MI · Healthcare shortage profile
Sanilac County, MI
Designation volume is the standout signal for Sanilac County: 18 active HPSA records, above 94% of real US counties. Population 40,611.
- Active HPSAs
- 18
- Population
- 40,611
- Peak shortage score
- 15.0
- MUA Index
- 56.1
Heavy-burden verdict
According to current HRSA Data Warehouse records, Sanilac County ranks among the most underserved counties in the country - 18 active HPSA designations, more than 94% of the 3,289 real US counties, with primary care the deepest gap.
- 18
- Active HPSA designations
- 6
- Primary-care shortages
- 15
- Peak severity score (of 26)
- Top 6%
- US counties by volume
Key findings
What the HRSA Data Warehouse does not surface for Sanilac County, MI 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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Closing Sanilac County's active designations would take about 6.9 additional clinician FTEs, with primary care the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 3.6 primary care, 0.7 mental health, 2.6 dental. This is the federal gap estimate, not a headcount of practising clinicians.
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33.3% of Sanilac County's 18 active designations are primary care.
Discipline mix from designated HPSA records only: 6 primary care, 6 mental health, 6 dental (denominator 18).
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Peak HPSA score 15.0 sits below HRSA's 17-point high-priority line.
Below-17 designations still count as shortages for program geography, but they do not clear the high-priority NHSC placement threshold on this release.
Dense ZCTA lattice over Sanilac County
Sanilac County intersects 23 Census ZCTAs, above the 15-ZIP dense-tercile cut. Shortage designations still attach at the county (or smaller HPSA) grain; the ZIP list is geography, not a second severity score.
Largest land-share ZCTAs in this county
11 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.
Corpus placement
Designated volume without a high-priority score
According to current HRSA Data Warehouse records, Sanilac County carries 18 active designations, above 94% of real US counties. None of those scores clear HRSA's high-priority line of 17 on this release, so the page leads with severity reading rather than a national distribution chart.
State peer position. Sanilac County falls in the upper quarter of MI counties by active-designation volume, at rank 13 of 83. Ties share a rank.
Computed from current designated HPSA rows for every five-digit county FIPS. See the placement methodology.
Healthcare shortage designations from HRSA. FIPS: 26151. Population: 40,611.
Below high-priority line
Sanilac County is designated, but no active score clears 17
18 active designations sit on this FIPS (6 primary care, 6 mental health, 6 dental), and the peak severity is 15.0. That is a formal shortage footprint without HRSA's high-priority (≥17) tier, so NHSC placement geography is usually weaker here than on counties whose lead score clears the line.
Medically Underserved Area
Peak severity 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 18 active (designated) HPSAs in Sanilac County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| LI - Sanilac County | primary_care | 15.0 |
| Deckerville Healthcare Services Inc | dental | 15.0 |
| LI-Sanilac County | dental | 15.0 |
| Marlette Family Healthcare | dental | 15.0 |
| Mckenzie Health & Wellness | dental | 15.0 |
| Family Healthcare OF Brown City | dental | 15.0 |
| Mckenzie Rural Health Clinic | dental | 15.0 |
| Mckenzie Rural Health Clinic | primary_care | 14.0 |
| Deckerville Healthcare Services Inc | primary_care | 14.0 |
| Marlette Family Healthcare | primary_care | 14.0 |
| Mckenzie Health & Wellness | primary_care | 14.0 |
| Family Healthcare OF Brown City | primary_care | 14.0 |
| Marlette Family Healthcare | mental_health | 14.0 |
| Mckenzie Rural Health Clinic | mental_health | 14.0 |
| Family Healthcare OF Brown City | mental_health | 14.0 |
| Mckenzie Health & Wellness | mental_health | 13.0 |
| Deckerville Healthcare Services Inc | mental_health | 12.0 |
| Sanilac County | mental_health | 11.0 |
Heavy-burden reading for Sanilac County
Designation volume is the standout signal for Sanilac County: 18 active HPSA records, above 94% of real US counties. Sanilac County's shortage runs equally deep in primary care and dental care: both scored 15.0 by HRSA, still short of the 17-point priority line, though the designation itself is formal. Mental health reads 14.0 of 25. The county also sits inside a Medically Underserved Area, indexed at 56.1, and the lower the index, the greater the measured need.
Volume places Sanilac County above 94% of real US counties (18 active designations: 6 primary care, 6 mental health, 6 dental). Peak severity on the current designated set is 15.0. The table on this page lists the highest-severity records first so a reader can see which named facilities, geographies, or population groups drive that burden without treating the county total as a personal appointment forecast.
Sanilac County falls in the upper quarter of MI counties by active-designation volume, at rank 13 of 83. Heavy-burden counties are where NHSC placement, Community Health Center grant geography, and related federal instruments concentrate; eligibility still follows the designated area and provider type, not the county boundary alone.
Heavy-volume FTE gap in Sanilac County
HRSA providers_needed summed once per HPSA id for Sanilac County's active designations: about 6.9 FTE, a federal gap estimate, not a headcount of practising clinicians.
High-volume peers of Sanilac County (18 active)
One peer set for this volume-led county: nearest active designation count to 18 across the national corpus.
Frequently Asked Questions
- Does Sanilac County's MUA standing sit beside its HPSA records?
- Yes - Sanilac County carries an MUA designation (index 56.1; lower = greater measured need) in addition to its HPSA rows. MUA and HPSA are separate HRSA tracks; both can open different federal pathways.
- What makes up Sanilac County's 18 active HPSA designations?
- 18 Designated rows (6 primary care, 6 mental health, 6 dental). Highest-scored name on this release: "LI - Sanilac County" (score 15.0; primary care; 3,244 people in the service area; ~3.6 FTE still needed on the record; designated 03/17/2022). Also active: "DECKERVILLE HEALTHCARE SERVICES INC", "LI-Sanilac County", "MARLETTE FAMILY HEALTHCARE". Above 94% of real US counties by volume.
- What does volume-plus-score look like for Sanilac County?
- Peak active score 15.0 in primary care and dental care stays under the 17-point line while volume sits at 18 rows.
- What clinician need sits behind Sanilac County's designation volume?
- Closing published gaps would take about 6.9 additional clinician FTEs (id-de-duped providers_needed). "LI - Sanilac County" is the severity lead inside that inventory.
- Which federal programs follow Sanilac County's designation volume?
- 18 active designations can open NHSC placement, CHC grants, Medicare bonus and J-1 waivers, by designated area and provider type, not by county line alone.
- How does Sanilac County's volume compare inside MI?
- 18 active HPSA rows · peak 15.0. Sanilac County falls in the upper quarter of MI counties by active-designation volume, at rank 13 of 83. Score-nearest counties on this release include Hampshire County, MA and Ascension County, LA.
Source: HRSA Data Warehouse. FIPS: 26151. 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 26151 (Sanilac County, MI), vintage 2026-08-15. Active designation count 18; peak score 15.0; signature 18 active designations. This profile is reference material, not professional advice; see methodology.