Health Resources and Services Administration · Department of Health and Human Services
Fiscal Year (FY) 2027 Service Area Competition (SAC)
Key facts
- Deadline
- Due Oct 19, 2026 · 12 days left
- Award size
- $650K – $10.1M
- Total available
- $267.8M · about 63 awards
- Match ?
- Not required · Work out your budget and match
- Who can apply
- State government, County government, City or town government, Special district (utility, fire, etc.), Tribal government, Tribal organization, Nonprofit with 501(c)(3), Nonprofit without 501(c)(3), and others named in the official notice
- Where
- Check the official notice for location limits
How this fits you
- Location limits unclear — check eligibility
- No match required
- Only 12 days left to apply
- Past Tennessee awards on file: 72
Tell us who you are to see whether you're eligible.
Official notice: https://simpler.grants.gov/opportunity/d05b15ba-864c-4255-a510-42d9fd966215 · Printed from grantme.click/grants/a848a194-bfd9-4d3a-8719-bc8c3b2b53a2
View on Grants.gov Add deadline to my calendar
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About this grant
Your schedule, working back from the deadline
- Oct7
Check that your SAM.gov registration is active (or start it now)
Grants.gov: allow up to 10 business days for SAM registration, weeks or months if information isn't verified. It must be renewed every year. Grants.gov - Sep28
Ask partners for letters of support or commitment (already past: do it now)
Suggested: partners need about three weeks to write and sign letters. - Oct12
Finish a complete draft for a final review
Suggested: leave about a week for someone else to read the draft. - Oct17
Submit
Grants.gov: submit at least 24–48 hours before the deadline: uploads fail, systems slow down, errors need fixing. Grants.gov blog - Oct19
Deadline
From the funder.
Save this grant to put these dates in My grants and your private calendar.
Writing the need statement? Blount County facts with citations.
What the official notice requires
Pulled from the official notice hrsa-27-005_full_announcement.pdf (77 pages) so you can see the requirements at a glance. Each item shows the notice's own words. Open the page to read it in context.
Registrations you need first (3)
SAM.gov, Grants.gov · p. 3
“Before you begin If you believe you are a good candidate for this funding opportunity, secure your SAM.gov and Grants.gov registrations now.” Open page 3
Unique Entity ID (UEI) · p. 3
“This includes having a Unique Entity Identifier (UEI).” Open page 3
Login.gov · p. 3
“Doing so requires a Login.gov registration as well.” Open page 3
The deadline is in 12 days. If your registration isn't already active, it may not be ready in time, so check it today. Get-ready checklist
What to submit
Budget narrative / justification · p. 3
“All activities proposed in your application and budget narrative must align with applicable law and policies, including but not limited to statutes, executive orders, federal regulations and applicable judicial holdings.” Open page 3
Form SF-424A · p. 10
“The funding distribution on the SF-424A:” Open page 10
Form SF-424 · p. 22
“Application for Federal Assistance (SF-424) No Project Abstract Summary Form No Project/Performance Site Location(s) No Key Contacts Form No Grants.gov Lobbying Form No Disclosure of Lobbying Activities (SF-LLL), optional No Other Attachments Form, optional…” Open page 22
Form SF-LLL · p. 22
“Application for Federal Assistance (SF-424) No Project Abstract Summary Form No Project/Performance Site Location(s) No Key Contacts Form No Grants.gov Lobbying Form No Disclosure of Lobbying Activities (SF-LLL), optional No Other Attachments Form, optional…” Open page 22
Letters of support or commitment · p. 30
“Collaboration Documentation, provide letters of support from providers you work with.” Open page 30
Organizational chart · p. 39
“Project Organizational Chart (Required) Counts towards the page limit.” Open page 39
Resumes or bios of key staff · p. 39
“Biographical Sketches for Key Management Staff (Required) Counts towards the page limit.” Open page 39
Indirect cost rate agreement · p. 45
“Upload an indirect cost rate agreement, if applicable, and include other relevant documents to support the proposed project (for example, charts, organizational brochures, and lease agreements).” Open page 45
How applications are scored (scores listed add up to 120 points, but the notice states 100: check the notice)
Build your narrative outline from these criteria
Check the official notice for the rest of the points.
Need: 10 points · p. 48
“Need (10 points) See the project narrative Need section.” Open page 48
Response: 15 points · p. 49
“Response (15 points) See the project narrative Response section.” Open page 49
Project narrative: 15 points · p. 49
“Project narrative (15 points):” Open page 49
Collaboration: 10 points · p. 50
“Collaboration (10 points) See the project narrative Collaboration section and Attachment 9:” Open page 50
Impact: 15 points · p. 51
“Impact (15 points) See the project narrative Impact section.” Open page 51
Capacity: 15 points · p. 51
“Capacity (15 points) See the project narrative Capacity section, Attachment 3:” Open page 51
Governance: 10 points · p. 51
“Governance (10 points) See the project narrative Governance section.” Open page 51
Continuity of Care: 15 points · p. 52
“Continuity of Care (15 points) The panel will review your application based on the following:” Open page 52
Support requested: 10 points · p. 53
“Support requested (10 points) See the Budget and budget narrative section.” Open page 53
Trend (Competing co ntinuation applicants with no active conditions related to Health Center Program requirements only): 5 points · p. 55
“Patient Trend (Competing co ntinuation applicants with no active conditions related to Health Center Program requirements only) (5 Points) We will give you a funding priority if:” Open page 55
Dates in the notice
10/19/2026 · p. 1
“Notice of Funding Opportunity Application due 10/19/2026 BUREAU OF PRIMARY HEALTHCARE Ongoing Investments Fiscal Year (FY) 2027 Service Area Competition (SAC) Opportunity number:” Open page 1
09/18/2026 · p. 5
“HRSA-27-005 Announcement version: 93.224 NOFO issue date: 09/18/2026 Application deadline: 10/19/2026 Expected award date: 04/01/2027 04/01/2027” Open page 5
Mistakes that get applications rejected (1)
Over the length limit: Pages that exceed the page limit will be redacted and will not be reviewed. · p. 48
“Pages that exceed the page limit will be redacted and will not be reviewed.” Open page 48
Who in Tennessee has won this program
56 awards to Tennessee groups in 20 counties since 2001 · 0 in Blount County. Largest shown:
| Past winner | Where | Amount | Fiscal year |
|---|---|---|---|
| United Neighborhood Health Services, Inc. | Nashville, Davidson County | $79.9M | 2002 |
| Cherokee Health Systems | Knoxville, Knox County | $73.6M | 2003 |
| Christ Community Health Services Inc | Memphis, Shelby County | $54.2M | 2003 |
| Matthew Walker Comprehensive Health Center, Inc. | Nashville, Davidson County | $46.8M | 2002 |
| Memphis Health Center Inc | Memphis, Shelby County | $43.1M | 2002 |
| Rural Health Services Consortium, Inc | Rogersville, Hawkins County | $36.5M | 2002 |
| Chattanooga Hamilton County Hospital Authority | Chattanooga, Hamilton County | $25.3M | 2002 |
| Vanderbilt University Medical Center | Nashville, Davidson County | $24.8M | 2016 |
| Tennessee Department of Health | Nashville, Davidson County | $24M | 2002 |
| Rural Medical Services, Inc. | Newport, Cocke County | $21.7M | 2002 |
| Dayspring Health, Inc | Jellico, Campbell County | $19.8M | 2002 |
| Hardeman County Community Health Center | Bolivar, Hardeman County | $19.6M | 2002 |
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 · 0 in Blount County. Largest shown:
| Past winner | Where | Through | Amount | Fiscal year |
|---|---|---|---|---|
| Maury Regional Hospital | Columbia, Maury County | U.S. Department of Health and Human Services | $1.6M spent that year | 2025 |
| Hamilton County, Tennessee | Chattanooga, Hamilton County | Tennessee Department of Health | $1M spent that year | 2024 |
| Stewart County Tennessee | Dover, Stewart County | Tennessee Department of Health | $344K spent that year | 2025 |
| County of Stewart | Dover, Stewart County | Tennessee Department of Health | $342K | 2024 |
| Cumberland County, Tennessee | Crossville, Cumberland County | Tennessee Department of Health | $233K spent that year | 2025 |
| County of Stewart | Dover, Stewart County | Tennessee Department of Health | $138K | 2023 |
| Vanderbilt University Medical Center | Nashville, Davidson County | Matthew-Walker | $124K spent that year | 2025 |
| Vanderbilt University Medical Center | Nashville, Davidson County | Arcare | $124K spent that year | 2025 |
| Gibson County, Tennessee | Trenton, Gibson County | Tennessee Department of Health | $120K spent that year | 2025 |
| Clay County, Tennessee | Celina, Clay County | Tennessee Department of Health | $87K spent that year | 2024 |
| County of Stewart | Dover, Stewart County | Tennessee Department of Health | $86K | 2025 |
| County of Putnam | Cookeville, Putnam County | Tennessee Department of Health | $84K | 2024 |
Source: USAspending.gov pass-through reports (the first recipient reports each one of $30,000 or more).
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
Match
None required (federal program listing).