U.S. Department of Health and Human Services
Indian Health Service: The Federal Health Program for American Indians and Alaska Natives
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Fact Sheets

IHS YEAR 2013 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, 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: 48,575
  • Outpatient visits: 12,772,553
  • Dental Services:   3,736,054

Appropriations:

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

IHS Third-Party Collections:

  • FY 2012 - $744 million
  • FY 2011 - $694 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: 15,930 (70% are American Indian/Alaska Native)
  • Includes approximately 2640 nurses, 820 physicians, 670 pharmacists, 640 engineers/sanitarians, 340 physician assistants/nurse practitioners, and 310 dentists.

Facilities

 
Hospitals
Health Centers
Alaska Village Clinics
Health Stations
IHS
28
61
N/A
33
Tribal
16
235
164
75

Additional information on the IHS is available at http://ww.ihs.gov and http://www.ihs.gov/index.cfm?module=About

January 2012

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