Tuesday, May 6, 2025 5/6/2025

Health Center Program

Award Number: H8024200
ORGANIZATION: BUREAU OF PRIMARY HEALTH CARE
OPDIV: HRSA
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES

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Health Center Program - Project Title: Service Area Competition -Tuba City, AZ Applicant Name: Tuba City Regional Health Care Corporation, Inc. Address: 167 N. Main St., P.O. Box 600, Tuba City, AZ 86045-0600 Project Director: Clarissa Begay Phone Number: 928-283-2613 E-Mail: clarissa.begay@tchealth.org Website: www.tchealth.org NOFO: HRSA-25-017 Service Area Competition, Competing Continuation Service Area ID: #315, Tuba City, AZ Federal Award Identifier (Award Number): H80CS24200 Total Number of Unduplicated Patients: 1,589 Funding Requested: $855,176 Tuba City Regional Health Care Corporation (TCRHCC) is an Indian Health Service (IHS) P.L. 93-638, Title V Self Governance tribal organization and a 501(c)(3) nonprofit in Coconino County, Arizona. TCRHCC began operation with 638 funding in 2002, continues to grow as a regional community-based health care system, and achieved Patient-Centered Medical Home (PCMH) recognition in 2020. TCRHCC provides comprehensive primary care, dental, behavioral health, and ancillary services through its 73-bed hospital and clinics in Tuba City, and since 2012 has also operated a Federally Qualified Health Center mobile medical/dental unit that travels to remote corners of the service area. TCRHCC serves an extremely impoverished, geographically dispersed population of Native Americans in Coconino and Navajo Counties, Arizona. TCRHCC Community Health Center (CHC) service area, which is 95% Native Americans (Navajo, Hopi, and San Juan Southern Paiutes), includes the chapters/communities of Tuba City, Bodaway/Gap, Cameron, Coalmine, Coppermine, LeChee, Kaibeto, Tonalea, Moenkopi upper/lower Village, and Dinnebito Community. The service area is very sparsely populated, and some individuals must travel great distances on dirt roads to reach health care. The entire Navajo Nation, at 25,000 square miles, is larger in size than ten of the U.S. states. Of the 9,800 miles of public roads that serve the Navajo Nation, only about one-fifth are paved. These travel barriers coupled with poverty (34.9%) nearly three times the state rate make mobile health clinic and behavioral health services critical to ensuring adequate access to primary, preventive health care, and mental health services for this population. Arizona’s American Indians, including TCRHCC’s target population, experience significant health disparities. Compared to the state’s general population, American Indians have significantly higher diabetes prevalence, are more likely to be obese, and have the highest age-adjusted mortality rate among all racial/ethnic groups. Extreme poverty compounds these health disparities. Other barriers to care for TCRHCC’s target population include high rates of under- and uninsured, language access (64.1% of the service population speaks a language other than English) and excessive distance to health care in this remote area of the state. This Service Area Competition funding opportunity will allow TCRHCC to continue providing vital comprehensive primary health care and behavior health services to its service area (zip codes 86045, 86044, 86040, 86020, 86053, 86039, and 86036). These remote communities are served via the existing TCHRCC primary care and dental vans at 10 Chapter Houses and 21 schools, including Head Start Programs. Critical behavioral health services are also provided at the Community Counseling Center in Tuba City. Continued CHC funding will support 21.0 FTE (including primary care, dentists, behavioral health, and enabling services) in providing care to at least 1,589 unduplicated patients per year.


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 = $427,588 )
2025	2025	TUBA CITY REGIONAL HEALTH CARE CORPORATION	167 N MAIN ST	TUBA CITY	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	00	13	4/7/2025	COMPETING CONTINUATION	$427,588
														Subtotal = $427,588

Issue Date FY: 2024 ( Subtotal = $885,971 )
2024	2024	TUBA CITY REGIONAL HEALTH CARE CORPORATION	167 N MAIN ST	TUBA CITY	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	00	12	4/24/2024	NON-COMPETING CONTINUATION	$855,176
2024	2024	TUBA CITY REGIONAL HEALTH CARE CORPORATION	167 N MAIN ST	TUBA CITY	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	02	12	8/28/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2024	TUBA CITY REGIONAL HEALTH CARE CORPORATION	167 N MAIN ST	TUBA CITY	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	01	12	5/31/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$30,795
2024	2023	TUBA CITY REGIONAL HEALTH CARE CORPORATION	167 N MAIN ST	TUBA CITY	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	05	11	2/6/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	TUBA CITY REGIONAL HEALTH CARE CORPORATION	167 N MAIN ST	TUBA CITY	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	03	11	12/29/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	TUBA CITY REGIONAL HEALTH CARE CORPORATION	167 N MAIN ST	TUBA CITY	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	13	11	7/9/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	TUBA CITY REGIONAL HEALTH CARE CORPORATION	167 N MAIN ST	TUBA CITY	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	08	11	3/4/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	TUBA CITY REGIONAL HEALTH CARE CORPORATION	167 N MAIN ST	TUBA CITY	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	06	11	2/9/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	TUBA CITY REGIONAL HEALTH CARE CORPORATION	167 N MAIN ST	TUBA CITY	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	04	11	1/2/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	TUBA CITY REGIONAL HEALTH CARE CORPORATION	167 N MAIN ST	TUBA CITY	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	10	11	3/28/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	TUBA CITY REGIONAL HEALTH CARE CORPORATION	167 N MAIN ST	TUBA CITY	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	09	11	3/5/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	TUBA CITY REGIONAL HEALTH CARE CORPORATION	167 N MAIN ST	TUBA CITY	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	01	11	12/15/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	TUBA CITY REGIONAL HEALTH CARE CORPORATION	167 N MAIN ST	TUBA CITY	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	12	11	5/23/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	TUBA CITY REGIONAL HEALTH CARE CORPORATION	167 N MAIN ST	TUBA CITY	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	02	11	12/27/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	TUBA CITY REGIONAL HEALTH CARE CORPORATION	167 N MAIN ST	TUBA CITY	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	14	11	8/2/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	TUBA CITY REGIONAL HEALTH CARE CORPORATION	167 N MAIN ST	TUBA CITY	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	07	11	2/23/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	TUBA CITY REGIONAL HEALTH CARE CORPORATION	167 N MAIN ST	TUBA CITY	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	11	11	5/14/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $885,971

Issue Date FY: 2023 ( Subtotal = $855,176 )
2023	2023	TUBA CITY REGIONAL HEALTH CARE CORPORATION	167 N MAIN ST	TUBA CITY	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	00	11	4/4/2023	NON-COMPETING CONTINUATION	$855,176
2023	2022	TUBA CITY REGIONAL HEALTH CARE CORPORATION	167 N MAIN ST	TUBA CITY	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	02	10	1/30/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2021	TUBA CITY REGIONAL HEALTHCARE CORPORATION	167 N MAIN ST	TUBA CITY	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	02	9	11/3/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $855,176

Issue Date FY: 2022 ( Subtotal = $855,176 )
2022	2022	TUBA CITY REGIONAL HEALTHCARE CORPORATION	167 N MAIN ST	TUBA CITY	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	01	10	9/26/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2022	Tuba City Regional Healthcare Corporation	167 N Main St	Tuba City	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	00	10	5/6/2022	COMPETING CONTINUATION	$855,176
														Subtotal = $855,176

Issue Date FY: 2021 ( Subtotal = $855,176 )
2021	2021	Tuba City Regional Healthcare Corporation	167 N Main St	Tuba City	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	00	9	4/1/2021	NON-COMPETING CONTINUATION	$855,176
2021	2021	Tuba City Regional Healthcare Corporation	167 N Main St	Tuba City	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	01	9	8/19/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $855,176

Issue Date FY: 2020 ( Subtotal = $889,118 )
2020	2020	Tuba City Regional Healthcare Corporation	167 N Main St	Tuba City	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	03	8	7/8/2020	EXTENSION WITH OR WITHOUT FUNDS	$0
2020	2020	Tuba City Regional Healthcare Corporation	167 N Main St	Tuba City	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	02	8	5/26/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$213,794
2020	2020	Tuba City Regional Healthcare Corporation	167 N Main St	Tuba City	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	01	8	5/20/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2020	Tuba City Regional Healthcare Corporation	167 N Main St	Tuba City	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	00	8	4/22/2020	NON-COMPETING CONTINUATION	$641,382
2020	2020	Tuba City Regional Healthcare Corporation	167 N Main St	Tuba City	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	05	8	9/2/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2020	Tuba City Regional Healthcare Corporation	167 N Main St	Tuba City	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	04	8	8/21/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$33,942
2020	2019	Tuba City Regional Healthcare Corporation	167 N Main St	Tuba City	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	05	7	11/25/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2019	Tuba City Regional Healthcare Corporation	167 N Main St	Tuba City	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	04	7	11/12/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2019	Tuba City Regional Healthcare Corporation	167 N Main St	Tuba City	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	06	7	1/21/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $889,118

Issue Date FY: 2019 ( Subtotal = $870,158 )
2019	2019	Tuba City Regional Healthcare Corporation	167 N Main St	Tuba City	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	03	7	9/23/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2019	Tuba City Regional Healthcare Corporation	167 N Main St	Tuba City	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	00	7	5/1/2019	NON-COMPETING CONTINUATION	$855,176
2019	2019	Tuba City Regional Healthcare Corporation	167 N Main St	Tuba City	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	01	7	8/19/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$14,982
2019	2019	Tuba City Regional Healthcare Corporation	167 N Main St	Tuba City	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	02	7	9/23/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2017	Tuba City Regional Healthcare Corporation	167 N Main St	Tuba City	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	04	6	4/23/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2017	Tuba City Regional Healthcare Corporation	167 N Main St	Tuba City	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	03	6	12/18/2018	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$81,331
2019	2017	Tuba City Regional Healthcare Corporation	167 N Main St	Tuba City	AZ	86045	COCONINO	USA	Grants for New and Expanded Services under the Health Center Program	04	5	12/18/2018	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$81,331
														Subtotal = $870,158

Grand Total All Awards = $5,638,363

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Health Center Program

Award Number: H8024200

ORGANIZATION: BUREAU OF PRIMARY HEALTH CARE

OPDIV: HRSA

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

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