AL · Healthcare shortage profile
Franklin County, AL
Peak severity leads this reading: Franklin County's highest active HPSA score is 17.0, clearing HRSA's 17-point high-priority line. Population 32,113.
- Active HPSAs
- 3
- Population
- 32,113
- Peak shortage score
- 17.0
- MUA Index
- 59.1
Light-burden verdict
According to current HRSA Data Warehouse records, Franklin County carries a comparatively light shortage burden - 3 active HPSA designations, more than 20% of the 3,289 real US counties, with primary care the deepest gap.
- 3
- Active HPSA designations
- 1
- Dental shortages
- 17
- Peak severity score (of 26)
- Top 80%
- US counties by volume
Key findings
What the HRSA Data Warehouse does not surface for Franklin County, AL on its own pages , computed from the retained designation mirror as of 2026-08-15. Each line carries its own denominator so it can be quoted as it stands.
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Peak HPSA score 17.0 clears HRSA's 17-point high-priority line.
Scores at or above 17 on the 0–25/26 scales open NHSC placement priority for the matching provider type; eligibility still follows the designated area, not the county boundary alone.
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Closing Franklin County's active designations would take about 13 additional clinician FTEs, with mental health the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 2.9 primary care, 6.7 mental health, 3.1 dental. This is the federal gap estimate, not a headcount of practising clinicians.
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33.3% of Franklin County's 3 active designations are primary care.
Discipline mix from designated HPSA records only: 1 primary care, 1 mental health, 1 dental (denominator 3).
Franklin County's mid-pack ZIP footprint
10 Census ZCTAs intersect Franklin County, between the 9 and 15 ZIP cuts across published counties: neither a postage-stamp footprint nor a metro-scale lattice.
Largest land-share ZCTAs
2 additional ZCTAs intersect this county in the crosswalk (ordered by land share).
Source: Census ZCTA–county relationship file joined to this portal's county FIPS set. As of 2026-08-15.
Franklin County vs. every real US county
Total active HPSA designations, including counties with none
3 Top 80% higher than 20% of 3,289 real US counties
Each bar is a band; taller bars hold more real US counties. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source HRSA Data Warehouse, designated HPSAs · 2026
State peer position. Franklin County falls in the upper half of AL counties by active-designation volume, at rank 29 of 67. Ties share a rank; the comparison uses the same current designated records as the national chart.
Healthcare shortage designations from HRSA. FIPS: 01059. Population: 32,113.
Medically Underserved Area
Active HPSA scores
Current designated records only. Scores range 0–25 (primary/mental health), 0–26 (dental). Higher = greater need. What counts as a high score?
Highest-severity HPSA designations
All 3 active (designated) HPSAs in Franklin County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| LI - Franklin County | dental | 17.0 |
| LI - Franklin County | primary_care | 15.0 |
| Riverbend Center Mhca 1 - Colbert/Franklin/Lauderdale Counties | mental_health | 12.0 |
Light-burden reading for Franklin County
Peak severity leads this reading: Franklin County's highest active HPSA score is 17.0, clearing HRSA's 17-point high-priority line. Dental care carries Franklin County's deepest shortage reading, 17.0 on HRSA's 0–26 dental scale, past the 17-point line HRSA uses to open National Health Service Corps placement and enhanced Medicare reimbursement. Primary care reads 15.0 of 25; Mental health reads 12.0 of 25. The county also sits inside a Medically Underserved Area, indexed at 59.1, and the lower the index, the greater the measured need.
Franklin County carries 3 active designations and sits below the national mid-pack (above 20% of counties). A light footprint still matters: a single high-score dental or mental-health record can open program geography even when the county total looks small next to heavy peers.
Franklin County falls in the upper half of AL counties by active-designation volume, at rank 29 of 67. Read the active scores and the deepest-care guide link below before collapsing this county into a "no shortage" story.
Light-volume FTE gap for Franklin County
HRSA providers_needed summed once per HPSA id for Franklin County's active designations: about 13 FTE, a federal gap estimate, not a headcount of practising clinicians.
Acting on Franklin County's high-priority dental care
Franklin County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- Franklin County's high-priority dental care designations are where NHSC placement geography concentrates, estimate the award and service terms. NHSC estimator
- See how the county's dental care burden compares with the rest of AL before drawing conclusions from a single score. AL overview
- Check the provider-to-population ratio behind an HPSA score against HRSA's designation thresholds. HPSA score lookup
HPSA scores describe shortage severity within HRSA's designation criteria, not the availability of any individual provider. For a specific appointment, contact a provider or your insurer; use HRSA's current tools to verify a designation.
Counties near Franklin County's dental score of 17.0
One peer set for this severity-led county: nearest active dental HPSA score to 17.0 (severity lead on this page is “LI - Franklin County”).
Wayne County, NY
17.0 dental score · 91,283 pop.
Talladega County, AL
17.0 dental score · 82,149 pop.
Christian County, KY
17.0 dental score · 72,748 pop.
Pitt County, NC
17.0 dental score · 170,243 pop.
Rowan County, NC
17.0 dental score · 146,875 pop.
Jasper County, MO
17.0 dental score · 122,761 pop.
Frequently Asked Questions
- Does Franklin County's MUA standing sit beside its HPSA records?
- Yes - Franklin County carries an MUA designation (index 59.1; lower = greater measured need) in addition to its HPSA rows. MUA and HPSA are separate HRSA tracks; both can open different federal pathways.
- Which record sets Franklin County's peak score of 17.0?
- "LI - Franklin County" leads the active set (score 17.0; dental; 1,184 people in the service area; ~3.1 FTE still needed on the record; designated 04/13/2023). Clearing 17 opens NHSC high-priority placement for the matching provider type on the designated geography. Discipline mix across 3 active rows: 1 primary care, 1 mental health, 1 dental.
- Which other active designations sit under Franklin County's severity reading?
- After "LI - Franklin County", the next active names on this release are "LI - Franklin County", "LI - Franklin County" and "Riverbend Center MHCA 1 - Colbert/Franklin/Lauderdale Counties". Provider need (id-de-duped) totals ~13 FTE across disciplines that still carry a gap.
Source: HRSA Data Warehouse. FIPS: 01059. This county’s designations come from BCD_HPSA_FCT_DET_PC.csv (primary care) , BCD_HPSA_FCT_DET_MH.csv (mental health) and BCD_HPSA_FCT_DET_DH.csv (dental) — download the normalized export on our open data page. PlainHealthAccess is not affiliated with HRSA or any government agency.
HRSA Data Warehouse HPSA + MUA/P records for FIPS 01059 (Franklin County, AL), vintage 2026-08-15. Active designation count 3; peak score 17.0; signature peak score 17.0. This profile is reference material, not professional advice; see methodology.