ND · Healthcare shortage profile
Ransom County, ND
Peak severity leads this reading: Ransom County's highest active HPSA score is 16.0, still below HRSA's 17-point high-priority line. Population 5,703.
- Active HPSAs
- 4
- Population
- 5,703
- Peak shortage score
- 16.0
- MUA Index
- 58.7
Mid-burden verdict
According to current HRSA Data Warehouse records, Ransom 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
- 16
- Peak severity score (of 26)
- Top 56%
- US counties by volume
Key findings
What the HRSA Data Warehouse does not surface for Ransom County, ND 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.
-
Closing Ransom County's active designations would take about 0.4 additional clinician FTEs, with mental health the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 0.4 mental health. This is the federal gap estimate, not a headcount of practising clinicians.
-
50% of Ransom 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).
-
Peak HPSA score 16.0 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.
Ransom County's mid-pack ZIP footprint
11 Census ZCTAs intersect Ransom 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
3 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.
Corpus placement
Designated volume without a high-priority score
According to current HRSA Data Warehouse records, Ransom 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. Ransom County falls in the lower half of ND counties by active-designation volume, at rank 27 of 53. 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: 38073. Population: 5,703.
Below high-priority line
Ransom 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 16.0. 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
Active HPSA 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 4 active (designated) HPSAs in Ransom County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| Sanford Health Enderlin Clinic | mental_health | 16.0 |
| Sanford Health Enderlin Clinic | primary_care | 15.0 |
| Ransom County | mental_health | 15.0 |
| Sanford Health Enderlin Clinic | dental | 15.0 |
Moderate-burden reading for Ransom County
Peak severity leads this reading: Ransom County's highest active HPSA score is 16.0, still below HRSA's 17-point high-priority line. Ransom County's severest measured gap is in mental health, scored 16.0 of 25, still short of the 17-point priority line, though the designation itself is formal. Primary care reads 15.0 of 25; Dental care reads 15.0 of 26. The county also sits inside a Medically Underserved Area, indexed at 58.7, and the lower the index, the greater the measured need.
Ransom 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.
Ransom County falls in the lower half of ND counties by active-designation volume, at rank 27 of 53. For moderate counties, the useful move is usually a state peer check plus the score cards above, not a national superlative claim.
Counties near Ransom County's mental score of 16.0
One peer set for this severity-led county: nearest active mental HPSA score to 16.0 (severity lead on this page is “SANFORD HEALTH ENDERLIN CLINIC”).
Randolph County, NC
16.0 mental score · 144,171 pop.
Wayne County, OH
16.0 mental score · 116,894 pop.
Laramie County, WY
16.0 mental score · 100,512 pop.
Cullman County, AL
16.0 mental score · 87,866 pop.
St. Lucie County, FL
16.0 mental score · 329,226 pop.
Deschutes County, OR
16.0 mental score · 198,253 pop.
Frequently Asked Questions
- Does Ransom County's MUA standing sit beside its HPSA records?
- Yes - Ransom County carries an MUA designation (index 58.7; 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 Ransom County's peak score of 16.0?
- "SANFORD HEALTH ENDERLIN CLINIC" leads the active set (score 16.0; mental health; 10,065 people in the service area; designated 08/14/2025). Below 17 the shortage is formal but outside HRSA's high-priority NHSC tier. Discipline mix across 4 active rows: 1 primary care, 2 mental health, 1 dental.
- Which other active designations sit under Ransom County's severity reading?
- After "SANFORD HEALTH ENDERLIN CLINIC", the next active names on this release are "SANFORD HEALTH ENDERLIN CLINIC", "SANFORD HEALTH ENDERLIN CLINIC", "Ransom County" and "SANFORD HEALTH ENDERLIN CLINIC". Provider need (id-de-duped) totals ~0.4 FTE across disciplines that still carry a gap.
- Which federal pathways follow Ransom County's high-severity geography?
- Ransom County's 4 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 "SANFORD HEALTH ENDERLIN CLINIC".
Source: HRSA Data Warehouse. FIPS: 38073. 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 38073 (Ransom County, ND), vintage 2026-08-15. Active designation count 4; peak score 16.0; signature peak score 16.0. This profile is reference material, not professional advice; see methodology.