Department of Health and Human Services obligations in Alaska

HHS crossed with Alaska, not with the Pacific Northwest

The pair is 075 × AK. $29,426,075,610.98 is the obligation sum. 2,838 is the award count. Place of performance Alaska excludes Washington, Oregon, and Hawaii. HHS awards coded to those states are outside this total even when the work is described as regional.

About $10.37 million per award is the ratio. Indian Health Service, Medicaid, and other labels are not in the packet, so they are not assigned shares of $29,426,075,610.98.

$29,426,075,610.98 can look inevitable once it is printed in a headline. It is not. It is the sum of records that happen to carry both tags, 2,838 of them in this harvest. A different coding of place of performance would change the sum. So would a different awarding-agency code.

Agency 075 without Alaska

The Department of Health and Human Services hub drops the AK filter and will not equal $29,426,075,610.98. The Alaska hub drops 075. Overlay /states/ak/agencies/075/ is the both-keys table for 2,838 awards.

If a citation of $29,426,075,610.98 does not mention both the awarding agency and the place-of-performance state, it is not citing this join. If a citation of 2,838 does not mention both keys, it is not this file’s count.

Alaska geography in the awards file

AK is a single state-equivalent code. It is not a borough map, not a tribal-nation map, and not a list of remote clinics. Place of performance is not the recipient’s mailing address.

The Alaska federal spending hub shows 075 next to other awarding agencies that also use AK. Adjacency is not a joint program.

Mailing address and performance state can diverge. An award can carry this state’s performance tag while the recipient’s legal address sits elsewhere, and the reverse can keep an award out of $29,426,075,610.98. The join follows the performance-state field as published.

Obligations on 2,838 records

The published $29,426,075,610.98 is a commitment aggregate. Outlays are unpublished. No year is in the facts. Award count is not unique recipients and not an enrollment figure.

A small number of large instruments can dominate. The overlay is where that mix would be visible.

What the join does not show

HHS obligations in Alaska do not measure health outcomes or access. They do not claim donations funded awards. See Department of Health and Human Services in Alaska, Alaska federal spending, Department of Health and Human Services, and All spending ties.

How to read this pair next to the hubs

Alaska’s HHS pair is $29,426,075,610.98 on 2,838 awards. Washington is a different place-of-performance code.

Read Department of Health and Human Services in Alaska for the both-keys table, Alaska federal spending for the geography mix, Department of Health and Human Services for the agency without this state, and All spending ties for other pairs. $29,426,075,610.98 is not the agency nationwide and not the state from every agency. 2,838 is the row count inside the filter.

Place of performance does not mean every dollar was disbursed to residents of that state. Obligations do not mean outlays. Those distinctions are why $29,426,075,610.98 is described as a commitment aggregate.

Do not scale averages. Do not import FEC receipts. Do not treat this snapshot as live if the overlay has moved. The join remains $29,426,075,610.98 on 2,838 awards.

State lines in USAspending are codes, not culture. Informal regions do not add into $29,426,075,610.98. A vendor headquartered elsewhere can still appear if performance is tagged here; a local vendor can vanish from 2,838 if performance is tagged elsewhere. Those coding facts are why this page will not narrate $29,426,075,610.98 as “the federal government chose this state” in a causal sense. It will narrate $29,426,075,610.98 as the obligation sum inside a two-field filter, with 2,838 records, on Department of Health and Human Services in Alaska, with parents at Alaska federal spending and Department of Health and Human Services.

A join page is a refusal as much as it is a total. It refuses to treat $29,426,075,610.98 as the agency’s national ledger. It refuses to treat 2,838 as the state’s entire federal award file. It refuses to treat neighboring state codes as if they were included. It refuses to treat FEC itemized receipts as if they paid for USAspending obligations. After those refusals, what remains is usable: Department of Health and Human Services in Alaska for the pair, Alaska federal spending for the geography mix, Department of Health and Human Services for the agency without this state, and a clearly labeled obligation sum of $29,426,075,610.98 on 2,838 awards.

Questions

How much has HHS obligated in Alaska?

USAspending records $29,426,075,610.98 in obligations for agency 075 with Alaska place of performance, on 2,838 awards. That is an obligation join, not an outlay total. The pair is awarding agency 075 (Department of Health and Human Services) and place-of-performance Alaska.

What is the average award?

About $10.37 million ($29,426,075,610.98 ÷ 2,838). The average mixes award types and is not a typical grant. That ratio uses only $29,426,075,610.98 and 2,838 from the packet. A mean hides mix: a few large instruments can sit beside many smaller ones.

Does this include Washington?

No. Place of performance is Alaska only. Washington and other states are outside $29,426,075,610.98 and outside the 2,838 awards. Only place-of-performance Alaska plus awarding agency 075 (Department of Health and Human Services) enter $29,426,075,610.98. Adjacent state codes are other filters, if they exist as ties at all.

Does the total break out tribal health?

No. The facts are agency 075 and place-of-performance AK totaling $29,426,075,610.98 on 2,838 awards. Program names and tribal geography are not in this aggregate. The facts are agency 075 and place-of-performance Alaska totaling $29,426,075,610.98 on 2,838 awards. Program names, sites, and mission splits are not in this aggregate and are not assigned shares of $29,426,075,610.98.