I know this is an older post, but if you're still checking it, come to horse country in Columbia county. There is still an active Hunt CLub here.
It's 35 minutes from the northern part of the county to the Albany Airport on I-90.
Hospital- Columbia Memorial in Hudson is in the center of the couny, Albany Med Center in Albany
Shopping- groceries and Walmart(in Hudson) but for the mall you'd need to drive to Albany.
Check out
www.sleepyhollowriding club.com
A local riding club with adult horse owner members - I'm one of the founders