NH · Healthcare shortage profile
Hillsborough County, NH
Peak severity leads this reading: Hillsborough County's highest active HPSA score is 26.0, clearing HRSA's 17-point high-priority line. Population 422,937.
- Active HPSAs
- 10
- Population
- 422,937
- Peak shortage score
- 26.0
- MUA Index
- 43.2
Heavy-burden verdict
According to current HRSA Data Warehouse records, Hillsborough County ranks among the most underserved counties in the country - 10 active HPSA designations, more than 83% of the 3,289 real US counties, with primary care the deepest gap.
- 10
- Active HPSA designations
- 3
- Dental shortages
- 26
- Peak severity score (of 26)
- Top 17%
- US counties by volume
Dense ZCTA lattice over Hillsborough County
Hillsborough County intersects 34 Census ZCTAs, above the 15-ZIP dense-tercile cut. Shortage designations still attach at the county (or smaller HPSA) grain; the ZIP list is geography, not a second severity score.
Largest land-share ZCTAs in this county
22 additional ZCTAs intersect this county in the crosswalk (ordered by land share).
Source: Census ZCTA–county relationship file joined to this portal's county FIPS set. As of 2026-08-15.
Key findings
What the HRSA Data Warehouse does not surface for Hillsborough County, NH on its own pages , computed from the retained designation mirror as of 2026-08-15. Each line carries its own denominator so it can be quoted as it stands.
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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.
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Closing Hillsborough County's active designations would take about 2.7 additional clinician FTEs, with primary care the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 2.7 primary care. This is the federal gap estimate, not a headcount of practising clinicians.
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40% of Hillsborough County's 10 active designations are primary care.
Discipline mix from designated HPSA records only: 4 primary care, 3 mental health, 3 dental (denominator 10).
Corpus placement
Active-designation volume placement
According to current HRSA Data Warehouse records, Hillsborough County carries 10 active designations, above 83% of real US counties. Use the state peer line below before treating the national percentile as a local access verdict.
State peer position. Hillsborough County sits among the top three county rank positions in NH, at rank 3 of 10. 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: 33011. Population: 422,937.
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 10 active (designated) HPSAs in Hillsborough County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| Amoskeag Health | dental | 26.0 |
| City OF Manchester | dental | 26.0 |
| Harbor Homes, Inc. | dental | 26.0 |
| Amoskeag Health | mental_health | 22.0 |
| City OF Manchester | mental_health | 21.0 |
| Amoskeag Health | primary_care | 20.0 |
| City OF Manchester | primary_care | 20.0 |
| Harbor Homes, Inc. | mental_health | 20.0 |
| Harbor Homes, Inc. | primary_care | 18.0 |
| Hillsborough | primary_care | 11.0 |
Heavy-burden reading for Hillsborough County
Peak severity leads this reading: Hillsborough County's highest active HPSA score is 26.0, clearing HRSA's 17-point high-priority line. Dental care carries Hillsborough 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 20.0 of 25; Mental health reads 22.0 of 25. The county also sits inside a Medically Underserved Area, indexed at 43.2, and the lower the index, the greater the measured need.
Volume places Hillsborough County above 83% of real US counties (10 active designations: 4 primary care, 3 mental health, 3 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.
Hillsborough County sits among the top three county rank positions in NH, at rank 3 of 10. 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.
Hillsborough 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
4 designations
- Mental health
Mental health
3 designations
- Dental
Dental
3 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 Hillsborough County, NH · 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
Hillsborough County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- Hillsborough County's 10 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 NH before you draw conclusions from a single score. NH 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 Hillsborough County's 26.0. This compares the designation score only, not local appointment availability or care quality. Start with Orange County, FL and Lee County, FL.
Showing 6 of 2744 counties nationally with an active designation this severe.
Counties near Hillsborough County's dental score of 26.0
One peer set for this severity-led county: nearest active dental HPSA score to 26.0 (severity lead on this page is “AMOSKEAG HEALTH”).
Orange County, FL
26.0 dental score · 1,429,908 pop.
Lee County, FL
26.0 dental score · 760,822 pop.
Sonoma County, CA
26.0 dental score · 488,863 pop.
Leon County, FL
26.0 dental score · 292,198 pop.
Yellowstone County, MT
26.0 dental score · 164,731 pop.
Chautauqua County, NY
26.0 dental score · 127,657 pop.
Frequently Asked Questions
- Does Hillsborough County's MUA standing sit beside its HPSA records?
- Yes - Hillsborough County carries an MUA designation (index 43.2; lower = greater measured need) in addition to its HPSA rows. MUA and HPSA are separate HRSA tracks; both can open different federal pathways.
- Which record sets Hillsborough County's peak score of 26.0?
- "AMOSKEAG HEALTH" leads the active set (score 26.0; dental; 29,176 people in the service area; designated 10/26/2002). Clearing 17 opens NHSC high-priority placement for the matching provider type on the designated geography. Discipline mix across 10 active rows: 4 primary care, 3 mental health, 3 dental.
- Which other active designations sit under Hillsborough County's severity reading?
- After "AMOSKEAG HEALTH", the next active names on this release are "AMOSKEAG HEALTH", "CITY OF MANCHESTER", "HARBOR HOMES, INC." and "AMOSKEAG HEALTH". Provider need (id-de-duped) totals ~2.7 FTE across disciplines that still carry a gap.
- Which federal pathways follow Hillsborough County's high-severity geography?
- Hillsborough County's 10 active designations can open NHSC placement, CHC grants, Medicare bonus and J-1 waivers, eligibility follows the designated area and provider type, not merely the county line around "AMOSKEAG HEALTH".
- How does Hillsborough County's peak severity sit inside NH?
- Hillsborough County holds 10 active HPSA rows with peak 26.0. Hillsborough County sits among the top three county rank positions in NH, at rank 3 of 10. Score-nearest national peers appear below when the peer module renders. Score-nearest counties on this release include Orange County, FL and Lee County, FL.
Source: HRSA Data Warehouse. FIPS: 33011. This county’s designations come from BCD_HPSA_FCT_DET_PC.csv (primary care) , BCD_HPSA_FCT_DET_MH.csv (mental health) and BCD_HPSA_FCT_DET_DH.csv (dental) — download the normalized export on our open data page. PlainHealthAccess is not affiliated with HRSA or any government agency.
HRSA Data Warehouse HPSA + MUA/P records for FIPS 33011 (Hillsborough County, NH), vintage 2026-08-15. Active designation count 10; peak score 26.0; signature peak score 26.0. This profile is reference material, not professional advice; see methodology.