Indian Health Service's contract dollars, traced to the source.
Indian Health Service · Department of Health and Human Services
The Indian Health Service (IHS) is the HHS component that provides and finances health care for American Indian & Alaska Native people through a network of hospitals, clinics, and tribal facilities. Its roughly $1.45B in FY2025 contract awards are led by healthcare facility construction & architect-engineering — the largest single obligation is a firm-fixed-price building contract, followed by architect-engineering for the Whiteriver, AZ hospital design. The rest of the top tier is dominated by Purchased/Referred Care fiscal-intermediary (claims administration) services and enterprise IT operations & maintenance support.
Contract obligations (latest complete FY)
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Contract obligations (in progress)
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Signal tier
Live
USAspending contract feed
What this monitor reads — and what it doesn't
This is the contract-signal tier: the live USAspending award feed for the Indian Health Service awarding sub-agency. It shows where IHS's procurement dollars go — obligations over time and the largest awards — not total budget authority, which also includes payroll, grants, and transfers. Figures reflect the contract (procurement) slice from USAspending, not IHS's total budget authority. The appropriation-level view lives on the Department of Health and Human Services monitor.