U.S. Department of Health and Human Services
Indian Health Service: The Federal Health Program for American Indians and Alaska Natives
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Indian Health Service Fact Sheets

IHS YEAR 2011 PROFILE
Based on 2000-2011 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 163 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 78 Title V compacts, funded through 100 Funding Agreements, totaling approximately $1.4 billion. These compacts represent 332 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 $625 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 565 federally recognized Tribes
  • 2 million American Indians and Alaska Natives residing on or near reservations

Annual Patient Services (Tribal and IHS facilities):

  • Inpatient Admissions:  50,349
  • Outpatient visits: 11,778,527
  • Dental Services:    3,568,201

Appropriations:

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

IHS Third-Party Collections:

  • FY 2010 - $702 million
  • FY 2011 (estimated) - $829 million

Per Capita Personal Health Care Expenditures Comparison:

  • IHS user population: $2741
  • Total U.S. population: $6909

Human Resources

  • Total IHS employees: 16,159 (70% are American Indian/Alaska Native)
  • Includes approximately 900 Physicians, 2700 Nurses, 350 Physician Assistants/Nurse Practitioners, 300 Dentists,
    650 Pharmacists, and 650 Engineers/Sanitarians.

Facilities

 
Hospitals
Health Centers
Alaska Village Clinics
Health Stations
School Health Centers
IHS
28
58
N/A
31
5
Tribal
17
235
166
92
28

Additional information on the IHS is available at http://ww.ihs.gov and http://www.ihs.gov/index.cfm?module=About

January 2011

     

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Indian Health Service (HQ) - The Reyes Building, 801 Thompson Avenue, Ste. 400 - Rockville, MD 20852