IHA operates clinics under tribal ownership, shouldering day-to-day clinical, administrative, and compliance operations so tribes can focus on community health priorities. Our current sites are a Los Angeles clinic and a Northern California tribal clinic, both opening late 2026. They operate together under an integrated dual-site model.
IHA's clinic work runs end-to-end. Tribes choose where we hand off.
Site selection, facility design, regulatory licensing, compliance architecture, provider recruitment, IT and RCM stand-up. We move from blank site to opening day.
Clinical delivery, revenue cycle, credentialing, quality assurance, cultural integration, reporting. We run the clinic as a Management Services Organization under tribal direction.
Full 638 self-determination pathway. We structure operations so the tribe can assume direct operation on a defined timeline, with knowledge transfer and staffing continuity.
Higher patient volume, broader specialty mix, urban Indian population reach, and the infrastructure that anchors the dual-site model.
Learn more about the LA clinic →Rural tribal community, integrated primary care with cultural care, all non-physician staff hired as tribal employees from day one.
Learn more about the Northern California clinic →Rural tribal communities often can't sustain a full-service clinic alone. Urban Indian populations often can't access tribally-specific care at all. The dual-site model solves both.
The LA clinic provides the specialist depth, infrastructure, and patient volume that anchor the financials. The Northern California clinic delivers primary care and cultural care inside the tribal community, with cross-site support on specialty referrals, telehealth, and shared services.
The model is replicable. We're already scoping it with other tribes.
We don't build dependency. Every clinic we operate is structured from day one to transition to direct tribal operation under a 638 self-determination contract when the tribe is ready.
A tribal clinic is a healthcare facility owned or operated by a federally recognized tribe, often under a 638 self-determination contract with the Indian Health Service. Tribal clinics deliver primary care, behavioral health, dental, and cultural health services to tribal communities.
A 638 contract, authorized by Public Law 93-638 (the Indian Self-Determination and Education Assistance Act), allows a federally recognized tribe to assume direct operation of health programs that would otherwise be run by the Indian Health Service. The tribe receives federal funding and operates the program under its own governance.
IHA’s dual-site model pairs an urban clinic (Los Angeles) with a rural tribal clinic (Northern California) as an integrated system. The urban site provides specialist depth and patient volume while the rural site delivers primary care and cultural care inside the tribal community, with shared infrastructure across both.
IHA operates clinics directly. The Los Angeles clinic and the Northern California clinic both open late 2026. IHA also provides consulting services, but the clinic operations are a distinct pillar of the organization with day-to-day clinical, administrative, and compliance responsibilities.
Yes. IHA’s clinic model is designed for tribal partnerships. IHA handles site selection, facility design, licensing, staffing, and operations, then transitions the clinic to tribal operation under a 638 contract on a defined timeline. Tribes interested in a partnership can book a discovery call through the IHA website.
Talk to us about feasibility, site selection, and whether the hub-and-spoke model fits your community.
Book a discovery callWe hire clinicians, operators, and administrative staff who want to work at the intersection of Western medicine and tribal sovereignty.
See open roles