SD · Healthcare shortage profile
Sully County, SD
Peak severity leads this reading: Sully County's highest active HPSA score is 19.0, clearing HRSA's 17-point high-priority line. Population 1,446.
- Active HPSAs
- 2
- Population
- 1,446
- Peak shortage score
- 19.0
- MUA Index
- 56.5
Light-burden verdict
According to current HRSA Data Warehouse records, Sully County carries a comparatively light shortage burden - 2 active HPSA designations, more than 10% of the 3,289 real US counties, with primary care the deepest gap.
- 2
- Active HPSA designations
- 1
- Mental-health shortages
- 19
- Peak severity score (of 26)
- Top 90%
- US counties by volume
Few Census ZCTAs touch Sully County
The Census ZCTA-county crosswalk lists only 6 ZIP Code Tabulation Areas intersecting Sully County, a sparse footprint relative to most US counties in this mirror (at or below the 9-ZIP tercile cut).
Intersecting ZCTA
1 additional ZCTA 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.
Key findings
What the HRSA Data Warehouse does not surface for Sully County, SD 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 19.0 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 Sully County's active designations would take about 2.6 additional clinician FTEs, with mental health the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 1.1 primary care, 1.5 mental health. This is the federal gap estimate, not a headcount of practising clinicians.
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50% of Sully County's 2 active designations are primary care.
Discipline mix from designated HPSA records only: 1 primary care, 1 mental health, 0 dental (denominator 2).
Sully County vs. every real US county
Total active HPSA designations, including counties with none
2 Top 90% higher than 10% 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. Sully County falls in the lower half of SD counties by active-designation volume, at rank 45 of 66. Ties share a rank; the comparison uses the same current designated records as the national chart.
Healthcare shortage designations from HRSA. FIPS: 46119. Population: 1,446.
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 2 active (designated) HPSAs in Sully County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| Capital Area Counseling Services Mhca | mental_health | 19.0 |
| Potter/Sully Counties | primary_care | 15.0 |
Light-burden reading for Sully County
Peak severity leads this reading: Sully County's highest active HPSA score is 19.0, clearing HRSA's 17-point high-priority line. Sully County's severest measured gap is in mental health, scored 19.0 of 25, 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. The county also sits inside a Medically Underserved Area, indexed at 56.5, and the lower the index, the greater the measured need.
Sully County carries 2 active designations and sits below the national mid-pack (above 10% 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.
Sully County falls in the lower half of SD counties by active-designation volume, at rank 45 of 66. 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 Sully County
HRSA providers_needed summed once per HPSA id for Sully County's active designations: about 2.6 FTE, a federal gap estimate, not a headcount of practising clinicians.
Acting on Sully County's high-priority mental health
Sully County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- Sully County's high-priority mental health designations are where NHSC placement geography concentrates, estimate the award and service terms. NHSC estimator
- See how the county's mental health burden compares with the rest of SD before drawing conclusions from a single score. SD 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 Sully County's mental score of 19.0
One peer set for this severity-led county: nearest active mental HPSA score to 19.0 (severity lead on this page is “Capital Area Counseling Services MHCA”).
Lake County, IN
19.0 mental score · 498,700 pop.
Hamilton County, IN
19.0 mental score · 347,467 pop.
Calcasieu County, LA
19.0 mental score · 216,785 pop.
Saginaw County, MI
19.0 mental score · 190,124 pop.
Black Hawk County, IA
19.0 mental score · 131,144 pop.
Dubuque County, IA
19.0 mental score · 99,266 pop.
Frequently Asked Questions
- Does Sully County's MUA standing sit beside its HPSA records?
- Yes - Sully County carries an MUA designation (index 56.5; 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 Sully County's peak score of 19.0?
- "Capital Area Counseling Services MHCA" leads the active set (score 19.0; mental health; 30,647 people in the service area; ~1.5 FTE still needed on the record; designated 07/18/2018). Clearing 17 opens NHSC high-priority placement for the matching provider type on the designated geography. Discipline mix across 2 active rows: 1 primary care, 1 mental health, 0 dental.
- Which other active designations sit under Sully County's severity reading?
- After "Capital Area Counseling Services MHCA", the next active names on this release are "Capital Area Counseling Services MHCA" and "Potter/Sully Counties". Provider need (id-de-duped) totals ~2.6 FTE across disciplines that still carry a gap.
Source: HRSA Data Warehouse. FIPS: 46119. This county’s designations come from BCD_HPSA_FCT_DET_PC.csv (primary care) and BCD_HPSA_FCT_DET_MH.csv (mental health) — 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 46119 (Sully County, SD), vintage 2026-08-15. Active designation count 2; peak score 19.0; signature peak score 19.0. This profile is reference material, not professional advice; see methodology.