Macoupin, County Public Health Department
Macoupin, County Public Health Department is a federally qualified health center (FQHC) in Illinois and a Health Center Program awardee, funded in part by Section 330 of the Public Health Service Act. Its service delivery sites include Gillespie, Carlinville, Litchfield, Bunker Hill, and Girard. In 2025 it served 9,474 patients, up 2.3% from 9,263 in 2024. 6.7% of its patients were uninsured, compared with 18.6% across Illinois health centers and 17.2% nationally.
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9,474Patients served, 2025
6.7%of patients uninsured
66.9%of patients on Medicaid/CHIP
$945Total accrued cost per patient
$272Cost per visit
Macoupin, County Public Health Department compared with Illinois and the nation, 2025
| Measure | Macoupin, County Public Health Department | Illinois health centers | National |
|---|---|---|---|
| Patients | |||
| Children under 18 | 40.1% | 31.9% | 28.6% |
| Adults 65 and older | 9.3% | 8.9% | 12.8% |
| At or below 200% of the federal poverty guideline | 92.3% | 92.5% | 90.0% |
| Insurance status | |||
| Uninsured | 6.7% | 18.6% | 17.2% |
| Medicaid / CHIP | 66.9% | 53.4% | 47.9% |
| Medicare | 11.6% | 7.7% | 11.6% |
| Private insurance | 14.8% | 20.3% | 23.0% |
| Cost | |||
| Total accrued cost per patient | $945 | $1,244 | $1,672 |
| Cost per visit | $272 | $394 | $438 |
| Clinical quality | |||
| Cervical cancer screening | 24.0% | 64.8% | 57.0% |
| Colorectal cancer screening | 37.4% | 47.2% | 44.9% |
| Breast cancer screening | 43.7% | 54.4% | 56.0% |
| Controlling high blood pressure | 76.1% | 67.3% | 69.1% |
| Diabetes: HbA1c poor control (lower is better) | 37.1% | 28.5% | 26.3% |
| Depression screening and follow-up | 86.8% | 82.8% | 75.3% |
| Childhood immunization status | 0.0% | 31.3% | 29.5% |
| Tobacco screening and cessation | 97.4% | 88.1% | 84.8% |
| Statin therapy for cardiovascular disease | 74.1% | 82.9% | 79.0% |
Patients by service
| Service | 2025 |
|---|---|
| Medical | 1,341 |
| Dental | 7,489 |
| Mental health | 1,656 |
| Total clinic visits | 32,908 |
Trends, 2016–2025
| Year | Patients | Cost per patient | Uninsured | Medicaid/CHIP |
|---|---|---|---|---|
| 2025 | 9,474 | $945 | 6.7% | 66.9% |
| 2024 | 9,263 | $909 | 8.7% | 65.2% |
| 2023 | 9,162 | $884 | 8.2% | 71.4% |
| 2022 | 9,401 | $920 | 10.5% | 66.3% |
| 2021 | 8,529 | $829 | 8.5% | 72.3% |
| 2020 | 7,358 | – | 29.9% | 53.1% |
| 2019 | 7,772 | $575 | 26.1% | 61.7% |
| 2018 | 7,413 | – | 17.3% | 69.4% |
| 2017 | 8,073 | – | 22.7% | 65.6% |
| 2016 | 6,647 | $441 | 22.4% | 68.0% |
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