Heartland Alliance Health

Heartland Alliance Health, a non-profit organization based in Chicago, Illinois, serves as a prime recipient of federal grants supporting HIV/AIDS prevention, care, and treatment services and housing assistance for homeless and underserved populations, with a secondary role as a subrecipient on state and local grants managed by the Chicago Department of Public Health, Rush University Medical Center, and the Illinois Department of Human Services. The organization operates as a subsidiary of Travelers & Immigrants Aid's Heartland Alliance For Human Needs & Human Rights and does not hold federal contracts; all federal activity flows through grant awards.

Heartland Alliance Health's federal grant portfolio centers on two dominant funders. The Department of Housing and Urban Development's Assistant Secretary for Community Planning and Development funds 142 awards (94% of the recent award count) under the Continuum of Care Program (CFDA 14.267), which supports temporary and permanent supportive housing, case management, healthcare coordination, and outreach to homeless individuals and families in the Chicago service area. The Department of Health and Human Services, through the Health Resources and Services Administration's HIV/AIDS Bureau, funds 13 awards (22 additional awards across two other HHS subdivisions) under the Ryan White HIV/AIDS Program. Representative grant work includes a $128,269 project grant for HIV-Related Training and Technical Assistance (CFDA 93.145) running through March 31, 2028, focused on capacity-building and technical assistance for outpatient early intervention services in the Chicago market; a $312,873 Continuum of Care award (June 2024–May 2025) supporting temporary and permanent supportive housing, case management, and healthcare coordination for homeless individuals; and a $45,015 Ryan White Part C Capacity Development award (September 2023–August 2024) for dental equipment infrastructure (a 3D intraoral scanner system) to expand oral health services for people living with HIV on Chicago's South Side. Additional HHS support includes awards from the Bureau of Primary Health Care for health center infrastructure, COVID-19 vaccination expansion, and bridge-access programming, and from the Substance Abuse and Mental Health Services Administration for community mental health services capacity. As a subrecipient, Heartland Alliance Health delivers care coordination and clinical case management to Afghan program participants under a Heartland Alliance International prime award, nutrition and food services for people living with HIV under Chicago Department of Public Health prime awards, and community-based COVID-19 testing and intervention for minority populations under Illinois Department of Public Health prime awards.

Activity has declined sharply in the source data snapshot: 11 awards in 2022, 19 in 2023, 5 in 2024, 2 in 2025, and 1 in 2026. The combined potential value across 191 prime and sub awards is reported as $7 thousand, but the source states combined dollars obligated across all awards total $328.2 million — a data inconsistency that signals either measurement anomalies in the grant award database or a significant gap between grant ceiling amounts and actual obligations. Only two awards face ultimate completion inside the next twenty-four months, limiting near-term recompete exposure. Service Contract Inventory reporting captures minimal activity: a single FY2024 subcontractor record with 3.7 FTEs, indicating SCI-reportable federal services activity is minimal or non-existent in the vendor's footprint. The organization's federal footprint is dominated by grant funding for direct service delivery rather than contract work.