Medically Underserved Area Primary · mental · dental footprint

NY · Healthcare shortage profile

Orange County, NY

Peak severity leads this reading: Orange County's highest active HPSA score is 26.0, clearing HRSA's 17-point high-priority line. Population 401,310.

Active HPSAs
12
Population
401,310
Peak shortage score
26.0
MUA Index
45.0

Heavy-burden verdict

According to current HRSA Data Warehouse records, Orange County ranks among the most underserved counties in the country - 12 active HPSA designations, more than 85% of the 3,289 real US counties, with mental health the deepest gap.

12
Active HPSA designations
3
Dental shortages
26
Peak severity score (of 26)
Top 15%
US counties by volume

Dense ZCTA lattice over Orange County

Orange County intersects 52 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

40 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 Orange County, NY 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.

  1. 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.

  2. Closing Orange County's active designations would take about 33 additional clinician FTEs, with primary care the largest gap.

    HRSA providers_needed summed once per HPSA id (no double-count across status rows): 24 primary care, 8 mental health, 0.5 dental. This is the federal gap estimate, not a headcount of practising clinicians.

  3. 41.7% of Orange County's 12 active designations are mental health.

    Discipline mix from designated HPSA records only: 4 primary care, 5 mental health, 3 dental (denominator 12).

Corpus placement

Active-designation volume placement

According to current HRSA Data Warehouse records, Orange County carries 12 active designations, above 85% of real US counties. Use the state peer line below before treating the national percentile as a local access verdict.

State peer position. Orange County falls in the upper quarter of NY counties by active-designation volume, at rank 10 of 62. 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: 36071. Population: 401,310.

3
Dental HPSAs
5
Mental Health HPSAs
4
Primary Care HPSAs

Medically Underserved Area

MUA Designated
MUA Index: 45.0

Peak severity scores

Primary Care 18.0
Mental Health 21.0
Dental 26.0

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 12 active (designated) HPSAs in Orange County, ranked by HRSA shortage score.

Name Type Score
Cornerstone Family Healthcare dental 26.0
Aizer Health, Inc. dental 26.0
Cornerstone Family Healthcare mental_health 21.0
Aizer Health, Inc. mental_health 20.0
Aizer Health, Inc. primary_care 18.0
Cornerstone Family Healthcare primary_care 17.0
ME - Orange County mental_health 17.0
ME - Orange County primary_care 13.0
Fci - Otisville primary_care 12.0
Fci - Otisville mental_health 12.0
Otisville Correctional Facility mental_health 12.0
Fci - Otisville dental 12.0

Heavy-burden reading for Orange County

Peak severity leads this reading: Orange County's highest active HPSA score is 26.0, clearing HRSA's 17-point high-priority line. Dental care carries Orange 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 18.0 of 25; Mental health reads 21.0 of 25. The county also sits inside a Medically Underserved Area, indexed at 45.0, and the lower the index, the greater the measured need.

Volume places Orange County above 85% of real US counties (12 active designations: 4 primary care, 5 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.

Orange County falls in the upper quarter of NY counties by active-designation volume, at rank 10 of 62. 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.

Orange County designations by care type

Active Health Professional Shortage Area designations in the county, by provider category (high-priority disciplines emphasized).

designations
Source HRSA Data Warehouse, designated HPSAs As of 2026

Heavy-volume FTE gap in Orange County

HRSA providers_needed summed once per HPSA id for Orange County's active designations: about 33 FTE, a federal gap estimate, not a headcount of practising clinicians.

Source: HRSA Data Warehouse, Health Professional Shortage Areas (HPSA) + Medically Underserved Areas/Populations (MUA/P) HPSA primary-care, mental-health, and dental designations for Orange County, NY · 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

Orange County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.

  • Orange County's 12 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 mental health burden compares with the rest of NY before you draw conclusions from a single score. NY 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 Orange 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 Orange 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 “CORNERSTONE FAMILY HEALTHCARE”).

Frequently Asked Questions

Does Orange County's MUA standing sit beside its HPSA records?
Yes - Orange County carries an MUA designation (index 45.0; 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 Orange County's peak score of 26.0?
"CORNERSTONE FAMILY HEALTHCARE" leads the active set (score 26.0; dental; 93,172 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 12 active rows: 4 primary care, 5 mental health, 3 dental.
Which other active designations sit under Orange County's severity reading?
After "CORNERSTONE FAMILY HEALTHCARE", the next active names on this release are "CORNERSTONE FAMILY HEALTHCARE", "Aizer Health, Inc.", "CORNERSTONE FAMILY HEALTHCARE" and "Aizer Health, Inc.". Provider need (id-de-duped) totals ~33 FTE across disciplines that still carry a gap.
Which federal pathways follow Orange County's high-severity geography?
Orange County's 12 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 "CORNERSTONE FAMILY HEALTHCARE".
How does Orange County's peak severity sit inside NY?
Orange County holds 12 active HPSA rows with peak 26.0. Orange County falls in the upper quarter of NY counties by active-designation volume, at rank 10 of 62. 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: 36071. 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 36071 (Orange County, NY), vintage 2026-08-15. Active designation count 12; peak score 26.0; signature peak score 26.0. This profile is reference material, not professional advice; see methodology.