Designated Health Professional Shortage Areas (HPSA) Statistics As of November 20, 2009 Office of Shortage Designation Bureau of Health Professions Health Resources and Services Administration (HRSA) U.S. Department of Health & Human Services Table 1. Health Professional Shortage Areas: Number, Population, and Additional Practitioners Needed for Geographic Areas, Population Groups, and Facilities as of November 20, 2009 Practitioners Estimated Practitioners Number of Population of Needed to Remove Underserved Needed to Achieve Designations Designated HPSAs Designations Population (1) Target Ratios (2) Primary Medical HPSA Totals 6,218 65,074,868 7,414 (3) 36,611,545 16,689 Service Area 1,705 37,490,633 3,526 N/A N/A Population Group 1,463 24,386,057 3,170 N/A N/A Facility 3,050 3,198,178 718 N/A N/A Dental HPSA Totals 4,267 49,818,697 7,066 32,522,200 9,716 Service Area 784 18,433,306 1,740 N/A N/A Population Group 1,488 29,899,909 4,678 N/A N/A Facility 1,995 1,485,482 648 N/A N/A Mental Health HPSA Totals 3,380 81,397,948 2,155 (4) 59,685,998 5,373 Service Area 1,058 74,503,175 979 N/A N/A Population Group 102 5,109,317 46 N/A N/A Facility 2,220 1,785,456 1,130 N/A N/A (1) The estimated underserved population is computed by multiplying the number of practitioners in the area by target population-to-practitioner rations (2,000:1 for Primary Care; 3,000:1 for Dental; 10,000:1 for Mental Health), and subtracting this figure from the area population. (2) The number of additional; practitioners needed to achieve a population-to-practitioner ratio of 2,000:1 for Primary Care; 3,000:1 for Dental; 10,000:1 for Mental Health in all designated HPSAs so that their populations are adequately served. (3) The number of additional primary care physicians needed to achieve a population-to-primary care physician ratio of 3,500:1 (3,000:1 where high needs are indicated) in all designated primary care HPSAs, resulting in their removal from designation. (4) The number of additional psychiatrists needed to achieve a population-to- psychiatrist ratio of 30,000:1 (20,000:1 where high needs are indicated) in all designated mental health HPSAs, resulting in their removal from designation. Table 2. Health Professional Shortage Areas: Metropolitan/Non-Metropolitan Classification as of November 20, 2009 Met/NonMet Percent of Met/NonMet Practitioners Practitioners Practitioners Percent of Percentage Population Needed to Needed to Needed to Practitioners Number of of All of Designated Remove Remove Achieve to Achieve Designations Designations HPSAs Designations Designations Target Ratios (1) Target Ratios Primary Medical HPSA Totals 6,218 65,074,868 7,414 (2) 16,689 Metropolitan 2,001 32 % 31,758,624 3,693 50 % 8,471 51 % Non-metropolitan 4,217 68 % 33,316,244 3,721 50 % 8,218 49 % Dental HPSA Totals 4,267 49,818,697 7,066 (3) 9,716 Metropolitan 1,359 32 % 21,843,007 3,079 44 % 4,495 46 % Non-metropolitan 2,908 68 % 27,975,690 3,987 56 % 5,221 54 % Mental Health HPSA Totals 3,380 81,397,948 2,155 (4) 5,373 Metropolitan 1,133 34 % 21,064,398 863 40 % 1,337 25 % Non-metropolitan 2,247 66 % 60,333,550 1,292 60 % 4,036 75 % (1) The number of additional; practitioners needed to achieve a population-to-practitioner ratio of 2,000:1 for Primary Care; 3,000:1 for Dental; 10,000:1 for Mental Health in all designated HPSAs so that their populations are adequately served. (2) The number of additional primary care physicians needed to achieve a population-to-primary care physician ratio of 3,500:1 (3, 000:1 where high needs are indicated) in all designated primary care HPSAs, resulting in their removal from designation. (3) The number of additional primary care physicians needed to achieve a population-to- dentist ratio of 5,000:1 (4,000:1 where high needs are indicated) in all designated dental HPSAs, resulting in their removal from designation. (4) The number of additional psychiatrists needed to achieve a population-to- psychiatrist ratio of 30,000:1 (20,000:1 where high needs are indicated) in all designated mental health HPSAs, resulting in their removal from designation. Table 3. Health Professional Shortage Areas by State Detail for Primary Care Regardless of Metropolitan / Non-Metropolitan Status as of November 20, 2009 Estimated Unserved Practitioners Needed to: Total Designations Whole County Service Area Population Group Facility Total Population Population (2000:1) Remove Designation Achieve (2000:1) HPSA Total 6,218 882 823 1,463 3,050 65,074,868 36,611,545 7,414 16,689 Region I 268 2 38 67 161 1,807,743 986,557 197 439 Connecticut 41 0 7 18 16 477,837 316,297 76 145 Maine 81 0 15 22 44 156,116 77,083 14 21 Massachusetts 74 2 5 16 51 893,375 455,206 82 214 New Hampshire 25 0 2 5 18 84,038 54,841 13 24 Rhode Island 19 0 2 5 12 156,064 66,144 11 30 Vermont 28 0 7 1 20 40,313 16,986 1 5 Region II 261 10 54 59 138 7,288,652 3,667,874 595 1,766 New Jersey 37 0 4 7 26 376,251 149,044 17 71 HRSA Geospatial Data Warehouse 1 of 6 November 21, 2009 Data as of: 11/20/2009

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Designated Health Professional Shortage Areas (HPSA) Statistics Estimated Unserved Practitioners Needed to: Total Designations Whole County Service Area Population Group Facility Total Population Population (2000:1) Remove Designation Achieve (2000:1) New York 179 8 49 35 87 4,574,163 2,210,152 309 1,052 Puerto Rico 41 2 1 15 23 2,280,467 1,270,907 259 625 U.S. Virgin Islands 4 0 0 2 2 57,771 37,771 10 18 Region III 475 57 94 82 242 4,026,237 2,173,897 413 978 Delaware 12 0 4 4 4 215,060 120,140 24 55 District of Columbia 14 0 4 2 8 257,377 151,173 37 71 Maryland 53 7 7 17 22 515,412 325,423 72 151 Pennsylvania 177 2 39 44 92 1,431,999 741,061 151 327 Virginia 120 31 23 7 59 1,258,143 668,099 106 308 West Virginia 99 17 17 8 57 348,246 168,001 23 66 Region IV 1,117 242 48 389 438 15,107,248 8,229,146 1,593 3,752 Alabama 85 23 8 31 23 1,725,293 867,858 128 402 Florida 252 16 3 107 126 4,238,260 2,768,429 719 1,308 Georgia 193 50 7 77 59 2,127,878 1,402,768 237 630 Kentucky 142 42 1 44 55 1,128,786 489,363 92 202 Mississippi 110 52 4 22 32 1,781,774 924,065 164 425 North Carolina 116 21 8 32 55 1,526,745 530,426 64 235 South Carolina 97 9 6 38 44 1,158,050 588,196 107 259 Tennessee 122 29 11 38 44 1,420,462 658,041 82 291 Region V 948 75 160 227 486 9,154,323 5,374,169 1,079 2,443 Illinois 266 22 40 65 139 3,649,123 2,247,522 477 1,045 Indiana 99 11 13 30 45 797,437 455,508 91 203 Michigan 216 10 19 54 133 1,916,652 1,075,665 210 490 Minnesota 124 10 21 35 58 483,898 285,428 52 111 Ohio 125 11 32 25 57 1,308,293 709,741 130 326 Wisconsin 118 11 35 18 54 998,920 600,305 119 268 Region VI 941 223 117 146 455 10,916,268 5,949,184 1,138 2,734 Arkansas 94 18 28 19 29 503,009 285,827 66 112 Louisiana 126 45 18 11 52 2,783,780 1,489,747 250 708 New Mexico 92 18 13 9 52 1,035,242 631,332 134 293 Oklahoma 200 14 9 39 138 752,677 529,407 71 234 Texas 429 128 49 68 184 5,841,560 3,012,871 617 1,387 Region VII 533 93 12 198 230 2,981,447 2,015,085 477 865 Iowa 101 12 9 35 45 515,190 311,296 64 128 Kansas 156 25 0 70 61 569,077 351,663 76 135 Missouri 186 29 1 90 66 1,750,984 1,267,644 329 574 Nebraska 90 27 2 3 58 146,196 84,482 8 28 Region VIII 476 119 72 83 202 2,619,834 1,567,670 334 641 Colorado 113 19 11 34 49 965,882 587,246 145 255 Montana 98 23 16 16 43 384,030 231,359 47 87 North Dakota 77 29 14 7 27 239,550 144,227 34 48 South Dakota 90 26 18 3 43 351,926 215,418 38 82 Utah 59 10 3 22 24 470,070 278,689 54 125 Wyoming 39 12 10 1 16 208,376 110,731 16 44 Region IX 803 23 182 122 476 8,945,469 5,369,713 1,331 2,521 Arizona 143 5 42 16 80 1,960,348 1,064,039 246 498 California 553 2 122 92 337 5,980,663 3,645,696 924 1,717 Hawaii 31 0 6 3 22 93,107 36,481 9 13 Nevada 61 10 9 11 31 481,228 335,174 81 154 American Samoa 2 0 1 0 1 68,200 61,600 19 30 Federated States of Micronesia 6 4 0 0 2 105,569 103,569 33 49 Guam 2 1 0 0 1 167,226 60,026 2 30 Marshall Islands 2 0 1 0 1 0 0 0 0 Northern Mariana Islands 1 0 1 0 0 69,221 49,221 13 24 Republic of Palau 2 1 0 0 1 19,907 13,907 4 6 Region X 396 38 46 90 222 2,227,647 1,278,250 257 550 Alaska 72 13 3 2 54 147,671 94,035 19 39 Idaho 68 13 5 28 22 442,787 258,485 50 106 Oregon 101 5 15 25 56 575,874 300,254 55 124 Washington 155 7 23 35 90 1,061,315 625,476 133 281 HRSA Geospatial Data Warehouse 2 of 6 November 21, 2009 Data as of: 11/20/2009

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Designated Health Professional Shortage Areas (HPSA) Statistics Table 4. Health Professional Shortage Areas by State Detail for Dental Care Regardless of Metropolitan / Non-Metropolitan Status as of November 20, 2009 Estimated Unserved Practitioners Needed to: Total Designations Whole County Service Area Population Group Facility Total Population Population (3000:1) Remove Designation Achieve (3000:1) HPSA Total 4,267 563 221 1,488 1,995 49,818,697 32,522,200 7,066 9,716 Region I 235 3 26 71 135 2,206,500 1,218,979 254 357 Connecticut 40 0 3 22 15 377,712 279,612 67 82 Maine 72 0 16 24 32 534,065 223,365 49 56 Massachusetts 67 2 7 13 45 1,048,246 560,425 100 174 New Hampshire 20 0 0 5 15 59,144 27,644 6 6 Rhode Island 16 0 0 4 12 158,516 112,316 31 35 Vermont 20 1 0 3 16 28,817 15,617 1 4 Region II 189 5 9 61 114 4,620,213 2,715,544 531 871 New Jersey 32 0 1 7 24 112,778 80,709 22 25 New York 113 1 7 38 67 2,070,098 1,180,298 222 371 Puerto Rico 39 1 1 16 21 2,324,536 1,348,936 261 441 U.S. Virgin Islands 5 3 0 0 2 112,801 105,601 26 34 Region III 351 45 23 95 188 4,062,450 2,590,292 545 780 Delaware 8 1 2 1 4 242,220 143,220 27 46 District of Columbia 9 0 0 2 7 27,595 22,195 5 7 Maryland 41 3 4 15 19 561,189 370,989 59 113 Pennsylvania 141 0 6 63 72 1,831,765 1,245,207 294 378 Virginia 90 32 7 9 42 1,164,606 675,490 132 202 West Virginia 62 9 4 5 44 235,075 133,191 28 34 Region IV 889 135 8 394 352 13,366,582 9,419,784 2,135 2,852 Alabama 62 0 0 42 20 1,516,727 1,241,955 288 394 Florida 212 0 0 105 107 3,579,922 2,936,553 766 910 Georgia 137 35 2 48 52 1,370,801 923,526 214 264 Kentucky 66 14 0 14 38 449,112 208,342 39 55 Mississippi 104 54 1 18 31 1,698,661 945,316 181 277 North Carolina 110 1 0 68 41 1,448,076 998,185 222 302 South Carolina 66 11 3 24 28 1,531,035 937,549 193 290 Tennessee 132 20 2 75 35 1,772,248 1,228,358 232 360 Region V 596 9 13 320 254 5,911,074 4,587,565 1,087 1,372 Illinois 171 3 1 93 74 2,124,702 1,725,953 430 532 Indiana 39 2 5 10 22 264,702 192,102 48 57 Michigan 133 2 1 75 55 1,449,401 1,148,896 271 344 Minnesota 79 1 3 42 33 365,331 237,876 51 59 Ohio 98 1 3 57 37 1,181,617 832,117 180 246 Wisconsin 76 0 0 43 33 525,321 450,621 107 134 Region VI 531 179 36 57 259 8,638,469 4,996,712 937 1,529 Arkansas 47 22 3 2 20 291,923 150,755 29 38 Louisiana 89 50 8 3 28 2,688,686 1,473,986 235 459 New Mexico 64 15 9 12 28 774,905 500,688 106 151 Oklahoma 93 6 3 5 79 303,851 195,851 55 60 Texas 238 86 13 35 104 4,579,104 2,675,432 512 821 Region VII 416 72 4 232 108 2,424,400 1,858,385 404 476 Iowa 109 10 0 72 27 433,506 309,011 62 68 Kansas 123 28 0 69 26 655,651 463,738 94 104 Missouri 136 30 0 78 28 1,286,356 1,057,091 244 301 Nebraska 48 4 4 13 27 48,887 28,545 4 3 Region VIII 292 67 15 80 130 1,270,736 826,952 180 202 Colorado 79 19 2 24 34 476,484 294,461 71 77 Montana 59 16 7 10 26 285,670 193,270 45 49 North Dakota 28 12 2 2 12 69,120 48,720 11 10 South Dakota 52 16 3 6 27 124,540 96,640 19 21 Utah 50 3 1 26 20 245,911 155,450 27 39 Wyoming 24 1 0 12 11 69,011 38,411 7 6 Region IX 476 21 75 84 296 5,008,047 2,895,686 698 869 Arizona 108 3 32 14 59 1,142,178 649,553 129 187 California 303 2 37 60 204 2,638,944 1,393,945 388 414 Hawaii 27 0 1 5 21 343,119 168,182 30 53 Nevada 24 10 3 5 6 467,665 383,065 86 118 American Samoa 2 0 1 0 1 68,200 65,200 16 21 Federated States of Micronesia 6 4 0 0 2 105,506 105,506 26 33 Guam 2 1 0 0 1 153,307 60,007 7 20 HRSA Geospatial Data Warehouse 3 of 6 November 21, 2009 Data as of: 11/20/2009

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Designated Health Professional Shortage Areas (HPSA) Statistics Estimated Unserved Practitioners Needed to: Total Designations Whole County Service Area Population Group Facility Total Population Population (3000:1) Remove Designation Achieve (3000:1) Marshall Islands 1 0 0 0 1 Northern Mariana Islands 1 0 1 0 0 69,221 61,121 15 20 Republic of Palau 2 1 0 0 1 19,907 9,107 1 3 Region X 292 27 12 94 159 2,310,226 1,412,301 295 408 Alaska 45 12 2 2 29 110,931 64,731 12 16 Idaho 63 7 4 34 18 427,285 263,785 52 66 Oregon 76 4 1 29 42 836,036 534,432 114 161 Washington 108 4 5 29 70 935,974 549,353 117 165 HRSA Geospatial Data Warehouse 4 of 6 November 21, 2009 Data as of: 11/20/2009

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Designated Health Professional Shortage Areas (HPSA) Statistics Table 5. Health Professional Shortage Areas by State Detail for Mental Health Regardless of Metropolitan / Non-Metropolitan Status as of November 20, 2009 Estimated Unserved Practitioners Needed to: Total Designations Whole County Service Area Population Group Facility Total Population Population (10000:1) Remove Designation Achieve (10000:1) HPSA Total 3,380 614 444 102 2,220 81,397,948 59,685,998 2,155 5,373 Region I 165 1 15 12 137 945,919 665,670 26 55 Connecticut 20 0 0 4 16 98,486 67,094 3 5 Maine 41 0 9 2 30 151,912 134,912 5 9 Massachusetts 50 0 1 3 46 257,623 195,911 8 18 New Hampshire 19 0 3 1 15 82,453 57,453 1 4 Rhode Island 16 1 0 2 13 238,572 164,427 9 15 Vermont 19 0 2 0 17 116,873 45,873 0 4 Region II 213 31 25 12 145 5,737,529 4,397,903 154 407 New Jersey 31 1 3 3 24 176,882 114,882 9 10 New York 134 25 5 9 95 2,335,255 1,534,629 77 134 Puerto Rico 43 2 17 0 24 3,112,591 2,665,591 67 256 U.S. Virgin Islands 5 3 0 0 2 112,801 82,801 1 7 Region III 283 32 33 8 210 5,447,365 3,372,548 104 302 Delaware 6 0 2 0 4 212,037 0 0 0 District of Columbia 8 0 1 0 7 106,527 78,527 1 7 Maryland 34 7 2 2 23 740,196 264,459 23 22 Pennsylvania 104 24 4 4 72 2,013,198 1,328,067 39 116 Virginia 76 1 16 2 57 1,720,364 1,233,605 26 114 West Virginia 55 0 8 0 47 655,043 467,890 15 43 Region IV 558 53 95 28 382 18,485,532 13,014,439 462 1,199 Mississippi 44 0 14 0 30 2,435,616 1,204,850 25 114 Alabama 50 0 13 8 29 2,516,691 1,965,291 44 185 Florida 144 15 8 10 111 2,169,489 1,646,379 141 133 Georgia 66 1 18 0 47 3,650,004 2,822,743 81 272 Kentucky 94 31 10 1 52 1,720,848 1,150,546 33 94 North Carolina 61 5 9 0 47 1,007,050 707,600 45 66 South Carolina 46 1 8 7 30 2,317,053 1,509,748 43 140 Tennessee 53 0 15 2 36 2,668,781 2,007,282 50 195 Region V 500 89 78 9 324 13,228,706 9,673,139 330 880 Illinois 126 5 31 1 89 4,101,300 2,784,986 106 261 Indiana 46 6 9 0 31 1,289,241 959,915 35 85 Michigan 108 22 13 3 70 1,862,099 1,130,445 30 97 Minnesota 48 3 9 0 36 1,910,845 1,396,098 22 133 Ohio 63 5 12 4 42 2,227,785 1,715,964 33 161 Wisconsin 109 48 4 1 56 1,837,436 1,685,731 104 143 Region VI 588 250 39 6 293 15,322,111 12,107,404 363 1,069 Arkansas 41 1 12 0 28 1,828,815 1,327,260 24 125 Louisiana 88 60 0 0 28 3,811,795 2,804,660 105 251 New Mexico 45 8 7 1 29 1,095,059 884,059 18 81 Oklahoma 95 0 10 1 84 1,699,970 1,277,478 41 122 Texas 319 181 10 4 124 6,886,472 5,813,947 175 490 Region VII 184 8 46 6 124 6,821,735 5,051,921 114 470 Iowa 41 0 14 0 27 1,553,097 1,153,876 22 108 Kansas 52 7 15 0 30 1,267,651 1,006,154 32 87 Missouri 55 1 12 6 36