{
  "counties": [
    {
      "county_fips": "01001",
      "facility_count": 0,
      "is_desert": true,
      "name": "Autauga County",
      "nearest_distance_miles": 19.131,
      "population": 58805
    },
    {
      "county_fips": "01003",
      "facility_count": 2,
      "is_desert": false,
      "name": "Baldwin County",
      "nearest_distance_miles": null,
      "population": 231767
    },
    {
      "county_fips": "01005",
      "facility_count": 1,
      "is_desert": false,
      "name": "Barbour County",
      "nearest_distance_miles": null,
      "population": 25223
    },
    {
      "county_fips": "01007",
      "facility_count": 1,
      "is_desert": false,
      "name": "Bibb County",
      "nearest_distance_miles": null,
      "population": 22293
    },
    {
      "county_fips": "01009",
      "facility_count": 1,
      "is_desert": false,
      "name": "Blount County",
      "nearest_distance_miles": null,
      "population": 59134
    },
    {
      "county_fips": "01011",
      "facility_count": 0,
      "is_desert": true,
      "name": "Bullock County",
      "nearest_distance_miles": 23.605,
      "population": 10357
    },
    {
      "county_fips": "01013",
      "facility_count": 1,
      "is_desert": false,
      "name": "Butler County",
      "nearest_distance_miles": null,
      "population": 19051
    },
    {
      "county_fips": "01015",
      "facility_count": 6,
      "is_desert": false,
      "name": "Calhoun County",
      "nearest_distance_miles": null,
      "population": 116441
    },
    {
      "county_fips": "01017",
      "facility_count": 1,
      "is_desert": false,
      "name": "Chambers County",
      "nearest_distance_miles": null,
      "population": 34772
    },
    {
      "county_fips": "01019",
      "facility_count": 2,
      "is_desert": false,
      "name": "Cherokee County",
      "nearest_distance_miles": null,
      "population": 24971
    },
    {
      "county_fips": "01021",
      "facility_count": 2,
      "is_desert": false,
      "name": "Chilton County",
      "nearest_distance_miles": null,
      "population": 45014
    },
    {
      "county_fips": "01023",
      "facility_count": 1,
      "is_desert": false,
      "name": "Choctaw County",
      "nearest_distance_miles": null,
      "population": 12665
    },
    {
      "county_fips": "01025",
      "facility_count": 1,
      "is_desert": false,
      "name": "Clarke County",
      "nearest_distance_miles": null,
      "population": 23087
    },
    {
      "county_fips": "01027",
      "facility_count": 0,
      "is_desert": true,
      "name": "Clay County",
      "nearest_distance_miles": 19.606,
      "population": 14236
    },
    {
      "county_fips": "01029",
      "facility_count": 1,
      "is_desert": false,
      "name": "Cleburne County",
      "nearest_distance_miles": null,
      "population": 15056
    },
    {
      "county_fips": "01031",
      "facility_count": 2,
      "is_desert": false,
      "name": "Coffee County",
      "nearest_distance_miles": null,
      "population": 53465
    },
    {
      "county_fips": "01033",
      "facility_count": 2,
      "is_desert": false,
      "name": "Colbert County",
      "nearest_distance_miles": null,
      "population": 57227
    },
    {
      "county_fips": "01035",
      "facility_count": 0,
      "is_desert": true,
      "name": "Conecuh County",
      "nearest_distance_miles": 32.625,
      "population": 11597
    },
    {
      "county_fips": "01037",
      "facility_count": 0,
      "is_desert": true,
      "name": "Coosa County",
      "nearest_distance_miles": 15.367,
      "population": 10387
    },
    {
      "county_fips": "01039",
      "facility_count": 2,
      "is_desert": false,
      "name": "Covington County",
      "nearest_distance_miles": null,
      "population": 37570
    },
    {
      "county_fips": "01041",
      "facility_count": 2,
      "is_desert": false,
      "name": "Crenshaw County",
      "nearest_distance_miles": null,
      "population": 13194
    },
    {
      "county_fips": "01043",
      "facility_count": 3,
      "is_desert": false,
      "name": "Cullman County",
      "nearest_distance_miles": null,
      "population": 87866
    },
    {
      "county_fips": "01045",
      "facility_count": 1,
      "is_desert": false,
      "name": "Dale County",
      "nearest_distance_miles": null,
      "population": 49326
    },
    {
      "county_fips": "01047",
      "facility_count": 1,
      "is_desert": false,
      "name": "Dallas County",
      "nearest_distance_miles": null,
      "population": 38462
    },
    {
      "county_fips": "01049",
      "facility_count": 3,
      "is_desert": false,
      "name": "DeKalb County",
      "nearest_distance_miles": null,
      "population": 71608
    },
    {
      "county_fips": "01051",
      "facility_count": 0,
      "is_desert": true,
      "name": "Elmore County",
      "nearest_distance_miles": 15.14,
      "population": 87977
    },
    {
      "county_fips": "01053",
      "facility_count": 0,
      "is_desert": true,
      "name": "Escambia County",
      "nearest_distance_miles": 12.175,
      "population": 36757
    },
    {
      "county_fips": "01055",
      "facility_count": 6,
      "is_desert": false,
      "name": "Etowah County",
      "nearest_distance_miles": null,
      "population": 103436
    },
    {
      "county_fips": "01057",
      "facility_count": 0,
      "is_desert": true,
      "name": "Fayette County",
      "nearest_distance_miles": 14.999,
      "population": 16321
    },
    {
      "county_fips": "01059",
      "facility_count": 0,
      "is_desert": true,
      "name": "Franklin County",
      "nearest_distance_miles": 23.243,
      "population": 32113
    },
    {
      "county_fips": "01061",
      "facility_count": 1,
      "is_desert": false,
      "name": "Geneva County",
      "nearest_distance_miles": null,
      "population": 26659
    },
    {
      "county_fips": "01063",
      "facility_count": 1,
      "is_desert": false,
      "name": "Greene County",
      "nearest_distance_miles": null,
      "population": 7730
    },
    {
      "county_fips": "01065",
      "facility_count": 1,
      "is_desert": false,
      "name": "Hale County",
      "nearest_distance_miles": null,
      "population": 14785
    },
    {
      "county_fips": "01067",
      "facility_count": 1,
      "is_desert": false,
      "name": "Henry County",
      "nearest_distance_miles": null,
      "population": 17146
    },
    {
      "county_fips": "01069",
      "facility_count": 6,
      "is_desert": false,
      "name": "Houston County",
      "nearest_distance_miles": null,
      "population": 107202
    },
    {
      "county_fips": "01071",
      "facility_count": 2,
      "is_desert": false,
      "name": "Jackson County",
      "nearest_distance_miles": null,
      "population": 52579
    },
    {
      "county_fips": "01073",
      "facility_count": 17,
      "is_desert": false,
      "name": "Jefferson County",
      "nearest_distance_miles": null,
      "population": 674721
    },
    {
      "county_fips": "01075",
      "facility_count": 0,
      "is_desert": true,
      "name": "Lamar County",
      "nearest_distance_miles": 18.321,
      "population": 13972
    },
    {
      "county_fips": "01077",
      "facility_count": 2,
      "is_desert": false,
      "name": "Lauderdale County",
      "nearest_distance_miles": null,
      "population": 93564
    },
    {
      "county_fips": "01079",
      "facility_count": 0,
      "is_desert": true,
      "name": "Lawrence County",
      "nearest_distance_miles": 19.695,
      "population": 33073
    },
    {
      "county_fips": "01081",
      "facility_count": 2,
      "is_desert": false,
      "name": "Lee County",
      "nearest_distance_miles": null,
      "population": 174241
    },
    {
      "county_fips": "01083",
      "facility_count": 0,
      "is_desert": true,
      "name": "Limestone County",
      "nearest_distance_miles": 12.71,
      "population": 103570
    },
    {
      "county_fips": "01085",
      "facility_count": 0,
      "is_desert": true,
      "name": "Lowndes County",
      "nearest_distance_miles": 22.29,
      "population": 10311
    },
    {
      "county_fips": "01087",
      "facility_count": 1,
      "is_desert": false,
      "name": "Macon County",
      "nearest_distance_miles": null,
      "population": 19532
    },
    {
      "county_fips": "01089",
      "facility_count": 8,
      "is_desert": false,
      "name": "Madison County",
      "nearest_distance_miles": null,
      "population": 388153
    },
    {
      "county_fips": "01091",
      "facility_count": 2,
      "is_desert": false,
      "name": "Marengo County",
      "nearest_distance_miles": null,
      "population": 19323
    },
    {
      "county_fips": "01093",
      "facility_count": 1,
      "is_desert": false,
      "name": "Marion County",
      "nearest_distance_miles": null,
      "population": 29341
    },
    {
      "county_fips": "01095",
      "facility_count": 4,
      "is_desert": false,
      "name": "Marshall County",
      "nearest_distance_miles": null,
      "population": 97612
    },
    {
      "county_fips": "01097",
      "facility_count": 9,
      "is_desert": false,
      "name": "Mobile County",
      "nearest_distance_miles": null,
      "population": 414809
    },
    {
      "county_fips": "01099",
      "facility_count": 0,
      "is_desert": true,
      "name": "Monroe County",
      "nearest_distance_miles": 30.297,
      "population": 19772
    },
    {
      "county_fips": "01101",
      "facility_count": 8,
      "is_desert": false,
      "name": "Montgomery County",
      "nearest_distance_miles": null,
      "population": 228954
    },
    {
      "county_fips": "01103",
      "facility_count": 2,
      "is_desert": false,
      "name": "Morgan County",
      "nearest_distance_miles": null,
      "population": 123421
    },
    {
      "county_fips": "01105",
      "facility_count": 0,
      "is_desert": true,
      "name": "Perry County",
      "nearest_distance_miles": 17.527,
      "population": 8511
    },
    {
      "county_fips": "01107",
      "facility_count": 0,
      "is_desert": true,
      "name": "Pickens County",
      "nearest_distance_miles": 23.259,
      "population": 19123
    },
    {
      "county_fips": "01109",
      "facility_count": 1,
      "is_desert": false,
      "name": "Pike County",
      "nearest_distance_miles": null,
      "population": 33009
    },
    {
      "county_fips": "01111",
      "facility_count": 1,
      "is_desert": false,
      "name": "Randolph County",
      "nearest_distance_miles": null,
      "population": 21967
    },
    {
      "county_fips": "01113",
      "facility_count": 3,
      "is_desert": false,
      "name": "Russell County",
      "nearest_distance_miles": null,
      "population": 59183
    },
    {
      "county_fips": "01115",
      "facility_count": 1,
      "is_desert": false,
      "name": "St. Clair County",
      "nearest_distance_miles": null,
      "population": 91103
    },
    {
      "county_fips": "01117",
      "facility_count": 4,
      "is_desert": false,
      "name": "Shelby County",
      "nearest_distance_miles": null,
      "population": 223024
    },
    {
      "county_fips": "01119",
      "facility_count": 1,
      "is_desert": false,
      "name": "Sumter County",
      "nearest_distance_miles": null,
      "population": 12345
    },
    {
      "county_fips": "01121",
      "facility_count": 3,
      "is_desert": false,
      "name": "Talladega County",
      "nearest_distance_miles": null,
      "population": 82149
    },
    {
      "county_fips": "01123",
      "facility_count": 2,
      "is_desert": false,
      "name": "Tallapoosa County",
      "nearest_distance_miles": null,
      "population": 41311
    },
    {
      "county_fips": "01125",
      "facility_count": 6,
      "is_desert": false,
      "name": "Tuscaloosa County",
      "nearest_distance_miles": null,
      "population": 227036
    },
    {
      "county_fips": "01127",
      "facility_count": 4,
      "is_desert": false,
      "name": "Walker County",
      "nearest_distance_miles": null,
      "population": 65342
    },
    {
      "county_fips": "01129",
      "facility_count": 0,
      "is_desert": true,
      "name": "Washington County",
      "nearest_distance_miles": 20.569,
      "population": 15388
    },
    {
      "county_fips": "01131",
      "facility_count": 0,
      "is_desert": true,
      "name": "Wilcox County",
      "nearest_distance_miles": 35.734,
      "population": 10600
    },
    {
      "county_fips": "01133",
      "facility_count": 1,
      "is_desert": false,
      "name": "Winston County",
      "nearest_distance_miles": null,
      "population": 23540
    }
  ],
  "data_gaps": [],
  "desert_count": 18,
  "desert_population": 512870,
  "facilities_per_100k": 2.7267594016972385,
  "facility_count": 137,
  "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": 106,
  "medicaid_share_all": 0.7737226277372263,
  "medicaid_share_known": 0.7737226277372263,
  "medicaid_unavailable": 31,
  "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": 5024279,
  "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": "AL"
}
