IL · Healthcare shortage profile
Madison County, IL
The clinician FTE gap is the sharpest number here: closing Madison County's active designations would take about 19 additional FTEs on HRSA's providers_needed estimate. Population 265,859.
- Active HPSAs
- 3
- Population
- 265,859
- Peak shortage score
- 16.0
- MUA Index
- 59.6
Light-burden verdict
According to current HRSA Data Warehouse records, Madison County carries a comparatively light shortage burden - 3 active HPSA designations, more than 20% of the 3,289 real US counties, with mental health the deepest gap.
- 3
- Active HPSA designations
- 2
- Mental-health shortages
- 16
- Peak severity score (of 26)
- Top 80%
- US counties by volume
Based on HRSA primary/mental/dental shortage severity, Medically Underserved Area status, and estimated unmet provider need -- not patient outcomes, insurance access, facility quality, or wait times.
Dense ZCTA lattice over Madison County
Madison County intersects 36 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
24 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.
Key findings
What the HRSA Data Warehouse does not surface for Madison County, IL 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 Madison County's active designations would take about 19 additional clinician FTEs, with mental health the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 8.7 primary care, 10 mental health. This is the federal gap estimate, not a headcount of practising clinicians.
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66.7% of Madison County's 3 active designations are mental health.
Discipline mix from designated HPSA records only: 1 primary care, 2 mental health, 0 dental (denominator 3).
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Peak HPSA score 16.0 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.
Corpus placement
Designated volume without a high-priority score
According to current HRSA Data Warehouse records, Madison County carries 3 active designations, above 20% 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. Madison County falls in the lower half of IL counties by active-designation volume, at rank 65 of 102. 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: 17119. Population: 265,859.
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 Madison County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| LI-Metro East | mental_health | 16.0 |
| LI-Madison County Urban North | primary_care | 14.0 |
| Alton Mental Health Center | mental_health | 8.0 |
Light-burden reading for Madison County
The clinician FTE gap is the sharpest number here: closing Madison County's active designations would take about 19 additional FTEs on HRSA's providers_needed estimate. Madison County's severest measured gap is in mental health, scored 16.0 of 25, still short of the 17-point priority line, though the designation itself is formal. Primary care reads 14.0 of 25. The county also sits inside a Medically Underserved Area, indexed at 59.6, and the lower the index, the greater the measured need.
Madison 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.
Madison County falls in the lower half of IL counties by active-designation volume, at rank 65 of 102. 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 Madison County
Signature reading: HRSA providers_needed sums to about 19 FTE across Madison County's active designations (once per HPSA id), a federal gap estimate, not practising headcount.
Counties with a matching designation count to Madison County's 3
One peer set for this FTE-led county: nearest active designation count to 3 - the inventory behind the ~19 FTE published need.
Frequently Asked Questions
- Does Madison County's MUA standing sit beside its HPSA records?
- Yes - Madison County carries an MUA designation (index 59.6; lower = greater measured need) in addition to its HPSA rows. MUA and HPSA are separate HRSA tracks; both can open different federal pathways.
- Where is the largest clinician FTE gap inside Madison County?
- Id-de-duped providers_needed across active HPSAs totals ~19 FTE, with mental health the largest slice (10). "LI-Metro East" is the highest-scored active row (score 16.0; mental health; 6,048 people in the service area; ~10 FTE still needed on the record; designated 02/19/2026). This is HRSA's published gap, not a headcount of practising clinicians.
- Which named designations drive Madison County's FTE reading?
- Active names on this release include "LI-Metro East", "LI-Madison County Urban North" and "Alton Mental Health Center". Discipline counts: 1 primary care, 2 mental health, 0 dental across 3 designated rows.
Source: HRSA Data Warehouse. FIPS: 17119. 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 17119 (Madison County, IL), vintage 2026-08-15. Active designation count 3; peak score 16.0; signature 19 FTE gap. This profile is reference material, not professional advice; see methodology.