Alaska Native Tribal Health Consortium

Alaska Native Tribal Health Consortium, a tribal government and Alaska Native Corporation-owned nonprofit headquartered in Anchorage, Alaska, operates as a prime recipient on federal grants and a limited prime contractor, delivering healthcare infrastructure, environmental health, water and sanitation systems, and community development services to Alaska Native populations across the state's 229 federally recognized tribes. ANTHC is structured as a tribally owned entity with a 15-member board representing tribal health organizations statewide; it serves approximately 189,000 Alaska Native people and operates the Alaska Native Medical Center, a 183-bed teaching hospital.

ANTHC's federal footprint is dominated by grant awards rather than contracts. The organization received 751 total awards (prime and sub combined) from 79 distinct federal agencies, with 90% as prime grants and contracts and 10% as sub-awards. Recent annual activity shows 61 awards in FY2022 declining to 15 in FY2026 year-to-date, reflecting the nature of project-based grants rather than sustained contract vehicles. The combined potential value across all awards in the source data stands at $64.6 million, though obligated dollars total $1.4 billion (reflecting multi-year grants and infrastructure projects with larger cumulative values). The organization faces a recompete cliff of $2.4 million in awards completing within the next twenty-four months.

Customer concentration skews heavily toward infrastructure and health-focused federal agencies. The Department of Agriculture Rural Utilities Service accounts for 226 awards (30% of the portfolio) across water and waste disposal systems funding, followed by the Denali Commission with 95 awards for bulk fuel, biomass, heat recovery, and infrastructure projects. The Environmental Protection Agency Region 10 places 29 awards spanning climate adaptation, air quality, brownfields remediation, and renewable energy. The Department of Health and Human Services Indian Health Service and the Food and Nutrition Service complete the top five customer set. By potential value, the GSA Public Buildings Service Central Office dominates at $30.1 million across 16 awards, primarily for office lease support; the Indian Health Service follows with 15 awards worth $4.9 million.

ANTHC's capability portfolio, grounded in the award history, centers on five core domains. Healthcare and clinical delivery appears in awards such as the $2.3 million Special Diabetes Program for Indians Technical Assistance contract from IHS (FY2021), the $2.275 million Alaska Dental Preventive and Clinical Support Center grant from the IHS Demonstration Projects program (FY2025), and a $4 million Tribal Climate Resilience grant from the Bureau of Indian Affairs. Water and waste infrastructure dominates by award count—ANTHC has received over $12 million in cumulative RUS funding for domestic water, wastewater, and combination water-waste projects across rural villages, with representative awards including $1.544 million for domestic water infrastructure (FY2025), $4.015 million for combination water and waste projects (FY2025), and multiple smaller predevelopment planning grants. Environmental health and climate adaptation work includes the $74.95 million Stronger, Together climate adaptation technical assistance cooperative agreement from NOAA (FY2024–FY2029), the $24.23 million Climate Pollution Reduction Grants cooperative agreement from EPA (FY2024–FY2028) for wind turbines and battery storage, a $19.8 million EPA Environmental and Climate Justice Community Change Grants project for wind turbine installation in Kotzebue, and the $4 million statewide bulk fuel project management award from the Denali Commission. Behavioral health and substance abuse prevention work includes the $2.089 million Healing Pathways for Strong Communities opioid prevention initiative from SAMHSA (FY2026–FY2031). Research and epidemiology capacity appears in the $100 thousand National Institute of General Medical Sciences NARCH program award (FY2026–FY2031) and the Alaska Native Center for Health Research from NIGMS supporting investigator development in health disparities research.

ANTHC operates two parent contract vehicles: a $48.9 million GSA Basic Ordering Agreement (GS10B06000) with 42 task orders and a $126 thousand VA Blanket Purchase Agreement (VA26017A0010) with 5 task orders. The GSA BOA work carries minimal scope detail in the source; the VA award is a $70 thousand professional organization membership dues purchase order for Executive Order 14398 diversity, equity, and inclusion initiatives (FY2022–FY2027). Neither vehicle represents a significant revenue stream compared to the grant portfolio.

ANTHC acts almost exclusively as a prime grant recipient and contract prime; sub-award work accounts for only 10% of the 751-award portfolio. Named sub-award recipients include Fred Hutchinson Cancer Center (supporting colorectal cancer epidemiology studies with tumor tissue specimens and data management), Mayo Clinic (Alaska Native family-based smoking cessation research), the University of Washington (AIDS education and training center participation), and state agencies including the Alaska Department of Health (HIV/AIDS prevention and emergency preparedness passthrough funding) and the Alaska Department of Environmental Conservation (water and waste infrastructure projects). ANTHC also acts as a pass-through for sub-recipients on EPA and Denali Commission grants—for instance, the $100 million Denali Commission bulk fuel award names the Alaska Energy Authority and Alaska Village Electric Cooperative as sub-awardees for rural fuel infrastructure implementation.

SCI-reportable federal service-contract activity is minimal. The dataset shows only 6 prime and 3 sub service contracts above the $150 thousand reporting threshold across FY2022–FY2025, with total invoiced revenue of $3.5 million concentrated in FY2023 ($3 million across 18.3 FTEs). FY2022 yielded $484 thousand across 2.6 FTEs, and FY2024–FY2025 show near-zero SCI-reportable invoicing. Government-paid hourly rates on ANTHC's prime service contracts ran a median of $87.77/hr, with a 10th percentile of $81.07/hr and a 90th percentile of $98.37/hr—indicating mid-range technical or administrative labor pricing. ANTHC does not engage subcontractors on its SCI-reportable prime contracts (0% sub-hours share). The SCI data capture only a small slice of ANTHC's federal activity, which is dominated by grants, equipment purchases, and infrastructure projects outside the SCI threshold.

ANTHC maintains one named subsidiary, Alaska Native Resource Development LLC, a for-profit limited liability company classified as an Alaska Native Corporation-owned firm, tribally owned firm, and minority-owned business. The source provides no detail on its operational focus or revenue contribution.

Federal grant work dominates ANTHC's footprint and is the primary avenue for competition and teaming. The organization competes full-and-open across HHS, EPA, USDA, and Department of Interior vehicles and does not rely on set-asides. Its tribal government and Alaska Native Corporation ownership structure positions it uniquely to access federal tribal-specific funding streams (Indian Health Service, Bureau of Indian Affairs, Tribal Epidemiology Centers programs, and Denali Commission awards). ANTHC has built deep relationships with regional research institutions—Fred Hutchinson Cancer Center, Mayo Clinic, University of Washington, and University of Alaska Fairbanks—as collaborative partners on health research and epidemiology grants, typically acting as the Alaska Native community engagement hub and co-investigator site rather than as a prime research entity. The organization's federal strategy focuses on direct service delivery and infrastructure development for Alaska Native communities rather than on building a diversified federal contractor presence.