Rural Tioga County sprawls across more than 1,100 square miles along the New York border in the north-central section of Pennsylvania. It suffers from high unemployment, low income and high rates of chronic disease. It also has far fewer employers than do most urban sections of the state, and most businesses are too small to offer health insurance to their employees. As a result Tioga has a higher percentage of uninsured (35.6%) residents than any other county in the state.