Texas Native Health

Texas Native Health, a Native American-owned tax-exempt nonprofit based in Dallas, Texas, operates as a prime recipient of federal healthcare and employment-training grants, with a secondary contract footprint anchored to the Indian Health Service (IHS). The organization functions exclusively as a prime—95% of its awards are prime grants and contracts—and does not subcontract material portions of its work. Texas Native Health holds a distinctive market position as the only Urban Indian Organization in Texas certified to serve American Indian and Alaska Native (AI/AN) populations across the Dallas-Fort Worth area, Houston, San Antonio, and Austin.

The customer concentration is highly specialized and narrow. The Department of Health and Human Services (through the Indian Health Service, Public Health Service, and Substance Abuse and Mental Health Services Administration) accounts for approximately 54 awards covering 95% of combined potential value ($89 million anchored to IHS alone). The Department of Labor Employment and Training Administration (CFDA 17.265, Native American Employment and Training Program) represents the secondary customer with 13 awards. This bifurcated customer base—HHS health programs on one side, DOL workforce development on the other—reflects the organization's dual mission in clinical healthcare delivery and employment services for AI/AN communities.

Texas Native Health's contract footprint centers on primary outpatient medical, dental, and preventive behavioral health services delivered under a $14.4 million definitive contract with IHS awarded October 8, 2025, running through October 1, 2030 on a firm fixed-price basis. Two earlier delivery orders under a $24 million IHS Indefinite Delivery Contract (single award, issued January 1, 2022) totaling $2.8 million provided healthcare and referral services for urban AI/AN beneficiaries in the Dallas metropolitan area through December 31, 2025. Place of performance across all contract work is Dallas, Texas.

Grant work dominates the award count and revenue trajectory. Texas Native Health holds multiple active SAMHSA (Substance Abuse and Mental Health Services Administration) grants addressing suicide prevention and behavioral health crisis response: a $1.365 million annual award (CFDA 93.00R, 988 and Behavioral Health Crisis Services Programs) issued September 30, 2026, extending through September 29, 2029, to expand culturally responsive 988 Suicide and Crisis Lifeline access for AI/AN individuals across Texas; a $1.1 million annual 988 Tribal Texas grant (awarded September 30, 2023, completed September 29, 2026) focused on linkages to crisis centers and tribal-specific mental health resources; and a Native Connections in Texas project (awarded September 30, 2024, completing September 29, 2029) providing American Indian life skills programming and culturally relevant mental health services to AI/AN youth. Additional HHS grants address health disparities: a cooperative agreement under the Office of the Director (ETHIC Texas, awarded September 1, 2024) targeting HIV, hepatitis C, and syphilis prevention and treatment in AI/AN populations; a Native Public Health Resilience in Texas project grant (awarded July 1, 2024, completing June 30, 2027) focusing on dental health access and digital health education; and the Special Diabetes Program for Indians cooperative agreement (SDPI, awarded January 1, 2023, completing December 31, 2027) strengthening diabetes education and preventive screenings in the Dallas-Fort Worth community.

The Department of Labor awards fund workforce development for AI/AN populations under the Native American Employment and Training Program (CFDA 17.265). Recent DOL grants include a $457,981 three-year award (issued July 1, 2025, extending through June 30, 2028) and a $473,209 award (issued July 1, 2024, extending through June 30, 2027), both providing career services, occupational training aligned with the Workforce Innovation and Opportunity Act, and follow-up employment support for up to 12 months post-exit. An earlier $945,106 grant from DOL covered July 1, 2022 through June 30, 2025. A single Department of Education Office of Elementary and Secondary Education grant (UITCT Native Youth Community Program, awarded October 1, 2023, completing September 30, 2027) addresses youth-focused programming.

Secondary grant work includes a Department of Justice Victims of Crime cooperative agreement (awarded October 1, 2022, completing September 30, 2026) providing victim navigation and social work services to AI/AN victims of human trafficking, and a Community Services Block Grant (CSBG) sub-award from the Texas Department of Housing & Community Affairs (February 18, 2025, and February 23, 2026) supporting poverty reduction and community revitalization. Texas Native Health also receives federal grant sub-awards from the Southern Plains Tribal Health Board Foundation addressing commercial tobacco prevention and control (April 23, 2025, and December 12, 2025).

Activity has remained relatively stable over the past five fiscal years: five awards in 2022, four in 2023, four in 2024, five in 2025, and two in the first nine months of 2026 (snapshot as of September 30, 2026). Five awards face ultimate completion within the next twenty-four months and therefore enter recompete window. Service Contract Inventory data captures limited federal service-contract activity: $14.2 million invoiced in FY2023 across roughly 19.5 FTEs, with no SCI-reportable prime invoicing in FY2024 or FY2025. SCI-captured work reflects government-paid hourly rates of $280.07 per hour (uniform across 10th, median, and 90th percentile, indicating a single contract-labor category). Across SCI-reportable prime contracts, the vendor did not engage subcontractors; all work was performed by in-house staff.

Texas Native Health operates as the sole service provider under its grant awards with minimal to no subrecipient involvement, reflecting direct delivery of healthcare, behavioral health, and employment services to AI/AN beneficiaries. The organization does not hold positions on government-wide acquisition contracts (GWACs) or other multi-agency indefinite-delivery vehicles; its footprint is limited to agency-specific contracts (IHS single-award IDC) and direct grant awards from federal grantor agencies.