Riverside-San Bernardino County Indian Health, Inc.

Riverside-San Bernardino County Indian Health, Inc., a tribally controlled healthcare organization serving nine federally recognized Indian reservations in Southern California, operates as a federal grant recipient delivering healthcare, nutrition assistance, substance abuse treatment, and social services to American Indian and Alaska Native populations. The organization holds no federal contracts but maintains a substantial federal grant footprint as a prime recipient across health and human services programs, with 253 prime grants (94% of recent awards) complemented by 16 sub-grants primarily under state pass-through programs.

The organization is structured as a tribally owned nonprofit, headquartered in Grand Terrace, California, and operates eight health centers—six located on Indian reservations (Cahuilla, Morongo, Pechanga, Santa Rosa, Soboba, and Torres-Martinez) and two in urban areas (Barstow and San Manuel)—serving 37,463 to 50,514 registered American Indian and Alaska Native patients across Riverside and San Bernardino counties and nine tribal reservations.

Riverside-San Bernardino County Indian Health's federal grant portfolio is dominated by the Department of Health and Human Services Administration for Community Living (ACL), which accounts for approximately 68% of recent award count through formula grants under the Older Americans Act Title VI programs (nutrition services incentive program, supportive services, and Native American caregiver support). The organization also maintains significant relationships with the Department of Agriculture Food and Nutrition Service (24 awards for food distribution on Indian reservations and nutrition education), HHS Administration for Children and Families (39 combined awards), and SAMHSA Center for Substance Abuse Treatment and Center for Mental Health Services (multiple awards spanning medication-assisted treatment, opioid response, and behavioral health prevention). Additional funding flows from the Department of Justice Office for Victims of Crime (VOCA Tribal Victim Services Set-Aside), the Administration for Native Americans (Native American Programs grants for community food security and murdered and missing Native American prevention), and the Office of Community Services (Low-Income Home Energy Assistance Program, or LIHEAP).

Representative prime grant work includes the FY2026 Older Americans Act Title VI, Part A grant ($122,960 awarded April 2026 through March 2029) for nutrition and supportive services to elders aged 60 and older; a $727,711 Administration for Native Americans project grant (September 2025–September 2028) for the Rooted Relatives Program delivering food security and traditional plant education to youth and families; a $618,336 Food Distribution Program on Indian Reservations grant (October 2025–September 2027) for administering monthly food packages to income-eligible households; a $441,989 VOCA Tribal Victim Services award (January 2025–December 2029) for culturally appropriate victim assistance; and a $1,000,000 VOCA award (January 2024–December 2028) supporting victim services aligned with tribal values. The organization also received a $727,711 project grant from SAMHSA's Center for Substance Abuse Treatment for the 2024 Tribal Opioid Response Program (September 2024–September 2029), focusing on medication for opioid use disorder, naloxone distribution, and prevention education reaching 12,000 annual screenings and 215 outpatient treatment clients.

In its subrecipient role, the organization receives monthly pass-through funding from the California Department of Public Health under the WIC Special Supplemental Nutrition Program for Women, Infants, and Children (CFDA 10.557), with sub-awards flowing from January 2025 through March 2026.

Activity has remained steady over the past five years, with 9 to 18 awards annually, and 11 awards face ultimate completion within the next twenty-four months. The organization's federal footprint reflects its mission as California's largest tribal healthcare organization, with concurrent grant awards addressing elder nutrition, substance abuse treatment, behavioral health, food security, energy assistance, victim services, and maternal and early childhood home visiting. Service delivery emphasizes cultural competency and addresses documented health disparities including food insecurity affecting over half of the target population, opioid use disorder, and behavioral health crises including suicide prevention in tribal and urban Indian communities.