Indian Health Service 2025 Accomplishments Report

In 2025, the Indian Health Service marked 70 years of service and partnership with tribal nations and urban Indian organizations. Since July 1, 1955, when the IHS began with a small network of hospitals, health centers, and health stations, the mission has remained constant: to raise the physical, mental, social, and spiritual health of American Indians and Alaska Natives to the highest level.

This annual report highlights progress achieved in 2025 through sustained collaboration with tribes, tribal organizations, urban Indian organizations, and partners. It reflects the priorities of the U.S. Department of Health and Human Services, and what we heard from the tribal communities we serve and deliver together: stronger health infrastructure, expanded services, targeted clinical initiatives, and investments in the workforce, coupled with the responsible stewardship required to sustain care for future generations.

As we look ahead, the IHS remains committed to honoring its trust and treaty responsibilities with tribal nations through accountability, innovation, and partnership. The progress reflected in this report is the result of our shared dedication and resilience, and it reinforces our collective responsibility to strengthen health systems that are responsive to the needs and priorities of tribal nations and urban Indian communities. Together, we will continue to build on this foundation to ensure high-quality, culturally responsive care for generations to come.

Read more in the IHS 2025 Accomplishments Report. [PDF - 8.3 MB]