Riverside-San Bernardino County Indian Health, Inc.

Riverside-San Bernardino County Indian Health, Inc., a tribally governed nonprofit healthcare organization based in Grand Terrace, California, is the largest tribal health organization in California, receiving federal grant funding as a prime recipient across behavioral health, substance abuse treatment, elder nutrition, food security, and victim services programs. The organization holds no federal contracts and does not compete on procurement vehicles; its federal footprint consists entirely of grant awards, the majority direct from federal agencies and a smaller share flowing through California Department of Public Health as a sub-recipient under the Special Supplemental Nutrition Program for Women, Infants, and Children (CFDA 10.557).

Riverside-San Bernardino County Indian Health operates eight health centers—six on Indian reservations (Cahuilla, Morongo, Pechanga, Santa Rosa, Soboba, and Torres-Martinez) and two in urban areas (Barstow and San Manuel)—across Riverside and San Bernardino counties, serving approximately 37,463 to 94,665 registered American Indian and Alaska Native patients across nine federally recognized Indian reservations and the broader tribal and urban Indian populations in Southern California. The organization's clinical portfolio includes primary care, pharmacy, laboratory, eye care, dental, behavioral health, outreach, and support services. Place of performance spans Riverside and San Bernardino counties, with administrative headquarters in Grand Terrace.

Federal grant awards cluster heavily in three agencies. The Department of Health and Human Services Administration for Community Living accounts for the largest share, with 60 awards under Older Americans Act Title VI formula grants for nutrition and supportive services to American Indian elders aged 60 and older. The Department of Agriculture Food and Nutrition Service carries 42 awards combined across the Food Distribution Program on Indian Reservations (FDPIR) and Supplemental Nutrition Assistance Program nutrition education. The Department of Health and Human Services Administration for Children and Families and related SAMHSA entities account for 21 awards in behavioral health, substance abuse treatment, and mental health crisis response. These top four funding sources represent approximately 66 percent of recent awards. The organization has also received recent awards from the Department of Justice Office for Victims of Crime, the Department of Health and Human Services Administration for Native Americans, and the Administration on Aging.

Recent capability work includes a $1.5 million project grant from SAMHSA's Center for Mental Health Services (awarded September 30, 2026, under CFDA 93.00R) to lead the statewide California 988 Tribal Response Task Force, a partnership encompassing all eleven 988 call centers, thirty-five tribal and urban Indian health organizations, and federal and state agencies, serving American Indian and Alaska Native populations across fifty-eight California counties. Deliverables include establishing formal collaborations, developing systems to collect and report on tribal members' 988 utilization and service outcomes, delivering culturally responsive training, and strengthening crisis response and referral connections. A $735,000 project grant from SAMHSA's Center for Mental Health Services (CFDA 93.532, awarded September 30, 2026) funds youth suicide prevention capacity building, targeting screening of 6,000 youth for suicide risk, training 93 staff in suicide care management and clinical intervention, and training 2,500 community members in suicide prevention skills. A $727,711 project grant from the Department of Health and Human Services Administration for Native Americans (CFDA 93.612, awarded September 30, 2025) funds the Rooted Relatives Program, a three-year initiative addressing food insecurity through healing gardens at clinic sites, family feeds featuring traditional meals and cultural activities, and youth gardening curriculum.

Activity has grown modestly in recent years—nine awards in 2022, eighteen in 2023, nine in 2024, seventeen in 2025, and nineteen in 2026—with eleven awards reaching ultimate completion within the next twenty-four months and therefore facing renewal or recompete. Awards obligated total $219.3 million across 276 total awards over the source period, with the oldest award dating to January 1991. As a tribal government entity, the organization does not hold SBA certifications; it operates under Indian self-determination authority and competes through federal grant programs open to federally recognized tribes and tribally controlled organizations. Sub-award work flows primarily through California Department of Public Health under WIC nutrition programs (CFDA 10.557), with monthly tranches flowing to the organization from state administration through mid-2026.