TX · Healthcare shortage profile
Donley County, TX
Peak severity leads this reading: Donley County's highest active HPSA score is 17.0, clearing HRSA's 17-point high-priority line. Population 3,258.
- Active HPSAs
- 6
- Population
- 3,258
- Peak shortage score
- 17.0
- MUA Index
- 52.0
Mid-burden verdict
According to current HRSA Data Warehouse records, Donley County holds a moderate federal shortage burden - 6 active HPSA designations, more than 54% of the 3,289 real US counties, with primary care the deepest gap.
- 6
- Active HPSA designations
- 2
- Primary-care shortages
- 17
- Peak severity score (of 26)
- Top 46%
- US counties by volume
Based on HRSA primary/mental/dental shortage severity, Medically Underserved Area status, and estimated unmet provider need -- not patient outcomes, insurance access, facility quality, or wait times.
Few Census ZCTAs touch Donley County
The Census ZCTA-county crosswalk lists only 6 ZIP Code Tabulation Areas intersecting Donley County, a sparse footprint relative to most US counties in this mirror (at or below the 9-ZIP tercile cut).
Intersecting ZCTA
1 additional ZCTA 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 Donley County, TX 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 Donley County's active designations would take about 1.4 additional clinician FTEs, with primary care the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 0.8 primary care, 0.2 mental health, 0.4 dental. This is the federal gap estimate, not a headcount of practising clinicians.
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33.3% of Donley County's 6 active designations are primary care.
Discipline mix from designated HPSA records only: 2 primary care, 2 mental health, 2 dental (denominator 6).
Donley County vs. every real US county
Total active HPSA designations, including counties with none
6 Top 46% higher than 54% 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. Donley County falls in the upper quarter of TX counties by active-designation volume, at rank 26 of 254. Ties share a rank; the comparison uses the same current designated records as the national chart.
Healthcare shortage designations from HRSA. FIPS: 48129. Population: 3,258.
Single high-priority discipline
Donley County's only high-priority (≥17) footprint is primary care
Current HRSA Data Warehouse rows attribute 2 active primary care designations to Donley 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 primary care records.
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 6 active (designated) HPSAs in Donley County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| Donley County | primary_care | 17.0 |
| Clarendon Family Medicine PLLC | primary_care | 16.0 |
| Clarendon Family Medicine PLLC | mental_health | 16.0 |
| Clarendon Family Medicine PLLC | dental | 15.0 |
| Donley County | dental | 14.0 |
| Donley County | mental_health | 9.0 |
Moderate-burden reading for Donley County
Peak severity leads this reading: Donley County's highest active HPSA score is 17.0, clearing HRSA's 17-point high-priority line. Primary care is where Donley County is stretched thinnest: HRSA scores it 17.0 of 25, the county's highest severity reading and past the 17-point line HRSA uses to open National Health Service Corps placement and enhanced Medicare reimbursement. Mental health reads 16.0 of 25; Dental care reads 15.0 of 26. The county also sits inside a Medically Underserved Area, indexed at 52.0, and the lower the index, the greater the measured need.
Donley County sits in the middle of the national designation-volume distribution (above 54% of counties) with 6 active records. That is enough for a formal shortage footprint without landing in the heaviest US tier. Compare the three discipline counts (2/2/2) before assuming every care category is equally short.
Donley County falls in the upper quarter of TX counties by active-designation volume, at rank 26 of 254. 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 Donley County
HRSA providers_needed summed once per HPSA id for Donley County's active designations: about 1.4 FTE, a federal gap estimate, not a headcount of practising clinicians.
Acting on Donley County's high-priority primary care
Donley County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- Donley County's high-priority primary care designations are where NHSC placement geography concentrates, estimate the award and service terms. NHSC estimator
- See how the county's primary care burden compares with the rest of TX before drawing conclusions from a single score. TX 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.
Nearby primary-care score peers
Closest U.S. counties on active primary-care HPSA score to Donley County's 17.0. Open Black Hawk County, IA or Providence County, RI next.
Showing 3 of 2932 counties nationally with an active designation this severe.
Frequently Asked Questions
- Does Donley County's MUA standing sit beside its HPSA records?
- Yes - Donley County carries an MUA designation (index 52.0; 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 Donley County's peak score of 17.0?
- "Donley County" leads the active set (score 17.0; primary care; 2,901 people in the service area; ~0.8 FTE still needed on the record; designated 09/06/2019). Clearing 17 opens NHSC high-priority placement for the matching provider type on the designated geography. Discipline mix across 6 active rows: 2 primary care, 2 mental health, 2 dental.
- Which other active designations sit under Donley County's severity reading?
- After "Donley County", the next active names on this release are "Donley County" and "CLARENDON FAMILY MEDICINE PLLC". Provider need (id-de-duped) totals ~1.4 FTE across disciplines that still carry a gap.
- Which federal pathways follow Donley County's high-severity geography?
- Donley County's 6 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 "Donley County".
Source: HRSA Data Warehouse. FIPS: 48129. 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 48129 (Donley County, TX), vintage 2026-08-15. Active designation count 6; peak score 17.0; signature peak score 17.0. This profile is reference material, not professional advice; see methodology.