This report examines comparative data for 10 rural counties in New York to identify challenges faced by these communities and others like them, as well as opportunities. Population, employment, housing and other trends were considered, and these findings can be used as a baseline from which future trends can be measured. The median age of people living in these 10 rural counties increased at nearly twice the rate of the State between 2011 and 2021 while simultaneously population numbers declined. In some areas, accessing employment, health care, food, educational opportunities and services can be difficult.