The Division of Facilities Planning and Construction has many programs that are authorized to construct health care facilities and staff quarters, renovate/construct Youth Regional Treatment Centers for substance abuse, Joint Venture Construction Projects, provide construction funding for Tribal small ambulatory care facilities projects, replace/provide new dental units, and to assist non-IHS funded renovation projects.
- Joint Venture Construction Program
- Post Occupancy Evaluations Program
- Small Ambulatory Program (SAP)
- Youth Regional Treatment Centers Program
- Green Infrastructure Funds Program
Joint Venture Construction Program
Section 818 of the Indian Health Care Improvement Act, P.L. 94-437, authorizes the IHS to establish joint venture projects under which Tribes or Tribal organizations would acquire, construct, or renovate a health care facility and lease it to the IHS, at no cost, for a period of 20 years. Participants in this competitive program are selected from among eligible applicants who agree to provide an appropriate facility to IHS. The facility may be an inpatient or outpatient facility. The Tribe must use Tribal, private or other available (non-IHS) funds to design and construct the facility. In return the IHS will submit requests to Congress for funding for the staff, operations, and maintenance of the facility per the Joint Venture Agreement.
Proposals considered under this program are evaluated against the following criteria:
- The need for space at the location is verifiable when evaluated by using the criteria in the
- IHS planning methodologies;
- The Tribe is able to fund and manage the proposed project using its own (non-IHS)
- The project is consistent with the IHS Health Systems Planning program; and
- The project is consistent with the IHS Area Health Facilities Master Plan.
Additional consideration is given to Tribes that elect to fully fund the equipment for the facility.
- Joint Venture Pre-Application Kit - Released August 2019 [PDF - 1.0 MB]
- Joint Venture Phase I Data and Computation Form Excel Sheet [XLSX - 103 KB]
Due to the complex nature and calculations performed, this Excel document may not be fully accessible to persons using assistive technology. For assistance with this file, please contact Omobogie Amadasu at 301-443-4751 or Omobogie.Amadasu@ihs.gov.
- Joint Venture Final Application Kit - Released December 2019 [PDF - 423 KB]
- Joint Venture Construction Program Frequently Asked Questions
- Joint Venture Construction Program Award History
Post Occupancy Evaluations Program
The Indian Health Service conducts Post Occupancy Evaluations (POE) of recently completed health care facilities to gain knowledge for improvement of the planning and design process for new health care facilities as well as to encourage overall improvement in the health delivery process by providing the best health care facilities possible. The major purposes of a POE include:
- To avoid repetitious design or construction deficiencies.
- To document noteworthy construction features or practices for inclusion in future projects.
- To evaluate the entire plan-design-construction-operation process. After the evaluation, feedback will be provided to those offices which were responsible for the planning, designing, constructing and operating processes.
- To save future construction and operating costs by contributing to an efficient facilities design and construction program.
- To evaluate staffing patterns and determining the adequacy of the space provided compared to the approved Program of Requirements.
- To verify that the functional requirements of the Program of Requirements are met, and that they are met at reasonable costs. The operating program and technical survey team jointly evaluate this item. Generally a POE is conducted after the initial construction and start-up defects are corrected and the facility is in full operation, 2 to 4 years after initial occupancy. This time period also allows the staff an opportunity to become familiar with the facility and to implement procedures for utilizing their department spaces.
For additional information, contact Peter Nachod, Manager of the Post Occupancy Evaluations Program.
Small Ambulatory Program (SAP)
Section 306 of the IHCIA, P.L. 94-437, authorizes the IHS to award funds to Tribes and/or Tribal organizations for construction, expansion, or modernization of ambulatory health care facilities. Where non-Indians will be served in a facility, the funds awarded under this authority may be used only to support construction proportionate to services provided to eligible American Indian and Alaska Native (AI/AN) people. In fiscal year 2021 the program received $24 million in funding. Participants in this program are selected competitively from eligible applicants.
Participants in this program are selected competitively from eligible applicants who meet the following criteria
- Only federally recognized Tribes that operate non-IHS outpatient facilities under P.L. 93-638 contracts are eligible to apply for this program.
- Facilities for which construction is funded under Section 301 or Section 307 of P.L. 94- 437 are not eligible for this type of program.
- Priority will be given to Tribes that can demonstrate a need for increased ambulatory health care services and insufficient capacity to deliver such services.
- The completed facility will be available to eligible Indians without regard to ability to pay or source of payment.
- The applicant can demonstrate the ability to financially support services at the completed facility.
- The completed facility will:
- Have sufficient capacity to provide the required services.
- Serve at least 500 eligible AI/AN people annually.
- Provide care for a service area with a population of at least 2,000 eligible person
Application criteria to note
- Funding is split between two categories, large and small. The category is tied to the Maximum Supportable Space (MSS) of the Service Unit the application resides in with the threshold for small is not to exceed 100,000 square feet. Large Projects will compete for $5 million in funding and small projects for $19 million.
- All applications will require use of the Health Systems Planning (HSP) software for user population projections and suggested required building area. To sign up for HSP access please navigate to HSP Software Site and click the login button and click the hyperlink requesting access.
Instructions to complete your application online
- Request access to the application portal.
- Enter your first name, last name, and email address and click submit.
- Access will be granted within one business day. Please check both your inbox and spam/junk mail folder for the access link.
- Complete Sections A and B of the FY2021 SAP Application kit.
- The information entered can be saved and accessed again using your email address.
- Once you hit final submit you are no longer able to make changes to your application.
- Section C shall be submitted to the email address IHSSapapplications@ihs.gov.
- This year’s Application Kit is a Fillable PDF form. Applications can be submitted using this and signed with a digital signature. This method is not preferred but accepted.
- Applications are due to your IHS Area of jurisdiction by May 15, 2022
- Final applications are due to IHS DFPC by July 1, 2022
HSP Informal Training to complete Application
- View the webinar hosted on March 29* .
*Please disregard the projection year advice in the training video. Please use year 2032 for all user population projections.
- DFPC will host an informal training on how to complete your SAP Application using HSP on April 18, 2022 at 2:00 pm EDT.To join please click this Skype Meeting link. Access to a computer is required.
Application Kit Links
For questions and additional information, contact CDR Omobogie Amadasu, (office: 301-443-4751) Manager of the Small Ambulatory Program.
Youth Regional Treatment Centers Program
The following Youth Regional Treatment Centers were constructed or are scheduled to be completed in:
Pyramid Lake, NV - 2007
Spokane, WA (Healing Lodge of the Seven Nations) - 2005
Sacaton, AZ - 2009
Fairbanks, AK - 2004
Sitka, AK - 2004
Warm Springs - 1992
Northern California - 2016
Southern California - 2015
Green Infrastructure Funds Program
The Indian Health Service (IHS) receives annual appropriations of Green Infrastructure Funds to address sustainability in existing health care facilities. The appropriation directs the IHS Office of Environmental Health and Engineering to incorporate planning, design, and operations of buildings to reduce costs, minimize environmental impacts, use renewable energy, and incorporate green infrastructure and the most current energy efficiency codes and standards to the maximum extent practicable.
Call for proposals are typically sent to the Area Offices at the beginning of the fiscal year and are due the following January. The Division of Facility Planning and Construction (DFPC) reviews and prioritizes funding requests for activities that meet the requirements for Green Infrastructure Funds.
Criteria to distribute Green Infrastructure Funds are based on:
- Return on Investment
- Requirements Compliance (Law and EOs)
- Reduction in energy use
- Reduction in water use
- Enhance Indoor Environmental Quality
Requests for funding are made by submission of an IHS Area-approved; three-to-five page Request for Funding (RFF) to the DFPC. The submission should include supporting documentation, summaries of studies, and cost estimates. This document is not approval to construct the project, but rather a funding request to support the project. A Project Summary Document (PSD) or Program Justification Document (PJD) may be needed for approval to implement the project, depending of the estimated cost of the planned project.
For additional information, contact CDR Mark Hench, Manager of the Green Infrastructure Funds Program.