Cahaba Medical Care Foundation

Cahaba Medical Care Foundation, doing business as Cahaba Medical Care, is a tax-exempt nonprofit federally qualified health center (FQHC) and teaching health center based in Centreville, Alabama, that receives federal grant funding from the Department of Health and Human Services to operate graduate medical education residency programs, behavioral health and substance use disorder training initiatives, and specialized primary care services for underserved and rural populations across central Alabama. The organization operates exclusively as a prime grant recipient with no federal contract prime or subcontractor activity; it has received 47 federal grants totaling $287.1 million in obligated dollars across its recent award footprint.

Cahaba Medical Care's federal grant portfolio concentrates heavily within HHS. The Department of Health and Human Services Health Resources and Services Administration Bureau of Health Professionals accounts for 21 awards, with an additional 14 awards from HHS HRSA and 5 from HHS HRSA Bureau of Primary Health Care, together representing 96% of recent grants. The organization also holds grants from the Department of Agriculture Rural Utilities Service and the Federal Office of Rural Health Policy. Across this customer set, HHS funding anchors the organization's work.

The organization's capability portfolio centers on graduate medical education, workforce training, and primary care service expansion in medically underserved areas. Cahaba Medical Care operates the Cahaba-UAB Family Medicine Residency, an ACGME-accredited program that began training residents in 2013 and has expanded across four tracks—rural, urban, highlands, and frontier—serving 16 to 20 residents per year across central Alabama counties including Bibb, Jefferson, Perry, and Wilcox. Recent major grants include a $500,000 Primary Care Training and Enhancement (PCTE) program grant (CFDA 93.884) awarded July 1, 2026, through June 30, 2031, to expand street medicine residency training within the family medicine program, focusing on care for individuals experiencing homelessness; a $1.5 million Rural Health Research Centers grant (CFDA 93.155) awarded August 1, 2025, through July 31, 2028, to fund the Rural Residency Planning and Development Program expanding family medicine residency into Butler County with projected matriculation of four residents per year beginning August 2029; and a Cahaba-UAB Rural Psychiatry Residency grant awarded March 1, 2026, through June 30, 2029, establishing a new four-year psychiatry residency program training 12 residents across rural counties in central Alabama. Additional grants fund integrated substance use disorder training for social workers, nurse practitioners, and physician assistants; behavioral health service expansion adding licensed clinical social workers and behavioral health consultants; HIV clinical training through the STRIVE program (Specialized Training in Residency for HIV Excellence); quality improvement initiatives focused on maternal health, justice-involved populations, and COVID-19 vaccination; and dental infrastructure expansion for people living with HIV/AIDS through Ryan White Title III funding. Eight awards face ultimate completion within the next twenty-four months, representing recompete opportunity in that window. Award volume declined from eight grants in 2023 and 2024 to two in 2025 and two in 2026, reflecting a shift in the organization's federal funding pipeline timing rather than loss of grantor relationships.