Department of Health and Human Services obligations in North Carolina 4th District (NC-04)
USAspending.gov tags $15,225,088,452.30 to Department of Health and Human Services inside North Carolina 4th District (NC-04) — 3,920 award records, not outlays. Three thousand nine hundred twenty HHS-coded awards — a thick action file — still resolve to a single awarding-agency total inside NC-04, about two-thirds of the district’s published obligations. That pair is Department of Health and Human Services and North Carolina 4th District (NC-04) — not North Carolina’s entire federal inflow, not Department of Health and Human Services nationwide, and not cash already paid. The cell is 65.6% of this district’s published obligation total ($23,214,291,914.68). Implied average obligation is about $3,883,951.14 ($15,225,088,452.30 ÷ 3,920). Correlation is not causation.
Key figures
- HHS in North Carolina 4th District (NC-04): $15,225,088,452.30 across 3,920 USAspending awards.
- Implied mean about $3,883,951.14 per record; district share 65.6% of $23,214,291,914.68.
- Agency 075 × NC-04 is an obligation join, not an outlay and not a named-recipient list.
- Cite USAspending.gov; quote North Carolina 4th District and Department of Health and Human Services if live tables moved.
- North Carolina federal spending and All spending ties are parents and an index, not amounts to add into $15,225,088,452.30.
HHS obligations coded to North Carolina 4th District (NC-04)
Awarding agency 075 and congressional district NC-04 meet here. $15,225,088,452.30 is the USAspending.gov obligation sum on awards that carry both tags. It is not Department of Health and Human Services’s nationwide total, not every federal dollar coded to North Carolina 4th District (NC-04), and not an outlay register. The packet does not split HHS operating divisions or contract versus assistance instruments. 3,920 is an action count: modifications and repeat awards add rows. Unique recipients are unpublished. It is not a patient census, a beneficiary caseload, a clinical trial list, or a named-grantee file.
Dividing $15,225,088,452.30 by 3,920 yields about $3,883,951.14 per award on average. That ratio is two packet facts. It is not a typical contract, grant, or benefit line. 3,920 rows is a thick HHS file: modifications and repeat instruments add lines. Unique recipients are unpublished, and the implied mean is pulled down by volume. Do not treat NC-04’s 075 cell as a synonym for every HHS account nationwide. Open North Carolina 4th District for the district table without this agency filter, Department of Health and Human Services for agency 075 without the NC-04 filter, North Carolina federal spending for every awarding agency in the North Carolina extract, and All spending ties for the rest of the join list. Quote those hubs as parents, not as addends to $15,225,088,452.30.
What HHS contributes to this pair
USAspending labels awarding agency 075 as Department of Health and Human Services. That code produced $15,225,088,452.30 when crossed with North Carolina 4th District (NC-04) place of performance. The agency-wide 075 hub does not require NC-04 geography. The district hub does not require HHS. Only this tie applies both filters, which is why it cites 3,920 awards. The packet does not split HHS operating divisions or contract versus assistance instruments.
Correlation is not causation: North Carolina 4th District (NC-04) did not “cause” $15,225,088,452.30 by existing as a large or small place. Population, outcome scores, and named facilities are not packet facts. The join is 075 × NC-04 only. It is not a patient census, a beneficiary caseload, a clinical trial list, or a named-grantee file. Do not invent contractors or award recipients to fill the gap. Campaign donations on FEC tables do not fund this USAspending cell; the datasets are separate.
District geography versus North Carolina statewide totals
North Carolina 4th District (NC-04) on this join is a USAspending geography field, not a claim that every dollar was disbursed to residents of that district. Awards can list NC-04 while later work occurs elsewhere. Awards tagged to other North Carolina districts belong on those ties even when the awarding agency is also 075. North Carolina 4th District (NC-04) is a numbered congressional place-of-performance code inside North Carolina. Other North Carolina districts are separate joins even when they reuse awarding-agency 075. North Carolina 4th District (NC-04) is the place-of-performance filter. Other North Carolina districts are not added into this cell. The packet does not publish a county split inside NC-04.
North Carolina federal spending shows how agency 075 sits beside other awarding agencies in the same state extract. $15,225,088,452.30 is one district-agency column, not the state table. This packet does not split North Carolina 4th District (NC-04) by county, city, or census tract. Awards that carry a different awarding-agency code stay on those other ties even if the work sounds related to Department of Health and Human Services. The district-wide obligation total published here is $23,214,291,914.68; $15,225,088,452.30 is the HHS slice of that denominator.
Why this is not an outlay register
USAspending.gov records an obligation when the federal government commits funds on an award. $15,225,088,452.30 is that kind of sum for Department of Health and Human Services inside NC-04 coding. Later deobligations, recoveries, or payment schedules can change what leaves the Treasury without this join rewriting itself into a cash register. Assistance and contract awards can share the same awarding-agency rollup; this packet does not split them. Net obligations can include downward adjustments. This page reports $15,225,088,452.30 as given.
North Carolina’s own budget is a separate ledger. Mixing it with the 3,920-row HHS cell leaves USAspending.gov. Treat 3,920 as award records in the aggregate, not unique vendors. Do not annualize without a year field in the packet. Do not per-capita or per-recipient the dollar total; those denominators are unpublished. The implied mean ($3,883,951.14) is a concentration statistic, not a typical NC-04 HHS payment.
Live tables versus this snapshot
Cite USAspending.gov: Department of Health and Human Services (agency 075) obligated $15,225,088,452.30 on 3,920 awards coded to North Carolina 4th District (NC-04). Name Department of Health and Human Services and North Carolina 4th District (NC-04) together. Keep the obligation word. If North Carolina 4th District or Department of Health and Human Services has refreshed, prefer the live hub over this snapshot for current rows. The pair is not a patient census, a beneficiary caseload, a clinical trial list, or a named-grantee file. 65.6% of $23,214,291,914.68 is the district share on this packet, not a performance score.
Keep Department of Health and Human Services, North Carolina 4th District (NC-04), $15,225,088,452.30, and 3,920 awards together. All spending ties indexes other pairs. Department of Health and Human Services is the 075 parent without a NC-04 filter. North Carolina federal spending is the North Carolina parent. Do not add those parents to this cell. Sharing a district with HHS does not mean campaign donations funded these awards, and it does not convert obligations into outlays. This page reports one USAspending join.
What this packet refuses to infer
3,920 rows is a thick HHS file: modifications and repeat instruments add lines. Unique recipients are unpublished, and the implied mean is pulled down by volume. A large row count makes a program split tempting; the packet still does not supply one. A small row count makes a named-facility story tempting; the packet still does not name facilities or contractors. The implied mean (about $3,883,951.14) and the district share (65.6% of $23,214,291,914.68) are ratios of packet facts. Prefer North Carolina 4th District and Department of Health and Human Services if the live tables moved.
Questions
- How much HHS spending is coded to North Carolina 4th District (NC-04)?
- USAspending.gov lists $15,225,088,452.30 in Department of Health and Human Services obligations across 3,920 awards with place of performance in North Carolina 4th District (NC-04). Agency 075 × NC-04 is an obligation join, not an outlay and not North Carolina’s complete federal ledger. The cell is 65.6% of the district’s published total ($23,214,291,914.68). Unique recipients are unpublished. Average obligation is about $3,883,951.14, a ratio of those two facts only.
- Does $15,225,088,452.30 include every HHS program in NC-04?
- The packet publishes one awarding-agency rollup. The packet does not split HHS operating divisions or contract versus assistance instruments. $15,225,088,452.30 is the combined obligation sum for agency 075 inside NC-04 coding. This page will not invent a program pie or name contractors. Open Department of Health and Human Services and North Carolina 4th District to inspect parent tables. 3,920 remains an action count, not a program count.
- Is $15,225,088,452.30 cash already paid in North Carolina 4th District (NC-04)?
- No. Obligations are commitments recorded on USAspending.gov awards. Outlays — money that actually left the Treasury — are a different concept and are not this packet’s headline. Treating $15,225,088,452.30 as checks already cleared in North Carolina 4th District (NC-04) confuses those terms. Later ingests can revise 3,920 awards. Prefer the live district and agency hubs if the tables moved.
- What share of NC-04 obligations is agency 075?
- Agency 075 accounts for 65.6% of $23,214,291,914.68 in district-wide obligations on this packet. That share is $15,225,088,452.30 ÷ $23,214,291,914.68. It is not a ranking of North Carolina districts and not an outlay share. Other awarding agencies occupy the remaining district total on other ties.
USAspending.gov congressional district place-of-performance joined to awarding agency. District 90/98 (multi/non-voting placeholders) are omitted. Obligations are not outlays.