SD · Healthcare shortage profile
Pennington County, SD
Home to 109,222 residents, with 11 active HRSA shortage designations.
- Active HPSAs
- 11
- Population
- 109,222
- Peak shortage score
- 23.0
- MUA Index
- 47.4
Heavy-burden verdict
According to current HRSA Data Warehouse records, Pennington County ranks among the most underserved counties in the country - 11 active HPSA designations, more than 84% of the 3,289 real US counties, with primary care the deepest gap.
- 11
- Active HPSA designations
- 4
- Mental-health shortages
- 23
- Peak severity score (of 26)
- Top 16%
- US counties by volume
Pennington County vs. every real US county
Total active HPSA designations, including counties with none
11 Top 16% higher than 84% of 3,289 real US counties
Each bar is a band; taller bars hold more real 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
State peer position. Pennington County falls in the upper quarter of SD counties by active-designation volume, at rank 6 of 66. Ties share a rank; the comparison uses the same current designated records as the national chart.
Healthcare shortage designations from HRSA. FIPS: 46103. Population: 109,222.
Medically Underserved Area
Peak severity scores
Current designated records only. Scores range 0–25 (primary/mental health), 0–26 (dental). Higher = greater need.
Highest-severity HPSA designations
All 11 active (designated) HPSAs in Pennington County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| Community Health Center OF The Black Hills, Inc. | mental_health | 23.0 |
| Native Women's Health Care | mental_health | 21.0 |
| Community Health Center OF The Black Hills, Inc. | dental | 21.0 |
| Oyate Health Center | mental_health | 20.0 |
| Community Health Center OF The Black Hills, Inc. | primary_care | 18.0 |
| Behavior Management Systems Mhca | mental_health | 18.0 |
| LI - Rapid City | primary_care | 15.0 |
| Native Women's Health Care | primary_care | 13.0 |
| Oyate Health Center | primary_care | 13.0 |
| Native Women's Health Care | dental | 10.0 |
| Oyate Health Center | dental | 8.0 |
Heavy-burden reading for Pennington County
Pennington County's severest measured gap is in mental health, scored 23.0 of 25, past the 17-point line HRSA uses to open National Health Service Corps placement and enhanced Medicare reimbursement. Primary care reads 18.0 of 25; Dental care reads 21.0 of 26. The county also sits inside a Medically Underserved Area, indexed at 47.4, and the lower the index, the greater the measured need.
Volume places Pennington County above 84% of real US counties (11 active designations: 4 primary care, 4 mental health, 3 dental). Peak severity on the current designated set is 23.0. 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.
Pennington County falls in the upper quarter of SD counties by active-designation volume, at rank 6 of 66. 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.
Source: HRSA Data Warehouse, Health Professional Shortage Areas (HPSA) + Medically Underserved Areas/Populations (MUA/P) HPSA primary-care, mental-health, and dental designations for Pennington County, SD · 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
Pennington County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- Pennington County's 11 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 SD before you draw conclusions from a single score. SD 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 ratio checker
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 Mental Health Shortage Score
Other U.S. counties whose active HRSA mental-health HPSA score is closest to Pennington County's 23.0. This compares the designation score only, not local appointment availability or care quality.
Frequently Asked Questions
Is Pennington County a Medically Underserved Area?
Yes, Pennington County is designated as a Medically Underserved Area (MUA) by HRSA. The MUA Index for this county is 47.4. MUA designation qualifies the area for enhanced federal funding and provider incentive programs.
How many healthcare shortage areas does Pennington County have?
Pennington County, SD has 11 Health Professional Shortage Area designations: 4 in primary care, 4 in mental health, and 3 in dental care, according to HRSA data.
What does Pennington County's HPSA score of 23.0 mean?
23.0 in mental health 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 Pennington County?
Based on HRSA shortage designations, Pennington 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 Pennington County's designations unlock?
Pennington County's 11 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 Pennington County compare to other counties in SD?
Pennington County has 11 total HPSA designations with a peak shortage score of 23.0. You can compare shortage levels across all counties in SD on the state overview page, or view national county rankings to see where Pennington County stands relative to the rest of the country.
Learn More About Healthcare Shortages
Explore more SD shortage data
Source: HRSA Data Warehouse. FIPS: 46103. 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 46103 (Pennington County, SD) 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.