launch week. March, however, slipped back to -1.2% – reflecting the Big Arch Burger's more muted traffic response and possibly also the tightening of consumer purse strings in the face of rising gas prices.
But despite this consumer caution, the response to McDonald's latest pop-culture collab shows that even in a more demanding environment, the right promotion can still cut through.
On March 31 – the launch date of McDonald's collaboration with Netflix's Oscar-winning animated film KPop Demon Hunters – Tuesday visits reached 11.1% above the year-to-date Tuesday average, the highest single Tuesday reading of the entire first quarter. The promotion featured two dueling adult meals inspired by the film's rival groups, HUNTR/X and the Saja Boys, along with limited-time Korean-inspired items like Ramyeon McShaker Fries. And traffic stayed elevated in the days that followed, contributing to the chain's busiest week of the year so far.
Q1 data shows that McDonald’s can still drive traffic at scale, even in a softer environment. But success increasingly depends on executing consistently across value, marketing, and menu – while also delivering the kind of culturally relevant moments that give consumers a compelling reason to visit. How will the chain perform in Q2 as it rolls out its revamped McValue menu?
Follow Placer.ai/anchor to find out.
Placer.ai leverages a panel of tens of millions of devices and utilizes machine learning to make estimations for visits to locations across the US. The data is trusted by thousands of industry leaders who leverage Placer.ai for insights into foot traffic, demographic breakdowns, retail sale predictions, migration trends, site selection, and more.
.avif)
Starbucks and Dutch Bros may both operate in the coffee space, but they are pursuing distinct strategies that reflect their different stages of growth. Starbucks, the legacy leader, is focused on revitalizing its established brand. Dutch Bros, the newer, fast-growing entrant, is expanding its footprint and building brand awareness. And AI-powered location analytics suggests that both approaches appear to be working.
Dutch Bros is driving traffic through aggressive expansion, a drive-thru–focused model, and ongoing menu innovation. Meanwhile, Starbucks’ “Back to Starbucks” plan centers on closing underperforming stores, re-emphasizing the coffeehouse experience, and simplifying operations. Both chains may also be benefiting from the current consumer headwinds driving demand for affordable treats, with year-over-year (YoY) same-store visits up every month of the past six months.
In September 2024, Starbucks' then-new CEO Brian Niccol announced the Back to Starbucks turnaround strategy, focusing on reestablishing the brand's core identity as a coffee-first, community-centered brand, centered on high-quality coffee, skilled baristas, and a welcoming in-store experience. It also prioritizes improving service speed and consistency, simplifying operations, and strengthening the overall customer experience.
In September 2024, shortly after becoming CEO, Brian Niccol introduced the company's "Back to Starbucks" turnaround strategy, aimed at restoring the brand’s identity as a coffee-first, community-centered experience built on quality coffee, skilled baristas, and welcoming stores. The plan also emphasizes improving speed and consistency, simplifying operations, and enhancing the overall customer experience.
Traffic data reveals that the restructuring plan is already bearing fruit. Over the past two full quarters (Q4 2025 and Q1 2026) the company's overall traffic and average visits per venue increased 4.9% to 5.9% compared to the previous year – a particularly strong performance given broader consumer headwinds. If sustained, this momentum could signal a meaningful and durable return to growth for the brand.
Concurrently, Dutch Bros’ rapid expansion is translating into strong top-line traffic growth, with overall visits rising at a double-digit pace throughout 2025 and into early 2026. Quarterly gains ranged from 12.3% to 17.9% YoY as the brand entered new markets and scaled its footprint.
At the same time, average visits per location have remained relatively stable, suggesting that new store openings are not significantly cannibalizing existing units. This combination of robust overall traffic growth and steady per-location performance points to a healthy expansion strategy, where footprint growth is driving incremental demand rather than diluting it.
As both brands continue to execute on their respective strategies, early traffic trends suggest that there is no single path to growth in today’s coffee space. Starbucks’ operational reset and Dutch Bros’ expansion-led model are each resonating with consumers, albeit in different ways. The key question going forward will be whether these gains can be sustained as macro pressures persist and competition intensifies.
For more data-driven insights, visit placer.ai.anchor
.avif)
In a macroeconomic environment that continues to challenge dining chains, Shake Shack’s performance offers a clear signal of what consumers prioritize in 2026 – familiarity, convenience, and affordable indulgences.
Over the past several years, Shake Shack has expanded its footprint while maintaining solid performance at existing locations. In Q4 2025, total revenue rose nearly 22% year over year, while same-store sales increased 2.1%, driven primarily by pricing alongside a modest (+0.5%) lift in traffic – marking the brand’s 20th consecutive quarter of positive comparable growth. Restaurant-level margins also improved, pointing to stronger execution at the unit level.
And that momentum carried into Q1 2026. Overall visits rose 19.9% YoY, with average visits per location increasing in every month except January, when severe weather – including Winter Storm Fern – likely contributed to a slight 0.4% YoY dip.
A key driver of this consistency is Shake Shack’s alignment with evolving consumer routines. Loyalty has been rising, with repeat visitors accounting for an increasing share of traffic. At the same time, shorter weekday visits are becoming more common, suggesting that more customers are incorporating the brand into their weekly rhythms – whether for a quick lunch or an afternoon treat. And Shake Shack’s newly announced loyalty platform is likely to reinforce this behavior, further embedding the brand into day-to-day routines.
Menu innovation and popular limited-time offers also continue to play a major role in Shake Shack’s growth. Last summer, the nationwide launch of the Dubai Chocolate Pistachio Shake generated significant buzz. And more recently, the chain’s popular Valentine’s Day “True Love Shake” BOGO delivered its busiest day of the year – with visits jumping 14.8% above the typical Saturday baseline.
Shake Shack’s expansion strategy and visitation patterns point to a broader truth about dining in 2026: Success increasingly hinges on fitting seamlessly into everyday life while still delivering moments of excitement. As macroeconomic pressures persist, the brands that can balance routine convenience with craveable, culturally relevant offerings are likely to lead the next phase of growth.
For more data-driven dining insights, visit Placer.ai/anchor.
Placer.ai leverages a panel of tens of millions of devices and utilizes machine learning to make estimations for visits to locations across the US. The data is trusted by thousands of industry leaders who leverage Placer.ai for insights into foot traffic, demographic breakdowns, retail sale predictions, migration trends, site selection, and more.
The COVID-19 pandemic – and the subsequent shift to remote work – has fundamentally redefined where and how people live and work, creating new opportunities for smaller cities to thrive.
But where are relocators going in 2024 – and what are they looking for? This post dives into the data for several CBSAs with populations ranging from 500K to 2.5 million that have seen positive net domestic migration over the past several years – where population inflow outpaces outflow. Who is moving to these hubs, and what is drawing them?
The past few years have seen a shift in where people are moving. While major metropolitan areas like New York still attract newcomers, smaller cities, which offer a balance of affordability, livability, and career opportunities, are becoming attractive alternatives for those looking to relocate.
Between July 2020 and July 2024, for example, the Austin-Round Rock-Georgetown, TX CBSA, saw net domestic migration of 3.6% – not surprising, given the city of Austin’s ranking among U.S. News and World Report’s top places to live in 2024-5. Raleigh-Cary, NC, which also made the list, experienced net population inflow of 2.6%. And other metro areas, including Fayetteville-Springdale-Rogers, AR (3.3%), Des Moines-West Des Moines, IA (1.4%), Oklahoma City, OK (1.1%), and Madison, WI (0.6%) have seen more domestic relocators moving in than out over the past four years.
All of these CBSAs have also continued to see positive net migration over the past 12 months – highlighting their continued appeal into 2024.
What is driving domestic migration to these hubs? While these metropolitan areas span various regions of the country, they share a common characteristic: They all attract residents coming, on average, from CBSAs with younger and less affluent populations.
Between July 2020 and July 2024, for example, relocators to high-income Raleigh, NC – where the median household income (HHI) stands at $84K – tended to hail from CBSAs with a significantly lower weighted median HHI ($66.9K). Similarly, those moving to Austin, TX – where the median HHI is $85.4K – tended to come from regions with a median HHI of $69.9K. This pattern suggests that these cities offer newcomers an aspirational leap in both career and financial prospects.
Moreover, most of these CBSAs are drawing residents with a younger weighted median age than that of their existing residents, reinforcing their appeal as destinations for those still establishing and growing their careers. Des Moines and Oklahoma City, in particular, saw the largest gaps between the median age of newcomers and that of the existing population.
Career opportunities and affordable housing are major drivers of migration, and data from Niche’s Neighborhood Grades suggests that these CBSAs attract newcomers due to their strong performance in both areas. All of the analyzed CBSAs had better "Jobs" and "Housing" grades compared to the regions from which people migrated. For example, Austin, Texas received the highest "Jobs" rating with an A-, while most new arrivals came from areas where the "Jobs" grade was a B.
While the other analyzed CBSAs showed smaller improvements in job ratings, the combination of improvements in both “Jobs” and “Housing” make them appealing destinations for those seeking better economic opportunities and affordability.
Young professionals may be more open than ever to living in smaller metro areas, offering opportunities for cities like Austin and Raleigh to thrive. And the demographic analysis of newcomers to these CBSAs underscores their appeal to individuals seeking job opportunities and upward mobility.
Will these CBSAs continue to attract newcomers and cement their status as vibrant, opportunity-rich hubs for young professionals? And how will this new mix of population impact these growing markets?
Visit Placer.ai to keep up with the latest data-driven civic news.
Convenience stores, or c-stores, have been one of the more exciting retail categories to watch over the past few years. The segment has undergone significant shifts, embracing more diverse offerings like fresh food and expanded dining options, while also exploring new markets and adapting to changing consumer needs. We looked at the recent foot traffic data to see what this category's successes reveal about the current state of brick-and-mortar retail.
Convenience stores are increasingly viewed not only as places to fuel up, but as affordable destinations for quick meals, snacks, and other necessities. And analyzing monthly visits to the category shows that it is continuing to benefit from its positioning as a stop for food, fuel, and in some cases, tourism.
Despite lapping a strong H1 2023, visits to the category either exceeded last year’s levels or held steady during all but one of the first eight months of 2024 – highlighting the segment’s ongoing strength. Only in January 2024 did C-stores see a slight YoY dip, likely reflecting a weather-induced exaggeration of the segment’s normal seasonality.
Indeed, examining monthly fluctuations in visits to c-stores (compared to a January 2021 baseline) shows that foot traffic to the category tends to peak in summer months – perhaps driven by summer road trips and vacations – and slow down significantly in winter. Given summer’s importance for convenience stores, the category’s August YoY visit bump is a particularly promising indication of c-stores’ robust positioning this year.
While some C-store chains, like 7-Eleven, have a nationwide presence, others are concentrated in specific areas of the country. But as the popularity of C-stores continues to grow, regional chains like Wawa, Buc-ee’s, and Sheetz are expanding into new territories, broadening their reach.
Wawa, a beloved brand with roots in Pennsylvania, has become synonymous with its fresh sandwiches, coffee, and a highly loyal customer base. Wawa has been a major player in the c-store space in recent years, with a revamped menu driving ever-stronger foot traffic to its Mid-Atlantic region stores. Between January and August 2024, YoY visits to the chain were mostly elevated. And the chain is now venturing into states like Florida – where its store count has grown significantly over the past few years – as well as Georgia and Alabama.
Meanwhile, Texas favorite Buc-ee’s, though known for its enormous stores and mind boggling array of dining options, has a relatively small footprint – but that might be changing. The chain, which also outpaced its already-strong 2023 performance this year, is opening locations in Arkansas and North Carolina, further building on its reputation as a destination for travelers. And Sheetz, another regional chain with a strong presence in Pennsylvania, is also expanding, with plans to open locations in Southern states like North Carolina and Tennessee.
This trend toward regional expansion offers significant opportunities for growth, not only by increasing store count, but also by reaching new consumer bases and target audiences. Customer behavior differs between markets – and by expanding into new areas, c-stores can tap into unique local visitation patterns.
One metric that highlights local differences in consumer behavior is dwell time, or the amount of time a customer spends inside a convenience store per visit. In some regions, visitors tend to move in and out quickly, while in others, customers linger for longer periods of time.
Analyzing convenience store dwell times by state highlights substantial differences in visitor behavior. During the first eight months of 2024, coastal states (with the exception of Oregon) tended to see shorter average dwell times (between 7.5 and 11.8 minutes). On the other hand, in states like Wyoming, Montana, and North Dakota, average dwell times ranged between 21.2 and 28.2 minutes.
Interestingly, the states with the longest dwell times also have some of the highest percentages of truck traffic on interstate highways – suggesting that these longer stops are perhaps made by long-haul truckers looking for a place to shower, relax, and grab a bite to eat.
Even as regional favorites expand their reach, nationwide classic 7-Eleven is taking steps to further cement its growing role as a prime grab-and-go food and beverage destination. And like other dining destinations, the chain relies on limited-time offers (LTOs) to fuel excitement – and visits.
One of the most iconic, and beloved c-store LTOs is 7-Eleven’s Slurpee Day, which falls each year on July 11th. The event, during which all 7-Eleven locations hand out free slurpees, tends to drive significant upticks in foot traffic – and this year was no exception. Visits to the convenience store jumped by a whopping 127.3% on July 11th, 2024 relative to the YTD daily visit average – proving that good deals will bring customers in the door.
The convenience store sector continues building on the impressive growth seen in 2023. As many chains double down on expanding both their regional presence and their offerings, will they continue to drive growth in the coming years?
Visit Placer.ai to keep up with the latest data-driven convenience store updates.
Grocery chains in the United States are increasingly investing in on-site healthcare clinics, transforming their stores into hubs for both food and wellness. While grocery stores have long featured pharmacies and some basic healthcare services like vaccinations, recent years have seen a shift towards more extensive healthcare offerings.
Today, many grocery stores offer a range of services – from primary and urgent care to dental and mental health care. In addition to providing an important community service, grocery-anchored healthcare clinics can boost foot traffic at chains, help health providers reach more patients, and allow shoppers to manage their health and home needs in one convenient trip.
This white paper examines the impact these in-store clinics have on grocery chain visitation patterns and trade area characteristics. Are shoppers more or less likely to make repeat visits to grocery stores with healthcare services? And how does the addition of a clinic affect the demographic profile of a grocery store’s captured market? The report examines these questions and more, offering insights for stakeholders across the grocery and healthcare industries.
Analyzing foot traffic to grocery stores with and without in-store clinics shows the positive impact of these services: Across chains, locations with on-site healthcare offerings drew more visits in H1 2024 than their chain-wide averages.
The Kroger Co., which operates numerous regional banners as well as its own eponymous chain, has been a leader in in-store healthcare services since the early aughts. The company introduced its in-store medical center, The Little Clinic in 2003 – and today operates over 225 Little Clinic locations across its Kroger banner, as well as regional chains Dillons, Jay C Food Stores, Fry’s, and King Soopers.
And in H1 2024, the eight Dillons locations with clinics saw, on average, 93.0% more visits per location than the chain’s banner-wide average. Jay C, which offers two in-store clinics, also saw visits to these venues outpace the H1 2024 banner-wide average by 92.9%. For both chains, relatively small overall footprints may contribute to their outsize visit differences: Indiana-focused Jay C operates just 22 locations, all in the Hoosier State, while Kansas-based Dillons has some 64 locations.
But similar patterns, if somewhat less pronounced, could be observed at Kroger (43.0%), Fry’s (19.2%), and King Soopers (16.5%) – as well as at H-E-B (14.5%), which boasts its own expanding network of in-store clinics.
Analyzing the trade areas of grocery stores with healthcare clinics shows that these services tend to draw more affluent visitors from within the stores’ trade areas.
For some chains, including King Soopers, H-E-B, and Jay C, the clinics are positioned to begin with in areas serving higher-income communities. The median household income (HHI) of King Soopers’ in-store clinic’s potential markets, for example, came in at $92.3K in H1 2024 – significantly above the chain’s overall potential market median HHI of $88.1K. Similarly, the potential markets of H-E-B and Jay C Food Stores with clinics had higher median HHIs than the chains’ overall averages.
And for all three chains, stores with clinics tended to attract visitors from captured markets with even higher median HHIs – showing that within these affluent communities, it is the more well-to-do customers that tend to frequent these venues. (A chain or store’s potential market is obtained by weighting each CBG in its trade area according to the size of the population – thus reflecting the general composition of the community it serves. A chain or store’s captured market, on the other hand, is obtained by weighting each CBG according to its share of visits to the business in question – and thus represents the population that actually visits it in practice.)
Other brands, including Fry’s, Kroger, and Dillons, have positioned clinics in stores with potential market median HHIs slightly below chain-wide averages. But within these markets, too, it is the more affluent consumers that are visiting these stores, pushing up the median HHI of their captured markets.
These patterns highlight that, for now, grocery store clinics tend to attract consumers on the upper ends of local income spectrums. This information can be utilized by healthcare professionals and grocery store owners to pinpoint neighborhoods that may be open to grocery-anchored clinics, or to take steps to increase penetration in other areas.
Supermarket giant Kroger is a major player in the world of grocery-anchored healthcare, offering visitors access to pharmacies, clinics, and telehealth options via its grocery stores. What impact has the company’s embrace of healthcare had on visits and loyalty?
An analysis of household compositions across the potential and captured markets of Kroger-owned stores with and without Little Clinic offerings suggests that families with children are extremely receptive to these services.
In H1 2024, Kroger, King Soopers, Fry’s, Jay C, and Dillons all featured captured markets with higher shares of STI: PopStats’ “Households With Children” segment than their potential ones – highlighting the chains’ appeal for families. But the share of parental households in those stores with Little Clinics jumped significantly higher for all five banners.
The share of families with children in King Soopers’ overall captured market stood at 28.3% in H1 2024, higher than the 27.2% in its potential one. But the households with children in the captured markets of King Soopers locations with Little Clinics was significantly higher – 30.6% – and similar patterns emerged at Jay C, Dillons, Kroger, and Fry’s.
This special draw is likely linked to the clinics' focus on family health services like physicals, nutrition plans, and vaccines. The convenience of being able to take care of healthcare, grocery shopping, and pharmacy needs all in one go makes these stores particularly attractive to parents. And this jump in foot traffic shows the strategic advantage of incorporating healthcare services into the retail environment.
Providing essential healthcare services at the supermarket can establish a grocery chain as a crucial part of a shopper's daily life, enhancing visitor loyalty, and helping nurture long-term customer relationships. Indeed, in-store clinics offer a unique opportunity for grocery providers to connect with customers on a level that extends beyond the transactional.
An analysis of several Kroger-branded locations in the Cincinnati metro area showcases the profound impact in-store clinics can have on customer loyalty. In H1 2024, stores with Little Clinics had significantly higher shares of repeat visitors – defined as those making six or more stops at the store during the analyzed period – than those without.
For instance, 36.4% of visitors to a Kroger Marketplace store with an in-store clinic in Harrison, Ohio, frequented the location at least six times during the first half of 2024. But over the same period, only 29.0% of visitors stopped by at least six times to a nearby Kroger location in Cleves, Ohio – just ten miles away. Similarly, 30.7% of visitors to the Beechmont Ave. Kroger Food & Drug location with a clinic visited at least six times in H1 2024, compared to 23.0% for the nearby Ohio Pike Kroger store.
This trend was consistent across the analyzed locations, with those offering in-store clinics attracting significantly higher shares of loyal visitors. These metrics support the value of offering additional services as a draw for frequent visitors, while also providing the clinics themselves with the visitor volume needed to operate profitably.
Texan grocery chain H-E-B is beloved across the state – and though the chain isn’t new to the healthcare scene, it has been doubling down on wellness. In 2022, H-E-B launched H-E-B Wellness, a healthcare platform that offers patrons a variety of medical services, including – as of today – some 12 primary care clinics, many of them inside stores.
H-E-B stores with primary care clinics are helping to cement the grocer’s role as a convenient one-stop for local residents – allowing them to drop in to a nearby location for both daily grocery needs and wellness care.
H-E-B has always placed a premium on community, stepping up to help local residents in times of need. And though the chain as a whole draws an overwhelming majority of its visitors from nearby areas, those with clinics do so even more effectively. In H1 2024, some 83.6% of visitors to H-E-B came from less than 10 miles away. But for locations with primary care clinics, this share increased to 88.0%.
This suggests that wellness services are particularly appealing to nearby residents, strengthening H-E-B’s connection with local consumers even further. And for a grocery store centered on community engagement, the integration of health services into its offerings is proving to be a winning strategy.
H-E-B has been steadily expanding its primary care offerings since it launched the Wellness concept, adding two primary clinics at locations in Cypress, TX and Katy, TX in June 2023. Following the opening of these clinics – which operate Mondays through Fridays – both locations saw marked increases in the share of “Urban Cliff Dwellers” in their weekday captured markets. This STI: Landscape segment group encompasses families both with and without children, earning modest incomes and enjoying middle-class pleasantries.
Between June 2022 - May 2023, the share of “Urban Cliff Dwellers” in the weekday captured markets of the Cypress and Katy locations stood at 9.5% and 7.2%, respectively. But once the stores had clinics in place, those numbers jumped to 12.4% and 11.0%, respectively.
This increase in the stores’ reach among “Urban Cliff Dwellers” immediately following the clinics’ openings suggests that in addition to more affluent consumers, middle-class families also harbor considerable interest in these services. As more retailers continue making inroads into the healthcare sector, they may find similar success in attracting diverse groups of convenience-seeking shoppers.
As grocery stores lean into healthcare, they are transforming into multifaceted hubs that offer both essential health services and everyday shopping needs. Retailers like Kroger and H-E-B are reaping the benefits of boosted foot traffic, higher-income visitors, and strengthened community ties – while offering their shoppers convenience that helps streamline their daily routines.
