HI · Healthcare shortage profile
Hawaii County, HI
Home to 200,629 residents, with 30 active HRSA shortage designations.
- Active HPSAs
- 30
- Population
- 200,629
- Peak shortage score
- 26.0
- MUA Index
- 61.2
Heavy-burden verdict
According to current HRSA Data Warehouse records, Hawaii County ranks among the most underserved counties in the country - 30 active HPSA designations, more than 97% of the 3,289 real US counties, with primary care the deepest gap.
- 30
- Active HPSA designations
- 10
- Dental shortages
- 26
- Peak severity score (of 26)
- Top 3%
- US counties by volume
Key findings
What the HRSA Data Warehouse does not surface for Hawaii County, HI on its own pages , computed from the retained designation mirror as of 2026-08-03. Each line carries its own denominator so it can be quoted as it stands.
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33.3% of Hawaii County's 30 active designations are primary care.
Discipline mix from designated HPSA records only: 10 primary care, 10 mental health, 10 dental (denominator 30).
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Closing Hawaii County's active designations would take about 32 additional clinician FTEs, with primary care the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 17 primary care, 4.2 mental health, 11 dental. This is the federal gap estimate, not a headcount of practising clinicians.
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Peak HPSA score 26.0 clears HRSA's 17-point high-priority line.
Scores at or above 17 on the 0–25/26 scales open NHSC placement priority for the matching provider type; eligibility still follows the designated area, not the county boundary alone.
Corpus placement
Active-designation volume placement
According to current HRSA Data Warehouse records, Hawaii County carries 30 active designations, above 97% of real US counties. Use the state peer line below before treating the national percentile as a local access verdict.
State peer position. Hawaii County sits among the top three county rank positions in HI, at rank 2 of 5. Ties share a rank.
Computed from current designated HPSA rows for every five-digit county FIPS. See the placement methodology.
Healthcare shortage designations from HRSA. FIPS: 15001. Population: 200,629.
Medically Underserved Area
Peak severity scores
Current designated records only. Scores range 0–25 (primary/mental health), 0–26 (dental). Higher = greater need. What counts as a high score?
Highest-severity HPSA designations
All 30 active (designated) HPSAs in Hawaii County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| West Hawaii Community Health Center Inc | dental | 26.0 |
| West Hawaii Community Health Center Inc | mental_health | 23.0 |
| Hamakua Health Center, Inc | dental | 20.0 |
| Kau Hospital Rural Health Clin | dental | 18.0 |
| Kau Hospital Rural Health Clin | primary_care | 17.0 |
| East Hawaii Health Clinic AT 1190 Waianuenue | mental_health | 17.0 |
| East Hawaii Health Clinic AT Pu'Uhonu Way | mental_health | 17.0 |
| East Hawaii Health Clinic AT Kea'Au | mental_health | 17.0 |
| Puna Community Medical Center | mental_health | 17.0 |
| LI - Hawaii County | mental_health | 16.0 |
| Kau Hospital Rural Health Clin | mental_health | 16.0 |
| LI-Hawaii County | dental | 16.0 |
| Five Mountains Hawaii, Inc | dental | 16.0 |
| Hawaii County | primary_care | 15.0 |
| Hamakua Health Center, Inc | mental_health | 15.0 |
| Five Mountains Hawaii, Inc | mental_health | 15.0 |
| West Hawaii Community Health Center Inc | primary_care | 14.0 |
| Puna Community Medical Center | dental | 14.0 |
| East Hawaii Health Clinic AT Pu'Uhonu Way | dental | 13.0 |
| East Hawaii Health Clinic AT Kea'Au | dental | 13.0 |
| East Hawaii Health Clinic AT 1190 Waianuenue | dental | 13.0 |
| East Hawaii Health Clinic AT Kea'Au | primary_care | 12.0 |
| CF-Hawaii Community Correctional Center | primary_care | 12.0 |
| CF-Hawaii Community Correctional Center | mental_health | 12.0 |
| CF-Hawaii Community Correctional Center | dental | 12.0 |
| Five Mountains Hawaii, Inc | primary_care | 11.0 |
| East Hawaii Health Clinic AT Pu'Uhonu Way | primary_care | 10.0 |
| East Hawaii Health Clinic AT 1190 Waianuenue | primary_care | 10.0 |
| Puna Community Medical Center | primary_care | 10.0 |
| Hamakua Health Center, Inc | primary_care | 9.0 |
Heavy-burden reading for Hawaii County
Dental care carries Hawaii County's deepest shortage reading, 26.0 on HRSA's 0–26 dental scale, past the 17-point line HRSA uses to open National Health Service Corps placement and enhanced Medicare reimbursement. Primary care reads 17.0 of 25; Mental health reads 23.0 of 25. The county also sits inside a Medically Underserved Area, indexed at 61.2, and the lower the index, the greater the measured need.
Volume places Hawaii County above 97% of real US counties (30 active designations: 10 primary care, 10 mental health, 10 dental). Peak severity on the current designated set is 26.0. The table on this page lists the highest-severity records first so a reader can see which named facilities, geographies, or population groups drive that burden without treating the county total as a personal appointment forecast.
Hawaii County sits among the top three county rank positions in HI, at rank 2 of 5. Heavy-burden counties are where NHSC placement, Community Health Center grant geography, and related federal instruments concentrate; eligibility still follows the designated area and provider type, not the county boundary alone.
Hawaii County designations by care type
Active Health Professional Shortage Area designations in the county, by provider category (high-priority disciplines emphasized).
- Primary care
Primary care
10 designations
- Mental health
Mental health
10 designations
- Dental
Dental
10 designations
Source: HRSA Data Warehouse, Health Professional Shortage Areas (HPSA) + Medically Underserved Areas/Populations (MUA/P) HPSA primary-care, mental-health, and dental designations for Hawaii County, HI · 2026 HRSA designation data updated quarterly; HPSA scores 0-25 (primary/mental) and 0-26 (dental); higher = greater shortage severity. Coverage tiers from U.S. Census ACS PUMS + KFF state tracker.
Acting on a heavy-burden county
Hawaii County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- Hawaii County's 30 active designations make providers here eligible for National Health Service Corps loan repayment, estimate the award and service terms. NHSC estimator
- See how the county's primary care burden compares with the rest of HI before you draw conclusions from a single score. HI overview
- Check whether an area clears HRSA's 3,500:1 population-to-provider threshold with the provider-to-population ratio behind an HPSA score. HPSA score lookup
HPSA scores describe shortage severity within HRSA's designation criteria, not the availability of any individual provider. For a specific appointment, contact a provider or your insurer; use HRSA's current tools to verify a designation.
Counties With a Similar Dental Shortage Score
Other U.S. counties whose active HRSA dental HPSA score is closest to Hawaii County's 26.0. This compares the designation score only, not local appointment availability or care quality. Start with Guam County, GU and Van Buren County, MI.
Frequently Asked Questions
Is Hawaii County a Medically Underserved Area?
Yes, Hawaii County is designated as a Medically Underserved Area (MUA) by HRSA. The MUA Index for this county is 61.2. MUA designation qualifies the area for enhanced federal funding and provider incentive programs.
How many healthcare shortage areas does Hawaii County have?
Hawaii County, HI has 30 Health Professional Shortage Area designations: 10 in primary care, 10 in mental health, and 10 in dental care, according to HRSA data.
What does Hawaii County's HPSA score of 26.0 mean?
26.0 in dental care clears 17, HRSA's high-priority line, which is what makes providers here eligible for NHSC placement and enhanced reimbursement.
What healthcare providers are needed in Hawaii County?
Based on HRSA shortage designations, Hawaii County needs additional providers in primary care (family physicians, internists, pediatricians), mental health (psychiatrists, psychologists, clinical social workers), and dental care (dentists, dental hygienists). The National Health Service Corps offers loan repayment and scholarship programs for providers who serve in designated shortage areas.
Which federal programs do Hawaii County's designations unlock?
Hawaii County's 30 active designations open NHSC placement, Community Health Center grants, the Medicare bonus and J-1 waivers, but eligibility follows the designated area and provider type, not the county line.
How does Hawaii County compare to other counties in HI?
Hawaii County has 30 total HPSA designations with a peak shortage score of 26.0. You can compare shortage levels across all counties in HI on the state overview page, or view national county rankings to see where Hawaii County stands relative to the rest of the country. Score-nearest counties on this release include Guam County, GU and Van Buren County, MI.
Learn More About Healthcare Shortages
Explore more HI shortage data
Source: HRSA Data Warehouse. FIPS: 15001. PlainHealthAccess is not affiliated with HRSA or any government agency.
Disclaimer: This information is provided for informational purposes only and does not constitute professional advice. Data is sourced from the HRSA Data Warehouse. Consult a qualified professional before making decisions based on this data.
Read our methodology - how this data is sourced, computed, and verified.
Verify with U.S. Census Bureau →
Every figure on PlainHealthAccess is rendered directly from HRSA source data, no number is typed in by an editor. This page counts active HPSA rows for FIPS 15001 (Hawaii County, HI) from the current HRSA release and places that total among all real US counties. Designations describe federal shortage criteria, not appointment availability or care quality for any person. See our editorial standards & corrections policy, the methodology behind these numbers, review the public data changelog, or report a data issue for this page. Data current as of 2026-08-03.