Coeur D'alene Tribal Health Authority

Coeur D'alene Tribal Health Authority, doing business as Marimn Health, operates as a tribally owned federally qualified health center and tribal government entity headquartered in Plummer, Idaho, functioning as a prime recipient of federal grants (85% of recent awards) focused on behavioral health, substance abuse prevention and treatment, diabetes care, and victim services within the Coeur D'Alene Reservation and surrounding rural frontier region. The organization holds no federal contracts and does not compete under set-aside vehicles; its federal footprint is entirely grant-based, primarily through the U.S. Department of Health and Human Services.

Marimn Health's customer concentration is pronounced within HHS. The top five HHS subdivisions account for 61% of all awards: the Indian Health Service (9 awards), the Health Resources and Services Administration (8 awards), the Indian Health Service again (7 awards), HRSA (5 awards), and the Substance Abuse and Mental Health Services Administration (4 awards). The organization serves 15 distinct customer agencies overall, though HHS dominates the portfolio. Recent named prime grants include a $400 thousand SAMHSA award (September 30, 2026) to expand Zero Suicide Framework implementation across the behavioral health system through a warming shelter and crisis stabilization center serving adults at risk for suicide across rural Idaho through September 2031; a $1 million SAMHSA award (September 30, 2026) to establish Idaho's first tribal-based assisted outpatient treatment program for adults with serious mental illness, operating under Coeur D'Alene Tribal Court civil jurisdiction and serving 170 individuals through September 2031; a Special Diabetes Program for Indians cooperative agreement (January 1, 2023 through December 31, 2027) providing diabetes prevention and treatment through integrated primary care, education, and community outreach; a $400 thousand Substance Abuse and Suicide Prevention Program grant (May 1, 2022 through April 30, 2027) expanding the Wellbriety program for substance use disorder recovery, prevention, and aftercare; and a Tribal Victims Services Set-Aside award (January 1, 2025 through December 31, 2026) implementing victim-of-crime services aligned with tribal values. In its sub-recipient role, Marimn Health receives pass-through funding from the Idaho Department of Health and Welfare for Women, Infant, and Children services, produce prescription programs, opioid use disorder awareness and medication-assisted treatment outreach, and COVID-19 vaccine equity services, with eight sub-awards dating from August 2024 through March 2026.

Activity has grown recently, from two awards in 2022 to six in 2025, with three awards (combined obligation value not detailed in source) facing ultimate completion within the next twenty-four months, signaling modest recompete opportunity. Combined dollars obligated across all prime and sub awards total $133.9 million across 54 awards spanning twenty-four years of federal engagement. Marimn Health's capability portfolio centers on culturally responsive behavioral health, suicide prevention, substance abuse treatment and prevention, diabetes care coordination, victim assistance, primary care, and workforce training specific to American Indian and Alaska Native populations in a rural frontier tribal health setting.