Southern Nevada Health Dist

Southern Nevada Health District (doing business as Health District), a U.S. local government entity headquartered in Las Vegas, Nevada, serves as a federal grant recipient in public health programs, operating as a prime recipient on the majority of its direct federal awards and as a sub-recipient on pass-through state and local grants flowing from the Nevada Department of Health and Human Services and Clark County. The organization does not hold federal contracts and competes in grant programs only, with no set-aside designations applicable to its government-entity status.

Health District's federal grant footprint centers on communicable disease control, substance abuse and overdose prevention, maternal and child health, and chronic disease prevention. As a prime recipient, Health District receives cooperative agreements and project grants from CDC divisions including the National Center for Chronic Disease Prevention and Health Promotion, the National Center for Injury Prevention and Control, and the National Center on Birth Defects and Developmental Disabilities, as well as from the Health Resources and Services Administration (HRSA), the Substance Abuse and Mental Health Services Administration (SAMHSA), and the Bureau of Justice Assistance. Representative prime awards include a $228,571 CDC Investigations and Technical Assistance cooperative agreement (CFDA 93.283) for food safety culture intervention running through September 2030; a CDC Racial and Ethnic Approaches to Community Health (REACH) cooperative agreement (awarded December 2023, completing September 2028) addressing health disparities among Black and Hispanic populations in Clark County; a $1.6 million Bureau of Justice Assistance Comprehensive Opioid, Stimulant, and other Substances Use Program (CFDA 16.838) project grant (October 2023, completing September 2026) to establish the SPORTS overdose response team and expand law enforcement diversion services in partnership with Las Vegas Metropolitan Police Department and the University of Nevada, Las Vegas; and Title X family planning project grants from the Office of Population Affairs providing reproductive health and STD testing services across Clark, Nye, and Lincoln counties. Health District also serves as sub-recipient on more than a hundred pass-through awards from the Nevada Department of Health and Human Services and Clark County, delivering epidemiology and laboratory support, HIV prevention and case management services, tuberculosis control, vaccine confidence and immunization activities, harm reduction programming, and emergency preparedness infrastructure.

Among 177 total awards (prime and sub combined) across the past five years, Health District's federal customer base concentrates heavily within the Department of Health and Human Services, with the CDC and HRSA each accounting for 25 awards in the recent portfolio. The organization received eight awards in 2022, sixteen in 2023, fifty in 2024, thirty in 2025, and twenty-six through September 2026, showing growth through 2024 followed by a moderation in award volume. The combined potential value of all awards totals roughly $3 thousand as reported in source data (reflecting a data collection artifact that understates actual obligated value; separately reported obligated dollars total $358.9 million). Nine awards face ultimate completion within the next twenty-four months, presenting recompete exposure primarily in opioid-response, infectious-disease surveillance, and workforce-development programs. Health District's role is predominantly sub-recipient (66% of awards), reflecting its status as the local health authority for Clark County, Nevada, receiving pass-through funding from state and county grantees that in turn hold primary federal awards. The organization serves more than 2.3 million residents across Clark County and receives over 42 million annual visitors in the Las Vegas area, positioning it as one of the largest local public health organizations in the United States.