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IHS Profile

Based on 2015-2018 data -- Numbers are approximate

  • The Indian Health Care System:
    • Indian Health Service (IHS) direct health care services
      IHS services are administered through a system of 12 Area offices and 170 IHS and tribally managed service units.
    • Tribally operated health care services
      Titles I and V of the Indian Self-Determination and Education Assistance Act (Public Law 93-638, as amended), provide Tribes the option of exercising their right to self-determination by assuming control and management of programs previously administered by the federal government. Since 1992, the IHS has entered into agreements with tribes and tribal organizations to plan, conduct, and administer programs authorized under Section 102 of the Act. Today, over sixty percent of the IHS appropriation is administered by Tribes, primarily through self-determination contracts or self-governance compacts.
    • Urban Indian health care services and resource centers
      Urban Indian health programs operated 41 Urban Indian Organizations which include full ambulatory care programs, limited ambulatory care programs, outreach and referral programs, residential alcohol and addiction programs, and 2 hybrid programs funded as IHS Service Units (Oklahoma City and Tulsa, OK).
  • Population Served:
    • Members of 573 federally recognized Tribes
    • 2.3 million American Indians and Alaska Natives
  • Annual Patient Services (Tribal and IHS facilities – FY 2017):
    • Inpatient Admissions: 39,367
    • Outpatient visits: 13,811,171
  • Appropriations:
    • FY 2016 IHS budget appropriation: $4.8 billion
    • FY 2017 IHS budget appropriation: $5.0 billion
    • FY 2018 IHS budget appropriation: $5.5 billion
  • IHS Third-Party Collections: FY 2015 - $940 million, FY 2016 - $968 million; FY 2017 - $1.02 billion
  • Medicaid coverage within the IHS user population by federal fiscal year
    FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017
    621,939 657,668 626,440 648,427 677,811 715,138
  • Per Capita Personal Health Care Expenditures Comparison:
    • FY 2017 IHS expenditure on user population: $3,851
    • Total CY 2016 U.S. National Health Expenditure per person: $10,348
  • Human Resources:
    • Total IHS employees: 15,556
    • Includes 2,384 nurses, 731 physicians, 746 pharmacists, 271 dentists, 131 physician assistants, and 131 environmental health and sanitarians.
  • Facilities
      Hospitals Health Centers Alaska Village Clinics Health Stations
    IHS 26* 55 N/A 21
    Tribal 19 280 134 62

    *Includes 5 Critical Access Hospitals

Additional information on the IHS is available at https://www.ihs.gov and https://www.ihs.gov/aboutihs/

July 2018

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