Teaching Health Center Graduate Medical Education Payment
Active
- Assistance listing
- 93.530
- Agency
-
Health Resources and Services Administration
Department of Health and Human Services
- Grant awards
- 439 $3,048,060,788 in federal obligations
Program facts
- Also known as
- THCGME; THCPD; THCPD-TA
- Assistance types
-
- Project Grant
- Formula Grant
- Treasury account
-
- 75-0350-0-1-550
- More information
Program details come from SAM.gov Assistance Listings. Updated . Grant award figures come from USAspending.gov.
About this program
The Department of Health and Human Services Health Resources and Services Administration (HRSA) funds primary care and dental residency training programs in community-based ambulatory care centers through the Teaching Health Center Graduate Medical Education (THCGME) program, CFDA 93.530, with the most recent grant award on July 1, 2026.
The program funds establishment, expansion, and maintenance of accredited residency programs in family medicine, internal medicine, pediatrics, internal medicine-pediatrics, obstetrics and gynecology, psychiatry, geriatrics, general dentistry, and pediatric dentistry, all operated within community-based settings such as federally qualified health centers, rural health clinics, community mental health centers, and Indian Health Service facilities. Awarded grants have supported residency programs training physicians and dentists who will practice in health professional shortage areas and medically underserved communities. Recent examples include El Rio Health's new psychiatry and family medicine residency programs in Arizona serving underserved populations; the Southern Regional Medical Center Internal Medicine Residency Program in Georgia's Clayton County, designated as a HPSA and medically underserved area; and Marillac Community Health Centers' new family medicine residency program in New Orleans serving low-income African-American populations. Funding also supports programs addressing specific workforce gaps, such as the Cahaba-UAB Rural Psychiatry Residency in central Alabama and the MAHEC Internal Medicine Rural and Tribal Health Track serving Western North Carolina's Cherokee Indian Hospital Authority and Appalachian counties.
Awards are predominantly Project Grants (85 percent of 372 awards) with a smaller share of Formula Grants (15 percent of 67 awards). HRSA's Bureau of Health Professionals dominates funding, obligating $2.6 billion across 372 awards, while the broader HRSA organization obligated $447.7 million across 67 awards. Combined federal dollars obligated total $3.05 billion over the program's 15-year history since first awards in July 2011. Recent annual award volume ranges from 28 to 66 awards per year; 2024 saw 66 awards and the first half of 2026 has yielded 28 awards to date.
Award magnitudes vary significantly. Recent awards to established programs range from approximately $107 thousand to $9.3 million, with most new and expansion programs receiving $1 to $3 million. The program provides an interim payment rate of $160 thousand per resident full-time equivalent (FTE) and awards based on annual assessment of residency FTE slots. THCGME funding recipients may apply for establishment awards (new programs), maintenance awards (sustaining existing filled positions), or expansion awards (adding FTE positions). THCPD Program recipients also receive a 2-year period of performance; the THCPD-TA cooperative agreement recipient operates under a 3-year period of performance.
Two open grant opportunities were posted in 2026. HRSA-27-084, posted July 27, 2026, solicits establishment awards for new Teaching Health Centers seeking to fund initial resident FTE cohorts in accredited programs. HRSA-27-017, posted July 8, 2026, solicits maintenance funding for existing HRSA THCGME payment recipients to sustain filled positions. Both are open to federally qualified health centers, community mental health centers, rural health clinics, Indian Health Service facilities, Title X-funded entities, and GME consortia. Eligible applicant types include 501(c)(3) nonprofits, tribal governments and organizations, higher education institutions, and other entities that operate accredited community-based primary care residency programs.
Objective and description
- Objective
The objective of the THCGME program is to expand primary care medical and dental residency training programs in community-based ambulatory care settings. The objective of the THCPD program is to establish or expand sustainable primary care residency
- Description
The objective of the THCGME program is to expand primary care medical and dental residency training programs in community-based ambulatory care settings. The objective of the THCPD program is to establish or expand sustainable primary care residency training programs in community-based residency settings. The objective of the THCPD-TA cooperative agreement is to provide technical assistance to THCPD Program award recipients to support the expansion and establishment of accredited and sustainable community-based residency programs.
Eligibility
- Applicant eligibility
Eligible entities include community-based ambulatory patient care centers that operate a primary care residency program. Specific examples of eligible entities include, but are not limited to: • Federally qualified health centers, as defined in section 1905(l)(2)(B) of the Social Security Act • Community mental health centers, as defined in section 1861(ff)(3)(B) of the Social Security Act • Rural health clinics, as defined in section 1861(aa) of the Social Security Act • Health centers operated by the Indian Health service, an Indian tribe, or tribal organization, or an urban Indian organization, as defined in section 4 of the Indian Health Care Improvement Act • An entity receiving funds under Title X of the Public Health Service Act. In addition, the eligible entity must be listed as the institutional sponsor by the relevant accrediting body, including the Accreditation Council for Graduate Medical Education (ACGME) or the Council on Dental Accreditation (CODA). Federally Recognized Indian Tribal Government and Native American Organizations may apply if they are otherwise eligible.
- Beneficiary eligibility
Community-based ambulatory patient care centers that operate a primary care residency programs. (THCGME) Community-based ambulatory patient care centers that are establishing newly accredited primary care residency programs. (THCPD)
- Uses of assistance
Funds are restricted to eligible teaching health centers for direct expenses and the other indirect expenses associated with operating approved graduate medical residency programs.
- Use restrictions
Funds are restricted to eligible teaching health centers for direct expenses and the other indirect expenses associated with operating approved graduate medical residency programs.
- Length and time phasing of assistance
THCGME awards are based on an annual assessment of residency FTE slots. THCPD recipients have a 2-year period of performance. The THCPD-TA recipient has a 3-year period of performance.
How to apply
- Criteria for selecting proposals
Applicable to new (competing) programs only: Procedures for assessing the technical merit of grant applications have been instituted to provide an objective review of applications and to assist the applicant in understanding the standards against which each application will be judged. Critical indicators have been developed for each review criterion to assist the applicant in presenting pertinent information related to that criterion and to provide the reviewer with a standard for evaluation. Competing applications are reviewed by non-Federal expert consultant(s) for technical merit recommendations. Applications will be reviewed and evaluated against the following criteria: (1) Purpose and Need; (2) Response to Program Purpose; (3) Impact; (4) Organizational Information, Resources and Capabilities; and (5) Support Requested. See the most recent Notice of Funding Opportunity for detailed selection criteria.
- Award procedure
Notification of award is made in writing (electronic) through a Notice of Award.
- Time to approval or disapproval
Approximately 120 - 180 days after receipt of applications.
Grant opportunities
Show all 16
Grant awards
Latest 10 of 439 listed here. See the rest on GovTribe.
Top recipients by federal obligations
| Rank | Recipient | Federal obligations | Share |
|---|---|---|---|
| 1 | The Wright Center For Graduate Medical Education | $365,327,315 | 12% |
| 2 | Osteopathic Medical Education Consortium Of Oklahoma, Inc. | $255,273,612 | 8% |
| 3 | Detroit Wayne County Health Authority | $215,133,186 | 7% |
| 4 | Cahaba Medical Care Foundation | $138,829,116 | 5% |
| 5 | Sac Health System | $114,572,588 | 4% |
| 6 | The Institute For Family Health | $111,029,820 | 4% |
| 7 | Primary Health Care, Inc. | $101,260,958 | 3% |
| 8 | Connecticut Institute For Communities, Inc. | $94,396,086 | 3% |
| 9 | Community Health Of South Florida, Inc. | $86,632,991 | 3% |
| 10 | Northwestern University | $78,264,100 | 3% |
10 of 136 recipients listed here. See the rest on GovTribe.
Federal obligations by fiscal year
| Fiscal year | Federal obligations |
|---|---|
| FY2026 | $190,147,249 |
| FY2025 | $293,543,453 |
| FY2024 | $854,044,442 |
| FY2023 | $306,804,110 |
| FY2022 | $524,308,567 |
| FY2021 | $130,965,167 |
| FY2020 | $187,847,135 |
| FY2019 | $113,847,500 |
| FY2018 | $118,612,732 |
| FY2017 | $55,077,878 |
| FY2016 | $56,814,463 |
| FY2015 | $118,271,176 |
| FY2014 | $56,328,977 |
| FY2013 | $27,950,014 |
| FY2012 | $12,427,800 |
| FY2011 | $2,350,125 |
Show all 16
Quick answers
What is Assistance Listing 93.530?
Assistance Listing 93.530 is Teaching Health Center Graduate Medical Education Payment, a federal grant program run by Health Resources and Services Administration (Department of Health and Human Services).
What is the CFDA number for Teaching Health Center Graduate Medical Education Payment?
Its CFDA number is 93.530: Assistance Listing numbers were called CFDA numbers before 2018.
How much funding has Assistance Listing 93.530 awarded?
439 grant awards under 93.530 have obligated $3,048,060,788 in federal funds to 136 recipients.
Who receives the most funding from 93.530?
The recipients obligated the most under Teaching Health Center Graduate Medical Education Payment are The Wright Center For Graduate Medical Education ($365,327,315), Osteopathic Medical Education Consortium Of Oklahoma, Inc. ($255,273,612) and Detroit Wayne County Health Authority ($215,133,186).
How much did 93.530 obligate in fiscal year 2025?
Grants under 93.530 obligated $293,543,453 in federal funds in fiscal year 2025.
Are there open grant opportunities under 93.530?
1 listed opportunity under 93.530 is open or forecasted. The latest, Teaching Health Center Graduate Medical Education (THCGME) Program, was posted on July 27, 2026.
On GovTribe
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