MT · Healthcare shortage profile
Hill County, MT
Designation volume is the standout signal for Hill County: 12 active HPSA records, above 85% of real US counties. Population 16,309.
- Active HPSAs
- 12
- Population
- 16,309
- Peak shortage score
- 21.0
- MUA Index
- MUA
Heavy-burden verdict
According to current HRSA Data Warehouse records, Hill County ranks among the most underserved counties in the country - 12 active HPSA designations, more than 85% of the 3,289 real US counties, with primary care the deepest gap.
- 12
- Active HPSA designations
- 4
- Mental-health shortages
- 21
- Peak severity score (of 26)
- Top 15%
- US counties by volume
Key findings
What the HRSA Data Warehouse does not surface for Hill County, MT 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 21.0 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 Hill County's active designations would take about 5.8 additional clinician FTEs, with mental health the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 0.8 primary care, 4 mental health, 0.9 dental. This is the federal gap estimate, not a headcount of practising clinicians.
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33.3% of Hill County's 12 active designations are primary care.
Discipline mix from designated HPSA records only: 4 primary care, 4 mental health, 4 dental (denominator 12).
Hill County's mid-pack ZIP footprint
10 Census ZCTAs intersect Hill 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.
Hill County vs. every real US county
Total active HPSA designations, including counties with none
12 Top 15% higher than 85% 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. Hill County falls in the upper quarter of MT counties by active-designation volume, at rank 6 of 56. Ties share a rank; the comparison uses the same current designated records as the national chart.
Healthcare shortage designations from HRSA. FIPS: 30041. Population: 16,309.
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 12 active (designated) HPSAs in Hill County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| North-Central Montana | mental_health | 21.0 |
| Bullhook Community Health Center, Inc. | dental | 21.0 |
| Bullhook Community Health Center, Inc. | primary_care | 19.0 |
| Northern Montana Specialty Medical Center | mental_health | 17.0 |
| Northern Montana Family Medical Center | mental_health | 17.0 |
| Northern Montana Family Medical Center | dental | 17.0 |
| Northern Montana Specialty Medical Center | dental | 17.0 |
| Northern Montana Specialty Medical Center | primary_care | 16.0 |
| Northern Montana Family Medical Center | primary_care | 16.0 |
| Bullhook Community Health Center, Inc. | mental_health | 15.0 |
| LI-Hill/Blaine Counties | primary_care | 13.0 |
| LI - Blaine/Hill Counties | dental | 13.0 |
Heavy-burden reading for Hill County
Designation volume is the standout signal for Hill County: 12 active HPSA records, above 85% of real US counties. Hill County's shortage runs equally deep in mental health and dental care: both scored 21.0 by HRSA, past the 17-point line HRSA uses to open National Health Service Corps placement and enhanced Medicare reimbursement. Primary care reads 19.0 of 25. The county also sits inside a Medically Underserved Area, a separate HRSA designation from the HPSA records above.
Volume places Hill County above 85% of real US counties (12 active designations: 4 primary care, 4 mental health, 4 dental). Peak severity on the current designated set is 21.0. 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.
Hill County falls in the upper quarter of MT counties by active-designation volume, at rank 6 of 56. 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 Hill County
HRSA providers_needed summed once per HPSA id for Hill County's active designations: about 5.8 FTE, a federal gap estimate, not a headcount of practising clinicians.
Source: HRSA Data Warehouse, Health Professional Shortage Areas (HPSA) + Medically Underserved Areas/Populations (MUA/P) HPSA primary-care, mental-health, and dental designations for Hill County, MT · 2026 HRSA designation data updated quarterly; HPSA scores 0-25 (primary/mental) and 0-26 (dental); higher = greater shortage severity. Coverage tiers from U.S. Census ACS PUMS + KFF state tracker.
Acting on a heavy-burden county
Hill County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- Hill County's 12 active designations make providers here eligible for National Health Service Corps loan repayment, estimate the award and service terms. NHSC estimator
- See how the county's primary care burden compares with the rest of MT before you draw conclusions from a single score. MT overview
- Check whether an area clears HRSA's 3,500:1 population-to-provider threshold with the provider-to-population ratio behind an HPSA score. 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 With a Similar Mental Health Shortage Score
Other U.S. counties whose active HRSA mental-health HPSA score is closest to Hill County's 21.0. This compares the designation score only, not local appointment availability or care quality. Start with Winnebago County, IL and King County, WA.
Showing 6 of 3081 counties nationally with an active designation this severe.
High-volume peers of Hill County (12 active)
One peer set for this volume-led county: nearest active designation count to 12 across the national corpus.
Frequently Asked Questions
- Does Hill County's MUA standing sit beside its HPSA records?
- Yes - Hill County carries an MUA designation in addition to its HPSA rows. MUA and HPSA are separate HRSA tracks; both can open different federal pathways.
- What makes up Hill County's 12 active HPSA designations?
- 12 Designated rows (4 primary care, 4 mental health, 4 dental). Highest-scored name on this release: "North-Central Montana" (score 21.0; mental health; 60,533 people in the service area; ~4 FTE still needed on the record; designated 05/18/1994). Also active: "Bullhook Community Health Center, Inc.", "Bullhook Community Health Center, Inc.", "NORTHERN MONTANA SPECIALTY MEDICAL CENTER". Above 85% of real US counties by volume.
- What does volume-plus-score look like for Hill County?
- Peak active score 21.0 in mental health and dental care clears the 17-point line while volume sits at 12 rows.
- What clinician need sits behind Hill County's designation volume?
- Closing published gaps would take about 5.8 additional clinician FTEs (id-de-duped providers_needed). "North-Central Montana" is the severity lead inside that inventory.
- Which federal programs follow Hill County's designation volume?
- 12 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 Hill County's volume compare inside MT?
- 12 active HPSA rows · peak 21.0. Hill County falls in the upper quarter of MT counties by active-designation volume, at rank 6 of 56. Score-nearest counties on this release include Winnebago County, IL and King County, WA.
Source: HRSA Data Warehouse. FIPS: 30041. 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 30041 (Hill County, MT), vintage 2026-08-15. Active designation count 12; peak score 21.0; signature 12 active designations. This profile is reference material, not professional advice; see methodology.