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Slide Presentation from the AHRQ 2007 Annual Conference

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The Indian Health System

Text Description is below the image.
  • IHS
    • 33 Hospitals
    • 49 Health Centers
    • 46 Health Stations
  • Tribal
    • 15 Hospitals
    • 198 Health Centers
    • 121 Health Stations
    • 180 Alaska Village Clinics
  • 34 Urban health care services and resource centers
  • 1.8 million users (Federally Recognized Tribes)
  • 56% AIAN rely primarily on IHS funded care (2000 census)
  • $3.1 billion from FY 2006 Appropriations
  • $628 million from Third-Party collections (2004)


This is a large, diverse, and diffuse health system serving about 1.8 million users (enrolled members of federally recognized Tribes) with a budget of about 4 billion dollars when appropriations and collections are combined.

The system also includes 34 urban health centers, serving about 600,000 self-identified Native Americans living in urban settings. Some of those served in urban programs are IHS beneficiaries (again—enrolled members of federally recognized Tribes) and some are not.

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