GU · Healthcare shortage profile
Guam County, GU
Peak severity leads this reading: Guam County's highest active HPSA score is 26.0, clearing HRSA's 17-point high-priority line. Population 153,836.
- Active HPSAs
- 12
- Population
- 153,836
- Peak shortage score
- 26.0
- MUA Index
- 61.1
Heavy-burden verdict
According to current HRSA Data Warehouse records, Guam 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 primary care the deepest gap.
- 12
- Active HPSA designations
- 4
- Dental shortages
- 26
- Peak severity score (of 26)
- Top 15%
- US counties by volume
Key findings
What the HRSA Data Warehouse does not surface for Guam County, GU 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 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.
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Closing Guam County's active designations would take about 28 additional clinician FTEs, with dental the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 4.6 primary care, 5.4 mental health, 18 dental. This is the federal gap estimate, not a headcount of practising clinicians.
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33.3% of Guam County's 12 active designations are primary care.
Discipline mix from designated HPSA records only: 4 primary care, 4 mental health, 4 dental (denominator 12).
Few Census ZCTAs touch Guam County
The Census ZCTA-county crosswalk lists only 7 ZIP Code Tabulation Areas intersecting Guam County, a sparse footprint relative to most US counties in this mirror (at or below the 9-ZIP tercile cut).
Intersecting ZCTA
2 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
Active-designation volume placement
According to current HRSA Data Warehouse records, Guam 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. Guam County is tied for the highest active-designation count among 1 real counties in GU. 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: 66010. Population: 153,836.
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 12 active (designated) HPSAs in Guam County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| Government OF Guam- Department OF Administration | dental | 26.0 |
| Government OF Guam- Department OF Administration | primary_care | 22.0 |
| Guam Department of Correction | primary_care | 21.0 |
| Government OF Guam- Department OF Administration | mental_health | 21.0 |
| LI - Guam | dental | 20.0 |
| LI - Guam | mental_health | 19.0 |
| Guam | primary_care | 14.0 |
| Guam Department of Corrections | mental_health | 12.0 |
| Guam Department of Corrections | dental | 12.0 |
| Guam Youth Correctional Facility | primary_care | 6.0 |
| Guam Youth Correctional Facilities | mental_health | 6.0 |
| Guam Youth Correctional Facility | dental | 6.0 |
Heavy-burden reading for Guam County
Peak severity leads this reading: Guam County's highest active HPSA score is 26.0, clearing HRSA's 17-point high-priority line. Dental care carries Guam 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 22.0 of 25; Mental health reads 21.0 of 25. The county also sits inside a Medically Underserved Area, indexed at 61.1, and the lower the index, the greater the measured need.
Volume places Guam County above 85% of real US counties (12 active designations: 4 primary care, 4 mental health, 4 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.
Guam County is tied for the highest active-designation count among 1 real counties in GU. 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.
Guam County designations by care type
Active Health Professional Shortage Area designations in the county, by provider category (high-priority disciplines emphasized).
- Primary care
Primary care
4 designations
- Mental health
Mental health
4 designations
- Dental
Dental
4 designations
Heavy-volume FTE gap in Guam County
HRSA providers_needed summed once per HPSA id for Guam County's active designations: about 28 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 Guam County, GU · 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
Guam County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- Guam 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 primary care burden compares with the rest of GU before you draw conclusions from a single score. GU 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 Guam County's 26.0. This compares the designation score only, not local appointment availability or care quality. Start with Indian River County, FL and Van Buren County, MI.
Showing 6 of 2744 counties nationally with an active designation this severe.
Counties near Guam 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 “GOVERNMENT OF GUAM- DEPARTMENT OF ADMINISTRATION”).
Indian River County, FL
26.0 dental score · 159,788 pop.
Van Buren County, MI
26.0 dental score · 75,587 pop.
Hancock County, ME
26.0 dental score · 55,478 pop.
Pinellas County, FL
26.0 dental score · 959,107 pop.
Volusia County, FL
26.0 dental score · 553,543 pop.
Orange County, NY
26.0 dental score · 401,310 pop.
Frequently Asked Questions
- Does Guam County's MUA standing sit beside its HPSA records?
- Yes - Guam County carries an MUA designation (index 61.1; 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 Guam County's peak score of 26.0?
- "GOVERNMENT OF GUAM- DEPARTMENT OF ADMINISTRATION" leads the active set (score 26.0; dental; 82,030 people in the service area; designated 11/21/2003). 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, 4 mental health, 4 dental.
- Which other active designations sit under Guam County's severity reading?
- After "GOVERNMENT OF GUAM- DEPARTMENT OF ADMINISTRATION", the next active names on this release are "GOVERNMENT OF GUAM- DEPARTMENT OF ADMINISTRATION", "GOVERNMENT OF GUAM- DEPARTMENT OF ADMINISTRATION", "Guam Department of Correction" and "GOVERNMENT OF GUAM- DEPARTMENT OF ADMINISTRATION". Provider need (id-de-duped) totals ~28 FTE across disciplines that still carry a gap.
- Which federal pathways follow Guam County's high-severity geography?
- Guam 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 "GOVERNMENT OF GUAM- DEPARTMENT OF ADMINISTRATION".
- How does Guam County's peak severity sit inside GU?
- Guam County holds 12 active HPSA rows with peak 26.0. Guam County is tied for the highest active-designation count among 1 real counties in GU. Score-nearest national peers appear below when the peer module renders. Score-nearest counties on this release include Indian River County, FL and Van Buren County, MI.
Source: HRSA Data Warehouse. FIPS: 66010. 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 66010 (Guam County, GU), 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.