Tuesday, April 29, 2025 4/29/2025

Health Center Program

Award Number: H8000530
ORGANIZATION: BUREAU OF PRIMARY HEALTH CARE
OPDIV: HRSA
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES

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Health Center Program - HEALTH CENTER PROGRAM: H80CS00530 SERVICE AREA ID NUMBER, CITY, AND STATE: ID #293; Bolivar, TN PATIENTS PROJECTED TO BE SERVED IN 2026: From 01/01/2026-12/31/2026, HCCHC projects serving 6,270 total unduplicated patients. This represents 95% of the 6,599 patient target as noted in the SAAT, which requires no reduction in federal funds per SAC guidance. DESCRIPTION OF PROJECT: Hardeman County Community Health Center (HCCHC) has served West Tennessee since 1992. The current service area includes Hardeman, Haywood, Chester, and Madison counties. The center is requesting Community Health Center (CHC) grant funds in this SAC application and has received Patient Centered Medical Home certification. As an existing FQHC with an established presence in the region, HCCHC is well-positioned to continue providing access to comprehensive primary and preventive health services for the low-income residents of the service area. In 2023, HCCHC served 6,599 patients with 18,288 medical visits, 1,222 mental health visits, and 709 enabling services visits (UDS). NEEDS TO BE ADDRESSED: Data from the service area reveal systemic, widespread health disparities and emphasize the need for comprehensive primary and preventive health services that are accessible to those with low incomes and the uninsured. Within the service area, 38.7% of individuals live with incomes at or below 200% of Federal Poverty Guidelines. The population to provider ratio in the service area demonstrates a severe shortage of primary care, dental, and mental health providers, presenting a significant barrier to care, particularly for low-income residents. All four service area counties are designated health professional shortage areas (HPSAs) and medically underserved areas (MUAs) (Find Shortage Areas, HRSA, 2024). Of all service area residents, 10.9% are uninsured, and for those with incomes under 200% FPG, the rate rises to 15.4% (Small Area Health Insurance Estimates, Census Bureau, 2022). In the service area, 23.3% of adults report poor or fair general health, worse than the TN percentage of 20.2% and the US average of 17.0% (SparkMap, UOM, 2024). The overall mortality rate for the service area is 948.5, which also exceeds the state average of 915.0 and the national average of 747.6 (WONDER, CDC, 2016-2020). PROPOSED SERVICES: HCCHC operates six service delivery sites, including four sites in Bolivar, Hardeman County (one women’s and children’s center, one school-based site, one administrative and service delivery site, one mobile unit); one site in Henderson, Chester County; and one site in Stanton, Haywood County. Services provided directly or by referral include primary care, diagnostic labs and x-ray, screenings, emergency and after-hours coverage, voluntary family planning, immunizations, well child care, gynecology, prenatal care, labor and delivery, postpartum care, preventive dental, pharmaceutical services, case management, eligibility assistance, health education, outreach, transportation, translation, mental health services, substance use disorder services, optometry, nutrition, psychiatry, and ophthalmology. These services help to meet the needs of the service area’s identified lack of access. Proposed staffing to support project implementation include 3.65 FTE physicians (incl. 0.85 FTE OB/GYN), 4.81 FTE nurse practitioners, 1.0 FTE physician assistant, 10.9 FTE nurses, 13.15 FTE other medical staff, 0.8 FTE LCSWs, 0.8 FTE psychiatric nurse practitioner, 1.0 FTE other mental health staff, 0.4 FTE SUD provider, 4.09 FTE pharmacy staff, 0.85 FTE education specialists, 0.05 FTE outreach staff, 0.6 FTE transportation staff, and 1.8 FTE QI staff. POPULATION GROUPS TO BE SERVED: HCCHC prioritizes serving low-income individuals in the service area, including Medicaid recipients and the underinsured/uninsured.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $1,213,866 )
2025	2025	HARDEMAN COUNTY COMMUNITY HEALTH CENTER	629 NUCKOLLS RD	BOLIVAR	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	00	24	3/6/2025	COMPETING CONTINUATION	$1,213,866
2025	2024	HARDEMAN COUNTY COMMUNITY HEALTH CENTER	629 NUCKOLLS RD	BOLIVAR	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	04	23	11/5/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	HARDEMAN COUNTY COMMUNITY HEALTH CENTER	629 NUCKOLLS RD	BOLIVAR	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	03	23	10/28/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $1,213,866

Issue Date FY: 2024 ( Subtotal = $2,461,032 )
2024	2024	HARDEMAN COUNTY COMMUNITY HEALTH CENTER	629 NUCKOLLS RD	BOLIVAR	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	00	23	2/23/2024	NON-COMPETING CONTINUATION	$1,213,866
2024	2024	HARDEMAN COUNTY COMMUNITY HEALTH CENTER	629 NUCKOLLS RD	BOLIVAR	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	02	23	5/31/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$33,300
2024	2024	HARDEMAN COUNTY COMMUNITY HEALTH CENTER	629 NUCKOLLS RD	BOLIVAR	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	01	23	5/8/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$1,213,866
2024	2023	HARDEMAN COUNTY COMMUNITY HEALTH CENTER	629 NUCKOLLS RD	BOLIVAR	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	05	22	12/15/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $2,461,032

Issue Date FY: 2023 ( Subtotal = $2,427,731 )
2023	2023	HARDEMAN COUNTY COMMUNITY HEALTH CENTER	629 NUCKOLLS RD	BOLIVAR	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	00	22	3/10/2023	NON-COMPETING CONTINUATION	$2,427,732
2023	2023	HARDEMAN COUNTY COMMUNITY HEALTH CENTER	629 NUCKOLLS RD	BOLIVAR	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	04	22	8/28/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2023	HARDEMAN COUNTY COMMUNITY HEALTH CENTER	629 NUCKOLLS RD	BOLIVAR	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	01	22	7/18/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2023	HARDEMAN COUNTY COMMUNITY HEALTH CENTER	629 NUCKOLLS RD	BOLIVAR	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	02	22	7/19/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2023	HARDEMAN COUNTY COMMUNITY HEALTH CENTER	629 NUCKOLLS RD	BOLIVAR	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	03	22	8/24/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2021	HARDEMAN COUNTY COMMUNITY HEALTH CENTER	629 NUCKOLLS RD	BOLIVAR	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	05	21	4/27/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2021	HARDEMAN COUNTY COMMUNITY HEALTH CENTER	629 NUCKOLLS RD	BOLIVAR	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	01	20	10/12/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$108,616
2023	2021	HARDEMAN COUNTY COMMUNITY HEALTH CENTER	629 NUCKOLLS RD	BOLIVAR	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	04	21	3/23/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2021	HARDEMAN COUNTY COMMUNITY HEALTH CENTER	629 NUCKOLLS RD	BOLIVAR	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	03	21	1/12/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2021	HARDEMAN COUNTY COMMUNITY HEALTH CENTER	629 NUCKOLLS RD	BOLIVAR	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	02	21	10/12/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$108,615
														Subtotal = $2,427,731

Issue Date FY: 2022 ( Subtotal = $2,427,732 )
2022	2022	HARDEMAN COUNTY COMMUNITY HEALTH CENTER	629 NUCKOLLS RD	BOLIVAR	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	00	21	3/21/2022	COMPETING CONTINUATION	$1,820,799
2022	2022	HARDEMAN COUNTY COMMUNITY HEALTH CENTER	629 NUCKOLLS RD	BOLIVAR	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	01	21	5/17/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$606,933
														Subtotal = $2,427,732

Issue Date FY: 2021 ( Subtotal = $2,570,772 )
2021	2021	HARDEMAN COUNTY COMMUNITY HEALTH CENTER	629 NUCKOLLS RD	BOLIVAR	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	05	19	1/15/2021	SUPPLEMENT FOR EXPANSION	$143,040
2021	2021	HARDEMAN COUNTY COMMUNITY HEALTH CENTER	629 NUCKOLLS RD	BOLIVAR	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	00	20	3/23/2021	NON-COMPETING CONTINUATION	$2,427,732
2021	2021	Hardeman County Community Health Center	629 Nuckolls Rd	Bolivar	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	06	19	5/4/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $2,570,772

Issue Date FY: 2020 ( Subtotal = $2,438,165 )
2020	2020	HARDEMAN COUNTY COMMUNITY HEALTH CENTER	629 NUCKOLLS RD	BOLIVAR	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	03	19	8/21/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$47,100
2020	2020	HARDEMAN COUNTY COMMUNITY HEALTH CENTER	629 NUCKOLLS RD	BOLIVAR	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	02	19	7/8/2020	EXTENSION WITH OR WITHOUT FUNDS	$0
2020	2020	Hardeman County Community Health Center	629 Nuckolls Rd	Bolivar	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	04	19	9/2/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2020	HARDEMAN COUNTY COMMUNITY HEALTH CENTER	629 NUCKOLLS RD	BOLIVAR	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	01	19	5/27/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$597,766
2020	2020	HARDEMAN COUNTY COMMUNITY HEALTH CENTER	629 NUCKOLLS RD	BOLIVAR	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	00	19	3/23/2020	NON-COMPETING CONTINUATION	$1,793,299
2020	2019	Hardeman County Community Health Center	629 Nuckolls Rd	Bolivar	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	04	18	11/12/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2019	Hardeman County Community Health Center	629 Nuckolls Rd	Bolivar	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	03	18	11/5/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $2,438,165

Issue Date FY: 2019 ( Subtotal = $2,420,653 )
2019	2019	HARDEMAN COUNTY COMMUNITY HEALTH CENTER	629 NUCKOLLS RD	BOLIVAR	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	02	18	8/19/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$46,000
2019	2019	HARDEMAN COUNTY COMMUNITY HEALTH CENTER	629 NUCKOLLS RD	BOLIVAR	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	01	18	7/16/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$110,000
2019	2019	HARDEMAN COUNTY COMMUNITY HEALTH CENTER	629 NUCKOLLS RD	BOLIVAR	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	00	18	3/27/2019	NON-COMPETING CONTINUATION	$2,317,732
2019	2018	Hardeman County Community Health Center	629 Nuckolls Rd	Bolivar	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	04	17	12/18/2018	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2018	Hardeman County Community Health Center	629 Nuckolls Rd	Bolivar	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	05	17	1/23/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2017	HARDEMAN COUNTY COMMUNITY HEALTH CENTER	629 NUCKOLLS RD	BOLIVAR	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	09	16	3/13/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$171,164
2019	2017	Hardeman County Community Health Center	629 Nuckolls Rd	Bolivar	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	07	17	4/4/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2017	HARDEMAN COUNTY COMMUNITY HEALTH CENTER	629 NUCKOLLS RD	BOLIVAR	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	06	17	3/13/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$171,164
2019	2014	HARDEMAN COUNTY COMMUNITY HEALTH CENTER	629 NUCKOLLS RD	BOLIVAR	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	07	13	11/9/2018	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2014	HARDEMAN COUNTY COMMUNITY HEALTH CENTER	629 NUCKOLLS RD	BOLIVAR	TN	38008	HARDEMAN	USA	Grants for New and Expanded Services under the Health Center Program	08	13	2/5/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$53,079
														Subtotal = $2,420,653

Grand Total All Awards = $15,959,951

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Health Center Program

Award Number: H8000530

ORGANIZATION: BUREAU OF PRIMARY HEALTH CARE

OPDIV: HRSA

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

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