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YEAR 2008 PROFILE
Based on 2000-2008 data -- Numbers are approximate
The Indian Health Care System:
- Indian Health Service (IHS) direct health care services
IHS services areadministered through a system of 12 Area offices and 163 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 73 Title V compacts, funded through 94 Funding Agreements, totaling over $1 billion. These compacts represent 323 Tribes, more than half of all the federally recognized Tribes. There are also approximately 238 Tribes and tribal organizations that contract under Title I, with a total funding amount of $545 million. Overall, approximately 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 34 urban programs, ranging from community health to comprehensive primary health care services .
Population Served:
- Members of 562 federally recognized Tribes
- 1.9 million American Indians and Alaska Natives residing on or near reservations
- 600,000 American Indians in urban clinics
Annual Patient Services (Tribal and IHS facilities):
- Inpatient Admissions: 58,281
- Outpatient visits: 10,173,528
Appropriations:
- FY 2007 IHS budget appropriation: $3.2 billion
- FY 2008 proposed IHS budget appropriation: $3.3 billion
IHS Third-Party Collections: FY 2007 - $628 million; FY08 (estimated) - $780 million
Human Resources:
Total IHS employees: 15,487 ( 71% are Indian)
Total IHS employees: 15,487 ( 71% are Indian)
| Physicians | Nurses | Dentists | Pharmacists | Engineers | Sanitarians | |
|---|---|---|---|---|---|---|
| Number by health professional category | 854 | 2,524 | 281 | 499 | 401 | 143 |
| Health Professionals vacancy rates | 18% | 19% | 32% | 11% | 5% | 8% |
Facilities
| Hospitals | Health Centers | Alaska Village Clinics | Health Stations | School Health Centers | |
|---|---|---|---|---|---|
| IHS | 31 | 50 | N/A | 31 | 2 |
| Tribal | 15 | 254 | 166 | 112 | 18 |
ADDITIONAL INFORMATION
For referral to the appropriate spokesperson, contact the IHS Public Affairs Staff at 301-443-3593.
June 2008