Federal sub-agency · Department of Health and Human Services

Indian Health Service

Indian Health Service obligated $1B on federal contracts in FY2026 across 10,346 contract actions (−27% vs FY2025). Its largest recipient was JAYNES CORPORATION ($97.2M). It also awarded $6.4B in federal grants and other assistance in FY2026.

Obligations · FY2026
$1B
Actions
10.3K
New awards: 2,137
Sole-source
27%
Small business
50%
Open in the contracts explorerRelationship graphFederal contracts

Spending by fiscal year

Obligations per federal fiscal year (October–September).

  1. 828.7MFY2017
  2. 870MFY2018
  3. 1BFY2019
  4. 938MFY2020
  5. 1.2BFY2021
  6. 1.4BFY2022
  7. 1.3BFY2023
  8. 1.4BFY2024
  9. 1.4BFY2025
  10. 1BFY2026
  11. 0FY2027

Top recipients

Obligations in FY2026.

  1. JAYNES CORPORATION$97.2M9.3%
  2. MCKESSON CORPORATION$86.1M8.2%
  3. MEDLINE INDUSTRIES, LP$33M3.2%
  4. TRIBAL HEALTH, LLC$30.7M2.9%
  5. BAY AREA ANESTHESIA LLC$28.7M2.7%
  6. PRAIRIE BAND HEALTH SERVICES INC$26.8M2.6%
  7. FOUR WINDS STAFFING LLC$26.3M2.5%
  8. CHENEGA GOVERNMENT MISSION SOLUTIONS, LLC$22.2M2.1%
  9. PRIME PHYSICIANS TRI PROVIDERS LLC$20.2M1.9%
  10. LACREEK DEVELOPMENT CORP$19M1.8%

What was bought · Where the work was performed

Obligations in FY2026.

What was bought

  1. Health & medical$629.6M60%
  2. Construction & real property$180.5M17%
  3. Professional services$69.2M6.6%
  4. IT & telecom$65.2M6.2%
  5. Facilities & utilities$40.9M3.9%
  6. Equipment maintenance$25.9M2.5%
  7. Other equipment & supplies$24.8M2.4%
  8. Education & social services$7.7M0.7%
  9. Fuel$1.4M0.1%
  10. Transportation & logistics$366.8K0.0%
  11. Weapons, aircraft, ships & vehicles$237.8K0.0%

Where the work was performed

  1. New Mexico$277.5M27%
  2. Oklahoma$219.2M21%
  3. Arizona$180.3M17%
  4. South Dakota$120.7M12%
  5. Maryland$49.1M4.7%
  6. Montana$33.3M3.2%
  7. California$31.8M3.0%
  8. Minnesota$28.3M2.7%
  9. North Dakota$22M2.1%
  10. Illinois$19.3M1.8%

Integrity signals

Shares of the year's obligations, next to the country's.

  • Low competition37%
    US 39% · $382M
  • Sole-source awards27%
    US 30% · $280M
  • Single-offer competitions9.8%
    US 8.7% · $102M
  • Urgency justifications2.3%
    US 5.1% · $23.7M
  • Year-end rush18%
    US 6.0% · $188.9M
  • Undefinitized contracts0.1%
    US 5.0% · $1.6M
  • Time-and-materials pricing6.8%
    US 4.2% · $70.9M

A signal is a reason to look closer, not evidence of wrongdoing: most sole-source awards are lawful and justified.

Offices with the most sole-source money

  1. INDIAN HEALTH SERVICE$66M30%
  2. BILLINGS AREA INDIAN HEALTH SVC$28.7M100%
  3. GREAT PLAINS AREA INDIAN HEALTH SVC$26.3M23%
  4. DIVISION OF ACQUISITIONS POLICY HQ$24.7M28%
  5. NAVAJO AREA INDIAN HEALTH SVC$24.4M15%

Contracts terminated for default: 2

Largest awards

  1. CONTRACTOR SHALL PROVIDE A FIRM-FIXED-PRICE FOR ALL LABOR, PERSONNEL, EQUIPMENT, MATERIALS, TOOLS, PERSONAL PROTECTIVE EQUIPMENT (PPE), PERMITS, INSURANCE, SUPERVISION, TRANSPORTATION, COORDINATION WITH AUTHORITIES HAVING JURISDICTION (AHJ), INTERNAL$173.3M
    JAYNES CORPORATION· McKinley County, NM· Construction & real property· Sep 24, 2025 – Jul 22, 2026· 75H70125C00040
  2. ALAMO NAVAJO HEALTH CENTER DESIGN-BUILD$96M
    JAYNES CORPORATION· Socorro County, NM· Construction & real property· Sep 1, 2026 – Sep 1, 2026· 75H70126C00025
  3. IHS PURCHASED REFERRED CARE (PRC) FISCAL INTERMEDIARY (FI) SERVICES$80.1M
    HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY· Cook County, IL· Professional services· Aug 5, 2022 – Jul 31, 2026· 75H70422C00003
  4. AGENCY WIDE IDIQ CONTRACT TO PROVIDE LABORATORY ANALYZERS, TESTING KITS/REAGENTS, ASSOCIATED PERIPHERALS, AND THE ASSOCIATED SUPPORT AND SERVICE AGREEMENTS IN ORDER TO EFFECTIVELY TEST FOR COVID-19 SPECIMENS, AND OTHER SAMPLES AND CULTURES, AS WELL A$55.1M
    ABBOTT RAPID DX NORTH AMERICA LLC· Oklahoma County, OK· Health & medical· Sep 23, 2022 – Aug 26, 2026· 75H71122P00945
  5. IHS ENTERPRISE IT OPERATIONS AND MAINTENANCE (EIT O&M) SUPPORT SERVICES$48.5M
    KADIAK LLC· Montgomery County, MD· IT & telecom· Aug 6, 2020 – Jul 27, 2026· 75H70420C00004
  6. ARCHITECT-ENGINEER SERVICES FOR WHITERIVER HOSPITAL DESIGN AT WHITERIVER, AZ$48.4M
    SMITHGROUP, INC.· Maricopa County, AZ· Construction & real property· Feb 2, 2024 – Jan 7, 2026· 75H70124C00011
  7. ADULT RESIDENTIAL TREATMENT FACILITY RENOVATION$40.4M
    THE NATIVE AMERICAN REHABILITATION ASSOCIATION OF THE NORTHWEST, INCORPORATED· Multnomah County, OR· Construction & real property· Sep 12, 2022 – Sep 25, 2026· 75H71322C00003
  8. IHS HEALTH INFORMATION TECHNOLOGY MODERNIZATION STRATEGIC SUPPORT SERVICES$39.1M
    THE MITRE CORPORATION· Fairfax County, VA· Research & development· Oct 23, 2020 – Sep 24, 2026· 75H70421F80001

Federal grants & assistance awarded

Grants, loans (counted at their subsidy cost), direct payments and insurance, by fiscal year of the action (USAspending.gov, FABS). Reported apart from contracts and never added to them.

Indian Health Service obligated $6.4B in federal assistance in FY2026, on 5,828 actions (272 new awards), +25% vs FY2025. Its largest program was 93.210 · Tribal Self-Governance Program: Ihs Compacts/Funding Agreements ($4.8B).

Assistance · FY2026
$6.4B
New awards
272
Actions
5,828
Since FY2021
$32.3B

Assistance by fiscal year

  1. 7.4BFY2021
  2. 4.2BFY2022
  3. 4.6BFY2023
  4. 4.6BFY2024
  5. 5.2BFY2025
  6. 6.4BFY2026

By type

  1. Direct payments$6.1B95%
  2. Grants$340.7M5.3%

Top programs

  1. 93.210 · Tribal Self-Governance Program: Ihs Compacts/Funding Agreements$4.8B74%
  2. 93.441 · Indian Self-Determination$1.3B20%
  3. 93.237 · Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects$171M2.7%
  4. 93.164 · Indian Health Service Educational Loan Repayment$54.5M0.8%
  5. 93.228 · Indian Health Service, Health Management Development Program$47.9M0.7%
  6. 93.231 · Epidemiology Program$45.2M0.7%
  7. 93.899 · Minority HIV/AIDS Fund (MHAF)$23.3M0.4%
  8. 93.933 · Demonstration Projects for Indian Health$16.8M0.3%

Top recipients (organizations)

  1. CHEROKEE NATION$559.8M8.7%
    TAHLEQUAH, OK
  2. CHICKASAW NATION$455.2M7.1%
    ADA, OK
  3. ALASKA NATIVE TRIBAL HEALTH CONSORTIUM$378.1M5.9%
    ANCHORAGE, AK
  4. SOUTHCENTRAL FOUNDATION$355M5.5%
    ANCHORAGE, AK
  5. CHOCTAW NATION OF OKLAHOMA$261.2M4.1%
    DURANT, OK
  6. YUKON-KUSKOKWIM HEALTH CORP$233M3.6%
    BETHEL, AK
  7. SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM$153.7M2.4%
    JUNEAU, AK
  8. GILA RIVER INDIAN COMMUNITY$138.3M2.2%
    SACATON, AZ

Where it went

  1. Alaska$1.7B27%
  2. Oklahoma$1.6B25%
  3. Arizona$881M14%
  4. California$365.8M5.7%
  5. Washington$266.8M4.1%
  6. South Dakota$174.6M2.7%
  7. New Mexico$168.2M2.6%
  8. Wisconsin$160.2M2.5%
  9. North Dakota$115.5M1.8%
  10. Montana$110.7M1.7%

By state of the place of performance.

Source: Federal financial assistance transactions (Financial Assistance Broker Submission) (U.S. Department of the Treasury, USAspending.gov), data current to Oct 8, 2026, loaded Oct 8, 2026 · FY2021–FY2026.

Federal grants & assistance

Subawards under this agency's awards

First-tier subawards that recipients of this agency's contracts and financial assistance reported, by the fiscal year of the subaward.

FY2026

  • Sub-contracts: $3.4M (24 subawards)
  • Sub-grants: $530.5K (10 subawards)

27 sub-recipients

Largest sub-recipients

  1. CKC OPERATIONS LLC$851.2K22%
    MYTON, UT · 1 subaward
  2. PRECISION PLUMBING & HEATING, INC.$407.7K10%
    BILLINGS, MT · 2 subawards
  3. ENVIRONMENTAL CONTRACTORS, LLC$265.1K6.8%
    BILLINGS, MT · 1 subaward
  4. REXWINKEL CONCRETE, INC.$261.8K6.7%
    CORSICA, SD · 2 subawards
  5. JEREMY THOMAS CONSTRUCTION LLC$209.8K5.4%
    RELIANCE, SD · 1 subaward
  6. HENRY SCHEIN, INC.$202.8K5.2%
    MELVILLE, NY · 2 subawards
  7. AZTEC CONTRACTING LLC$159K4.1%
    OMAHA, NE · 2 subawards
  8. DOORS & HARDWARE UNLIMITED INC$158K4.1%
    GREAT FALLS, MT · 1 subaward
  9. YELLOWSTONE ELECTRIC CO$151.1K3.9%
    BILLINGS, MT · 1 subaward
  10. MONTANA DOORWAYS PLUS INC.$144.3K3.7%
    BELGRADE, MT · 1 subaward

Primes report first-tier subawards of $30,000 or more themselves, and many go unreported (GAO-24-106214). Reporting moved from FSRS to SAM.gov in March 2025 and fewer sub-contracts have been reported since. Amounts are what primes reported; they are never added to prime award totals.

Source: Subawards (first-tier sub-contracts and sub-grants reported under FFATA) (U.S. Department of the Treasury, USAspending.gov (reports filed in SAM.gov, formerly FSRS)), data current to Oct 9, 2026, loaded Oct 9, 2026 · Subawards loaded from FY2021.

Who lobbies this agency

Organizations whose quarterly lobbying reports list this agency as contacted, ranked by the reports' spending. A report's amount covers all its issues and every agency it lists; reports do not split it.

Lobbying in 2026
$8.9M
Clients
37
Reports
65

The whole amount of every report that lists this agency.

Organizations lobbying it, 2026

  1. Alzheimer's Association$2.3M
    Not matched to a contract recipient · Health issues, Budget and appropriations
  2. AMERICAN DENTAL ASSOCIATIONAI match · 98%$1.3M
    0.0% of its family's FY2026 contracts from this agency · Indian and Native American affairs, Health issues, Budget and appropriations
  3. Gila River Indian CommunityAI match · 96%$1.2M
    100% of its family's FY2026 contracts from this agency · Indian and Native American affairs, Government issues
  4. American Academy of PediatricsAI match · 100%$1.1M
    94% of its family's FY2026 contracts from this agency · Health issues
  5. AMERICAN ASSOCIATION OF COLLEGES OF OSTEOPATHIC MEDICINE$250K
    Not matched to a contract recipient · Health issues, Budget and appropriations, Education
  6. Boys & Girls Clubs of America$250K
    Not matched to a contract recipient · Indian and Native American affairs, Health issues, Budget and appropriations
  7. Cherokee NationAI match · 100%$180K
    0.0% of its family's FY2026 contracts from this agency · Indian and Native American affairs
  8. NATIONAL KIDNEY FOUNDATIONAI match · 100%$180K
    No FY2026 contracts in its family · Health issues, Budget and appropriations, Medicare and Medicaid
  9. Mille Lacs Band of Ojibwe Indians$160K
    Not matched to a contract recipient · Indian and Native American affairs, Budget and appropriations, Gaming, gambling and casinos
  10. Oceans Acquisition, Inc.$150K
    Not matched to a contract recipient · Medicare and Medicaid
  11. Pharos Capital Group$140K
    Not matched to a contract recipient · Health issues, Medicare and Medicaid
  12. Glytec, LLC$120K
    Not matched to a contract recipient · Health issues
  13. Jicarilla Apache NationAI match · 100%$120K
    No FY2026 contracts in its family · Indian and Native American affairs
  14. Match-E-Be-Nash-She-Wish Band of Pottawatomi Indians (Gun Lake Tribe)$120K
    Not matched to a contract recipient · Indian and Native American affairs, Law enforcement, crime and criminal justice, Taxation and the Internal Revenue Code
  15. Pechanga Band of Luiseno Mission Indians$120K
    Not matched to a contract recipient · Indian and Native American affairs, Taxation and the Internal Revenue Code, Gaming, gambling and casinos

2 more clients ($230K) are counted but not named: their names may be a person's.

Lobbying amounts are the filers' own good-faith estimates on quarterly LD-2 reports (the law asks for amounts rounded to $10,000; under $5,000 need not be itemized), latest amendment only. When an organization files its own report, it replaces what outside firms report for it that quarter. Matches are by name. Lobbying and political giving are legal and public: they show engagement with government, not influence over any award. Correlation is not influence: these organizations' lobbying and their contracts are shown side by side, and nothing here implies either affected the other.

Source: Lobbying disclosures (LD-1 registrations, LD-2 quarterly reports, LD-203 contribution reports) (Clerk of the U.S. House of Representatives), data current to Oct 9, 2026, loaded Oct 9, 2026 · 2023–2026.

Source: Committees, candidates and committee contributions to candidates (Federal Election Commission), data current to Oct 9, 2026, loaded Oct 9, 2026 · 2026, 2024, 2022.

Matches: Analisa AI name judgments (entity-match@1), updated Oct 5, 2026.

Committees that oversee and fund it

Congressional committees whose jurisdiction includes this agency, and the appropriations subcommittees that write its spending bill (Analisa's reading of the House and Senate rules; committees share jurisdiction). Leaders as currently published.

…

Source: Federal contract transactions (Federal Procurement Data System) (U.S. Department of the Treasury, USAspending.gov), data current to Oct 9, 2026, loaded Oct 9, 2026.