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Indian Health Service

**Year 2007 Profile**

*Based on 2000-2006 data \-- Numbers are approximate*

-   **The Indian Health Care System**:

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-   **Indian Health Service (IHS) direct health care services**

> IHS services are administered 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 72 Title V compacts, funded
> through 93 Funding Agreements, totaling over \$1 billion. These
> compacts represent 322 Tribes, more than half of all the federally
> recognized Tribes. There are also approximately 241 Tribes and tribal
> organizations that contract under Title I, with a total funding amount
> of \$532 million. Overall, approximately 54% 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 561 federally recognized Tribes in 35 States

    -   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):*

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-   Inpatient Admissions:  59,001

-   Outpatient visits:  9,796,734

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-   Dental visits: 3,304,172

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-   **Appropriations:**

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-   FY 2005 IHS budget appropriation: \$3.0 billion

-   FY 2006 IHS budget appropriation: \$3.1 billion

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-   **IHS Third-Party Collections:** FY 2005 - \$533 million; FY 2006 --
    \$543 million

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-   **Per Capita Personal Health Care Expenditures Comparisons :**

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-   IHS user population: \$2158

-   Total U.S. population: \$5921

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-   **Human Resources:**

    -   ***Total IHS employees: 15,848 (70% are Indian)***

  --------------- ------------ ------------ ------------ ------------ ----------- ---------- ------------- ----------- -------------
                  All          Indian       Non-Indian   Physicians   Nurses      Dentists   Pharmacists   Engineers   Sanitarians
                  employees                                                                                            

  Comm. Corps     2,257        388          1,869        226          487         198        447           280         136

  Civil service   13,591       10,709       2,882        670          2,128       107        65            107         35

  **Total**       **15,848**   **11,097**   **4,751**    **896**      **2,615**   **305**    **512**       **387**     **171**

  Health                                                 13%          17%         28%        11%           6%          5%
  Professionals                                                                                                        
  vacancy rates                                                                                                        
  --------------- ------------ ------------ ------------ ------------ ----------- ---------- ------------- ----------- -------------

  -------- ----------- ----------- -------------- ----------- ------------------
  I        Hospitals   Health      Alaska Village Health      School Health
                       Centers     Clinics        Stations    Centers

  I IHS    33          52          N/A            38          2

  Tribal   15          220         162            116         9
  -------- ----------- ----------- -------------- ----------- ------------------

-   **Facilities**