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

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IHS 2016 Profile

Based on 2000-2016 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
      There are 34 urban programs that provide services ranging from community health to comprehensive primary health care.
  • Population Served:
    • Members of 567 federally recognized Tribes
    • 2.2 million American Indians and Alaska Natives
  • Annual Patient Services (Tribal and IHS facilities):
    • Inpatient Admissions: 39,305
    • Outpatient visits: 13,742,078
  • Appropriations:
    • FY 2014 IHS budget appropriation: $4.4 billion
    • FY 2015 IHS budget appropriation: $4.6 billion
    • FY 2016 IHS budget appropriation: $4.8 billion
  • IHS Third-Party Collections: FY 2013 - $810 million; FY 2014 - $849 million; FY15 - $940 million
  • Per Capita Personal Health Care Expenditures Comparison:
    • FY 2015 IHS expenditure on user population: $3,688
    • Total CY 2014 U.S. population expenditure: $9,523
  • Human Resources:
    • Total IHS employees: 15,369
    • Includes 2,648 nurses, 725 physicians, 698 pharmacists, 272 dentists, 115 physician assistants, and 110 sanitarians.
  • Facilities
      Hospitals Health Centers Alaska Village Clinics Health Stations
    IHS 26 59 N/A 32
    Tribal 19 284 163 79

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

September 2016

Download this Fact Sheet [PDF - 115 KB]