Medically Underserved Area Designated · below priority line

OH · Healthcare shortage profile

Union County, OH

Designation volume is the standout signal for Union County: 4 active HPSA records, above 44% of real US counties. Population 62,784.

Active HPSAs
4
Population
62,784
Peak shortage score
9.0
MUA Index
MUA

Mid-burden verdict

According to current HRSA Data Warehouse records, Union County holds a moderate federal shortage burden - 4 active HPSA designations, more than 44% of the 3,289 real US counties, with mental health the deepest gap.

4
Active HPSA designations
2
Mental-health shortages
9
Peak severity score (of 26)
Top 56%
US counties by volume

Dense ZCTA lattice over Union County

Union County intersects 21 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

9 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 Union County, OH 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. Closing Union County's active designations would take about 3.5 additional clinician FTEs, with mental health the largest gap.

    HRSA providers_needed summed once per HPSA id (no double-count across status rows): 1 primary care, 1.6 mental health, 0.9 dental. This is the federal gap estimate, not a headcount of practising clinicians.

  2. 50% of Union County's 4 active designations are mental health.

    Discipline mix from designated HPSA records only: 1 primary care, 2 mental health, 1 dental (denominator 4).

  3. Peak HPSA score 9.0 sits below HRSA's 17-point high-priority line.

    Below-17 designations still count as shortages for program geography, but they do not clear the high-priority NHSC placement threshold on this release.

Corpus placement

Designated volume without a high-priority score

According to current HRSA Data Warehouse records, Union County carries 4 active designations, above 44% of real US counties. None of those scores clear HRSA's high-priority line of 17 on this release, so the page leads with severity reading rather than a national distribution chart.

State peer position. Union County falls in the upper half of OH counties by active-designation volume, at rank 41 of 88. 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: 39159. Population: 62,784.

Below high-priority line

Union County is designated, but no active score clears 17

4 active designations sit on this FIPS (1 primary care, 2 mental health, 1 dental), and the peak severity is 9.0. That is a formal shortage footprint without HRSA's high-priority (≥17) tier, so NHSC placement geography is usually weaker here than on counties whose lead score clears the line.

Medically Underserved Area

MUA Designated

Active HPSA scores

Primary Care 3.0
Mental Health 9.0
Dental 3.0

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 4 active (designated) HPSAs in Union County, ranked by HRSA shortage score.

Name Type Score
Ohio Reformatory for Women mental_health 9.0
Union County Mhca mental_health 8.0
Ohio Reformatory for Women primary_care 3.0
Ohio Reformatory for Women dental 3.0

Moderate-burden reading for Union County

Designation volume is the standout signal for Union County: 4 active HPSA records, above 44% of real US counties. Union County's severest measured gap is in mental health, scored 9.0 of 25, still short of the 17-point priority line, though the designation itself is formal. Primary care reads 3.0 of 25; Dental care reads 3.0 of 26. The county also sits inside a Medically Underserved Area, a separate HRSA designation from the HPSA records above.

Union County sits in the middle of the national designation-volume distribution (above 44% of counties) with 4 active records. That is enough for a formal shortage footprint without landing in the heaviest US tier. Compare the three discipline counts (1/2/1) before assuming every care category is equally short.

Union County falls in the upper half of OH counties by active-designation volume, at rank 41 of 88. For moderate counties, the useful move is usually a state peer check plus the score cards above, not a national superlative claim.

Mid-pack clinician FTE gap for Union County

HRSA providers_needed summed once per HPSA id for Union County's active designations: about 3.5 FTE, a federal gap estimate, not a headcount of practising clinicians.

Volume peers of Union County across the national corpus

One peer set for this volume-led county: nearest active designation count to 4 across the national corpus.

Frequently Asked Questions

Does Union County's MUA standing sit beside its HPSA records?
Yes - Union County carries an MUA designation in addition to its HPSA rows. MUA and HPSA are separate HRSA tracks; both can open different federal pathways.
What makes up Union County's 4 active HPSA designations?
4 Designated rows (1 primary care, 2 mental health, 1 dental). Highest-scored name on this release: "Ohio Reformatory for Women" (score 9.0; mental health; 4,335 people in the service area; ~0.5 FTE still needed on the record; designated 11/22/2016). Also active: "Union County MHCA", "Ohio Reformatory for Women", "Ohio Reformatory for Women". Above 44% of real US counties by volume.
What does volume-plus-score look like for Union County?
Peak active score 9.0 in mental health stays under the 17-point line while volume sits at 4 rows.
What clinician need sits behind Union County's designation volume?
Closing published gaps would take about 3.5 additional clinician FTEs (id-de-duped providers_needed). "Ohio Reformatory for Women" is the severity lead inside that inventory.

Source: HRSA Data Warehouse. FIPS: 39159. 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 39159 (Union County, OH), vintage 2026-08-15. Active designation count 4; peak score 9.0; signature 4 active designations. This profile is reference material, not professional advice; see methodology.