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Health Resources and Services Administration · Department of Health and Human Services

Fiscal Year (FY) 2027 Service Area Competition (SAC)

Opening soon

In short: Health Resources and Services Administration expects to make 75 awards of $650,000 to $1.5 million. Open to many kinds of groups. See who can apply.

Deadline
Opens Dec 9, 2026 · due about Jan 8, 2027 Estimate ?
Award size
$650K – $1.5M
Total available
$49.6M · about 75 awards
Match ?
Not required · Work out your budget and match
Who can apply
State government, County government, Special district (utility, fire, etc.), Tribal government, City or town government, Nonprofit with 501(c)(3), Tribal organization, and others named in the official notice
Where
Anywhere in the U.S., including Tennessee
Read the official notice Should we apply? Sign in to save Get ready

Opening soon: the funder has announced this grant, but you can't apply yet. Use the time to get ready and check whether it fits.

Before you apply: federal grants require an active SAM.gov registration (Unique Entity ID) and a Grants.gov account. Registration is free but can take weeks, so start now, not when the deadline is close. Get-ready checklist

How this fits you

  • Available in Hamilton County (nationwide program)
  • No match required
  • Past Tennessee awards on file: 72, including your county

Tell us who you are to see whether you're eligible.

About this grant

The FY 2027 Health Center Program Service Area Competition (SAC) funding improves the health of medically underserved communities and populations by providing grants to support the delivery of comprehensive, high-quality preventive and primary health care services in the United States and its territories. For each SAC Notice of Funding Opportunity (NOFO), service areas available for competition are announced in the Service Area Announcement Table (SAAT). Throughout the year, we may announce additional service areas in a Service Area Competition-Additional Area (SAC-AA) if an awarded health center cannot continue to provide services in the funded service area.

Who can apply, from the official notice

"Domestic" means the 50 states, the District of Columbia, the Commonwealth of Puerto Rico, the Northern Mariana Islands, American Samoa, Guam, the U.S. Virgin Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau.

Hamilton County: Health shortage areas here

HRSA shortage designations that cover all or part of Hamilton County:

  • Primary care: low-income residents in 59 census tracts of Hamilton County are a population HPSA (the people, not the place), score 9. HRSA name “LI - South Hamilton, Chattanooga”, ID 1472791003.
  • Dental: low-income residents across Hamilton County are a population HPSA (the people, not the place), score 15. HRSA has proposed withdrawing it. HRSA name “LI-Hamilton County”, ID 6474681975.
  • Dental: low-income residents in 59 census tracts of Hamilton County are a population HPSA (the people, not the place), score 17. HRSA name “LI - South Hamilton Chattanooga”, ID 6474177367.
  • Mental health: low-income residents across Hamilton County are a population HPSA (the people, not the place), score 16. HRSA name “LI-Hamilton County”, ID 7479596450.
  • Medically underserved area: 15 census tracts of Hamilton County, IMU score 56.43. HRSA name “Hamilton Service Area”, ID 03244.

A designation for part of the county, or for a group of residents, does not make all of Hamilton County a shortage area.

Funders check the exact site or address. Look yours up in HRSA's Find Shortage Areas tool. It also lists facility designations, such as health centers, which HRSA's download leaves out.

Source: HRSA, shortage area data downloads (HPSA and MUA/P files), as of Oct 8, 2026. Withdrawn designations are left out. Higher HPSA scores mean more need.

Official notice: https://simpler.grants.gov/opportunity/aff6c7ca-3ad5-4f77-865f-c1c19c3194e1 · Printed from grantme.click/grants/69e38497-fcda-4fa7-a3c8-8793c27d4da5

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Writing the need statement? Hamilton County facts with citations.

Who in Tennessee has won this program

56 awards to Tennessee groups in 20 counties since 2001 · 4 in Hamilton County. Largest shown:

Past winnerWhereAmountFiscal year
United Neighborhood Health Services, Inc.Nashville, Davidson County$79.9M2002
Cherokee Health SystemsKnoxville, Knox County$73.6M2003
Christ Community Health Services IncMemphis, Shelby County$54.2M2003
Matthew Walker Comprehensive Health Center, Inc.Nashville, Davidson County$46.8M2002
Memphis Health Center IncMemphis, Shelby County$43.1M2002
Rural Health Services Consortium, IncRogersville, Hawkins County$36.5M2002
Chattanooga Hamilton County Hospital AuthorityChattanooga, Hamilton County$25.3M2002
Vanderbilt University Medical CenterNashville, Davidson County$24.8M2016
Tennessee Department of HealthNashville, Davidson County$24M2002
Rural Medical Services, Inc.Newport, Cocke County$21.7M2002
Dayspring Health, IncJellico, Campbell County$19.8M2002
Hardeman County Community Health CenterBolivar, Hardeman County$19.6M2002

Source: USAspending.gov. Past awards show who this program funds. They don't guarantee future awards.

Tennessee groups that got this money through Tennessee Department of Health

This federal money also reaches local groups as pass-through grants. In Tennessee, Tennessee Department of Health passes it on: watch that agency for applications, not the federal agency. 16 pass-through grants on file · 1 in Hamilton County. Largest shown:

Past winnerWhereThroughAmountFiscal year
Maury Regional HospitalColumbia, Maury CountyU.S. Department of Health and Human Services$1.6M spent that year2025
Hamilton County, TennesseeChattanooga, Hamilton CountyTennessee Department of Health$1M spent that year2024
Stewart County TennesseeDover, Stewart CountyTennessee Department of Health$344K spent that year2025
County of StewartDover, Stewart CountyTennessee Department of Health$342K2024
Cumberland County, TennesseeCrossville, Cumberland CountyTennessee Department of Health$233K spent that year2025
County of StewartDover, Stewart CountyTennessee Department of Health$138K2023
Vanderbilt University Medical CenterNashville, Davidson CountyMatthew-Walker$124K spent that year2025
Vanderbilt University Medical CenterNashville, Davidson CountyArcare$124K spent that year2025
Gibson County, TennesseeTrenton, Gibson CountyTennessee Department of Health$120K spent that year2025
Clay County, TennesseeCelina, Clay CountyTennessee Department of Health$87K spent that year2024
County of StewartDover, Stewart CountyTennessee Department of Health$86K2025
County of PutnamCookeville, Putnam CountyTennessee Department of Health$84K2024

Source: USAspending.gov pass-through reports (the first recipient reports each one of $30,000 or more).

Similar grants open or opening soon

From other funders, about the same kind of work in Hamilton County.

More from Health Resources and Services Administration

About the federal program

Health Center Program
Program number 93.224 (the federal Assistance Listing number) · U.S. Department of Health and Human Services, Health Resources and Services Administration · Project grant

How applications are judged

See the applicable NOFO for details, including specific review criteria. Applicants are expected to demonstrate compliance with the Health Center Program requirements. Applications are subject to independent objective review procedures.

Match

None required (federal program listing).

This program on SAM.gov

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Source: Federal grants from Grants.gov · the official federal record. Last checked by GrantMe Oct 9, 2026.

Reference numbers: official notice number HRSA-27-009 · program number 93.224