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IHS YEAR 2012 PROFILE

Based on 2000-2012 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 157 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 82 Title V compacts, funded through 107 Funding Agreements, totaling approximately $1.35 billion. These compacts represent 337 Tribes – nearly 60% of all the federally recognized Tribes. There are also approximately 231 Tribes and tribal organizations that contract under Title I, with a total funding amount of $638 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 33 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 566 federally recognized Tribes
• 2 million American Indians and Alaska Natives residing on or near reservations

Annual Patient Services (Tribal and IHS facilities):

• Inpatient Admissions: 51,097
• Outpatient visits: 11,778,527
• Dental Services:   3,584,873

Appropriations:

• FY 2012 IHS budget appropriation:   $4.3 billion
• FY 2011 IHS budget appropriation:   $4.07 billion

IHS Third-Party Collections:

• FY 2011 - $694 million
• FY 2010 - $702 million

Per Capita Personal Health Care Expenditures Comparison:

• IHS expenditure on user population: $2741
• Total U.S. population expenditure: $7239

Human Resources

• Total IHS employees: 15,920 (70% are American Indian/Alaska Native)
• Includes approximately 2590 nurses, 860 physicians, 660 pharmacists, 640 engineers/sanitarians, 340 physician assistants/nurse practitioners, and 310 dentists.
  

Facilities

January 2012