K'ima:w Medical Center

K'ima:w Medical Center Kimaw Medical Center Division, a tribally owned healthcare provider and division of the Hoopa Valley Tribe, operates as a prime recipient of federal grants focused on aging services, substance abuse treatment, and tribal wellness programming, with minimal subcontractor engagement. The organization is headquartered in Hoopa, California and holds federal recognition as a tribally owned American Indian entity.

K'ima:w's grant footprint centers on the Administration for Community Living and the Substance Abuse and Mental Health Services Administration within the Department of Health and Human Services. The recipient operates three active formula grants under the Older Americans Act: OAA Title VI Part A (Grants for Native Americans, CFDA 93.047), OAA Title VI Part C (Grants for Native American Caregivers Support), and the OAA Nutrition Services Incentive Program for Native Americans — all awarded in April 2026 with completion in March 2029. K'ima:w also holds a $400 thousand project grant from SAMHSA's Center for Substance Abuse Treatment, awarded in September 2024, supporting training and equipment for emergency services personnel and ambulance operations; the center operates the only tribally owned ambulance service in California, serving eastern Humboldt County including the Highway 299 corridor. A second SAMHSA project grant awarded in September 2024 funds comprehensive opioid use disorder treatment and recovery services through the Tribal Opioid Response program, running through September 2029, covering medication-assisted treatment (MAT), outpatient treatment, sober living facilities for men and women, and evidence-based practices including the Native American Matrix Model and 12-step programming integrated with cultural activities and traditional ceremonies. K'ima:w also received a cooperative agreement from the National Center for Chronic Disease Prevention and Health Promotion (awarded June 2022, running through June 2027) for the Cultural Path to Wellness project, building community resiliency through traditional foods, language, and cultural connections on the Hoopa Valley Indian Reservation.

The recipient has a five-year declining activity trajectory: three awards in 2022, five in 2023, two in 2024, and one in 2025, with a rebound to three awards in 2026. Only two awards face recompete within the next twenty-four months. K'ima:w acts as a subrecipient on a Washington State University cooperative agreement for a tribally contingent management program enhanced with cultural care coordination (awarded June 2025), where K'ima:w recruits and enrolls 120 participant-relatives and maintains hiring and supervision of study staff, and receives pass-through funding from the California Department of Health Care Services State Opioid Response grants (awarded May 2023). The organization does not hold federal contract vehicles, GWAC positions, or IDIQs; all federal work flows through direct grant awards and subgrant relationships with state and university grantees.