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YEAR 2009 PROFILE
Based on 2000-2010 data -- Numbers are approximate

The Indian Health Care System:

• Indian Health Service (IHS) direct health care services
  IHS services areadministered through a system of 12 Area offices and 161 IHS and tribally managed service units.

• Tribally-operated health care services
  

  Tribal facilities are operated under the authority of the Indian Self-Determination and Education Assistance Act (Public Law 93-638, as amended), Titles I and V.  There are 76 Title V compacts, funded through 97 Funding Agreements, totaling approximately $1.2 billion. These compacts represent 330 Tribes − more than half of all the federally recognized Tribes.  There are also approximately 232 Tribes and tribal organizations that contract under Title I, with a total funding amount of $620 million.  Overall, over half of the IHS budget authority appropriation is administered by Tribes, primarily through Self-Determination contracts or Self-Governance compacts.  

• Urban Indian health care services and resource centers
  There are 34 urban programs, ranging from community health to comprehensive primary health care services. Approximately 600,000 American Indians and Alaska Natives reside in counties served by urban Indian health programs.   

Population Served:

• Members of 564 federally recognized Tribes
• 1.9 million American Indians and Alaska Natives residing on or near reservations

Annual Patient Services (Tribal and IHS facilities):

• Inpatient Admissions: 54,127
• Outpatient visits: 10,847,240
• Dental Services:   3,538,198

Appropriations:

• FY 2010 IHS budget appropriation:   $4.05 billion
• FY 2009 IHS budget appropriation:   $3.58 billion

IHS Third-Party Collections:

• FY 2009 - $614 million
• FY 2010 (estimated) - $829 million

Per Capita Personal Health Care Expenditures Comparison:

• IHS user population: $2690
• Total U.S. population: $6826

Human Resources:
Total IHS employees: 15,676 (71% are Indian)

Facilities

January 2010