IA · Healthcare shortage profile
O'Brien County, IA
Designation volume is the standout signal for O'Brien County: 7 active HPSA records, above 70% of real US counties. Population 14,182.
- Active HPSAs
- 7
- Population
- 14,182
- Peak shortage score
- 17.0
- MUA Index
- 58.1
Heavy-burden verdict
According to current HRSA Data Warehouse records, O'Brien County carries a heavier shortage burden than most US counties - 7 active HPSA designations, more than 70% of the 3,289 real US counties, with mental health the deepest gap.
- 7
- Active HPSA designations
- 3
- Mental-health shortages
- 17
- Peak severity score (of 26)
- Top 30%
- US counties by volume
Key findings
What the HRSA Data Warehouse does not surface for O'Brien County, IA 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 17.0 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 O'Brien County's active designations would take about 3.3 additional clinician FTEs, with mental health the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 3.3 mental health. This is the federal gap estimate, not a headcount of practising clinicians.
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42.9% of O'Brien County's 7 active designations are mental health.
Discipline mix from designated HPSA records only: 2 primary care, 3 mental health, 2 dental (denominator 7).
O'Brien County's mid-pack ZIP footprint
14 Census ZCTAs intersect O'Brien County, between the 9 and 15 ZIP cuts across published counties: neither a postage-stamp footprint nor a metro-scale lattice.
Largest land-share ZCTAs
6 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.
O'Brien County vs. every real US county
Total active HPSA designations, including counties with none
7 Top 30% higher than 70% 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. O'Brien County falls in the upper quarter of IA counties by active-designation volume, at rank 23 of 99. Ties share a rank; the comparison uses the same current designated records as the national chart.
Healthcare shortage designations from HRSA. FIPS: 19141. Population: 14,182.
Single high-priority discipline
O'Brien County's only high-priority (≥17) footprint is mental health
Current HRSA Data Warehouse rows attribute 3 active mental health designations to O'Brien County , with a peak score of 17.0. Other care categories may still be designated here, but none of them clear HRSA's high-priority score line of 17 on the current release, NHSC and related instruments concentrate on the mental health records.
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 7 active (designated) HPSAs in O'Brien County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| Northwest Iowa | mental_health | 17.0 |
| Sanford Clinic Sanborn | mental_health | 17.0 |
| Sanford Clinic Sheldon | mental_health | 16.0 |
| Sanford Clinic Sanborn | dental | 15.0 |
| Sanford Clinic Sheldon | dental | 15.0 |
| Sanford Clinic Sheldon | primary_care | 13.0 |
| Sanford Clinic Sanborn | primary_care | 11.0 |
Heavy-burden reading for O'Brien County
Designation volume is the standout signal for O'Brien County: 7 active HPSA records, above 70% of real US counties. O'Brien County's severest measured gap is in mental health, scored 17.0 of 25, past the 17-point line HRSA uses to open National Health Service Corps placement and enhanced Medicare reimbursement. Primary care reads 13.0 of 25; Dental care reads 15.0 of 26. The county also sits inside a Medically Underserved Area, indexed at 58.1, and the lower the index, the greater the measured need.
Volume places O'Brien County above 70% of real US counties (7 active designations: 2 primary care, 3 mental health, 2 dental). Peak severity on the current designated set is 17.0. 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.
O'Brien County falls in the upper quarter of IA counties by active-designation volume, at rank 23 of 99. 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.
Acting on O'Brien County's high-priority mental health
O'Brien County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- O'Brien County's high-priority mental health designations are where NHSC placement geography concentrates, estimate the award and service terms. NHSC estimator
- See how the county's mental health burden compares with the rest of IA before drawing conclusions from a single score. IA overview
- Check the provider-to-population ratio behind an HPSA score against HRSA's designation thresholds. 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 Mental Health Shortage Score
Other U.S. counties whose active HRSA mental-health HPSA score is closest to O'Brien County's 17.0. This compares the designation score only, not local appointment availability or care quality. Start with Thurston County, WA and Boone County, MO.
Showing 6 of 3081 counties nationally with an active designation this severe.
High-volume peers of O'Brien County (7 active)
One peer set for this volume-led county: nearest active designation count to 7 across the national corpus.
Frequently Asked Questions
- Does O'Brien County's MUA standing sit beside its HPSA records?
- Yes - O'Brien County carries an MUA designation (index 58.1; lower = greater measured need) in addition to its HPSA rows. MUA and HPSA are separate HRSA tracks; both can open different federal pathways.
- What makes up O'Brien County's 7 active HPSA designations?
- 7 Designated rows (2 primary care, 3 mental health, 2 dental). Highest-scored name on this release: "Northwest Iowa" (score 17.0; mental health; 65,494 people in the service area; ~3.3 FTE still needed on the record; designated 05/28/2026). Also active: "SANFORD CLINIC SANBORN", "SANFORD CLINIC SHELDON", "SANFORD CLINIC SANBORN". Above 70% of real US counties by volume.
- What does volume-plus-score look like for O'Brien County?
- Peak active score 17.0 in mental health clears the 17-point line while volume sits at 7 rows.
- What clinician need sits behind O'Brien County's designation volume?
- Closing published gaps would take about 3.3 additional clinician FTEs (id-de-duped providers_needed). "Northwest Iowa" is the severity lead inside that inventory.
- Which federal programs follow O'Brien County's designation volume?
- 7 active designations can open NHSC placement, CHC grants, Medicare bonus and J-1 waivers, by designated area and provider type, not by county line alone.
- How does O'Brien County's volume compare inside IA?
- 7 active HPSA rows · peak 17.0. O'Brien County falls in the upper quarter of IA counties by active-designation volume, at rank 23 of 99. Score-nearest counties on this release include Thurston County, WA and Boone County, MO.
Source: HRSA Data Warehouse. FIPS: 19141. 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 19141 (O'Brien County, IA), vintage 2026-08-15. Active designation count 7; peak score 17.0; signature 7 active designations. This profile is reference material, not professional advice; see methodology.