Gerald L Ignace Indian Health Center Inc.

Gerald L Ignace Indian Health Center Inc., a tax-exempt nonprofit organization based in Milwaukee, Wisconsin, operates as a federally qualified health center and the sole urban Indian health organization in the state, delivering comprehensive medical, dental, behavioral health, pharmacy, and community health services to American Indian and Alaska Native populations as a prime recipient of federal grants and a prime contractor on a single-award indefinite delivery contract with the Indian Health Service. The organization competes full-and-open with no socioeconomic set-asides across its federal footprint.

The Center's customer concentration is extreme and agency-specific. The Department of Health and Human Services accounts for 100% of combined potential value across all awards, with the Indian Health Service alone funding 22 awards valued at $43 million (the entirety of the organization's disclosed potential value). The Health Resources and Services Administration, Centers for Disease Control and Prevention, and Substance Abuse and Mental Health Services Administration round out the HHS portfolio. The Center holds a single-award indefinite delivery contract (75H70524D00003) with IHS valued at $9.593 million through December 31, 2026, from which 10 task orders have been issued carrying $6.7 million in combined potential value. Recent delivery orders under this vehicle include a $2.181 million recurring annual funding order for FY 2026 (October 2025 through September 2026), a $115,385 order for health services in Milwaukee, a $10,500 order for non-recurring UIO project funding in Bemidji, Minnesota, and smaller orders for dementia screening pilots and cybersecurity assistance.

The Center operates as a prime on 88% of awards (49 of 56 total) and as a sub-recipient on 12% (7 awards). Recent prime grant work includes a $735,000 project grant from the SAMHSA Center for Mental Health Services (CFDA 93.532) for Pathways to Hope, a suicide prevention and behavioral health initiative targeting American Indian and Alaska Native youth up to age 24 across Milwaukee and Wisconsin tribal communities through September 2031; a cooperative agreement from the National Center for Chronic Disease Prevention and Health Promotion for Good Health and Wellness in Indian Country (GLIIHC-GHWIC), focusing on chronic disease prevention through culturally relevant programming through September 2029; a $475,000 cooperative agreement from the Department of Justice Office of Justice Programs under the Victims of Crime Tribal Victim Services Set-Aside Program (CFDA 16.841) for human trafficking victim services through September 2025; and a project grant from the Healthcare Systems Bureau for facility renovation and equipment upgrades to behavioral health and medical clinic spaces with completion through September 2026. The Center also receives sub-awards from the State of Wisconsin Department of Health Services and the University of Wisconsin System for maternal and child health, immunization, and colorectal screening initiatives.

SCI-reported invoiced revenue on federal service contracts above the $150,000 threshold totaled $7.7 million across FY2022 through FY2024, with FY2022 peak activity at $3.3 million across 42.7 FTEs, declining to $2.2 million across 19.0 to 19.2 FTEs in FY2023 and FY2024, and no SCI-reportable invoicing in FY2025. Government-paid hourly rates on SCI-reportable prime contracts median around $55.31 per hour, with senior labor pricing reaching $68.03 per hour. The organization performs all service delivery with internal staff; SCI-captured records show zero subcontractor hour engagement. Activity trajectory across the full award portfolio has remained flat at three to seven awards annually over the past five years, with ten awards valued at $2.2 million reaching ultimate completion within the next twenty-four months and therefore facing recompete or renewal decision. Place of performance centers on Milwaukee, Wisconsin, with subordinate work in Bemidji, Minnesota and subordinate site performance across other locations as needed to serve Wisconsin tribal communities.