0 Designated · below priority line

MO · Healthcare shortage profile

Franklin County, MO

The clinician FTE gap is the sharpest number here: closing Franklin County's active designations would take about 16 additional FTEs on HRSA's providers_needed estimate. Population 104,682.

Active HPSAs
6
Population
104,682
Peak shortage score
16.0
MUA Index
-
MO state overview → About this data

Mid-burden verdict

According to current HRSA Data Warehouse records, Franklin County holds a moderate federal shortage burden - 6 active HPSA designations, more than 54% of the 3,289 real US counties, with primary care the deepest gap.

6
Active HPSA designations
2
Primary-care shortages
16
Peak severity score (of 26)
Top 46%
US counties by volume
B
Healthcare Access Score
73/100
Franklin County, MO

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.

Primary care C-
16.0 of 25
Primary care shortage severity (HPSA score)
Mental health B+
16.0 of 25
Mental health shortage severity (HPSA score)
Dental B+
15.0 of 26
Dental shortage severity (HPSA score)
Underserved status A+
Not designated
Medically Underserved Area designation
Provider gap B
1.6 per 10K
Unmet provider need (HRSA-estimated) per 10,000 residents

Dense ZCTA lattice over Franklin County

Franklin 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.

Key findings

What the HRSA Data Warehouse does not surface for Franklin County, MO 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.

  1. Closing Franklin County's active designations would take about 16 additional clinician FTEs, with mental health the largest gap.

    HRSA providers_needed summed once per HPSA id (no double-count across status rows): 3.8 primary care, 12 mental health, 0.5 dental. This is the federal gap estimate, not a headcount of practising clinicians.

  2. 33.3% of Franklin County's 6 active designations are primary care.

    Discipline mix from designated HPSA records only: 2 primary care, 2 mental health, 2 dental (denominator 6).

  3. 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, Franklin County carries 6 active designations, above 54% 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. Franklin County falls in the lower half of MO counties by active-designation volume, at rank 58 of 115. 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: 29071. Population: 104,682.

Below high-priority line

Franklin County is designated, but no active score clears 17

6 active designations sit on this FIPS (2 primary care, 2 mental health, 2 dental), and the peak severity is 16.0. 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.

Active HPSA scores

Primary Care 16.0 Below priority line
Mental Health 16.0 Below priority line
Dental 15.0 Below priority line

Current designated records only. No Medically Underserved Area designation covers Franklin County in the current HRSA release, federal support here runs through the HPSA route alone. Scores range 0–25 (primary/mental health), 0–26 (dental). Higher = greater need. What counts as a high score?

Highest-severity HPSA designations

All 6 active (designated) HPSAs in Franklin County, ranked by HRSA shortage score.

Name Type Score
Mercy Mcauley Clinic primary_care 16.0
Mercy Mcauley Clinic mental_health 16.0
Mercy Mcauley Clinic dental 15.0
Mhca - 16 St. Charles Service Area mental_health 10.0
Franklin County primary_care 8.0
Franklin County dental 7.0

Moderate-burden reading for Franklin County

The clinician FTE gap is the sharpest number here: closing Franklin County's active designations would take about 16 additional FTEs on HRSA's providers_needed estimate. Franklin County's shortage runs equally deep in primary care and mental health: both scored 16.0 by HRSA, still short of the 17-point priority line, though the designation itself is formal. Dental care reads 15.0 of 26. No Medically Underserved Area designation covers Franklin County, so federal support here runs through the HPSA route alone.

Franklin County sits in the middle of the national designation-volume distribution (above 54% of counties) with 6 active records. That is enough for a formal shortage footprint without landing in the heaviest US tier. Compare the three discipline counts (2/2/2) before assuming every care category is equally short.

Franklin County falls in the lower half of MO counties by active-designation volume, at rank 58 of 115. For moderate counties, the useful move is usually a state peer check plus the score cards above, not a national superlative claim.

Mid-pack clinician FTE gap for Franklin County

Signature reading: HRSA providers_needed sums to about 16 FTE across Franklin County's active designations (once per HPSA id), a federal gap estimate, not practising headcount.

Counties with a matching designation count to Franklin County's 6

One peer set for this FTE-led county: nearest active designation count to 6 - the inventory behind the ~16 FTE published need.

Contra Costa County, CA

6 active designations

Macomb County, MI

6 active designations

Baltimore County, MD

6 active designations

Lee County, FL

6 active designations

Frequently Asked Questions

Where is the largest clinician FTE gap inside Franklin County?
Id-de-duped providers_needed across active HPSAs totals ~16 FTE, with mental health the largest slice (12). "MERCY MCAULEY CLINIC" is the highest-scored active row (score 16.0; primary care; 46,834 people in the service area; designated 12/22/2020). This is HRSA's published gap, not a headcount of practising clinicians.
Why is Franklin County not listed as a Medically Underserved Area?
Franklin County has no MUA designation on this release. Federal shortage support here runs through the active HPSA record set alone.
Which named designations drive Franklin County's FTE reading?
Active names on this release include "MERCY MCAULEY CLINIC", "MHCA - 16 St. Charles Service Area" and "Franklin County". Discipline counts: 2 primary care, 2 mental health, 2 dental across 6 designated rows.
Do Franklin County's FTE gaps unlock federal programs?
Yes where an ACTIVE designation exists, NHSC, CHC grants, Medicare bonus and J-1 waivers follow the designated geography and provider type. A published FTE gap without an active row does not, by itself, open those pathways.

Source: HRSA Data Warehouse. FIPS: 29071. 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 29071 (Franklin County, MO), vintage 2026-08-15. Active designation count 6; peak score 16.0; signature 16 FTE gap. This profile is reference material, not professional advice; see methodology.