Seattle Indian Health Board

Seattle Indian Health Board, a Native American-owned nonprofit and federally qualified health center based in Seattle, Washington, operates as a prime recipient of federal healthcare grants and contracts funded primarily by the Department of Health and Human Services, with no reliance on set-asides. The organization delivers urban Indian health care services, behavioral health and suicide prevention programs, opioid use disorder prevention and treatment, HIV/HCV prevention, dementia care, diabetes management, and facility renovation and construction work to American Indian and Alaska Native populations across the Pacific Northwest and, through its Urban Indian Health Institute division, to a national network of 41 urban Indian organizations.

SIHB's recent federal footprint is dominated by grants rather than contracts. The Indian Health Service accounts for $115.8 million in combined potential value across 22 awards (13 prime contracts plus 9 prime grant awards), making IHS the vendor's largest single customer by dollars. The Department of Health and Human Services Public Health Service follows with 33 awards (unspecified combined value), and the Health Resources and Services Administration with 10 awards. Top customers by award count account for 60% of the 121 total awards in the source; top customers by potential value account for 76% of the $153.2 million combined potential value. Of 121 awards, 113 are prime (93%) and 8 are sub-awards (7%), signaling that SIHB is a direct recipient of federal funding rather than a typical vendor subcontracting to larger primes.

Recent prime work includes a $29.7 million definitive contract from the Indian Health Service awarded September 27, 2024, for urban Indian health care services and supplies in Seattle and Portland running through September 29, 2029 (firm fixed price); a $22.8 million IHS definitive contract awarded September 12, 2022, for medical facility renovations at SIHB's International District Clinic and Thunderbird Treatment Center running through September 27, 2026; and multiple HHS grants including a $799,983 project grant from the SAMHSA Center for Mental Health Services (CFDA 93.532) awarded September 30, 2026, for a five-year Zero Suicide Initiative targeting American Indian and Alaska Native adults in King County through September 29, 2031; a $1.25 million cooperative agreement from the CDC National Center for Chronic Disease Prevention and Health Promotion awarded September 30, 2024, for a five-year Garrett Lee Smith Memorial Suicide Prevention Program component targeting all 41 federally funded urban Indian organizations through September 29, 2029; and a $499,952 project grant from IHS (awarded February 1, 2025) for Indigenous Knowledge-Informed Community Opioid Interventions in the Seattle-King County area through January 31, 2030. Additional recent grants address comprehensive dementia care ($200,000 cooperative agreement from IHS, September 1, 2025, through August 31, 2028; $199,881 prior cycle), HIV and HCV prevention ($198,590 cooperative agreement from IHS, September 1, 2022, through August 31, 2025), and traditional wellness practices reducing chronic disease ($596,577 from CDC for tribal epidemiology infrastructure, September 30, 2022, through September 29, 2027). SIHB also received $5 million in congressionally directed spending (September 30, 2023, through September 29, 2027) to remodel a 92-bed mental health treatment and rehabilitation facility on Vashon Island.

Seven awards carry ultimate completion dates within the next twenty-four months, representing near-term recompete exposure. SIHB's sub-award footprint is minimal, with eight grant sub-awards routed through Washington State Department of Health, the Health Care Authority, and the National Foundation for the Centers for Disease Control and Prevention for WIC client services, opioid use disorder prevention and treatment, and maternal and infant health—roles consistent with SIHB's position as a direct recipient distributing federal funds to other organizations rather than as a contractor to other primes. Service Contract Inventory records show $7.3 million in invoiced revenue across SCI-reportable prime contracts in FY2024 (covering 40.8 FTEs), with median government-paid hourly rates around $43/hr and senior labor reaching $77/hr; however, SCI captures only a fraction of SIHB's federal service activity, which is predominantly structured as grants and health service contracts above the $150,000 threshold rather than as traditional labor-hour service contracts. SIHB's award concentration, customer diversity (25 agencies), and sustained growth pattern (121 awards over decades, with $358.7 million in combined dollars obligated) reflect its established position as a trusted health delivery organization for underserved urban Indian populations rather than as a commercial IT, professional services, or construction vendor pursuing task orders on government-wide vehicles.