{
  "counties": [
    {
      "county_fips": "26001",
      "facility_count": 1,
      "is_desert": false,
      "name": "Alcona County",
      "nearest_distance_miles": null,
      "population": 10167
    },
    {
      "county_fips": "26003",
      "facility_count": 3,
      "is_desert": false,
      "name": "Alger County",
      "nearest_distance_miles": null,
      "population": 8842
    },
    {
      "county_fips": "26005",
      "facility_count": 4,
      "is_desert": false,
      "name": "Allegan County",
      "nearest_distance_miles": null,
      "population": 120502
    },
    {
      "county_fips": "26007",
      "facility_count": 4,
      "is_desert": false,
      "name": "Alpena County",
      "nearest_distance_miles": null,
      "population": 28907
    },
    {
      "county_fips": "26009",
      "facility_count": 1,
      "is_desert": false,
      "name": "Antrim County",
      "nearest_distance_miles": null,
      "population": 23431
    },
    {
      "county_fips": "26011",
      "facility_count": 3,
      "is_desert": false,
      "name": "Arenac County",
      "nearest_distance_miles": null,
      "population": 15002
    },
    {
      "county_fips": "26013",
      "facility_count": 0,
      "is_desert": true,
      "name": "Baraga County",
      "nearest_distance_miles": 36.162,
      "population": 8158
    },
    {
      "county_fips": "26015",
      "facility_count": 1,
      "is_desert": false,
      "name": "Barry County",
      "nearest_distance_miles": null,
      "population": 62423
    },
    {
      "county_fips": "26017",
      "facility_count": 3,
      "is_desert": false,
      "name": "Bay County",
      "nearest_distance_miles": null,
      "population": 103856
    },
    {
      "county_fips": "26019",
      "facility_count": 1,
      "is_desert": false,
      "name": "Benzie County",
      "nearest_distance_miles": null,
      "population": 17970
    },
    {
      "county_fips": "26021",
      "facility_count": 7,
      "is_desert": false,
      "name": "Berrien County",
      "nearest_distance_miles": null,
      "population": 154316
    },
    {
      "county_fips": "26023",
      "facility_count": 1,
      "is_desert": false,
      "name": "Branch County",
      "nearest_distance_miles": null,
      "population": 44862
    },
    {
      "county_fips": "26025",
      "facility_count": 6,
      "is_desert": false,
      "name": "Calhoun County",
      "nearest_distance_miles": null,
      "population": 134310
    },
    {
      "county_fips": "26027",
      "facility_count": 2,
      "is_desert": false,
      "name": "Cass County",
      "nearest_distance_miles": null,
      "population": 51589
    },
    {
      "county_fips": "26029",
      "facility_count": 1,
      "is_desert": false,
      "name": "Charlevoix County",
      "nearest_distance_miles": null,
      "population": 26054
    },
    {
      "county_fips": "26031",
      "facility_count": 3,
      "is_desert": false,
      "name": "Cheboygan County",
      "nearest_distance_miles": null,
      "population": 25579
    },
    {
      "county_fips": "26033",
      "facility_count": 5,
      "is_desert": false,
      "name": "Chippewa County",
      "nearest_distance_miles": null,
      "population": 36785
    },
    {
      "county_fips": "26035",
      "facility_count": 3,
      "is_desert": false,
      "name": "Clare County",
      "nearest_distance_miles": null,
      "population": 30856
    },
    {
      "county_fips": "26037",
      "facility_count": 0,
      "is_desert": true,
      "name": "Clinton County",
      "nearest_distance_miles": 13.859,
      "population": 79128
    },
    {
      "county_fips": "26039",
      "facility_count": 3,
      "is_desert": false,
      "name": "Crawford County",
      "nearest_distance_miles": null,
      "population": 12988
    },
    {
      "county_fips": "26041",
      "facility_count": 3,
      "is_desert": false,
      "name": "Delta County",
      "nearest_distance_miles": null,
      "population": 36903
    },
    {
      "county_fips": "26043",
      "facility_count": 1,
      "is_desert": false,
      "name": "Dickinson County",
      "nearest_distance_miles": null,
      "population": 25947
    },
    {
      "county_fips": "26045",
      "facility_count": 3,
      "is_desert": false,
      "name": "Eaton County",
      "nearest_distance_miles": null,
      "population": 109175
    },
    {
      "county_fips": "26047",
      "facility_count": 4,
      "is_desert": false,
      "name": "Emmet County",
      "nearest_distance_miles": null,
      "population": 34112
    },
    {
      "county_fips": "26049",
      "facility_count": 16,
      "is_desert": false,
      "name": "Genesee County",
      "nearest_distance_miles": null,
      "population": 406211
    },
    {
      "county_fips": "26051",
      "facility_count": 3,
      "is_desert": false,
      "name": "Gladwin County",
      "nearest_distance_miles": null,
      "population": 25386
    },
    {
      "county_fips": "26053",
      "facility_count": 1,
      "is_desert": false,
      "name": "Gogebic County",
      "nearest_distance_miles": null,
      "population": 14380
    },
    {
      "county_fips": "26055",
      "facility_count": 6,
      "is_desert": false,
      "name": "Grand Traverse County",
      "nearest_distance_miles": null,
      "population": 95238
    },
    {
      "county_fips": "26057",
      "facility_count": 0,
      "is_desert": true,
      "name": "Gratiot County",
      "nearest_distance_miles": 22.753,
      "population": 41761
    },
    {
      "county_fips": "26059",
      "facility_count": 2,
      "is_desert": false,
      "name": "Hillsdale County",
      "nearest_distance_miles": null,
      "population": 45746
    },
    {
      "county_fips": "26061",
      "facility_count": 1,
      "is_desert": false,
      "name": "Houghton County",
      "nearest_distance_miles": null,
      "population": 37361
    },
    {
      "county_fips": "26063",
      "facility_count": 3,
      "is_desert": false,
      "name": "Huron County",
      "nearest_distance_miles": null,
      "population": 31407
    },
    {
      "county_fips": "26065",
      "facility_count": 15,
      "is_desert": false,
      "name": "Ingham County",
      "nearest_distance_miles": null,
      "population": 284900
    },
    {
      "county_fips": "26067",
      "facility_count": 4,
      "is_desert": false,
      "name": "Ionia County",
      "nearest_distance_miles": null,
      "population": 66804
    },
    {
      "county_fips": "26069",
      "facility_count": 2,
      "is_desert": false,
      "name": "Iosco County",
      "nearest_distance_miles": null,
      "population": 25237
    },
    {
      "county_fips": "26071",
      "facility_count": 0,
      "is_desert": true,
      "name": "Iron County",
      "nearest_distance_miles": 33.137,
      "population": 11631
    },
    {
      "county_fips": "26073",
      "facility_count": 5,
      "is_desert": false,
      "name": "Isabella County",
      "nearest_distance_miles": null,
      "population": 64394
    },
    {
      "county_fips": "26075",
      "facility_count": 5,
      "is_desert": false,
      "name": "Jackson County",
      "nearest_distance_miles": null,
      "population": 160366
    },
    {
      "county_fips": "26077",
      "facility_count": 11,
      "is_desert": false,
      "name": "Kalamazoo County",
      "nearest_distance_miles": null,
      "population": 261670
    },
    {
      "county_fips": "26079",
      "facility_count": 0,
      "is_desert": true,
      "name": "Kalkaska County",
      "nearest_distance_miles": 15.308,
      "population": 17939
    },
    {
      "county_fips": "26081",
      "facility_count": 21,
      "is_desert": false,
      "name": "Kent County",
      "nearest_distance_miles": null,
      "population": 657974
    },
    {
      "county_fips": "26083",
      "facility_count": 0,
      "is_desert": true,
      "name": "Keweenaw County",
      "nearest_distance_miles": 9.291,
      "population": 2046
    },
    {
      "county_fips": "26085",
      "facility_count": 1,
      "is_desert": false,
      "name": "Lake County",
      "nearest_distance_miles": null,
      "population": 12096
    },
    {
      "county_fips": "26087",
      "facility_count": 4,
      "is_desert": false,
      "name": "Lapeer County",
      "nearest_distance_miles": null,
      "population": 88619
    },
    {
      "county_fips": "26089",
      "facility_count": 0,
      "is_desert": true,
      "name": "Leelanau County",
      "nearest_distance_miles": 33.504,
      "population": 22301
    },
    {
      "county_fips": "26091",
      "facility_count": 2,
      "is_desert": false,
      "name": "Lenawee County",
      "nearest_distance_miles": null,
      "population": 99423
    },
    {
      "county_fips": "26093",
      "facility_count": 8,
      "is_desert": false,
      "name": "Livingston County",
      "nearest_distance_miles": null,
      "population": 193866
    },
    {
      "county_fips": "26095",
      "facility_count": 1,
      "is_desert": false,
      "name": "Luce County",
      "nearest_distance_miles": null,
      "population": 5339
    },
    {
      "county_fips": "26097",
      "facility_count": 4,
      "is_desert": false,
      "name": "Mackinac County",
      "nearest_distance_miles": null,
      "population": 10834
    },
    {
      "county_fips": "26099",
      "facility_count": 18,
      "is_desert": false,
      "name": "Macomb County",
      "nearest_distance_miles": null,
      "population": 881217
    },
    {
      "county_fips": "26101",
      "facility_count": 4,
      "is_desert": false,
      "name": "Manistee County",
      "nearest_distance_miles": null,
      "population": 25032
    },
    {
      "county_fips": "26103",
      "facility_count": 7,
      "is_desert": false,
      "name": "Marquette County",
      "nearest_distance_miles": null,
      "population": 66017
    },
    {
      "county_fips": "26105",
      "facility_count": 2,
      "is_desert": false,
      "name": "Mason County",
      "nearest_distance_miles": null,
      "population": 29052
    },
    {
      "county_fips": "26107",
      "facility_count": 3,
      "is_desert": false,
      "name": "Mecosta County",
      "nearest_distance_miles": null,
      "population": 39714
    },
    {
      "county_fips": "26109",
      "facility_count": 0,
      "is_desert": true,
      "name": "Menominee County",
      "nearest_distance_miles": 24.472,
      "population": 23502
    },
    {
      "county_fips": "26111",
      "facility_count": 7,
      "is_desert": false,
      "name": "Midland County",
      "nearest_distance_miles": null,
      "population": 83494
    },
    {
      "county_fips": "26113",
      "facility_count": 0,
      "is_desert": true,
      "name": "Missaukee County",
      "nearest_distance_miles": 14.237,
      "population": 15052
    },
    {
      "county_fips": "26115",
      "facility_count": 5,
      "is_desert": false,
      "name": "Monroe County",
      "nearest_distance_miles": null,
      "population": 154809
    },
    {
      "county_fips": "26117",
      "facility_count": 1,
      "is_desert": false,
      "name": "Montcalm County",
      "nearest_distance_miles": null,
      "population": 66614
    },
    {
      "county_fips": "26119",
      "facility_count": 0,
      "is_desert": true,
      "name": "Montmorency County",
      "nearest_distance_miles": 25.741,
      "population": 9153
    },
    {
      "county_fips": "26121",
      "facility_count": 10,
      "is_desert": false,
      "name": "Muskegon County",
      "nearest_distance_miles": null,
      "population": 175824
    },
    {
      "county_fips": "26123",
      "facility_count": 1,
      "is_desert": false,
      "name": "Newaygo County",
      "nearest_distance_miles": null,
      "population": 49978
    },
    {
      "county_fips": "26125",
      "facility_count": 42,
      "is_desert": false,
      "name": "Oakland County",
      "nearest_distance_miles": null,
      "population": 1274395
    },
    {
      "county_fips": "26127",
      "facility_count": 1,
      "is_desert": false,
      "name": "Oceana County",
      "nearest_distance_miles": null,
      "population": 26659
    },
    {
      "county_fips": "26129",
      "facility_count": 1,
      "is_desert": false,
      "name": "Ogemaw County",
      "nearest_distance_miles": null,
      "population": 20770
    },
    {
      "county_fips": "26131",
      "facility_count": 0,
      "is_desert": true,
      "name": "Ontonagon County",
      "nearest_distance_miles": 48.343,
      "population": 5816
    },
    {
      "county_fips": "26133",
      "facility_count": 1,
      "is_desert": false,
      "name": "Osceola County",
      "nearest_distance_miles": null,
      "population": 22891
    },
    {
      "county_fips": "26135",
      "facility_count": 1,
      "is_desert": false,
      "name": "Oscoda County",
      "nearest_distance_miles": null,
      "population": 8219
    },
    {
      "county_fips": "26137",
      "facility_count": 5,
      "is_desert": false,
      "name": "Otsego County",
      "nearest_distance_miles": null,
      "population": 25091
    },
    {
      "county_fips": "26139",
      "facility_count": 11,
      "is_desert": false,
      "name": "Ottawa County",
      "nearest_distance_miles": null,
      "population": 296200
    },
    {
      "county_fips": "26141",
      "facility_count": 0,
      "is_desert": true,
      "name": "Presque Isle County",
      "nearest_distance_miles": 12.368,
      "population": 12982
    },
    {
      "county_fips": "26143",
      "facility_count": 3,
      "is_desert": false,
      "name": "Roscommon County",
      "nearest_distance_miles": null,
      "population": 23459
    },
    {
      "county_fips": "26145",
      "facility_count": 12,
      "is_desert": false,
      "name": "Saginaw County",
      "nearest_distance_miles": null,
      "population": 190124
    },
    {
      "county_fips": "26147",
      "facility_count": 7,
      "is_desert": false,
      "name": "St. Clair County",
      "nearest_distance_miles": null,
      "population": 160383
    },
    {
      "county_fips": "26149",
      "facility_count": 0,
      "is_desert": true,
      "name": "St. Joseph County",
      "nearest_distance_miles": 17.249,
      "population": 60939
    },
    {
      "county_fips": "26151",
      "facility_count": 2,
      "is_desert": false,
      "name": "Sanilac County",
      "nearest_distance_miles": null,
      "population": 40611
    },
    {
      "county_fips": "26153",
      "facility_count": 2,
      "is_desert": false,
      "name": "Schoolcraft County",
      "nearest_distance_miles": null,
      "population": 8047
    },
    {
      "county_fips": "26155",
      "facility_count": 2,
      "is_desert": false,
      "name": "Shiawassee County",
      "nearest_distance_miles": null,
      "population": 68094
    },
    {
      "county_fips": "26157",
      "facility_count": 3,
      "is_desert": false,
      "name": "Tuscola County",
      "nearest_distance_miles": null,
      "population": 53323
    },
    {
      "county_fips": "26159",
      "facility_count": 2,
      "is_desert": false,
      "name": "Van Buren County",
      "nearest_distance_miles": null,
      "population": 75587
    },
    {
      "county_fips": "26161",
      "facility_count": 10,
      "is_desert": false,
      "name": "Washtenaw County",
      "nearest_distance_miles": null,
      "population": 372258
    },
    {
      "county_fips": "26163",
      "facility_count": 71,
      "is_desert": false,
      "name": "Wayne County",
      "nearest_distance_miles": null,
      "population": 1793561
    },
    {
      "county_fips": "26165",
      "facility_count": 3,
      "is_desert": false,
      "name": "Wexford County",
      "nearest_distance_miles": null,
      "population": 33673
    }
  ],
  "data_gaps": [],
  "desert_count": 13,
  "desert_population": 310408,
  "facilities_per_100k": 4.118153904044632,
  "facility_count": 415,
  "generated_at": "2026-10-08T11:20:51.512322+00:00",
  "license": {
    "name": "Creative Commons Attribution 4.0 (CC BY 4.0)",
    "url": "https://creativecommons.org/licenses/by/4.0/"
  },
  "medicaid_confirmed": 367,
  "medicaid_share_all": 0.8843373493975903,
  "medicaid_share_known": 0.8843373493975903,
  "medicaid_unavailable": 48,
  "medicaid_unknown": 0,
  "methodology": {
    "census_place_vintage": "2020",
    "distance": "great-circle miles from county reference point; nearest geocoded listed facility across all states/DC; not driving distance",
    "facility_scope": "unique IDs; closed excluded; active and unconfirmed included",
    "findings_order": "deserts, furthest desert, density, Medicaid, count; gaps fill remaining slots",
    "medicaid_field": "attributes.ft_medicaid; unavailable means not reported by the source"
  },
  "population": 10077331,
  "population_vintage": "2020",
  "sources": [
    {
      "name": "SAMHSA FindTreatment.gov treatment locator",
      "url": "https://findtreatment.gov/"
    },
    {
      "name": "2020 Census redistricting data (P.L. 94-171), table P1",
      "url": "https://www.census.gov/programs-surveys/decennial-census/about/rdo/summary-files.html"
    },
    {
      "name": "2020 cartographic boundary files, counties (1:500,000)",
      "url": "https://www.census.gov/geographies/mapping-files/time-series/geo/cartographic-boundary.html"
    },
    {
      "name": "2020 Census Gazetteer files, counties",
      "url": "https://www.census.gov/geographies/reference-files/time-series/geo/gazetteer-files.html"
    }
  ],
  "state": "MI"
}