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H1D4IHS0242

Cooperative Agreement

Overview

Grant Description
Norton Sound Health Corporation Diabetes Program - Norton Sound Health Corporation is a tribally owned and operated, independent, nonprofit health care organization established in 1970 to meet the health care needs of the region’s Inupiaq, St. Lawrence Island Yupik, and Yup’ik people. Its mission is to provide quality health services and promote wellness within our people and environment.

NSHC operates Norton Sound Regional Hospital located in Nome, Alaska, and 16 federally qualified health clinics (FQHC) in Nome and its fifteen (15) remote villages. The 16 total communities include Nome, Brevig Mission, Diomede, Elim, Gambell, Golovin, Koyuk, Savoonga, St. Michael, Shaktoolik, Shishmaref, Stebbins, Teller, Unalakleet, Wales, and White Mountain.

The health care centers that make up Norton Sound Health Corporation are located in the Bering Strait region, a 22,962 square-mile section of northwestern Alaska, ranging in size from 150-750 residents, scattered along the Bering Sea coast and on islands of the region.

Norton Sound Regional Hospital has many services including inpatient, emergency, preventative care, and outpatient services. NSHC services include but are not limited to audiology, laboratory services, dental, CAMP (Chronic Care, Active Management & Prevention), nutrition services, EMS, environmental services, eye care, infection control, acute care, maternal & child health, primary care clinic, pharmacy, physical therapy, radiology, respiratory therapy, social services, behavioral health services, and village health services.

Specialty medical services may require residents to be flown into Anchorage, Alaska; 538 miles away. Barriers to care include geography, remoteness, climate, language and culture, unemployment, and poverty. The region is only accessible by air. Norton Sound’s climate is harsh, including winter temperatures below zero and snow annually.

The majority of the population is Alaska Native (75%). The economy is a hybrid of cash and subsistence. Jobs are scarce. Many residents still live traditional lifestyles. Rural Alaska has some of the highest poverty rates in the nation. Norton Sound Health Corporation is the only provider of health care in the region.

As of the 2021 calendar year, NSHC served 8,777 AI/AK patients in the region. With this funding, NSHC will continue to provide accessible, comprehensive health care services to all the region’s residents under the Community Health Center model for prevention and treatment of diabetes in AI/AK communities.
Funding Goals
NOT APPLICABLE
Place of Performance
Nome, Alaska United States
Geographic Scope
City-Wide
Analysis Notes
Amendment Since initial award the total obligations have increased 325% from $732,141 to $3,111,599.
Norton Sound Health was awarded NSHC Diabetes Program: Health Care for AI/AK Communities Cooperative Agreement H1D4IHS0242 worth $3,111,599 from the HIS Office of the Director in January 2022 with work to be completed primarily in Nome Alaska United States. The grant has a duration of 5 years and was awarded through assistance program 93.237 Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects. The Cooperative Agreement was awarded through grant opportunity Special Diabetes Program for Indians.

Status
(Ongoing)

Last Modified 6/22/26

Period of Performance
1/1/23
Start Date
12/31/27
End Date
70.0% Complete

Funding Split
$3.1M
Federal Obligation
$0.0
Non-Federal Obligation
$3.1M
Total Obligated
100.0% Federal Funding
0.0% Non-Federal Funding

Activity Timeline

Interactive chart of timeline of amendments to H1D4IHS0242

Transaction History

Modifications to H1D4IHS0242

Additional Detail

Award ID FAIN
H1D4IHS0242
SAI Number
H1D4IHS0242-996665985
Award ID URI
SAI UNAVAILABLE
Awardee Classifications
Indian/Native American Tribal Government (Federally-Recognized)
Awarding Office
75A1HS IHS Office of Management Services/Division of Grants Management
Funding Office
75GA00 IHS OFFICE OF THE DIRECTOR
Awardee UEI
T5LCB3VBM1L7
Awardee CAGE
4ED67
Performance District
AK-00
Senators
Lisa Murkowski
Dan Sullivan

Budget Funding

Federal Account Budget Subfunction Object Class Total Percentage
Indian Health Services, Indian Health Service, Health and Human Services (075-0390) Health care services Grants, subsidies, and contributions (41.0) $732,141 100%
Modified: 6/22/26