designated health professional shortage areas statistics

data.HRSA.gov 1 of 15 November 23, 2021Data as of: 10/01/2021

Fourth Quarter of Fiscal Year 2021

Designated HPSA Quarterly Summary

As of September 30, 2021

Bureau of Health WorkforceHealth Resources and Services Administration (HRSA)

U.S. Department of Health & Human Services

DesignatedHealth Professional Shortage Areas

Statistics


Table 1. Health Professional Shortage Areas: Number, Population, and Additional PractitionersNeeded for Geographic Areas, Population Groups, and Facilities as of September 30, 2021

Number ofDesignations(1)

Population ofDesignated HPSAs(2)

Percent ofNeed Met(3)

PractitionersNeeded to

RemoveDesignations

Primary MedicalHPSA Totals

7,447 83,711,000 46.16 %(4) 14,858(7)

Geographic Area 1,372 33,779,317 60.51 % 4,090

Population Group 1,876 48,949,954 37.93 % 10,108

Facility 4,199 981,729 31.72 % 660

Dental HPSA Totals 6,678 61,899,714 30.78 %(5) 10,822(8)

Geographic Area 613 12,278,549 55.12 % 1,249

Population Group 1,941 48,570,593 25.21 % 9,073

Facility 4,124 1,050,572 30.19 % 500

Mental Health HPSATotals

5,930 129,640,558 28.09 %(6) 6,559(9)

Geographic Area 1,070 86,353,660 31.69 % 3,612

Population Group 588 41,934,927 17.41 % 2,430

Facility 4,272 1,351,971 41.88 % 517


Statistics


Table 2. Health Professional Shortage Areas: Rural/Non-Rural Classification as of September 30, 2021


Percentageof All

Designations(10)

Populationof Designated

HPSAs


RemoveDesignations

Primary MedicalHPSA Totals

7,447 83,711,000 14,858

Rural 4,563 61.27 % 24,141,643 3,959

Geographic Area 909 12.21 % 13,610,902 1,668

Population Group 1,015 13.63 % 10,038,991 1,969

Facility 2,639 35.44 % 491,750 322

Non-Rural 2,365 31.76 % 40,582,736 7,869

Geographic Area 243 3.26 % 11,917,717 1,476

Population Group 562 7.55 % 28,175,040 6,055

Facility 1,560 20.95 % 489,979 338

Partially Rural(11) 519 6.97 % 18,986,621 3,030

Geographic Area 220 2.95 % 8,250,698 946


Dental HPSA Totals 6,678 61,899,714 10,822

Rural 4,187 62.70 % 19,181,136 3,261

Geographic Area 489 7.32 % 6,875,431 776

Population Group 1,113 16.67 % 11,814,769 2,262

Facility 2,585 38.71 % 490,936 223

Non-Rural 2,113 31.64 % 29,239,848 5,286

Geographic Area 63 0.94 % 2,909,573 232


Facility 1,539 23.05 % 559,636 277

Partially Rural(11) 378 5.66 % 13,478,730 2,275

Geographic Area 61 0.91 % 2,493,545 241


Mental Health HPSATotals

5,930 129,640,558 6,559

Rural 3,426 57.77 % 26,965,151 1,597

Geographic Area 626 10.56 % 23,853,536 1,162

Population Group 139 2.34 % 2,469,674 179

Facility 2,661 44.87 % 641,941 256

Non-Rural 2,008 33.86 % 42,920,749 2,324


Statistics



Percentageof All

Designations(10)


HPSAs


RemoveDesignations

Geographic Area 144 2.43 % 18,296,592 736


Facility 1,611 27.17 % 710,030 261

Partially Rural(11) 496 8.36 % 59,754,658 2,638

Geographic Area 300 5.06 % 44,203,532 1,714

Population Group 196 3.31 % 15,551,126 924


Statistics


Table 3. Primary Care Health Professional Shortage Areas, by State, as of September 30, 2021

PrimaryCare

TotalDesignations(1)

GeographicArea

PopulationGroup Facility


HPSAsPercent of

Need Met(3)


RemoveDesignations(6)

HPSA Total 7,447 1,372 1,876 4,199 83,711,000 46.16 % 14,858

Region 1 223 24 53 146 1,374,782 33.05 % 311

Connecticut 28 0 22 6 442,478 0.23 % 149

Maine 73 13 11 49 96,620 45.85 % 18

Massachusetts 65 5 8 52 514,225 38.36 % 108

NewHampshire

29 3 7 19 155,809 67.56 % 17

Rhode Island 13 1 3 9 151,748 67.51 % 17

Vermont 15 2 2 11 13,902 56.53 % 2

Region 2 256 11 83 162 6,843,482 23.04 % 1,779

New Jersey 37 0 0 37 29,701 23.90 % 23

New York 175 8 66 101 5,018,983 29.28 % 1,189

Puerto Rico 39 0 17 22 1,689,201 2.18 % 552

U.S. VirginIslands

5 3 0 2 105,597 58.12 % 15

Region 3 451 92 115 244 4,636,008 55.84 % 682

Delaware 11 0 4 7 249,418 17.03 % 74

District ofColumbia

15 3 3 9 258,715 69.48 % 26

Maryland 48 7 22 19 887,614 53.03 % 141

Pennsylvania 143 15 25 103 495,949 50.50 % 101

Virginia 124 59 17 48 1,995,062 66.35 % 205

West Virginia 110 8 44 58 749,250 46.67 % 135

Region 4 1,414 280 512 622 22,163,843 48.25 % 3,846

Alabama 104 43 18 43 2,286,895 60.62 % 301

Florida 276 18 111 147 6,302,560 30.39 % 1,505

Georgia 243 57 103 83 3,180,524 37.20 % 673

Kentucky 191 48 58 85 1,459,320 57.26 % 202

Mississippi 153 53 33 67 1,776,047 52.19 % 283

North Carolina 213 22 94 97 2,807,999 53.42 % 416

SouthCarolina

101 15 34 52 1,989,344 69.29 % 207

Tennessee 133 24 61 48 2,361,154 67.43 % 259


Statistics


PrimaryCare


GeographicArea



HPSAsPercent of

Need Met(3)



Region 5 1,096 207 264 625 12,103,384 55.71 % 1,734

Illinois 263 42 85 136 3,303,633 49.57 % 534

Indiana 115 34 30 51 2,093,311 71.77 % 193

Michigan 269 22 62 185 2,948,989 50.71 % 482

Minnesota 181 43 33 105 845,244 55.73 % 116

Ohio 158 42 26 90 1,781,457 54.60 % 258

Wisconsin 110 24 28 58 1,130,750 58.75 % 151

Region 6 965 257 264 444 12,822,438 55.04 % 1,858

Arkansas 98 18 43 37 659,587 54.28 % 105

Louisiana 160 45 27 88 2,381,360 66.45 % 256

New Mexico 100 26 9 65 1,046,481 29.21 % 239

Oklahoma 183 15 71 97 1,416,305 39.90 % 289

Texas 424 153 114 157 7,318,705 58.19 % 969

Region 7 728 61 194 473 3,107,638 28.50 % 725

Iowa 132 25 30 77 638,024 48.85 % 104

Kansas 184 18 66 100 780,837 51.99 % 121

Missouri 327 8 98 221 1,644,535 10.00 % 491

Nebraska 85 10 0 75 44,242 28.49 % 9

Region 8 561 174 114 273 3,039,397 43.57 % 569

Colorado 120 26 41 53 1,137,825 36.05 % 260

Montana 142 27 31 84 422,166 41.73 % 78

North Dakota 91 46 4 41 224,217 29.94 % 49

South Dakota 100 41 19 40 295,847 37.03 % 55

Utah 62 15 14 33 774,928 60.17 % 101

Wyoming 46 19 5 22 184,414 54.50 % 26

Region 9 1,001 195 165 641 12,805,587 42.57 % 2,417

Arizona 236 53 54 129 3,185,244 37.20 % 653

California 643 115 96 432 7,800,038 45.63 % 1,402

Hawaii 31 4 0 27 519,059 43.50 % 87


Statistics


PrimaryCare


GeographicArea



HPSAsPercent of

Need Met(3)



Nevada 71 16 13 42 947,994 44.96 % 175

AmericanSamoa

2 1 0 1 55,009 5.45 % 17

FederatedStates ofMicronesia

8 3 1 4 99,673 0.00 % 34

Guam 4 0 1 3 71,615 14.47 % 21

MarshallIslands

2 1 0 1 53,158 0.00 % 18

NorthernMarianaIslands

2 1 0 1 53,890 81.81 % 3

Republic ofPalau

2 1 0 1 19,907 0.00 % 7

Region 10 752 71 112 569 4,814,441 39.61 % 937

Alaska 301 14 3 284 214,710 17.31 % 58

Idaho 99 13 31 55 527,384 45.93 % 96

Oregon 149 13 34 102 1,109,690 57.48 % 157

Washington 203 31 44 128 2,962,657 33.01 % 626


Statistics


Table 4. Dental Health Professional Shortage Areas, by State, as of September 30, 2021

DentalHealth


GeographicArea



HPSAsPercent of

Need Met(4)



HPSA Total 6,678 613 1,941 4,124 61,899,714 30.78 % 10,822

Region 1 236 19 58 159 1,283,943 36.16 % 207

Connecticut 39 0 19 20 396,404 0.00 % 101

Maine 89 14 27 48 344,144 32.24 % 53

Massachusetts 59 3 4 52 325,211 76.13 % 21

NewHampshire

22 0 3 19 28,265 24.40 % 7

Rhode Island 13 0 4 9 160,491 43.63 % 23

Vermont 14 2 1 11 29,428 53.66 % 2

Region 2 197 3 45 149 3,318,442 18.60 % 695

New Jersey 36 0 0 36 40,876 41.79 % 18

New York 133 0 45 88 3,162,984 17.34 % 656

Puerto Rico 24 1 0 23 12,965 16.56 % 4

U.S. VirginIslands

4 2 0 2 101,617 33.50 % 17

Region 3 440 38 168 234 5,271,260 33.68 % 884

Delaware 10 0 3 7 174,238 7.99 % 47

District ofColumbia

12 0 2 10 82,914 2.41 % 21

Maryland 44 10 16 18 1,094,911 29.40 % 179

Pennsylvania 157 2 56 99 1,875,148 39.32 % 305

Virginia 111 16 50 45 1,279,353 37.38 % 196

West Virginia 106 10 41 55 764,696 29.00 % 136

Region 4 1,262 128 554 580 19,828,470 26.05 % 3,718

Alabama 84 0 43 41 1,828,616 20.56 % 376

Florida 256 4 106 146 5,700,971 14.00 % 1,268

Georgia 187 37 92 58 2,111,539 18.57 % 432

Kentucky 160 3 75 82 752,636 16.85 % 161

Mississippi 143 56 23 64 1,755,149 56.40 % 193

North Carolina 196 9 97 90 3,501,304 26.93 % 620

SouthCarolina

93 16 25 52 1,870,554 44.91 % 263

Tennessee 143 3 93 47 2,307,701 31.04 % 405


Statistics


DentalHealth


GeographicArea



HPSAsPercent of

Need Met(4)



Region 5 1,031 18 385 628 9,251,374 29.67 % 1,675

Illinois 233 6 91 136 2,559,672 28.97 % 465

Indiana 103 1 53 49 1,287,312 32.65 % 224

Michigan 244 0 61 183 1,497,513 26.29 % 286

Minnesota 179 7 58 114 794,692 29.05 % 145

Ohio 156 4 72 80 1,885,689 27.19 % 349

Wisconsin 116 0 50 66 1,226,496 36.28 % 206

Region 6 819 174 202 443 7,698,810 42.19 % 1,135

Arkansas 96 5 54 37 598,786 36.50 % 106

Louisiana 148 32 28 88 2,118,690 54.21 % 243

New Mexico 101 21 16 64 888,038 27.05 % 160

Oklahoma 167 6 61 100 1,044,074 34.09 % 181

Texas 307 110 43 154 3,049,222 42.41 % 445

Region 7 702 43 185 474 2,648,809 20.97 % 511

Iowa 132 8 45 79 380,841 32.89 % 64

Kansas 177 24 55 98 590,331 38.55 % 82

Missouri 317 11 84 222 1,675,973 12.27 % 365

Nebraska 76 0 1 75 1,664 0.00 % 0

Region 8 455 86 104 265 2,525,826 47.86 % 320

Colorado 98 22 29 47 1,150,287 49.57 % 142

Montana 129 13 33 83 354,148 40.95 % 50

North Dakota 66 22 3 41 121,927 44.11 % 13

South Dakota 71 20 12 39 155,151 20.53 % 31

Utah 61 5 23 33 695,305 56.11 % 76

Wyoming 30 4 4 22 49,008 34.36 % 8

Region 9 826 67 132 627 5,780,920 28.68 % 1,036

Arizona 209 38 48 123 2,307,767 30.35 % 399

California 499 14 62 423 1,995,481 27.78 % 363

Hawaii 32 0 5 27 266,331 43.37 % 40


Statistics


DentalHealth


GeographicArea



HPSAsPercent of

Need Met(4)



Nevada 66 7 16 43 866,096 30.81 % 155

AmericanSamoa

2 1 0 1 55,009 0.00 % 14


8 4 0 4 91,491 0.00 % 23

Guam 4 0 1 3 71,790 4.85 % 18

MarshallIslands

2 1 0 1 53,158 0.00 % 11


2 1 0 1 53,890 22.26 % 8

Republic ofPalau

2 1 0 1 19,907 0.00 % 5

Region 10 710 37 108 565 4,291,860 38.14 % 641

Alaska 298 13 1 284 162,238 28.59 % 29

Idaho 97 6 37 54 509,394 56.76 % 54

Oregon 138 0 39 99 1,295,285 27.82 % 233

Washington 177 18 31 128 2,324,943 40.58 % 325


Statistics


Table 5. Mental Health Care Health Professional Shortage Areas, by State, as of September 30, 2021

MentalHealthCare


GeographicArea



HPSAsPercent of

Need Met(5)



HPSA Total 5,930 1,070 588 4,272 129,640,558 28.09 % 6,559

Region 1 200 22 13 165 2,158,012 27.32 % 119

Connecticut 38 3 7 28 1,110,816 14.93 % 62

Maine 61 13 0 48 285,644 20.07 % 27

Massachusetts 56 1 5 50 273,105 32.21 % 17

NewHampshire

22 3 0 19 93,150 42.88 % 3

Rhode Island 12 2 1 9 395,297 62.91 % 10

Vermont 11 0 0 11

Region 2 262 13 60 189 5,902,862 26.49 % 393

New Jersey 36 0 0 36 40,892 68.85 % 14

New York 178 10 47 121 4,100,603 23.28 % 272

Puerto Rico 44 1 13 30 1,661,225 14.56 % 98

U.S. VirginIslands

4 2 0 2 100,142 61.36 % 9

Region 3 388 56 81 251 6,623,125 30.56 % 428

Delaware 11 0 3 8 209,638 9.96 % 21

District ofColumbia

10 1 0 9 133,945 5.30 % 28

Maryland 48 10 16 22 1,293,314 21.87 % 76

Pennsylvania 123 23 2 98 1,703,246 40.86 % 99

Virginia 90 12 23 55 2,494,482 42.55 % 114

West Virginia 106 10 37 59 788,500 12.74 % 90

Region 4 892 130 169 593 29,642,803 26.17 % 1,645

Alabama 61 14 7 40 2,927,845 24.13 % 156

Florida 210 22 40 148 6,413,096 18.98 % 382

Georgia 89 19 10 60 5,216,988 41.91 % 192

Kentucky 114 20 12 82 2,903,930 24.89 % 166

Mississippi 83 16 0 67 3,190,018 38.25 % 198

North Carolina 196 25 74 97 3,586,372 13.36 % 199

SouthCarolina

70 5 11 54 2,249,599 33.79 % 105

Tennessee 69 9 15 45 3,154,955 15.31 % 247


Statistics


MentalHealthCare


GeographicArea



HPSAsPercent of

Need Met(5)



Region 5 869 191 35 643 23,517,298 31.28 % 1,005

Illinois 188 45 6 137 7,776,706 24.06 % 325

Indiana 84 24 1 59 4,694,347 35.81 % 197

Michigan 242 48 15 179 4,201,672 29.83 % 188

Minnesota 120 9 1 110 2,092,250 33.45 % 82

Ohio 116 21 7 88 2,572,754 38.28 % 111

Wisconsin 119 44 5 70 2,179,569 34.63 % 102

Region 6 826 280 96 450 22,991,108 30.73 % 1,055

Arkansas 51 4 11 36 1,194,257 30.23 % 69

Louisiana 152 51 13 88 3,421,725 27.70 % 151

New Mexico 83 16 2 65 1,363,019 16.64 % 74

Oklahoma 116 4 12 100 1,688,933 28.39 % 88

Texas 424 205 58 161 15,323,174 32.88 % 673

Region 7 548 44 22 482 6,051,595 26.20 % 279

Iowa 95 17 0 78 1,812,869 40.62 % 58

Kansas 123 19 2 102 1,366,146 32.74 % 54

Missouri 250 3 20 227 1,836,532 5.93 % 140

Nebraska 80 5 0 75 1,036,048 48.42 % 27

Region 8 386 93 17 276 7,934,894 39.05 % 329

Colorado 65 10 6 49 2,898,698 34.69 % 126

Montana 118 26 8 84 905,132 25.09 % 68

North Dakota 72 26 0 46 308,352 18.79 % 16

South Dakota 58 14 2 42 452,753 16.79 % 25

Utah 46 12 1 33 2,803,378 56.31 % 73

Wyoming 27 5 0 22 566,581 47.07 % 21

Region 9 891 167 72 652 17,792,653 21.84 % 987

Arizona 210 64 15 131 2,884,369 10.61 % 184

California 578 85 53 440 11,511,663 23.35 % 618

Hawaii 31 2 2 27 496,032 14.22 % 28


Statistics


MentalHealthCare


GeographicArea



HPSAsPercent of

Need Met(5)



Nevada 52 8 1 43 2,445,765 35.38 % 111

AmericanSamoa

2 1 0 1 55,009 0.00 % 12


8 4 0 4 100,997 0.00 % 17

Guam 4 0 1 3 71,863 0.00 % 5

MarshallIslands

2 1 0 1 153,158 0.00 % 8


2 1 0 1 53,890 0.00 % 3

Republic ofPalau

2 1 0 1 19,907 0.00 % 1

Region 10 668 74 23 571 7,026,208 22.73 % 319

Alaska 304 18 2 284 383,692 18.04 % 17

Idaho 66 8 2 56 1,746,975 29.82 % 65

Oregon 126 13 12 101 1,911,961 26.40 % 95

Washington 172 35 7 130 2,983,580 16.83 % 142


Statistics


Endnotes

(1) The number of designations includes HPSAs that are proposed for withdrawal (P) and HPSAs that have no data (N).Designations are not withdrawn until a Federal Register Notice is published, generally once a year on or around July 1.

(2) The figure reported for the Population of Designated Facility HPSAs for both Primary Care and Dental reflects the number ofinternees in designated correctional facilities. The figure reported for the Population of Designated Facility HPSAs for MentalHealth reflects the number of internees in designated correctional facilities, as well as the average daily inpatient census forstate and county mental hospitals designated after September 1, 2015. For reports generated prior to September 1, 2015, thePopulation of Designated Facility HPSAs for all disciplines included populations served by other public or non-profit facilities.These are facilities that qualify for HPSA designation by demonstrating that even though they are not located in a geographicor population HPSA, they serve the populations of geographic and population HPSAs. As a result, these populations werepotentially double counted.

(3) The figure reported for Percent of Need Met for facility HPSAs includes correctional facilities and state mental hospitals. Itexcludes facilities not located in a HPSA that are designated based on providing services to the population of a geographic orpopulation HPSA. It also excludes facilities automatically designated based on statute, including health center programgrantees, Federally Qualified Health Center Look Alikes, Indian Health Service facilities, and rural health clinics that meetNational Health Service Corps (NHSC) site requirements.

(4) The percent of need met is computed by dividing the number of primary care physicians available to serve the population ofthe area, group, or facility by the number of primary care physicians that would be necessary to reduce the population toprovider ratio below the threshold for designation so that it would eliminate the designation as a primary care HPSA. Federalregulations stipulate that, in order to be considered as having a shortage of providers, a designation must have a population-to-provider ratio that meets or exceeds a certain threshold. For primary care geographic designations, the population toprovider ratio must be at least 3,500 to 1. For primary care population designations or geographic designations in areas withunusually high needs, the threshold is 3,000 to 1. For correctional facilities, the threshold is 1,000:1 and takes into account theaverage length of stay, and whether or not intake examinations are routinely performed.

(5) The percent of need met is computed by dividing the number of dentists available to serve the population of the area, group, orfacility by the number of dentists that would be necessary to reduce the population to provider ratio below the threshold fordesignation so that it would eliminate the designation as a dental HPSA. Federal regulations stipulate that, in order to beconsidered as having a shortage of providers, a designation must have a population-to-provider ratio that meets or exceeds acertain threshold. For dental geographic designations, the ratio must be at least 5,000 to 1. For dental population designationsor geographic designations in areas with unusually high needs, the threshold is 4,000 to 1. For correctional facilities, thethreshold is 1,500:1 and takes into account the average length of stay, and whether or not intake examinations are routinelyperformed.

(6) The percent of need met is computed by dividing the number of mental health providers available to serve the population ofthe area, group, or facility by the number of mental health providers that would be necessary to reduce the population toprovider ratio below the threshold for designation so that it would eliminate the designation as a mental health HPSA. Federalregulations stipulate that, in order to be considered as having a shortage of providers, a designation must have a population-to-provider ratio that meets or exceeds a certain threshold. Mental health designations may qualify for designation based onthe population to psychiatrist ratio, the population to core mental health provider (psychiatrists, clinical psychologists, clinicalsocial workers, psychiatric nurse specialists, and marriage and family therapists) ratio, or the population to both psychiatristand core mental health provider ratios. For mental health geographic designations based on the ratio of population topsychiatrist ratio, the designation must have a ratio of 30,000 to 1, while for population designations or geographicdesignations in areas with unusually high needs, the threshold is 20,000 to 1. For mental health geographic designations basedon the ratio of population to core mental health providers, the designation must have a ratio of 9,000 to 1, while for populationdesignations or geographic designations in areas with unusually high needs, the threshold is 6,000 to 1. For mental healthgeographic designations based on the ratios of both population to psychiatrist and population to core mental health providers,the designation must have ratios of 20,000 to 1 (psychiatrists) and 6,000 to 1 (core mental health providers), while forpopulation designations or geographic designations in areas with unusually high needs, the thresholds are 15,000 to 1(psychiatrists) and 4,500 to 1 (core mental health providers). For correctional facilities, the threshold is 2,000:1 and takes intoaccount the average length of stay, and whether or not intake examinations are routinely performed. For state mentalhospitals, the calculation is based on workload units, which are a function of the average daily inpatient census and thenumber and type of admissions. For correctional facilities and state mental hospitals, psychiatrists are the only provider typecounted.


Statistics


Endnotes

(7) The number of additional primary care physicians needed to achieve a population-to-primary care physician ratio below thethresholds necessary for designation in all designated primary care HPSAs that would result in their removal from designation.The formula used to designate primary care HPSAs does not take into account the availability of additional primary careservices provided by nurse practitioners and physician assistants in an area. The figure reported for Practitioners Needed ToRemove Designations for facility HPSAs includes correctional facilities. It excludes facilities not located in a HPSA that aredesignated based on providing services to the population of a geographic or population HPSA. It also excludes facilitiesautomatically designated based on statute, including health center program grantees, Federally Qualified Health Center LookAlikes, Indian Health Service facilities, and rural health clinics that meet NHSC site requirements.

(8) The number of additional dentists needed to achieve a population-to-dentist ratio below the thresholds necessary fordesignation in all designated dental HPSAs that would result in their removal from designation. The figure reported forPractitioners Needed To Remove Designations for facility HPSAs includes correctional facilities. It excludes facilities not locatedin a HPSA that are designated based on providing services to the population of a geographic or population HPSA. It alsoexcludes facilities automatically designated based on statute, including health center program grantees, Federally QualifiedHealth Center Look Alikes, Indian Health Service facilities, and rural health clinics that meet NHSC site requirements.

(9) The number of additional mental health providers needed to achieve a population-to-provider ratio below the thresholdsnecessary for designation in all designated mental health HPSAs that would result in their removal from designation. While theregulations allow mental health HPSA designations to be based on the psychiatrist to population ratio, the core mental healthprovider to population ratio, or both in conjunction, most mental health HPSA designations are currently based on thepsychiatrists only to population ratio. If a HPSA designation is based on the ratio of population to psychiatrists only, it does nottake into account the availability of additional mental health services provided by other mental health providers in the area,such as clinical psychologists, clinical social workers, psychiatric nurse specialists, and marriage and family therapists. Thefigure reported for Practitioners Needed To Remove Designations for facility HPSAs includes correctional facilities and statemental hospitals. It excludes facilities not located in a HPSA that are designated based on providing services to the populationof a geographic or population HPSA. It also excludes facilities automatically designated based on statute, including healthcenter program grantees, Federally Qualified Health Center Look Alikes, Indian Health Service facilities, and rural health clinicsthat meet NHSC site requirements.

(10) Percentages of all designations classified as rural/non-rural are calculated by dividing the number of designations for thespecified subcategory by the total number of designations for each discipline type and multiplying the result by 100. Due todecimal rounding, percentage totals may not equal exactly 100%.

(11) Partially rural designations are those made up of geographic components that have a mixture of rural, non-rural, and unknownstatuses.

(12) Designations of unknown rural status may include 1) facility HPSAs whose precise location could not be located on a map (i.e.geocoded) or 2) geographic or population group HPSAs that are made up of some or all areas for which rural status isundefined. Rural status may be undefined where rural information or underlying geographic reference data for administrativeboundaries is unavailable for the specified geographic area.


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