← Back to search

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

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

Open

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.

View on Grants.gov Add deadline to my calendar

More from Health Resources and Services Administration

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.

Ask a partner for a letter

Your schedule, working back from the deadline

  1. 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
  2. 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.
  3. Oct12
    Finish a complete draft for a final review
    Suggested: leave about a week for someone else to read the draft.
  4. Oct17
    Submit
    Grants.gov: submit at least 24–48 hours before the deadline: uploads fail, systems slow down, errors need fixing. Grants.gov blog
  5. Oct19
    Deadline
    From the funder.

Save this grant to put these dates in My grants and your private calendar.

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. Largest shown:

Past Tennessee winners
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. Largest shown:

Tennessee pass-through grant winners
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).

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

Something wrong on this page? Tell us
What's wrong?

Source: Federal grants from Grants.gov · the official federal record. Last checked by GrantMe Oct 7, 2026.

Reference numbers: official notice number HRSA-27-005 · program number 93.224