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| | |
 | Issue Date FY: 2026 ( Subtotal = -$483,968 ) |
| | 2026 | 2026 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 Health Services Rd | Sparta | NC | 28675-3000 | ALLEGHANY | USA | H8028970 | Health Center Program | 04 | 10 | HRSA | 11/20/2025 | $250,000 |
| | 2026 | 2026 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 HEALTH SERVICES RD | SPARTA | NC | 28675-3000 | ALLEGHANY | USA | H8028970 | Health Center Program | 06 | 10 | HRSA | 2/9/2026 | $0 |
| | 2026 | 2026 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 HEALTH SERVICES RD | SPARTA | NC | 28675-3000 | ALLEGHANY | USA | H8028970 | Health Center Program | 05 | 10 | HRSA | 1/13/2026 | $0 |
| | 2026 | 2025 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 Health Services Rd | Sparta | NC | 28675-3000 | ALLEGHANY | USA | H8J54623 | Fiscal Year 2025 Expanded Hours. | 04 | 1 | HRSA | 11/25/2025 | $0 |
| | 2026 | 2025 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 HEALTH SERVICES RD | SPARTA | NC | 28675-3000 | ALLEGHANY | USA | H8028970 | Health Center Program | 03 | 10 | HRSA | 11/19/2025 | $0 |
| | 2026 | 2024 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 Health Services Rd | Sparta | NC | 28675-3000 | ALLEGHANY | USA | H2E50197 | Health Center Program Service Expansion - School Based Service Sites (SBSS) | 02 | 2 | HRSA | 2/10/2026 | -$252,822 |
| | 2026 | 2024 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 Health Services Rd | Sparta | NC | 28675-3000 | ALLEGHANY | USA | H8N53944 | FY 2024 Behavioral Health Service Expansion | 02 | 1 | HRSA | 2/10/2026 | -$481,146 |
| | 2026 | 2023 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 HEALTH SERVICES RD | SPARTA | NC | 28675-3000 | ALLEGHANY | USA | C1650456 | Fiscal Year 2023 Capital Assistance for Hurricane Response and Recovery Efforts (CARE) | 09 | 1 | HRSA | 10/7/2025 | $0 |
| | 2026 | 2021 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 Health Services Rd | Sparta | NC | 28675-3000 | ALLEGHANY | USA | C8E43786 | Health Center Infrastructure Support | 07 | 1 | HRSA | 2/10/2026 | $0 |
|
 | Issue Date FY: 2025 ( Subtotal = $2,633,511 ) |
| | 2025 | 2025 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 Health Services Rd | Sparta | NC | 28675-3000 | ALLEGHANY | USA | H8028970 | Health Center Program | 00 | 10 | HRSA | 4/7/2025 | $701,992 |
| | 2025 | 2025 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 HEALTH SERVICES RD | SPARTA | NC | 28675-3000 | ALLEGHANY | USA | H8J54623 | Fiscal Year 2025 Expanded Hours. | 03 | 1 | HRSA | 8/4/2025 | $0 |
| | 2025 | 2025 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 HEALTH SERVICES RD | SPARTA | NC | 28675-3000 | ALLEGHANY | USA | H8028970 | Health Center Program | 01 | 10 | HRSA | 6/24/2025 | $0 |
| | 2025 | 2025 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 Health Services Rd | Sparta | NC | 28675-3000 | ALLEGHANY | USA | H8028970 | Health Center Program | 02 | 10 | HRSA | 7/16/2025 | $1,551,991 |
| | 2025 | 2025 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 HEALTH SERVICES RD | SPARTA | NC | 28675-3000 | ALLEGHANY | USA | H8J54623 | Fiscal Year 2025 Expanded Hours. | 02 | 1 | HRSA | 7/16/2025 | $0 |
| | 2025 | 2025 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 Health Services Rd | Sparta | NC | 28675-3000 | ALLEGHANY | USA | H8J54623 | Fiscal Year 2025 Expanded Hours. | 00 | 1 | HRSA | 12/19/2024 | $500,000 |
| | 2025 | 2025 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 HEALTH SERVICES RD | SPARTA | NC | 28675-3000 | ALLEGHANY | USA | H8J54623 | Fiscal Year 2025 Expanded Hours. | 01 | 1 | HRSA | 12/26/2024 | $0 |
| | 2025 | 2024 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 HEALTH SERVICES RD | SPARTA | NC | 28675-3000 | ALLEGHANY | USA | H8028970 | Health Center Program | 03 | 9 | HRSA | 11/7/2024 | $0 |
| | 2025 | 2024 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 Health Services Rd | Sparta | NC | 28675-3000 | ALLEGHANY | USA | H8N53944 | FY 2024 Behavioral Health Service Expansion | 01 | 1 | HRSA | 7/23/2025 | $0 |
| | 2025 | 2023 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 HEALTH SERVICES RD | SPARTA | NC | 28675-3000 | ALLEGHANY | USA | C1650456 | Fiscal Year 2023 Capital Assistance for Hurricane Response and Recovery Efforts (CARE) | 06 | 1 | HRSA | 5/12/2025 | $0 |
| | 2025 | 2023 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 HEALTH SERVICES RD | SPARTA | NC | 28675-3000 | ALLEGHANY | USA | C1650456 | Fiscal Year 2023 Capital Assistance for Hurricane Response and Recovery Efforts (CARE) | 04 | 1 | HRSA | 3/24/2025 | $0 |
| | 2025 | 2023 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 HEALTH SERVICES RD | SPARTA | NC | 28675-3000 | ALLEGHANY | USA | C1650456 | Fiscal Year 2023 Capital Assistance for Hurricane Response and Recovery Efforts (CARE) | 05 | 1 | HRSA | 5/8/2025 | $0 |
| | 2025 | 2023 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 HEALTH SERVICES RD | SPARTA | NC | 28675-3000 | ALLEGHANY | USA | C1650456 | Fiscal Year 2023 Capital Assistance for Hurricane Response and Recovery Efforts (CARE) | 08 | 1 | HRSA | 9/16/2025 | $0 |
| | 2025 | 2023 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 HEALTH SERVICES RD | SPARTA | NC | 28675-3000 | ALLEGHANY | USA | C1650456 | Fiscal Year 2023 Capital Assistance for Hurricane Response and Recovery Efforts (CARE) | 07 | 1 | HRSA | 7/15/2025 | $0 |
| | 2025 | 2023 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 Health Services Rd | Sparta | NC | 28675-3000 | ALLEGHANY | USA | H8G48018 | FY 2023 Expanding COVID-19 Vaccination | 02 | 1 | HRSA | 11/25/2024 | -$12,153 |
| | 2025 | 2023 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 Health Services Rd | Sparta | NC | 28675-3000 | ALLEGHANY | USA | H8L51473 | FY 2023 Bridge Access Program | 01 | 1 | HRSA | 5/23/2025 | $0 |
| | 2025 | 2023 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 HEALTH SERVICES RD | SPARTA | NC | 28675-3000 | ALLEGHANY | USA | C1650456 | Fiscal Year 2023 Capital Assistance for Hurricane Response and Recovery Efforts (CARE) | 03 | 1 | HRSA | 1/7/2025 | $0 |
| | 2025 | 2022 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 Health Services Rd | Sparta | NC | 28675-3000 | ALLEGHANY | USA | H8F41380 | American Rescue Plan Act Funding for Health Centers | 05 | 1 | HRSA | 2/10/2025 | -$65,500 |
| | 2025 | 2021 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 HEALTH SERVICES RD | SPARTA | NC | 28675-3000 | ALLEGHANY | USA | C8E43786 | Health Center Infrastructure Support | 04 | 1 | HRSA | 1/13/2025 | $0 |
| | 2025 | 2021 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 HEALTH SERVICES RD | SPARTA | NC | 28675-3000 | ALLEGHANY | USA | C8E43786 | Health Center Infrastructure Support | 06 | 1 | HRSA | 4/8/2025 | $0 |
| | 2025 | 2021 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 HEALTH SERVICES RD | SPARTA | NC | 28675-3000 | ALLEGHANY | USA | C8E43786 | Health Center Infrastructure Support | 05 | 1 | HRSA | 3/18/2025 | $0 |
| | 2025 | 2021 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 Health Services Rd | Sparta | NC | 28675-3000 | ALLEGHANY | USA | H8F41380 | American Rescue Plan Act Funding for Health Centers | 05 | 1 | HRSA | 2/10/2025 | -$42,819 |
|
 | Issue Date FY: 2024 ( Subtotal = $2,415,580 ) (Continued on the next page) |
| | 2024 | 2024 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 Health Services Rd | Sparta | NC | 28675-3000 | ALLEGHANY | USA | H8N53944 | FY 2024 Behavioral Health Service Expansion | 00 | 1 | HRSA | 9/19/2024 | $600,000 |
| | 2024 | 2024 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 Health Services Rd | Sparta | NC | 28675-3000 | ALLEGHANY | USA | H8028970 | Health Center Program | 00 | 9 | HRSA | 4/26/2024 | $320,473 |
| | 2024 | 2024 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 Health Services Rd | Sparta | NC | 28675-3000 | ALLEGHANY | USA | H8028970 | Health Center Program | 00 | 9 | HRSA | 4/26/2024 | $1,083,510 |
| | 2024 | 2024 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 Health Services Rd | Sparta | NC | 28675-3000 | ALLEGHANY | USA | H8028970 | Health Center Program | 01 | 9 | HRSA | 5/31/2024 | $33,097 |
| | 2024 | 2024 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 HEALTH SERVICES RD | SPARTA | NC | 28675-3000 | ALLEGHANY | USA | H8028970 | Health Center Program | 02 | 9 | HRSA | 9/17/2024 | $0 |
| | 2024 | 2024 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 Health Services Rd | Sparta | NC | 28675-3000 | ALLEGHANY | USA | H2E50197 | Health Center Program Service Expansion - School Based Service Sites (SBSS) | 00 | 2 | HRSA | 8/15/2024 | $350,000 |
| | 2024 | 2024 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 Health Services Rd | Sparta | NC | 28675-3000 | ALLEGHANY | USA | H2E50197 | Health Center Program Service Expansion - School Based Service Sites (SBSS) | 01 | 2 | HRSA | 9/17/2024 | $28,500 |
| | 2024 | 2023 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 HEALTH SERVICES RD | SPARTA | NC | 28675-3000 | ALLEGHANY | USA | H2E50197 | Health Center Program Service Expansion - School Based Service Sites (SBSS) | 03 | 1 | HRSA | 3/22/2024 | $0 |
| | 2024 | 2023 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 HEALTH SERVICES RD | SPARTA | NC | 28675-3000 | ALLEGHANY | USA | H2E50197 | Health Center Program Service Expansion - School Based Service Sites (SBSS) | 05 | 1 | HRSA | 5/31/2024 | $0 |
| | 2024 | 2023 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 HEALTH SERVICES RD | SPARTA | NC | 28675-3000 | ALLEGHANY | USA | H2E50197 | Health Center Program Service Expansion - School Based Service Sites (SBSS) | 02 | 1 | HRSA | 2/14/2024 | $0 |
| | 2024 | 2023 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 HEALTH SERVICES RD | SPARTA | NC | 28675-3000 | ALLEGHANY | USA | C1650456 | Fiscal Year 2023 Capital Assistance for Hurricane Response and Recovery Efforts (CARE) | 02 | 1 | HRSA | 9/27/2024 | $0 |
| | 2024 | 2023 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 HEALTH SERVICES RD | SPARTA | NC | 28675-3000 | ALLEGHANY | USA | C1650456 | Fiscal Year 2023 Capital Assistance for Hurricane Response and Recovery Efforts (CARE) | 01 | 1 | HRSA | 5/9/2024 | $0 |
| | 2024 | 2023 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 Health Services Rd | Sparta | NC | 28675-3000 | ALLEGHANY | USA | H8028970 | Health Center Program | 01 | 8 | HRSA | 7/19/2024 | $0 |
| | 2024 | 2023 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 Health Services Rd | Sparta | NC | 28675-3000 | ALLEGHANY | USA | H8028970 | Health Center Program | 01 | 8 | HRSA | 7/19/2024 | $0 |
| | 2024 | 2023 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 HEALTH SERVICES RD | SPARTA | NC | 28675-3000 | ALLEGHANY | USA | H2E50197 | Health Center Program Service Expansion - School Based Service Sites (SBSS) | 06 | 1 | HRSA | 6/4/2024 | $0 |
| | 2024 | 2023 | APPALACHIAN DISTRICT HEALTH DEPARTMENT | 157 HEALTH SERVICES RD | SPARTA | NC | 28675-3000 | ALLEGHANY | USA | H2E50197 | Health Center Program Service Expansion - School Based Service Sites (SBSS) | 01 | 1 | HRSA | 2/2/2024 | $0 |
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