Toiyabe Indian Health Project, Inc.

Toiyabe Indian Health Project, Inc., a tribally owned, federally recognized American Indian health organization based in Bishop, California, operates as a prime recipient of federal grants delivering behavioral health, suicide prevention, crisis intervention, and aging services to American Indian and Alaska Native populations across rural Inyo and Mono Counties. The organization does not hold federal prime contracts or IDVs; instead, it receives direct federal grants and sub-grant awards under formula and project grant programs administered by Health and Human Services, the Department of Agriculture, and the Administration on Aging. Toiyabe is consortium-governed and tribally controlled, serving nine tribal communities including Big Pine Paiute, Bishop Paiute, Bridgeport Indian Colony, Fort Independence, Lone Pine Paiute-Shoshone, Utu Utu Gwaitu Paiute, Timbisha Shoshone, and two additional tribal communities.

Toiyabe's federal footprint centers on behavioral health, crisis intervention, and aging-network services delivered to American Indian and Alaska Native beneficiaries in a 13,277-square-mile rural frontier region. Recent high-value grants include a $746,639 project grant from the Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Mental Health Services awarded September 30, 2026, under CFDA 93.532 (Center for Mental Health Services Projects of Regional and National Significance) to establish the Toiyabe Mobile Crisis Team, a four-vehicle telehealth-equipped fleet delivering 24/7/365 culturally grounded crisis response through clinician-led mobile crisis services, with performance running through September 29, 2030. A companion $502,719 SAMHSA grant under CFDA 93.00R (988 and Behavioral Health Crisis Services Programs), also awarded September 30, 2026, strengthens crisis-center partnerships and establishes tribal-specific 988 response pathways for American Indian and Alaska Native residents; 988 calls from the service area currently route 275–355 miles away to crisis centers unfamiliar with tribal resources and sovereignty protocols. Additional representative work includes a $991,240 project grant from the Department of Agriculture Rural Utilities Service under the Community Facilities Loans and Grants program (awarded August 18, 2022, through August 18, 2024) supporting health care facility construction and improvements in Bishop, and ongoing formula grants under the Older Americans Act (OAA) Title VI Parts A and C from the Administration on Aging serving aging tribal populations through nutrition services, caregiver support, and aging-network workforce development. Toiyabe also receives sub-grant funding from the California Department of Public Health under the Special Supplemental Nutrition Program for Women, Infants, and Children (CFDA 10.557) and from the National Council for Behavioral Health for harm-reduction and opioid-crisis intervention services.

Customer concentration is heavily weighted to Health and Human Services. The Administration for Community Living (ACL) accounts for 102 awards (combining multiple award-count line items in the source), the Public Health Service represents 26 awards, and the Indian Health Service carries 10 awards; together, these HHS components account for 74% of recent awards by count. Combined potential value across all awards totals $5.1 million, though combined dollars obligated reach $79.1 million—reflecting substantial past drawdown against grant awards with multi-year performance periods. The Department of Agriculture Food and Nutrition Service contributes 14 awards. Toiyabe operates as a prime recipient on 175 of 192 awards (91%), with 17 sub-awards (9%) flowing through state agencies and national nonprofit intermediaries such as the California Department of Public Health and the National Council for Behavioral Health. Award activity has averaged 9–11 awards annually over the past three years (2023–2026), with fourteen awards in 2026 year-to-date. Five awards face ultimate completion within the next twenty-four months, presenting recompete exposure in the behavioral health and aging-services grant landscape.

Toiyabe's service portfolio spans crisis intervention and mobile crisis response; suicide prevention, intervention, and postvention programming; behavioral health workforce development (including licensed vocational nurse-to-registered nurse bridge training and community health representative certification); opioid crisis response and harm reduction; aging services and nutrition for tribal elders; and type 2 diabetes prevention and control through culturally integrated clinical care. The organization is the health care home for approximately 3,950 enrolled members and descendants across the seven federally recognized tribes it serves, and it delivers culturally grounded, trauma-informed care emphasizing tribal sovereignty, language, food, music, and spiritual practices in program design and implementation.