Belive it or not jews live outside of NY. Hospitals and nursing homes in those places take who is available and even in NY. Places like Suffolk County, Dutchess county getting an orthodox Rabbi might be difficult , so they take who is available.
Also must frum jews will not go into the Army, (Some Chabad I think will) so they appoint as chaplin the people who enlist who have “Rabbanical Ordination”