Sub-agency
Indian Health Service (IHS)
$6.6 Billion committed in FY2025
- Bureau code
- 7527
How the money flows
Committed dollars by how the money leaves IHS.
Direct payments
$4.9B
74%
Grants
$265.1M
4%
Contracts
$1.5B
22%
Where the money goes
Top destinations of IHS's committed dollars. Direct payments to individuals (Medicare, Social Security, …) are aggregated by the government, so they show as the federal program rather than a named recipient.
What they buy
Top products and services IHS buys under contract, by dollars committed.
Construction of Hospitals and Infirmaries
$229.5M
Drugs and Biologicals
$214.2M
Medical- Nursing
$129.7M
Medical- Other
$127.5M
Medical- Managed Healthcare
$87.4M
Medical and Surgical Instruments, Equipment, and Supplies
$84.1M
Support- Professional: Other
$43.2M
Medical- Radiology
$28.6M
It and Telecom - Business Application/Application Development Software as a Service
$26.3M
Reference Laboratory Testing
$24.5M
Awards
The largest individual awards issued by IHS.
Competition
How competitively IHS's contract dollars were awarded. 'Not available' is legitimate sole-source (a single source — utilities, proprietary parts); 'not competed' is the flag worth a second look.
Competed
$1.1B
77%
Not competed
$226.9M
16%
Not available for competition
$105.2M
Contract set-asides
Contract dollars IHS reserved before bidding for a specific kind of firm — small business, 8(a), service-disabled-veteran, women-owned, HUBZone — versus full and open competition.
Small business
$93.4M
6%
8(a)
$23.2M
2%
Service-disabled veteran
$19.6M
1%
Where it lands
Top states by place of performance — where IHS's work is done or its money lands, by dollars committed.
Alaska
$1.5B
Oklahoma
$1.2B
By fiscal year
Committed dollars grew 62% across FY2018–FY2025. IHS's committed dollars per fiscal year, FY2018–FY2026.
* FY2026 is year-to-date — the fiscal year is still in progress, so its total is still filling in. The striped band and dashed line mark that provisional stretch.
How to read these numbers
- Committed, not paid
Every figure is money this bureau committed — promised by signing a contract or awarding a grant — counted in the year each action happened, not cash disbursed.
- A slice of its parent
These totals are just this bureau's share; the parent department's page rolls up every bureau inside it.
- From FY2018 on
Like every agency page, a bureau's numbers start at fiscal year 2018, the first year of complete assistance reporting.
- Awards, counted once
An award count is the number of distinct awards with at least one action that year — each counted once, however many times it was amended.
- The colored bars
Every bar on this page splits by how the money moves:
Direct payments
