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Service Area Competition (SAC) Technical Assistance

Eligible Applicants

Applicants must be public or nonprofit private entities, such as tribal, faith-based, or community-based organizations, that propose to serve a service area and its associated population(s) identified in the Service Area Announcement Table. Eligible applicants include:

• A current Health Center Program grantee whose project period ends on, or after, October 31, 2012 and before October 1, 2013 that seeks to continue serving its current service area.
• A health center not currently funded through the Health Center Program that seeks to serve an entire announced service area.
• A current Health Center Program grantee that seeks to serve an entire announced service area in addition to its current service area.

Program Requirements

An applicant must:

1. Provide services to the entire announced service area.
2. Provide services to the same target population currently being served (i.e., applicants may not propose to serve only a segment of the existing population being served) in an announced service area.
3. Provide the same or comparable comprehensive primary health care services presently being provided.
4. Request an equal or lesser amount of Federal funding than currently received by the Health Center Program grantee in an announced service area.

Program Specific Forms

• Form 1A: General Information Worksheet (Word - 78 KB)
• Form 1C: Document on File (Word - 50 KB)
• Form 2: Staffing Profile (Word - 58 KB)
• Form 3: Income Analysis (Word - 109 KB)
• Form 4: Community Characteristics (Word - 87 KB)
• Form 5A: Services Provided (Word - 122 KB)
• Form 5B: Service Sites (Word - 51 KB)
• Form 5C: Other Activities/Locations (Word - 38 KB)
• Form 6A: Current Board Member Characteristics (Word - 52 KB)
• Form 6B: Request for Waiver of Governance Requirements (Word - 41 KB)
• Form 8: Health Center Agreements (Word - 65 KB)
• Form 9: Need for Assistance Worksheet (Word - 91 KB)
• Form 10: Annual Emergency Preparedness Report (Word - 49 KB)
• Form 12: Organization Contacts (Word - 51 KB)

Performance Measures

• Clinical Performance Measures (Word - 238 KB)
• Financial Performance Measures (Word - 102 KB)

For more information on performance measures, see Health Center Program's Clinical and Financial Performance Measures.