Southern Indian Health Council

Southern Indian Health Council, doing business as an affiliate of Grossmont Hospital Corporation, is a tribally owned nonprofit healthcare and social services provider acting as the prime recipient of federal grants (99% of recent awards) focused on domestic violence victim services, behavioral health, substance abuse treatment, aging services, and tribal health infrastructure in rural southeastern San Diego County, California. The organization operates as an authorized designee for seven federally recognized tribes—the Barona Band of Mission Indians, the Campo Band of Diegueno Mission Indians, the Ewiiaapaayp Band of Kumeyaay Indians, the Jamul Indian Village, the La Posta Band of Diegueno Mission Indians, the Manzanita Band of Diegueno Mission Indians, and the Viejas Band of Capitan Grande Band of Mission Indians—and competes exclusively under tribal set-asides and formula grant vehicles reserved for Native American organizations and tribal governments.

SIHC's federal portfolio concentrates heavily in Department of Health and Human Services grant programs. The top five funding streams account for 66% of recent awards, all routing through HHS components: the Administration for Community Living (136 awards across multiple Older Americans Act formula programs including Title VI Part A grants for Native Americans, Title VI Part C caregiver support, nutrition services incentive programs, and MIPPA grants), the Administration for Children and Families (40 awards spanning family violence prevention and services state grants and child welfare support), and subordinate HHS offices. Beyond HHS domestic programs, SIHC received a $850,000 project grant from the Department of Justice's Office on Violence Against Women (CFDA 16.587) for victim services addressing domestic violence, dating violence, sexual assault, sex trafficking, and stalking through Project SAFE, a $441,989 five-year project grant from the Office for Victims of Crime's Tribal Victim Services Set-Aside Program (CFDA 16.841) for comprehensive crime victim services, a $500,000 five-year grant from the Bureau of Justice Assistance's Tribal Youth Program (CFDA 16.731) for early intervention with at-risk middle school youth ages 11-13, and a $351,935 formula grant from EPA Region 9 under the Water Infrastructure Improvements for the Nation Emerging Contaminants Grant Program (CFDA 66.442) for design and construction of a PFAS anion exchange treatment system at Alpine Clinic. Representative HHS work includes multiple awards from the Administration for Community Living for Older Americans Act Title VI, Part A grants for Native Americans (ongoing formula grants with FY2026 awards dated April 1, 2026, ultimate completion March 31, 2029), OAA Title VI, Part C caregiver support grants (multiple FY2026 awards, April 1, 2026 through March 31, 2029), OAA nutrition services incentive programs (multiple FY2026 awards, April 1, 2026 through March 31, 2029), Low Income Home Energy Assistance Program grants and infrastructure supplements from the Office of Community Services (FY2026 awards dated October 1, 2025, running through September 30, 2027), and SAMHSA Center for Substance Abuse Treatment grants for opioid use disorder treatment and recovery services (including a five-year TOR program grant dated September 30, 2022, through September 29, 2025, and a new award in FY2026 dated September 1, 2022).

Activity has been episodic year over year—eight awards in 2022, twenty in 2023, eight in 2024, five in 2025, and eight in 2026—with eleven awards reaching ultimate completion within the next twenty-four months and facing recompete risk. Combined obligated dollars ($66.9 million) substantially exceed combined potential value ($1.1 million), reflecting SIHC's role primarily as a formula grant recipient with annual appropriations flowing through tribal set-asides rather than competitive IDIQs or GWACs. SIHC's service delivery portfolio spans five operational sites: Alpine Clinic and Campo Clinic providing medical, dental, pharmaceutical, social services, and community health; Behavioral Health at Viejas Outlet Center providing behavioral health services across all sites; Kumeyaay Wellness Center providing substance abuse treatment with medication-assisted treatment, harm reduction, and culturally tailored recovery support including ceremonial practices; and a Boys and Girls Club facility serving youth ages 6 to 19. The organization operates across a 1,490-square-mile service area encompassing 33% of San Diego County's geography, serving a tribal consortium population of roughly 1,594 members while also delivering services to non-Native San Diego County residents. In its subrecipient capacity, SIHC received a subaward from the California Department of Health Care Services under a State Opioid Response Grant (May 1, 2023) and a subaward from the National Congress of American Indians Fund for youth and elder outreach and abuse prevention (October 27, 2021). SIHC does not hold federal contracts or seats on government-wide contract vehicles and competes exclusively under tribal and Native American federal grant programs administered by HHS, DOJ, EPA, and SAMHSA.