Winnebago Tribe Of Nebraska

Winnebago Tribe Of Nebraska Winnebago Comprehensive Healthcare System Division, operating as Winnebago Comprehensive Healthcare Systems, is a tribally owned healthcare and public health entity delivering federal grant-funded health services, community health programming, injury prevention, and victim support services to American Indian populations, functioning as a prime grant recipient and sub-recipient under federal health and human services programs. The division is a child entity of the federally recognized Winnebago Tribe of Nebraska, headquartered in Winnebago, Nebraska, with no federal contracts but a substantial grant footprint anchored to Department of Health and Human Services programs across Administration for Community Living, Indian Health Service, Centers for Medicare and Medicaid Services, and Centers for Disease Control and Prevention.

The Winnebago Comprehensive Healthcare System operates two principal divisions—Winnebago Public Health Department and Twelve Clans Unity Hospital—and competes exclusively under set-asides and formula allocations reserved for federally recognized tribes and tribal healthcare systems. Its grant portfolio spans aging services, maternal and child health, diabetes prevention and management, injury prevention, behavioral health crisis response, domestic violence victim services, and public health capacity building, all structured for tribal self-determination under the Indian Self-Determination and Education Assistance Act. Representative prime grant work includes a $299,998 five-year cooperative agreement from Indian Health Service under the Injury Prevention Program for American Indians and Alaskan Natives (CFDA 93.284) funding the Winnebago Injury Prevention Project through December 2030, which conducts fall prevention and child passenger safety programming in collaboration with Twelve Clans Unity Hospital and the WCHS Senior Center; a $400,000 annual project grant from HHS for three years (through June 2027) under the Native Public Health Resilience program building public health accreditation capacity within a department of approximately 113 employees, about 75 percent tribal members from federally recognized tribes; a $177,469 AmeriCorps State and National planning grant (CFDA 94.006) from the Corporation for National and Community Service awarded August 2026 for the AmeriCorps Native Nations initiative; and formula grants from the Administration on Aging under Older Americans Act Title VI (Grants to Indian Tribes, CFDA 93.047), Title VI Part C (Native American Caregivers Support), and the Nutrition Services Incentive Program (CFDA 93.053), all running through March 2029. Additional prime work includes a cooperative agreement for the Maternal, Infant, and Early Childhood Home Visiting Program from HHS Office of Child Care (running through September 2028), a Special Diabetes Program for Indians (SDPI) cooperative agreement managed through the compacted tribal healthcare system since June 1998, a $272,089 Tribal Victim Services Set-Aside (VOCA, CFDA 16.841) Project Grant from the Department of Justice Office for Victims of Crime (January 2024 through December 2028) supporting domestic violence and sexual assault victim services, and a community crisis response project grant from SAMHSA's Center for Mental Health Services (September 2022 through September 2026) establishing a mobile crisis intervention team working jointly with the Winnebago Police Department.

In its sub-recipient role, the Winnebago Comprehensive Healthcare System has received 19 sub-awards from the Nebraska Department of Health and Human Services under a federal rural health transformation program, with sub-awards issued between May 2024 and July 2026 targeting chronic kidney disease remote patient monitoring, community health worker deployment, public health capacity advancement, maternal and infant health support, bioterrorism preparedness, and obesity prevention. One sub-award from the Great Plains Tribal Leaders Health Board (March 2025) addresses heart disease, stroke, obesity, and type 2 diabetes prevention in the tribal community.

The top four funding agencies by award count—HHS Administration for Community Living (15 awards), Indian Health Service (6 awards, $7.2 million combined potential value), Centers for Medicare and Medicaid Services (5 awards), and Centers for Disease Control and Prevention (4 awards)—account for 63 percent of all recent awards. The combined obligated value across all awards ($38.4 million) substantially exceeds the combined potential value ($7.2 million), reflecting multi-year cooperative agreements and formula grants with annual disbursements. Activity has accelerated from two awards in 2022 to thirteen in 2026 year-to-date. Five awards face ultimate completion within the next twenty-four months, exposing the division to recompete activity if continuation or renewal funding is sought. The vendor operates no federal contracts, no parent vehicles, and no competitive full-and-open procurement posture; its entire footprint is grants and sub-awards reserved for or allocated to federally recognized tribes and tribal entities under set-asides and formula programs.