MO · Healthcare shortage profile
Holt County, MO
Designation volume is the standout signal for Holt County: 8 active HPSA records, above 73% of real US counties. Population 4,223.
- Active HPSAs
- 8
- Population
- 4,223
- Peak shortage score
- 18.0
- MUA Index
- 57.6
Heavy-burden verdict
According to current HRSA Data Warehouse records, Holt County carries a heavier shortage burden than most US counties - 8 active HPSA designations, more than 73% of the 3,289 real US counties, with mental health the deepest gap.
- 8
- Active HPSA designations
- 3
- Mental-health shortages
- 18
- Peak severity score (of 26)
- Top 27%
- US counties by volume
Key findings
What the HRSA Data Warehouse does not surface for Holt 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.
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Peak HPSA score 18.0 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 Holt County's active designations would take about 4.5 additional clinician FTEs, with mental health the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 3.7 mental health, 0.8 dental. This is the federal gap estimate, not a headcount of practising clinicians.
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37.5% of Holt County's 8 active designations are mental health.
Discipline mix from designated HPSA records only: 2 primary care, 3 mental health, 3 dental (denominator 8).
Few Census ZCTAs touch Holt County
The Census ZCTA-county crosswalk lists only 6 ZIP Code Tabulation Areas intersecting Holt 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.
Holt County vs. every real US county
Total active HPSA designations, including counties with none
8 Top 27% higher than 73% 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. Holt County falls in the upper half of MO counties by active-designation volume, at rank 56 of 115. Ties share a rank; the comparison uses the same current designated records as the national chart.
Healthcare shortage designations from HRSA. FIPS: 29087. Population: 4,223.
Single high-priority discipline
Holt County's only high-priority (≥17) footprint is mental health
Current HRSA Data Warehouse rows attribute 3 active mental health designations to Holt County , with a peak score of 18.0. Other care categories may still be designated here, but none of them clear HRSA's high-priority score line of 17 on the current release, NHSC and related instruments concentrate on the mental health records.
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 8 active (designated) HPSAs in Holt County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| LI - St. Joseph Mhca #1 | mental_health | 18.0 |
| South Holt Family Medicine | primary_care | 16.0 |
| Mound City Family Medicine | primary_care | 16.0 |
| South Holt Family Medicine | mental_health | 16.0 |
| Mound City Family Medicine | mental_health | 16.0 |
| LI - Holt/Atchison Counties | dental | 16.0 |
| Mound City Family Medicine | dental | 15.0 |
| South Holt Family Medicine | dental | 15.0 |
Heavy-burden reading for Holt County
Designation volume is the standout signal for Holt County: 8 active HPSA records, above 73% of real US counties. Holt County's severest measured gap is in mental health, scored 18.0 of 25, past the 17-point line HRSA uses to open National Health Service Corps placement and enhanced Medicare reimbursement. Primary care reads 16.0 of 25; Dental care reads 16.0 of 26. The county also sits inside a Medically Underserved Area, indexed at 57.6, and the lower the index, the greater the measured need.
Volume places Holt County above 73% of real US counties (8 active designations: 2 primary care, 3 mental health, 3 dental). Peak severity on the current designated set is 18.0. 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.
Holt County falls in the upper half of MO counties by active-designation volume, at rank 56 of 115. 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 Holt County
HRSA providers_needed summed once per HPSA id for Holt County's active designations: about 4.5 FTE, a federal gap estimate, not a headcount of practising clinicians.
Acting on Holt County's high-priority mental health
Holt County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- Holt 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 MO before drawing conclusions from a single score. MO 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 With a Similar Mental Health Shortage Score
Other U.S. counties whose active HRSA mental-health HPSA score is closest to Holt County's 18.0. This compares the designation score only, not local appointment availability or care quality. Start with Caguas County, PR and Cuyahoga County, OH.
Showing 6 of 3081 counties nationally with an active designation this severe.
High-volume peers of Holt County (8 active)
One peer set for this volume-led county: nearest active designation count to 8 across the national corpus.
Frequently Asked Questions
- Does Holt County's MUA standing sit beside its HPSA records?
- Yes - Holt County carries an MUA designation (index 57.6; 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 Holt County's 8 active HPSA designations?
- 8 Designated rows (2 primary care, 3 mental health, 3 dental). Highest-scored name on this release: "LI - St. Joseph MHCA #1" (score 18.0; mental health; 55,440 people in the service area; ~3.7 FTE still needed on the record; designated 04/14/2026). Also active: "SOUTH HOLT FAMILY MEDICINE", "MOUND CITY FAMILY MEDICINE", "SOUTH HOLT FAMILY MEDICINE". Above 73% of real US counties by volume.
- What does volume-plus-score look like for Holt County?
- Peak active score 18.0 in mental health clears the 17-point line while volume sits at 8 rows.
- What clinician need sits behind Holt County's designation volume?
- Closing published gaps would take about 4.5 additional clinician FTEs (id-de-duped providers_needed). "LI - St. Joseph MHCA #1" is the severity lead inside that inventory.
- Which federal programs follow Holt County's designation volume?
- 8 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 Holt County's volume compare inside MO?
- 8 active HPSA rows · peak 18.0. Holt County falls in the upper half of MO counties by active-designation volume, at rank 56 of 115. Score-nearest counties on this release include Caguas County, PR and Cuyahoga County, OH.
Source: HRSA Data Warehouse. FIPS: 29087. 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 29087 (Holt County, MO), vintage 2026-08-15. Active designation count 8; peak score 18.0; signature 8 active designations. This profile is reference material, not professional advice; see methodology.