{
 "name": "TWF Direct Care Staffing Index",
 "version": "2026.1",
 "released": "2026-08-09",
 "publisher": "The Wilkinson Firm, LLC",
 "description": "Metro-level measure of how hard it is to recruit and hold front-line direct care staff across seven Southeast states. Two components: the hours per week a direct care worker must work to afford a one-bedroom at HUD Fair Market Rent, and the hourly premium direct care pays over the local retail, warehouse and fast food wage floor.",
 "license": "https://creativecommons.org/licenses/by/4.0/",
 "license_name": "CC BY 4.0",
 "citation": "The Wilkinson Firm, TWF Direct Care Staffing Index, version 2026.1, 2026-08-09. https://hr.thewilkinsonfirm.com/direct-care-index",
 "coverage": {
  "metros": 90,
  "states": 7,
  "direct_care_workers": 627570
 },
 "sources": {
  "wages_and_employment": "U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, metropolitan area file MSA_M2025_dl (https://www.bls.gov/oes/special-requests/oesm25ma.zip)",
  "rents": "U.S. Department of Housing and Urban Development, Final Fair Market Rents, FY2026, state summary tables (https://www.huduser.gov/portal/datasets/fmr.html)",
  "shortage_designations": "HRSA Bureau of Health Workforce, Designated HPSA Quarterly Summary as of December 31, 2025, via KFF State Health Facts (https://www.kff.org/other-health/state-indicator/mental-health-care-health-professional-shortage-areas-hpsas/)",
  "minimum_wages": "U.S. Department of Labor, State Minimum Wage Laws, updated July 1, 2026 (https://www.dol.gov/agencies/whd/minimum-wage/state)",
  "dsp_turnover": "National Core Indicators IDD, State of the Workforce Survey Report 2024, published 2025 (https://idd.nationalcoreindicators.org)"
 },
 "method": {
  "direct_care_basket": [
   "31-1120 Home health and personal care aides",
   "21-1093 Social and human service assistants",
   "31-1131 Nursing assistants",
   "29-2053 Psychiatric technicians"
  ],
  "wage_floor_basket": [
   "41-2031 Retail salespersons",
   "53-7065 Stockers and order fillers",
   "35-3023 Fast food and counter workers"
  ],
  "wage_measure": "employment-weighted median hourly wage",
  "hours_for_rent": "(one-bedroom FMR x 12 / 0.30) / (direct care hourly wage x 52). Uses the federal 30 percent of income affordability standard.",
  "wage_gap": "direct care employment-weighted median hourly wage minus wage floor employment-weighted median hourly wage",
  "index_score": "mean of two percentile ranks across the 90 metros: hours needed for rent, and the inverse of the wage gap. 0 to 100, higher means harder to staff and hold.",
  "bands": "75-100 Severe; 55-74 Strained; 35-54 Manageable; 0-34 Workable"
 },
 "limitations": [
  "Wage and rent layers are metro resolution. Shortage designations, minimum wage and DSP turnover are state level and are labelled as such. They are context columns, not metro measures.",
  "HRSA percent of need met is a psychiatrist-only ratio. It does not measure availability of counsellors, clinical social workers or psychiatric nurses.",
  "HRSA population and practitioner counts may double count individuals because geographic, population and facility designations overlap. State figures should not be summed.",
  "DSP turnover comes from the National Core Indicators IDD survey. Virginia and Florida do not participate, so those states are null rather than zero.",
  "HUD publishes no metro-wide Fair Market Rent for two CBSAs in this footprint. Miami uses the Miami-Miami Beach-Kendall HUD area and Hilton Head uses the Beaufort County HUD area. Both are named in the data.",
  "BLS suppresses some occupation and metro combinations. The direct care basket is employment-weighted across whatever is published, so basket composition can vary by metro.",
  "Wages are May 2025. Rents are FY2026. The two do not share a reference period."
 ],
 "metros": [
  {
   "area": "25940",
   "metro": "Hilton Head Island-Bluffton-Port Royal, SC",
   "state": "SC",
   "care_wage": 15.98,
   "care_emp": 3160,
   "floor_wage": 15.83,
   "all_occ_median": 21.08,
   "fmr_1br": 1657,
   "fmr_area": "Beaufort County, SC HUD Metro FMR Area",
   "fmr_basis": "HUD publishes no metro-wide FMR for this CBSA; the principal HUD sub-area is used and named",
   "hours_for_rent": 79.8,
   "wage_gap": 0.15,
   "gap_pct": 0.9,
   "affordability_percentile": 98.9,
   "competition_percentile": 98.9,
   "index_score": 98.9,
   "band": "Severe",
   "state_hpsa_designations": 86,
   "state_hpsa_population": 4434925,
   "state_pct_need_met": 0.3072,
   "state_practitioners_needed": 201,
   "state_minimum_wage": 7.25,
   "state_minimum_wage_note": "no state minimum; federal $7.25 applies",
   "state_dsp_turnover_pct": 39.4,
   "rank": 1
  },
  {
   "area": "47260",
   "metro": "Virginia Beach-Chesapeake-Norfolk, VA-NC",
   "state": "VA",
   "care_wage": 16.13,
   "care_emp": 24690,
   "floor_wage": 14.93,
   "all_occ_median": 23.76,
   "fmr_1br": 1512,
   "fmr_area": "Virginia Beach-Norfolk-Newport News, VA-NC HUD Metro FMR Area",
   "fmr_basis": "HUD metro-wide FMR area",
   "hours_for_rent": 72.1,
   "wage_gap": 1.2,
   "gap_pct": 8.0,
   "affordability_percentile": 93.3,
   "competition_percentile": 78.7,
   "index_score": 86.0,
   "band": "Severe",
   "state_hpsa_designations": 128,
   "state_hpsa_population": 2605394,
   "state_pct_need_met": 0.2244,
   "state_practitioners_needed": 158,
   "state_minimum_wage": 12.77,
   "state_minimum_wage_note": "state minimum $12.77",
   "state_dsp_turnover_pct": null,
   "rank": 2
  },
  {
   "area": "34940",
   "metro": "Naples-Marco Island, FL",
   "state": "FL",
   "care_wage": 18.54,
   "care_emp": 3490,
   "floor_wage": 17.04,
   "all_occ_median": 22.98,
   "fmr_1br": 1797,
   "fmr_area": "Naples-Marco Island, FL MSA",
   "fmr_basis": "HUD metro-wide FMR area",
   "hours_for_rent": 74.6,
   "wage_gap": 1.5,
   "gap_pct": 8.8,
   "affordability_percentile": 96.6,
   "competition_percentile": 67.4,
   "index_score": 82.0,
   "band": "Severe",
   "state_hpsa_designations": 239,
   "state_hpsa_population": 9871089,
   "state_pct_need_met": 0.2487,
   "state_practitioners_needed": 545,
   "state_minimum_wage": 14.0,
   "state_minimum_wage_note": "state minimum $14.00",
   "state_dsp_turnover_pct": null,
   "rank": 3
  },
  {
   "area": "40060",
   "metro": "Richmond, VA",
   "state": "VA",
   "care_wage": 17.04,
   "care_emp": 20890,
   "floor_wage": 15.88,
   "all_occ_median": 24.74,
   "fmr_1br": 1507,
   "fmr_area": "Richmond, VA HUD Metro FMR Area",
   "fmr_basis": "HUD metro-wide FMR area",
   "hours_for_rent": 68.0,
   "wage_gap": 1.16,
   "gap_pct": 7.3,
   "affordability_percentile": 82.0,
   "competition_percentile": 79.8,
   "index_score": 80.9,
   "band": "Severe",
   "state_hpsa_designations": 128,
   "state_hpsa_population": 2605394,
   "state_pct_need_met": 0.2244,
   "state_practitioners_needed": 158,
   "state_minimum_wage": 12.77,
   "state_minimum_wage_note": "state minimum $12.77",
   "state_dsp_turnover_pct": null,
   "rank": 4
  },
  {
   "area": "19300",
   "metro": "Daphne-Fairhope-Foley, AL",
   "state": "AL",
   "care_wage": 15.04,
   "care_emp": 1980,
   "floor_wage": 14.03,
   "all_occ_median": 18.52,
   "fmr_1br": 1200,
   "fmr_area": "Daphne-Fairhope-Foley, AL MSA",
   "fmr_basis": "HUD metro-wide FMR area",
   "hours_for_rent": 61.4,
   "wage_gap": 1.01,
   "gap_pct": 7.2,
   "affordability_percentile": 73.0,
   "competition_percentile": 86.5,
   "index_score": 79.8,
   "band": "Severe",
   "state_hpsa_designations": 67,
   "state_hpsa_population": 2934202,
   "state_pct_need_met": 0.284,
   "state_practitioners_needed": 128,
   "state_minimum_wage": 7.25,
   "state_minimum_wage_note": "no state minimum; federal $7.25 applies",
   "state_dsp_turnover_pct": 40.6,
   "rank": 5
  },
  {
   "area": "24860",
   "metro": "Greenville-Anderson-Greer, SC",
   "state": "SC",
   "care_wage": 15.7,
   "care_emp": 12940,
   "floor_wage": 14.8,
   "all_occ_median": 22.39,
   "fmr_1br": 1221,
   "fmr_area": "Greenville-Mauldin-Easley, SC HUD Metro FMR Area",
   "fmr_basis": "HUD metro-wide FMR area",
   "hours_for_rent": 59.8,
   "wage_gap": 0.9,
   "gap_pct": 6.1,
   "affordability_percentile": 69.7,
   "competition_percentile": 89.9,
   "index_score": 79.8,
   "band": "Severe",
   "state_hpsa_designations": 86,
   "state_hpsa_population": 4434925,
   "state_pct_need_met": 0.3072,
   "state_practitioners_needed": 201,
   "state_minimum_wage": 7.25,
   "state_minimum_wage_note": "no state minimum; federal $7.25 applies",
   "state_dsp_turnover_pct": 39.4,
   "rank": 6
  },
  {
   "area": "33100",
   "metro": "Miami-Fort Lauderdale-West Palm Beach, FL",
   "state": "FL",
   "care_wage": 17.68,
   "care_emp": 61710,
   "floor_wage": 16.03,
   "all_occ_median": 23.39,
   "fmr_1br": 1995,
   "fmr_area": "Miami-Miami Beach-Kendall, FL HUD Metro FMR Area",
   "fmr_basis": "HUD publishes no metro-wide FMR for this CBSA; the principal HUD sub-area is used and named",
   "hours_for_rent": 86.8,
   "wage_gap": 1.65,
   "gap_pct": 10.3,
   "affordability_percentile": 100.0,
   "competition_percentile": 59.6,
   "index_score": 79.8,
   "band": "Severe",
   "state_hpsa_designations": 239,
   "state_hpsa_population": 9871089,
   "state_pct_need_met": 0.2487,
   "state_practitioners_needed": 545,
   "state_minimum_wage": 14.0,
   "state_minimum_wage_note": "state minimum $14.00",
   "state_dsp_turnover_pct": null,
   "rank": 7
  },
  {
   "area": "16820",
   "metro": "Charlottesville, VA",
   "state": "VA",
   "care_wage": 17.4,
   "care_emp": 3580,
   "floor_wage": 15.82,
   "all_occ_median": 26.53,
   "fmr_1br": 1602,
   "fmr_area": "Charlottesville, VA MSA",
   "fmr_basis": "HUD metro-wide FMR area",
   "hours_for_rent": 70.8,
   "wage_gap": 1.59,
   "gap_pct": 10.0,
   "affordability_percentile": 89.9,
   "competition_percentile": 64.0,
   "index_score": 77.0,
   "band": "Severe",
   "state_hpsa_designations": 128,
   "state_hpsa_population": 2605394,
   "state_pct_need_met": 0.2244,
   "state_practitioners_needed": 158,
   "state_minimum_wage": 12.77,
   "state_minimum_wage_note": "state minimum $12.77",
   "state_dsp_turnover_pct": null,
   "rank": 8
  },
  {
   "area": "34820",
   "metro": "Myrtle Beach-Conway-North Myrtle Beach, SC",
   "state": "SC",
   "care_wage": 15.53,
   "care_emp": 3010,
   "floor_wage": 14.38,
   "all_occ_median": 18.23,
   "fmr_1br": 1229,
   "fmr_area": "Myrtle Beach-North Myrtle Beach-Conway, SC HUD Metro FMR Area",
   "fmr_basis": "HUD metro-wide FMR area",
   "hours_for_rent": 60.9,
   "wage_gap": 1.15,
   "gap_pct": 8.0,
   "affordability_percentile": 71.9,
   "competition_percentile": 82.0,
   "index_score": 77.0,
   "band": "Severe",
   "state_hpsa_designations": 86,
   "state_hpsa_population": 4434925,
   "state_pct_need_met": 0.3072,
   "state_practitioners_needed": 201,
   "state_minimum_wage": 7.25,
   "state_minimum_wage_note": "no state minimum; federal $7.25 applies",
   "state_dsp_turnover_pct": 39.4,
   "rank": 9
  },
  {
   "area": "12220",
   "metro": "Auburn-Opelika, AL",
   "state": "AL",
   "care_wage": 14.79,
   "care_emp": 1350,
   "floor_wage": 13.92,
   "all_occ_median": 18.78,
   "fmr_1br": 1077,
   "fmr_area": "Auburn-Opelika, AL HUD Metro FMR Area",
   "fmr_basis": "HUD metro-wide FMR area",
   "hours_for_rent": 56.0,
   "wage_gap": 0.87,
   "gap_pct": 6.3,
   "affordability_percentile": 58.4,
   "competition_percentile": 91.0,
   "index_score": 74.7,
   "band": "Strained",
   "state_hpsa_designations": 67,
   "state_hpsa_population": 2934202,
   "state_pct_need_met": 0.284,
   "state_practitioners_needed": 128,
   "state_minimum_wage": 7.25,
   "state_minimum_wage_note": "no state minimum; federal $7.25 applies",
   "state_dsp_turnover_pct": 40.6,
   "rank": 10
  },
  {
   "area": "12060",
   "metro": "Atlanta-Sandy Springs-Roswell, GA",
   "state": "GA",
   "care_wage": 17.06,
   "care_emp": 60580,
   "floor_wage": 15.26,
   "all_occ_median": 24.6,
   "fmr_1br": 1660,
   "fmr_area": "Atlanta-Sandy Springs-Roswell, GA HUD Metro FMR Area",
   "fmr_basis": "HUD metro-wide FMR area",
   "hours_for_rent": 74.9,
   "wage_gap": 1.8,
   "gap_pct": 11.8,
   "affordability_percentile": 97.8,
   "competition_percentile": 46.1,
   "index_score": 71.9,
   "band": "Strained",
   "state_hpsa_designations": 92,
   "state_hpsa_population": 5065892,
   "state_pct_need_met": 0.4531,
   "state_practitioners_needed": 174,
   "state_minimum_wage": 7.25,
   "state_minimum_wage_note": "state minimum $5.15 for employers of 6 or more; FLSA-covered employers pay federal $7.25",
   "state_dsp_turnover_pct": 33.6,
   "rank": 11
  },
  {
   "area": "26620",
   "metro": "Huntsville, AL",
   "state": "AL",
   "care_wage": 15.94,
   "care_emp": 5150,
   "floor_wage": 15.32,
   "all_occ_median": 24.88,
   "fmr_1br": 1136,
   "fmr_area": "Huntsville, AL MSA",
   "fmr_basis": "HUD metro-wide FMR area",
   "hours_for_rent": 54.8,
   "wage_gap": 0.62,
   "gap_pct": 4.0,
   "affordability_percentile": 49.4,
   "competition_percentile": 94.4,
   "index_score": 71.9,
   "band": "Strained",
   "state_hpsa_designations": 67,
   "state_hpsa_population": 2934202,
   "state_pct_need_met": 0.284,
   "state_practitioners_needed": 128,
   "state_minimum_wage": 7.25,
   "state_minimum_wage_note": "no state minimum; federal $7.25 applies",
   "state_dsp_turnover_pct": 40.6,
   "rank": 12
  },
  {
   "area": "29460",
   "metro": "Lakeland-Winter Haven, FL",
   "state": "FL",
   "care_wage": 17.14,
   "care_emp": 5810,
   "floor_wage": 16.19,
   "all_occ_median": 22.18,
   "fmr_1br": 1230,
   "fmr_area": "Lakeland-Winter Haven, FL MSA",
   "fmr_basis": "HUD metro-wide FMR area",
   "hours_for_rent": 55.2,
   "wage_gap": 0.96,
   "gap_pct": 5.9,
   "affordability_percentile": 52.8,
   "competition_percentile": 88.8,
   "index_score": 70.8,
   "band": "Strained",
   "state_hpsa_designations": 239,
   "state_hpsa_population": 9871089,
   "state_pct_need_met": 0.2487,
   "state_practitioners_needed": 545,
   "state_minimum_wage": 14.0,
   "state_minimum_wage_note": "state minimum $14.00",
   "state_dsp_turnover_pct": null,
   "rank": 13
  },
  {
   "area": "11700",
   "metro": "Asheville, NC",
   "state": "NC",
   "care_wage": 17.98,
   "care_emp": 5260,
   "floor_wage": 16.1,
   "all_occ_median": 22.53,
   "fmr_1br": 1674,
   "fmr_area": "Asheville, NC MSA",
   "fmr_basis": "HUD metro-wide FMR area",
   "hours_for_rent": 71.6,
   "wage_gap": 1.88,
   "gap_pct": 11.7,
   "affordability_percentile": 92.1,
   "competition_percentile": 43.8,
   "index_score": 68.0,
   "band": "Strained",
   "state_hpsa_designations": 218,
   "state_hpsa_population": 4269267,
   "state_pct_need_met": 0.1252,
   "state_practitioners_needed": 256,
   "state_minimum_wage": 7.25,
   "state_minimum_wage_note": "state minimum equals federal $7.25",
   "state_dsp_turnover_pct": 23.9,
   "rank": 14
  },
  {
   "area": "25980",
   "metro": "Hinesville, GA",
   "state": "GA",
   "care_wage": 15.52,
   "care_emp": 150,
   "floor_wage": 13.9,
   "all_occ_median": 22.44,
   "fmr_1br": 1283,
   "fmr_area": "Hinesville, GA HUD Metro FMR Area",
   "fmr_basis": "HUD metro-wide FMR area",
   "hours_for_rent": 63.6,
   "wage_gap": 1.62,
   "gap_pct": 11.6,
   "affordability_percentile": 75.3,
   "competition_percentile": 60.7,
   "index_score": 68.0,
   "band": "Strained",
   "state_hpsa_designations": 92,
   "state_hpsa_population": 5065892,
   "state_pct_need_met": 0.4531,
   "state_practitioners_needed": 174,
   "state_minimum_wage": 7.25,
   "state_minimum_wage_note": "state minimum $5.15 for employers of 6 or more; FLSA-covered employers pay federal $7.25",
   "state_dsp_turnover_pct": 33.6,
   "rank": 15
  },
  {
   "area": "49020",
   "metro": "Winchester, VA-WV",
   "state": "VA",
   "care_wage": 16.66,
   "care_emp": 2040,
   "floor_wage": 15.28,
   "all_occ_median": 22.63,
   "fmr_1br": 1255,
   "fmr_area": "Winchester, VA-WV MSA",
   "fmr_basis": "HUD metro-wide FMR area",
   "hours_for_rent": 58.0,
   "wage_gap": 1.38,
   "gap_pct": 9.0,
   "affordability_percentile": 62.9,
   "competition_percentile": 73.0,
   "index_score": 68.0,
   "band": "Strained",
   "state_hpsa_designations": 128,
   "state_hpsa_population": 2605394,
   "state_pct_need_met": 0.2244,
   "state_practitioners_needed": 158,
   "state_minimum_wage": 12.77,
   "state_minimum_wage_note": "state minimum $12.77",
   "state_dsp_turnover_pct": null,
   "rank": 16
  },
  {
   "area": "13820",
   "metro": "Birmingham, AL",
   "state": "AL",
   "care_wage": 16.21,
   "care_emp": 12840,
   "floor_wage": 15.13,
   "all_occ_median": 22.97,
   "fmr_1br": 1155,
   "fmr_area": "Birmingham-Hoover, AL HUD Metro FMR Area",
   "fmr_basis": "HUD metro-wide FMR area",
   "hours_for_rent": 54.8,
   "wage_gap": 1.07,
   "gap_pct": 7.1,
   "affordability_percentile": 49.4,
   "competition_percentile": 85.4,
   "index_score": 67.4,
   "band": "Strained",
   "state_hpsa_designations": 67,
   "state_hpsa_population": 2934202,
   "state_pct_need_met": 0.284,
   "state_practitioners_needed": 128,
   "state_minimum_wage": 7.25,
   "state_minimum_wage_note": "no state minimum; federal $7.25 applies",
   "state_dsp_turnover_pct": 40.6,
   "rank": 17
  },
  {
   "area": "17900",
   "metro": "Columbia, SC",
   "state": "SC",
   "care_wage": 16.19,
   "care_emp": 14460,
   "floor_wage": 14.88,
   "all_occ_median": 22.32,
   "fmr_1br": 1164,
   "fmr_area": "Columbia, SC HUD Metro FMR Area",
   "fmr_basis": "HUD metro-wide FMR area",
   "hours_for_rent": 55.3,
   "wage_gap": 1.32,
   "gap_pct": 8.9,
   "affordability_percentile": 53.9,
   "competition_percentile": 76.4,
   "index_score": 65.2,
   "band": "Strained",
   "state_hpsa_designations": 86,
   "state_hpsa_population": 4434925,
   "state_pct_need_met": 0.3072,
   "state_practitioners_needed": 201,
   "state_minimum_wage": 7.25,
   "state_minimum_wage_note": "no state minimum; federal $7.25 applies",
   "state_dsp_turnover_pct": 39.4,
   "rank": 18
  },
  {
   "area": "25500",
   "metro": "Harrisonburg, VA",
   "state": "VA",
   "care_wage": 16.11,
   "care_emp": 1480,
   "floor_wage": 15.82,
   "all_occ_median": 22.17,
   "fmr_1br": 1057,
   "fmr_area": "Harrisonburg, VA MSA",
   "fmr_basis": "HUD metro-wide FMR area",
   "hours_for_rent": 50.5,
   "wage_gap": 0.28,
   "gap_pct": 1.8,
   "affordability_percentile": 33.7,
   "competition_percentile": 96.6,
   "index_score": 65.2,
   "band": "Strained",
   "state_hpsa_designations": 128,
   "state_hpsa_population": 2605394,
   "state_pct_need_met": 0.2244,
   "state_practitioners_needed": 158,
   "state_minimum_wage": 12.77,
   "state_minimum_wage_note": "state minimum $12.77",
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   "area": "44420",
   "metro": "Staunton-Stuarts Draft, VA",
   "state": "VA",
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   "all_occ_median": 23.1,
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   "area": "24660",
   "metro": "Greensboro-High Point, NC",
   "state": "NC",
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   "state_hpsa_population": 4269267,
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   "area": "32820",
   "metro": "Memphis, TN-MS-AR",
   "state": "TN",
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   "area": "33660",
   "metro": "Mobile, AL",
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   "area": "18880",
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   "state": "FL",
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   "state_hpsa_population": 9871089,
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   "state_practitioners_needed": 545,
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   "area": "39580",
   "metro": "Raleigh-Cary, NC",
   "state": "NC",
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   "care_emp": 15930,
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   "state_hpsa_population": 4269267,
   "state_pct_need_met": 0.1252,
   "state_practitioners_needed": 256,
   "state_minimum_wage": 7.25,
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   "rank": 25
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   "area": "16700",
   "metro": "Charleston-North Charleston, SC",
   "state": "SC",
   "care_wage": 17.68,
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   "state_pct_need_met": 0.3072,
   "state_practitioners_needed": 201,
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   "area": "37460",
   "metro": "Panama City-Panama City Beach, FL",
   "state": "FL",
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   "area": "47580",
   "metro": "Warner Robins, GA",
   "state": "GA",
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   "area": "38940",
   "metro": "Port St. Lucie, FL",
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   "area": "45300",
   "metro": "Tampa-St. Petersburg-Clearwater, FL",
   "state": "FL",
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   "area": "15980",
   "metro": "Cape Coral-Fort Myers, FL",
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   "area": "22180",
   "metro": "Fayetteville, NC",
   "state": "NC",
   "care_wage": 16.28,
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   "state_hpsa_population": 4269267,
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   "state_practitioners_needed": 256,
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   "area": "34980",
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   "state": "TN",
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   "index_score": 58.4,
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   "state_hpsa_population": 3143942,
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   "area": "16740",
   "metro": "Charlotte-Concord-Gastonia, NC-SC",
   "state": "NC",
   "care_wage": 17.99,
   "care_emp": 30810,
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   "index_score": 55.6,
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   "state_hpsa_population": 4269267,
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   "area": "20020",
   "metro": "Dothan, AL",
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   "care_wage": 13.8,
   "care_emp": 2080,
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   "state_practitioners_needed": 128,
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   "area": "31420",
   "metro": "Macon-Bibb County, GA",
   "state": "GA",
   "care_wage": 15.46,
   "care_emp": 3590,
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   "hours_for_rent": 57.6,
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   "competition_percentile": 49.4,
   "index_score": 55.6,
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   "state_hpsa_designations": 92,
   "state_hpsa_population": 5065892,
   "state_pct_need_met": 0.4531,
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   "state_minimum_wage": 7.25,
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   "area": "42340",
   "metro": "Savannah, GA",
   "state": "GA",
   "care_wage": 16.74,
   "care_emp": 3780,
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   "all_occ_median": 22.71,
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   "hours_for_rent": 70.4,
   "wage_gap": 2.21,
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   "state_pct_need_met": 0.4531,
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   "state_minimum_wage": 7.25,
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   "area": "43900",
   "metro": "Spartanburg, SC",
   "state": "SC",
   "care_wage": 16.29,
   "care_emp": 5130,
   "floor_wage": 14.88,
   "all_occ_median": 22.91,
   "fmr_1br": 1083,
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   "hours_for_rent": 51.2,
   "wage_gap": 1.4,
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   "affordability_percentile": 38.2,
   "competition_percentile": 71.9,
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   "band": "Strained",
   "state_hpsa_designations": 86,
   "state_hpsa_population": 4434925,
   "state_pct_need_met": 0.3072,
   "state_practitioners_needed": 201,
   "state_minimum_wage": 7.25,
   "state_minimum_wage_note": "no state minimum; federal $7.25 applies",
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   "area": "13980",
   "metro": "Blacksburg-Christiansburg-Radford, VA",
   "state": "VA",
   "care_wage": 16.13,
   "care_emp": 1950,
   "floor_wage": 15.01,
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   "fmr_1br": 993,
   "fmr_area": "Blacksburg-Christiansburg-Radford, VA HUD Metro FMR Area",
   "fmr_basis": "HUD metro-wide FMR area",
   "hours_for_rent": 47.4,
   "wage_gap": 1.12,
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   "affordability_percentile": 24.7,
   "competition_percentile": 84.3,
   "index_score": 54.5,
   "band": "Manageable",
   "state_hpsa_designations": 128,
   "state_hpsa_population": 2605394,
   "state_pct_need_met": 0.2244,
   "state_practitioners_needed": 158,
   "state_minimum_wage": 12.77,
   "state_minimum_wage_note": "state minimum $12.77",
   "state_dsp_turnover_pct": null,
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   "area": "23460",
   "metro": "Gadsden, AL",
   "state": "AL",
   "care_wage": 14.01,
   "care_emp": 1090,
   "floor_wage": 13.22,
   "all_occ_median": 17.63,
   "fmr_1br": 792,
   "fmr_area": "Gadsden, AL MSA",
   "fmr_basis": "HUD metro-wide FMR area",
   "hours_for_rent": 43.5,
   "wage_gap": 0.79,
   "gap_pct": 6.0,
   "affordability_percentile": 14.6,
   "competition_percentile": 92.1,
   "index_score": 53.4,
   "band": "Manageable",
   "state_hpsa_designations": 67,
   "state_hpsa_population": 2934202,
   "state_pct_need_met": 0.284,
   "state_practitioners_needed": 128,
   "state_minimum_wage": 7.25,
   "state_minimum_wage_note": "no state minimum; federal $7.25 applies",
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   "rank": 40
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   "area": "33860",
   "metro": "Montgomery, AL",
   "state": "AL",
   "care_wage": 15.11,
   "care_emp": 4200,
   "floor_wage": 14.12,
   "all_occ_median": 21.61,
   "fmr_1br": 870,
   "fmr_area": "Montgomery, AL MSA",
   "fmr_basis": "HUD metro-wide FMR area",
   "hours_for_rent": 44.3,
   "wage_gap": 0.99,
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   "affordability_percentile": 18.0,
   "competition_percentile": 87.6,
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   "band": "Manageable",
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   "state_pct_need_met": 0.284,
   "state_practitioners_needed": 128,
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   "area": "36100",
   "metro": "Ocala, FL",
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   "area": "39460",
   "metro": "Punta Gorda, FL",
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   "area": "17300",
   "metro": "Clarksville, TN-KY",
   "state": "TN",
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   "index_score": 51.7,
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   "area": "27260",
   "metro": "Jacksonville, FL",
   "state": "FL",
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   "area": "46660",
   "metro": "Valdosta, GA",
   "state": "GA",
   "care_wage": 14.69,
   "care_emp": 1450,
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   "state_practitioners_needed": 174,
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  {
   "area": "48680",
   "metro": "Wildwood-The Villages, FL",
   "state": "FL",
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  {
   "area": "15260",
   "metro": "Brunswick-St. Simons, GA",
   "state": "GA",
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   "floor_wage": 14.07,
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   "area": "36740",
   "metro": "Orlando-Kissimmee-Sanford, FL",
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   "area": "46220",
   "metro": "Tuscaloosa, AL",
   "state": "AL",
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   "area": "19460",
   "metro": "Decatur, AL",
   "state": "AL",
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   "area": "38240",
   "metro": "Pinehurst-Southern Pines, NC",
   "state": "NC",
   "care_wage": 16.42,
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   "state_hpsa_population": 4269267,
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   "area": "35840",
   "metro": "North Port-Bradenton-Sarasota, FL",
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   "area": "37340",
   "metro": "Palm Bay-Melbourne-Titusville, FL",
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   "area": "12260",
   "metro": "Augusta-Richmond County, GA-SC",
   "state": "GA",
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   "care_emp": 7040,
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   "index_score": 48.3,
   "band": "Manageable",
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   "state_hpsa_population": 5065892,
   "state_pct_need_met": 0.4531,
   "state_practitioners_needed": 174,
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   "area": "19660",
   "metro": "Deltona-Daytona Beach-Ormond Beach, FL",
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   "care_wage": 17.73,
   "care_emp": 6260,
   "floor_wage": 15.59,
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   "hours_for_rent": 60.1,
   "wage_gap": 2.14,
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   "affordability_percentile": 70.8,
   "competition_percentile": 25.8,
   "index_score": 48.3,
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   "state_hpsa_population": 9871089,
   "state_pct_need_met": 0.2487,
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   "state_minimum_wage": 14.0,
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   "area": "48900",
   "metro": "Wilmington, NC",
   "state": "NC",
   "care_wage": 17.07,
   "care_emp": 5770,
   "floor_wage": 14.75,
   "all_occ_median": 22.02,
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   "fmr_area": "Wilmington, NC HUD Metro FMR Area",
   "fmr_basis": "HUD metro-wide FMR area",
   "hours_for_rent": 68.2,
   "wage_gap": 2.32,
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   "affordability_percentile": 83.1,
   "competition_percentile": 13.5,
   "index_score": 48.3,
   "band": "Manageable",
   "state_hpsa_designations": 218,
   "state_hpsa_population": 4269267,
   "state_pct_need_met": 0.1252,
   "state_practitioners_needed": 256,
   "state_minimum_wage": 7.25,
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   "rank": 57
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   "area": "12020",
   "metro": "Athens-Clarke County, GA",
   "state": "GA",
   "care_wage": 15.59,
   "care_emp": 2470,
   "floor_wage": 13.5,
   "all_occ_median": 19.82,
   "fmr_1br": 1183,
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   "hours_for_rent": 58.4,
   "wage_gap": 2.09,
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   "affordability_percentile": 66.3,
   "competition_percentile": 29.2,
   "index_score": 47.8,
   "band": "Manageable",
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   "state_hpsa_population": 5065892,
   "state_pct_need_met": 0.4531,
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   "area": "10500",
   "metro": "Albany, GA",
   "state": "GA",
   "care_wage": 14.8,
   "care_emp": 1850,
   "floor_wage": 13.08,
   "all_occ_median": 20.97,
   "fmr_1br": 1006,
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   "hours_for_rent": 52.3,
   "wage_gap": 1.72,
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   "affordability_percentile": 40.4,
   "competition_percentile": 53.9,
   "index_score": 47.2,
   "band": "Manageable",
   "state_hpsa_designations": 92,
   "state_hpsa_population": 5065892,
   "state_pct_need_met": 0.4531,
   "state_practitioners_needed": 174,
   "state_minimum_wage": 7.25,
   "state_minimum_wage_note": "state minimum $5.15 for employers of 6 or more; FLSA-covered employers pay federal $7.25",
   "state_dsp_turnover_pct": 33.6,
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   "area": "40220",
   "metro": "Roanoke, VA",
   "state": "VA",
   "care_wage": 16.44,
   "care_emp": 5220,
   "floor_wage": 14.84,
   "all_occ_median": 22.67,
   "fmr_1br": 1053,
   "fmr_area": "Roanoke, VA HUD Metro FMR Area",
   "fmr_basis": "HUD metro-wide FMR area",
   "hours_for_rent": 49.3,
   "wage_gap": 1.6,
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   "affordability_percentile": 31.5,
   "competition_percentile": 61.8,
   "index_score": 46.6,
   "band": "Manageable",
   "state_hpsa_designations": 128,
   "state_hpsa_population": 2605394,
   "state_pct_need_met": 0.2244,
   "state_practitioners_needed": 158,
   "state_minimum_wage": 12.77,
   "state_minimum_wage_note": "state minimum $12.77",
   "state_dsp_turnover_pct": null,
   "rank": 60
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   "area": "22500",
   "metro": "Florence, SC",
   "state": "SC",
   "care_wage": 15.58,
   "care_emp": 4160,
   "floor_wage": 14.01,
   "all_occ_median": 20.93,
   "fmr_1br": 953,
   "fmr_area": "Florence, SC HUD Metro FMR Area",
   "fmr_basis": "HUD metro-wide FMR area",
   "hours_for_rent": 47.1,
   "wage_gap": 1.57,
   "gap_pct": 11.2,
   "affordability_percentile": 23.6,
   "competition_percentile": 65.2,
   "index_score": 44.4,
   "band": "Manageable",
   "state_hpsa_designations": 86,
   "state_hpsa_population": 4434925,
   "state_pct_need_met": 0.3072,
   "state_practitioners_needed": 201,
   "state_minimum_wage": 7.25,
   "state_minimum_wage_note": "no state minimum; federal $7.25 applies",
   "state_dsp_turnover_pct": 39.4,
   "rank": 61
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   "area": "22520",
   "metro": "Florence-Muscle Shoals, AL",
   "state": "AL",
   "care_wage": 14.39,
   "care_emp": 1370,
   "floor_wage": 13.25,
   "all_occ_median": 19.1,
   "fmr_1br": 775,
   "fmr_area": "Florence-Muscle Shoals, AL MSA",
   "fmr_basis": "HUD metro-wide FMR area",
   "hours_for_rent": 41.4,
   "wage_gap": 1.14,
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   "affordability_percentile": 5.6,
   "competition_percentile": 83.1,
   "index_score": 44.4,
   "band": "Manageable",
   "state_hpsa_designations": 67,
   "state_hpsa_population": 2934202,
   "state_pct_need_met": 0.284,
   "state_practitioners_needed": 128,
   "state_minimum_wage": 7.25,
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   "rank": 62
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   "area": "15500",
   "metro": "Burlington, NC",
   "state": "NC",
   "care_wage": 17.01,
   "care_emp": 1950,
   "floor_wage": 14.9,
   "all_occ_median": 21.16,
   "fmr_1br": 1230,
   "fmr_area": "Burlington, NC MSA",
   "fmr_basis": "HUD metro-wide FMR area",
   "hours_for_rent": 55.6,
   "wage_gap": 2.11,
   "gap_pct": 14.2,
   "affordability_percentile": 56.2,
   "competition_percentile": 27.0,
   "index_score": 41.6,
   "band": "Manageable",
   "state_hpsa_designations": 218,
   "state_hpsa_population": 4269267,
   "state_pct_need_met": 0.1252,
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   "area": "42680",
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   "area": "25860",
   "metro": "Hickory-Lenoir-Morganton, NC",
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   "area": "44940",
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   "area": "20500",
   "metro": "Durham-Chapel Hill, NC",
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   "area": "27180",
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   "area": "40580",
   "metro": "Rocky Mount, NC",
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   "metro": "Gainesville, GA",
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   "area": "16860",
   "metro": "Chattanooga, TN-GA",
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   "metro": "Knoxville, TN",
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   "area": "28700",
   "metro": "Kingsport-Bristol, TN-VA",
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   "area": "31340",
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   "area": "11500",
   "metro": "Anniston-Oxford, AL",
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   "state_minimum_wage": 7.25,
   "state_minimum_wage_note": "no state minimum; federal $7.25 applies",
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   "area": "34100",
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   "area": "49180",
   "metro": "Winston-Salem, NC",
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   "care_emp": 8790,
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   "area": "27340",
   "metro": "Jacksonville, NC",
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   "index_score": 20.2,
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   "state_minimum_wage": 7.25,
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   "area": "17420",
   "metro": "Cleveland, TN",
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   "wage_gap": 2.23,
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   "index_score": 18.0,
   "band": "Workable",
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   "area": "17980",
   "metro": "Columbus, GA-AL",
   "state": "GA",
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   "care_emp": 3240,
   "floor_wage": 12.94,
   "all_occ_median": 20.93,
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   "hours_for_rent": 46.5,
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   "competition_percentile": 9.0,
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   "area": "42700",
   "metro": "Sebring, FL",
   "state": "FL",
   "care_wage": 16.85,
   "care_emp": 900,
   "floor_wage": 14.44,
   "all_occ_median": 19.42,
   "fmr_1br": 1006,
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   "hours_for_rent": 45.9,
   "wage_gap": 2.41,
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   "affordability_percentile": 20.2,
   "competition_percentile": 11.2,
   "index_score": 15.7,
   "band": "Workable",
   "state_hpsa_designations": 239,
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   "state_practitioners_needed": 545,
   "state_minimum_wage": 14.0,
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   "area": "40660",
   "metro": "Rome, GA",
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  {
   "area": "27740",
   "metro": "Johnson City, TN",
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  },
  {
   "area": "19140",
   "metro": "Dalton, GA",
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  {
   "area": "24780",
   "metro": "Greenville, NC",
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   "state_practitioners_needed": 256,
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  },
  {
   "area": "24140",
   "metro": "Goldsboro, NC",
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   "hours_for_rent": 39.5,
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   "state_practitioners_needed": 256,
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 ],
 "states": [
  {
   "state": "FL",
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   "minimum_wage_note": "state minimum $14.00",
   "dsp_turnover_pct": null
  },
  {
   "state": "GA",
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   "minimum_wage": 7.25,
   "minimum_wage_note": "state minimum $5.15 for employers of 6 or more; FLSA-covered employers pay federal $7.25",
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  },
  {
   "state": "VA",
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   "practitioners_needed": 158,
   "minimum_wage": 12.77,
   "minimum_wage_note": "state minimum $12.77",
   "dsp_turnover_pct": null
  },
  {
   "state": "NC",
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   "wage_gap": 2.1,
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   "minimum_wage": 7.25,
   "minimum_wage_note": "state minimum equals federal $7.25",
   "dsp_turnover_pct": 23.9
  },
  {
   "state": "SC",
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   "minimum_wage": 7.25,
   "minimum_wage_note": "no state minimum; federal $7.25 applies",
   "dsp_turnover_pct": 39.4
  },
  {
   "state": "TN",
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   "minimum_wage_note": "no state minimum; federal $7.25 applies",
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  },
  {
   "state": "AL",
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   "practitioners_needed": 128,
   "minimum_wage": 7.25,
   "minimum_wage_note": "no state minimum; federal $7.25 applies",
   "dsp_turnover_pct": 40.6
  }
 ]
}