Tuba City Regional Health Care Corporation

Tuba City Regional Health Care Corporation, a federally recognized tribal health organization and P.L. 93-638 Title V self-governance entity, serves as a grant recipient—not a federal contractor—and receives funding from the Department of Health and Human Services for injury prevention, sexual assault services, public health nursing, diabetes prevention, dementia care, and other tribal health initiatives across northern Arizona. TCRHCC is a 501(c)(3) nonprofit operating a 73-bed hospital, specialty clinics, and a federally qualified health center mobile health program serving over 33,000 Navajo, Hopi, and San Juan Southern Paiute patients across more than 7,000 square miles in Coconino and Navajo counties, Arizona.

TCRHCC's federal footprint is exclusively grant-based; the source records no federal contracts or contract vehicles. The organization holds fifty federal grant awards (98% as prime recipient, 2% as sub-recipient) with a combined potential value listed as $447 thousand—a notation error in the source that masks actual dollar obligations of $144.6 million across the portfolio, reflecting the substantial scale of HHS funding flowing to tribal health programs. Capability work spans injury prevention (motor vehicle crash and substance misuse reduction, elder fall prevention, suicide prevention), sexual assault services (victim advocacy, counseling, crisis intervention, sexual assault forensic exams), sexually transmitted infection case management and public health nursing, diabetes prevention and health promotion in schools, dementia care coordination, and construction of long-term care facilities.

The Department of Health and Human Services dominates customer concentration, with the Indian Health Service and Health Resources and Services Administration accounting for 75% of awards by count. Representative awards include a $150 thousand Cooperative Agreement from IHS for a five-year Injury Prevention Program (CFDA 93.284, effective January 1, 2026 through December 31, 2030) to expand interventions targeting motor vehicle crashes, substance misuse, elder falls, and suicide across the Navajo, Hopi, and San Juan Southern Paiute populations; a $610 thousand Project Grant from the Department of Justice Office on Violence Against Women under the Tribal Sexual Assault Services Program (CFDA 16.024, October 1, 2024 through September 30, 2027) providing crisis intervention, victim advocacy, and culturally sensitive healing practices; a five-year Cooperative Agreement from IHS for STI public health nursing case management and epidemiology software (September 30, 2022 through September 29, 2027); and a five-year Special Diabetes Program for Indians Cooperative Agreement (January 1, 2023 through December 31, 2027) combining health promotion, disease prevention, and clinical nutrition to reduce diabetes risk among youth and adults. TCRHCC also received $8 million in congressionally directed spending for construction of a skilled nursing long-term care facility (awarded August 1, 2022, completed May 31, 2023).

Award velocity has declined from six awards in 2021 to three in 2023, with a modest rebound to five in 2024 and one award to date in 2026; seven awards reach ultimate completion within the next twenty-four months and face recompete risk. TCRHCC acts as a sub-recipient on a single ongoing award: a Connecting Arizonans to Coverage (CA2C) Cooperative Agreement from HHS Centers for Medicare and Medicaid Services, administered by the Arizona Association of Community Health Centers, beginning October 1, 2024. As a tribal health provider and grant recipient rather than a federal contractor, TCRHCC does not compete on federal contract vehicles, GWACs, IDIQs, or schedules; the organization's federal engagement is restricted to direct HHS and Department of Justice grant awards to tribal and tribal-serving health organizations.