Sullivan County, located in the Catskill Mountains, is home to about 75,000 residents and remains the poorest county in the mid-Hudson region.
Despite its appeal to seasonal and second-home residents, the county struggles with limited economic development and inadequate health care access. Ranked 57th out of New York’s 62 counties in the Robert Wood Johnson Foundation’s County Health Rankings, Sullivan County faces high rates of obesity and suicide, and low rates of prenatal care. While the county has made some gains, its shortage of primary care providers continues to worsen. Access is especially limited in the western portion of the county, where residents must travel at least 45 minutes to reach a provider. In 2025, NYHealth awarded Sullivan 180 a grant to support the planning of a new primary care clinic model in the western portion of rural Sullivan County.
Under this grant, Sullivan 180, in partnership with faculty affiliated with NYU’s School of Global Public Health, will lead a community-informed planning process by engaging health care leaders, residents, and regional providers to define services, workforce roles, and telehealth integration. They will assess licensure pathways with expert support and secure health care partnerships to support staffing, data-sharing, and telehealth, and explore long-term collaborations to sustain and scale the model.