HRSA designation data Public-data reference Medically Underserved Area

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

The verdict

Hawaii County ranks among the most underserved counties in the country - 30 active HPSA designations, more than 97% of the 2,991 US counties with a designated shortage, with primary care the deepest gap.

30
Active HPSA designations
10
Primary-care shortages
26
Peak severity score (of 26)
Top 3%
US counties by volume

Healthcare shortage designations from HRSA. FIPS: 15001. Population: 200,629.

Hawaii County, HI (population 200,629) has 10 primary care, 10 mental health, and 10 dental Health Professional Shortage Area designations active according to HRSA. The county is also designated a Medically Underserved Area (MUA) with an MUA Index of 61.2. Shortage severity scores and individual HPSA designations are detailed below.

10
Primary Care HPSAs
10
Mental Health HPSAs
10
Dental HPSAs

HPSA Scores

Primary Care 21.0
Mental Health 23.0
Dental 26.0

Scores range 0–25 (primary/mental health), 0–26 (dental). Higher = greater need.

Medically Underserved Area

MUA Designated
MUA Index: 61.2

Hawaii County vs. every US county

Total active HPSA designations, how this county's shortage volume compares nationally

30 Top 3% higher than 97% of 2,991 US counties

0–20: 2,828 US counties (95%). Below this entry. 20–40: 124 US counties (4%). This entry sits in this band. 40–60: 27 US counties (1%). Above this entry. 60–80: 6 US counties (0%). Above this entry. 80–100: 1 US counties (0%). Above this entry. 100–120: 2 US counties (0%). Above this entry. 120–140: 1 US counties (0%). Above this entry. 140–160: 1 US counties (0%). Above this entry. 160–180: 0 US counties (0%). Above this entry. 180–200: 0 US counties (0%). Above this entry. 200–220: 0 US counties (0%). Above this entry. 220–240: 0 US counties (0%). Above this entry. 240–260: 0 US counties (0%). Above this entry. 260–280: 1 US counties (0%). Above this entry. This county 0 280 every US county with a designation, bucketed by value

Each bar is a band; taller bars hold more US counties. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source HRSA Data Warehouse, designated HPSAs · 2026

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
Hawaii Community Correctional Center primary_care 21.0
HAMAKUA HEALTH CENTER, INC dental 20.0
KAU HOSPITAL RURAL HEALTH CLIN dental 18.0
KAU HOSPITAL RURAL HEALTH CLIN primary_care 17.0
PUNA COMMUNITY MEDICAL CENTER mental_health 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
LI - Hawaii County mental_health 16.0
KAU HOSPITAL RURAL HEALTH CLIN mental_health 16.0
FIVE MOUNTAINS HAWAII, INC dental 16.0
Hawaii County primary_care 15.0
FIVE MOUNTAINS HAWAII, INC mental_health 15.0
HAMAKUA HEALTH CENTER, INC mental_health 15.0
WEST HAWAII COMMUNITY HEALTH CENTER INC primary_care 14.0
PUNA COMMUNITY MEDICAL CENTER dental 14.0
ME - Hawaii County 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
Hawaii Community Correctional Center mental_health 12.0
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

What the HRSA Data Shows for Hawaii County

Hawaii County, HI - population 200,629 carries 30 active Health Professional Shortage Area designations in the HRSA Data Warehouse: 10 in primary care, 10 in mental health, and 10 in dental. The county is also flagged as a Medically Underserved Area, scoring 61.2 on the MUA Index (lower scores indicate greater need).

The county's highest shortage-severity score across the three categories is 26.0, which crosses the 17-point threshold HRSA uses to flag high-priority shortage areas eligible for National Health Service Corps placement and enhanced Medicare reimbursement. Primary-care scoring reached 21.0 (0–25 scale). Mental-health scoring reached 23.0 (0–25 scale). Dental scoring reached 26.0 (0–26 scale).

HRSA lists 30 active (designated) HPSA records tied to Hawaii County, covering the specific facilities, geographies, and population groups that received the designation; the table above shows the most severe.

Hawaii County designations by care type

Active Health Professional Shortage Area designations in the county, by provider category.

designations
Source HRSA Data Warehouse, designated HPSAs As of 2026

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.

What to do with Hawaii County's data

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 estimator

HPSA scores describe structural access to care, not the availability of any individual provider. For a specific appointment, contact a provider or your insurer; designations are reviewed by HRSA each quarter.

Frequently Asked Questions

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.

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.

What does an HPSA score mean?

HPSA scores range from 0 to 25 for primary care and mental health (0 to 26 for dental). Higher scores indicate greater shortage severity. Areas with scores of 17 or above are considered high-priority shortage areas eligible for National Health Service Corps placement and enhanced Medicare/Medicaid 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.

How are HPSA designations used by federal programs?

HPSA designations determine eligibility for over 30 federal programs, including National Health Service Corps placements, Community Health Center grants, Medicare bonus payments (10% for physicians in HPSAs), J-1 visa waiver programs for international medical graduates, and Rural Health Clinic certification. These programs channel billions of dollars annually to underserved communities.

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.

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.

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 lists every HPSA and MUA designation on record for the county. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of 2026.