Fed Spend Map

Indian Health ServiceContracts, grants and other awards of this sub-agency

Indian Health Service obligated $7.2B to awards in FY2026.

The obligations since FY2023 are $26B.

That is under 1% of the obligations of the Department of Health and Human Services since FY2023.

1,051 awards of $1 million or more started in FY2023 or later, with an award value of $3.5B.

An outlay occurs when federal money is actually paid out, not just promised to be paid ("obligated").

Procurement data (such as for contracts and indefinite delivery vehicles (IDV)) for the Department of Defense (DOD) and U.S. Army Corps of Engineers (USACE) are published on a 90-day delay in the Federal Procurement Data System (FPDS).

These are the words of USAspending. Sources: USAspending.gov, About the Data (PDF, last updated 19 November 2025) and USAspending.gov, Glossary. The site copied them on .

The amounts on this page are obligations. An obligation is a promise to pay. It is not a payment. Contract records of the Department of Defense come late, so a recent month can be low.

USAspending loaded the data on .

Obligations by award type and fiscal year

  • Contracts $1.0B, 14%
  • Grants $262M, 4%
  • Direct payments $6.0B, 82%
Award obligations of Indian Health Service by fiscal year and award typeFY2027 runs from 1 October 2026 to 30 September 2027. USAspending loaded these data on 30 Sep 2026, so the figures of FY2027 stop on that date.
Fiscal yearContractsGrantsDirect paymentsLoans (subsidy cost)Other assistanceAll awards
FY2023$1.4B$245M$4.3B$0$0$5.9B
FY2024$1.4B$280M$4.3B$0$0$6.0B
FY2025$1.5B$265M$4.9B$0$0$6.6B
FY2026$1.0B$262M$6.0B$0$0$7.2B
FY2027 to date$0$0$0$0$0$0

Recipients

Recipients of Indian Health Service by the award value of awards of $1 million or moreAwards that started in FY2023 or later, largest first. The table is a list of awards. It is not a grade of a recipient.
RecipientAwardsAward valueShare
McKesson Corporation103$460M30%
Jaynes Corporation2$269M18%
Tribal Health, LLC16$147M10%
Medline Industries, LP57$142M9%
Bay Area Anesthesia LLC22$62M4%
Prairie Band Health Services Inc21$59M4%
Dell Federal Systems L.P3$52M3%
Lacreek Development Corp12$50M3%
Smithgroup, Inc.1$48M3%
Lam Corporation2$45M3%
Cherokee Nation4$40M3%
Four Winds Staffing LLC15$36M2%
The MITRE Corporation1$35M2%
Ab Staffing Solutions LLC12$33M2%
Liquidagents Healthcare, LLC10$32M2%

$12M went to recipients that the site does not show. The site shows no name of a person.

Awards of $1 million or more

Awards of Indian Health Service that started in FY2023 or laterThe awards with the largest award value, largest first.
RecipientTypeAward valueStart datePlaceRecord
Jaynes CorporationContractDefinitive Contract$173M24 Sep 2025NMUSAspending
Jaynes CorporationContractDefinitive Contract$96M1 Sep 2026NMUSAspending
Smithgroup, Inc.ContractDefinitive Contract$48M2 Feb 2024AZUSAspending
The MITRE CorporationContractDelivery Order$35M19 Jan 2023VAUSAspending
Cherokee NationGrantCooperative Agreement (B)$33M19 Dec 2022OKUSAspending
Indian Health ServiceGrantCooperative Agreement (B)$31M28 Dec 2022AZUSAspending
Four Points Technology, L.L.C.ContractDelivery Order$28M25 Mar 2025MDUSAspending
Navajo Nation Tribal GovernmentGrantCooperative Agreement (B)$28M28 Dec 2022AZUSAspending
McKesson CorporationContractDelivery Order$27M11 Jul 2024TXUSAspending
McKesson CorporationContractDelivery Order$25M22 Nov 2023TXUSAspending

Other sub-agencies of the Department of Health and Human Services

In order of name. The figure is the obligations since FY2023.

Official records

Each link opens a page of a federal agency in a new tab. The site examined the links on .

Cite this page

Fed Spend Map. "Indian Health Service: awards and recipients". Data: USAspending.gov, U.S. Department of the Treasury, Bureau of the Fiscal Service, loaded .

https://fedspendmap.com/agency/department-of-health-and-human-services/indian-health-service/

The address of this page is permanent.

Where the figures come from

USAspending.gov API v2: spending by category (awarding sub-agency) by fiscal year and award type, and the award search for the lists of awards. USAspending loaded the data on 30 Sep 2026. See how the atlas is made.

Questions

How large is this sub-agency in the Department of Health and Human Services?

Its obligations in FY2026 were $7.2B. The obligations of the Department of Health and Human Services were $2.0T.

How many awards of $1 million or more are on record?

1,051 awards started in FY2023 or later. Their award value is $3.5B.

Are outlays in these figures?

No. The figures are award obligations. An obligation is a promise to pay, and an outlay is the payment.

The obligations since FY2023 on this page are $26B.