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Indian Health Service The Federal Health Program for American Indians and Alaska Natives

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IHS Year 2014 Profile

Based on 2000-2013 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 168 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 half 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
      There are 33 urban programs that provide services ranging from community health to comprehensive primary health care.
  • Population Served:
    • Members of 566 federally recognized Tribes
    • 2.2 million American Indians and Alaska Natives
  • Annual Patient Services (Tribal and IHS facilities):
    • Inpatient Admissions: 45,907
    • Outpatient visits: 13,180,745
  • Appropriations:
    • FY 2014 IHS budget appropriation: $4.4 billion
    • FY 2013 IHS budget appropriation: $4.1 billion
  • IHS Third-Party Collections: FY 2013 - $810 million; FY 2012 - $744 million
  • Per Capita Personal Health Care Expenditures Comparison:
    • IHS expenditure on user population: $2849
    • Total U.S. population expenditure : $7713
  • Human Resources:
    • Total IHS employees: 15,630 (69% are American Indian/Alaska Native)
    • Includes 2590 nurses, 790 physicians, 660 pharmacists, 670 engineers/sanitarians, 330 physician assistants/nurse practitioners, and 290 dentists.
  • Facilities
      Hospitals Health Centers Alaska Village Clinics Health Stations
    IHS 28 61 N/A 34
    Tribal 17 249 164 70

Additional information on the IHS is available at and

January 2014

Download this Fact Sheet [PDF - 97 KB]