The Native American Rehabilitation Association Of The Northwest, Incorporated

The Native American Rehabilitation Association of the Northwest, Incorporated (dba Native American Rehabilitation Association of the Northwest, Inc.) is a nonprofit, minority-owned, Native American-owned urban Indian organization and federally qualified health center based in Portland, Oregon, that delivers integrated primary healthcare, behavioral health, substance use disorder treatment, and residential treatment services to American Indian and Alaska Native populations as a prime recipient and contractor across federal grant and contract programs, with 92 percent of recent awards as prime and concentrated in HHS grant vehicles.

NARA NW operates 11 clinical and non-clinical sites in the Portland metropolitan area and competes predominantly in full-and-open procurement, without set-aside designation. The organization was founded in 1970 and carries over fifty years of experience serving tribal and urban Indian communities across health, behavioral health, substance abuse treatment, and social support domains. Capability footprint spans primary medical care, dental services, substance use disorder treatment (inpatient and outpatient), mental health and behavioral health services, crisis intervention, harm reduction and naloxone distribution, medication-assisted treatment, supported employment services, chronic disease screening and prevention (cardiovascular, diabetes, colorectal cancer, breast and cervical cancer), HIV and hepatitis C testing and treatment, homelessness prevention and transitional housing support, and culturally responsive youth and family wellness programming. Representative contract work includes a $14 million Indian Health Service definitive contract for urban Indian health care services in Portland awarded October 2024 (through September 2029), a $40.4 million IHS definitive contract for adult residential treatment facility renovation awarded September 2022 (through September 2026), and a $478,740 IHS purchase order for youth residential treatment services awarded March 2026 (through September 2026) under the Buy Indian Act as a sole-source award.

Customer concentration sits heavily with the Department of Health and Human Services. The Indian Health Service dominates both volume and dollars — 34 awards worth $115.2 million combined potential value account for a material portion of the portfolio. The Public Health Service and the Substance Abuse and Mental Health Services Administration (SAMHSA) together account for the remaining top-customer awards; the top customer grouping covers 66 percent of awards and 87 percent of combined potential value. NARA NW holds no seat on major government-wide contract vehicles; the source identifies a single indefinite delivery contract (HHSI247201700018I) with 11 task orders and minimal potential value, suggesting that most work flows through direct IHS procurement and grant competition rather than parent IDIQs or GWACs.

Federal grant footprint is substantial and diversified. NARA NW is a prime recipient under multiple SAMHSA programs including the Community Opioid Intervention Prevention Program (five-year, awarded February 2025), the First Responders — Community Assisted Recovery Approach program (four-year, awarded September 2024), supported employment services (five-year, awarded September 2023), and the Native Connections Project for youth mental health and suicide prevention (five-year, awarded July 2021). HUD awarded an $848,707 Continuum of Care Project Grant (January 2026 through December 2026) for homeless assistance serving American Indian and Alaska Native populations. CDC programs include a $5 million Substance Abuse and Mental Health Services Projects of Regional and National Significance grant for hepatitis C elimination (CFDA 93.243, awarded September 2025), a $502,578 cooperative agreement for colorectal cancer screening among tribal health systems (CFDA 93.800, awarded August 2025), the Cultural Approach to Good Health and Wellness in Indian Country program (awarded September 2024), the National Breast and Cervical Cancer Early Detection Program (awarded June 2022), and the WISEWOMAN cardiovascular health program (awarded September 2023). Centers for Medicare and Medicaid Services awarded a $340,000 Connecting Kids to Coverage cooperative agreement (August 2025) for Medicaid and CHIP outreach and enrollment targeting AI/AN families. The Bureau of Primary Health Care has funded NARA NW through Health Center Infrastructure Support and vaccine expansion grants. NARA NW also acts as a sub-recipient to the Oregon Health Authority on multiple substance use disorder and gambling treatment contracts and to the Oregon Department of Education on a Juvenile Justice Delinquency Prevention Title II formula grant.

Activity trajectory shows growth through 2023 (ten awards) followed by softening in 2024 (four awards) and modest recovery in 2025 (six awards). The pipeline faces material recompete exposure: twelve awards worth $40.8 million combined potential value reach ultimate completion within the next twenty-four months. SCI-reported invoiced revenue on federal service contracts captured $6.3 million in FY2023 and $5.8 million in FY2024, reflecting roughly 47 and 31 FTEs respectively; government-paid hourly rates on SCI contracts ranged from a 10th percentile of $58.61 per hour to a median of $71.76 per hour and 90th percentile of $101.04 per hour, typical for health and behavioral health labor in the nonprofit sector. NARA NW performs 100 percent of its SCI-reportable prime contract hours internally with no named subcontractor hours recorded, indicating vertical integration of service delivery rather than a heavy subcontracting model. As a sub-awardee, NARA NW receives grants and contracts from state entities (Oregon Health Authority, Oregon Department of Education) in its capacity as a federally qualified health center and tribal service provider, reflecting its status as an anchor institution in the Portland urban Indian health ecosystem.