Tsehootsooi Medical Center

What Tsehootsooi Medical Center does

Tsehootsooi Medical Center (legal name: Fort Defiance Indian Hospital Board, Inc., or FDIHB) is a non-profit 501(c)(3) tribal healthcare organization headquartered in Fort Defiance, Arizona, that operates as the 4th Public Law 93-638 self-determined hospital in the Navajo Nation. The system delivers a full continuum of care through a 245,000-square-foot, 56-bed community hospital with a 24/7 Emergency Department and specialty units (ICU, Medical-Surgical, Pediatric, OB/GYN, and Adolescent Psychiatric), supplemented by a 33,000-square-foot multi-care outpatient clinic in Sanders, the Nihi Dine'é Bá Wellness Center, and two mobile health clinics that rotate monthly through 16 Navajo Chapter Houses. Service lines span primary care, internal medicine, dental, pharmacy, behavioral health, diabetes education (ADCES-accredited), radiology (CT, MRI, mammography, ultrasound), CAP-accredited laboratory, and a distinctive Traditional & Cultural Services department that integrates Navajo healing practices with modern medicine.

The technology stack is conventional healthcare IT: Electronic Health Records, Health Information Exchange interoperability, an IHS-hosted Personal Health Records portal, teleradiology, digital radiography (with 50-60% lower radiation exposure), 3D breast imaging, and Direct Messaging for secure provider-patient communication; no public API, SDK, or AI/ML capabilities are documented. The organization holds accreditations from the American College of Radiology (CT and mammography), the College of American Pathologists (laboratory, with ISO 15189 enrollment in progress), the FDA (mammography), the Association of Diabetes Care & Education Specialists (diabetes education), and operates under HIPAA-compliant Health Information Management.

The business model is a hybrid of federal appropriation, third-party billing, and modest commercial revenue. IHS Title I funding under PL 93-638 anchors operations, supplemented by Medicare, Medicaid (AHCCCS), private insurance reimbursements, and Purchase Referred Care (PRC) payments for specialty services not available in-house. Direct commercial revenue comes from Wellness Center memberships priced at $15-$75/month plus per-visit and bi-weekly options. The go-to-market is community-led direct service delivery to American Indians and Alaskan Natives in Apache County, with no external customers, no channel partners, and no commercial sales motion. Governance is by an FDIHB Board of Directors led by Board President Roxanne Gorman, with executive leadership under CEO Dr. Naomi Young and CFO Christine Becenti.

Name

Tsehootsooi Medical Center

Legal name

Fort Defiance Indian Hospital Board, Inc.

Website

https://fdihb.org

Company type

Private

Founded year

2009

Operating status

Operating

Headcount range

501–1,000 employees

Short description

Tsehootsooi Medical Center (FDIHB) is a non-profit, PL 93-638 self-determined tribal healthcare organization operating a 56-bed hospital, an outpatient clinic, a wellness center, and mobile clinics to serve American Indians and Alaskan Natives across 16 Navajo Nation communities in Apache County, Arizona.

Ownership category

akta.pro rank

Product category

Community Hospital & Tribal Healthcare Services

NAICS

Ambulatory Health Care Services (621), Outpatient Care Centers (6214), Nursing Care Facilities (Skilled Nursing Facilities) (62311), Freestanding Ambulatory Surgical and Emergency Centers (621493)

SIC

Services-Hospitals (8060), Services-General Medical & Surgical Hospitals, Nec (8062), Services-Specialty Outpatient Facilities, Nec (8093), Services-Skilled Nursing Care Facilities (8051)

akta.pro primary industry

Critical Access & Rural Hospitals (HLAFAAAG)

akta.pro secondary industries

Public/County Primary Care Clinics (HLAFAGAI), Short-Term Rehabilitation (Post-Acute) SNFs (HLADADAA)

Keywords

• Tribal healthcare services
• Community hospital care
• Emergency medical services
• Diagnostic imaging services
• Wellness fitness programs

Headquarters

HQ city

Fort Defiance

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure, Supply Chain, Marketing or Sales

Revenue model

1. Healthcare Services Revenue: Direct healthcare service delivery including emergency, primary care, specialty care, pharmacy, laboratory, radiology, and behavioral health services. Revenue generated through patient services billed to Medicare, Medicaid, private insurance, and Indian Health Service funding agreements.
2. Purchase Referred Care (PRC): Funding for referred medical services not available at IHS or tribal facilities. PRC is a payer of last resort that covers eligible American Indians and Alaskan Natives for specialty care at external facilities when not available internally.
3. Indian Health Service Funding: Operates under Public Law 93-638 self-determination contract with Navajo Area Indian Health Services, receiving federal funding for healthcare service delivery to tribal members.
4. Wellness Center Memberships: Fitness and wellness center memberships providing recurring monthly revenue from community members

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels6 records

Core offering

Tsehootsooi Medical Center operates as a tribally governed, non-profit community healthcare system serving the Navajo Nation across Apache County, Arizona. It delivers 24/7 emergency, inpatient (56 beds including ICU, Med-Surg, Pediatric, OB/GYN, and Adolescent Psychiatric), outpatient primary and specialty care, pharmacy, laboratory, radiology, behavioral health, diabetes education, dental, and traditional Navajo healing services through a 245,000 sq ft hospital, a wellness center, a multi-care outpatient clinic, and two mobile health units.

Product overview

Tsehootsooi Medical Center operates as a healthcare system comprising multiple facilities and specialized services. The core offerings include Tséhootsooí Medical Center (TMC), a 245,000 sq ft community hospital with 56 inpatient beds and 24/7 Emergency Department; Nahata'Dziil Health Center, a multi-care outpatient clinic in Sanders, AZ; Nihi Dine'é Bá Wellness Center for health promotion and fitness; and a Mobile Health Program with two mobile clinics serving rural communities. These facilities are supported by specialized departments including Radiology (CT, MRI, Mammography, Ultrasound), Laboratory, Pharmacy, Behavioral Health, Diabetes Education, and Traditional & Cultural Services. The organization integrates Navajo traditions with modern medicine, operating under PL93-638 self-determination status since 2010.

Differentiator

Problem solved

Functional benefit

Products and services

• Tséhootsooí Medical Center (Hospital) A 245,000 sq ft community hospital in Fort Defiance, AZ providing 24/7 Emergency Department and licensed for 56 inpatient beds including ICU, Medical-Surgical, Pediatric, OB/GYN, and Adolescent Psychiatric Care, delivering comprehensive healthcare to tribal members integrating Navajo traditions with modern medicine.
• Nihi Dine'é Bá Wellness Center A wellness center opened in 2018 providing integrated health promotion and disease prevention services including physical therapy, education kitchen, full-size fitness center with indoor elevated track, volleyball/basketball court, and fitness classrooms.
• Nahata'Dziil Health Center A 33,000 sq ft multi-care outpatient clinic in Sanders, AZ offering Primary Care, Internal Medicine, Laboratory, Podiatry, Pediatrics, Dental, Physical Therapy, Respiratory Therapy, Optometry, Pharmacy, Women's Health, Radiology, and Diabetes Management services to community members.
• Mobile Health Program Two fully equipped mobile clinics bringing essential healthcare services to rural communities monthly, providing Family Practice Clinics, Elder Wellness Clinic, Teen Wellness Clinic, Sports and School Physicals, and Flu Clinics at rotating chapter house locations.
• Radiology Services Diagnostic imaging services including CT/CAT Scan, General Radiology with Digital Radiography (reducing radiation exposure 50-60%), MRI, Mammography (3D Breast Imaging), and Ultrasound, with CT and Mammography modalities accredited by the American College of Radiology.
• Behavioral Health Services Outpatient mental health and substance use services including individual and group therapy, medication management, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), family therapy, psychiatric consultations, and emergency crisis intervention for tribal and community members.
• Diabetes Education Program Accredited diabetes education program by the Association of Diabetes Care & Education Specialists providing guidance, counseling, glucose management, insulin education, group classes, and one-on-one outpatient education for patients diagnosed with or at risk for diabetes at TMC and Nahata'Dziil Health Center.
• Laboratory Services Clinical laboratory testing services accredited through the College of American Pathologists (CAP) with ongoing ISO 15189 accreditation process, including chemistry testing, hematology, infectious disease testing (Bioplex), DNA testing, and digital microscopy.
• Pharmacy Services Inpatient and outpatient pharmacy services filling chronic and acute medications with phone and toll-free refill services, 48-hour turnaround, and mobile phone notifications for prescription readiness.
• Traditional & Cultural Services Integrates traditional Navajo healing methods with modern healthcare, providing access to traditional healers, ceremonies, cultural education, and preservation of Navajo medicine practices to support holistic well-being.
• Wellness Department / Fitness Center Fitness facility offering gym memberships, indoor walking track, basketball/volleyball nights, group fitness classes, and various wellness programs with Standard ($30/mo), Group ($75/mo), and Discounted ($15/mo) membership options.
• Purchase Referred Care (PRC) Funding program for referred medical services not available at IHS or tribal facilities, providing coverage for eligible American Indians and Alaskan Natives for specialty care at external facilities when not available internally.
• Health Information Management Department handling digital and paper medical records (paper chart and electronic format) for medical services provided within FDIHB facilities, including HIPAA-compliant Personal Health Records, Direct Messaging, Health Information Exchange, and Release of Information processes.

Quantifiable outcome

• Reduced radiation exposure by 50-60% through digital radiography technology
• +1 more outcomes

Named customers1 record

Segments4 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature6 records

Partnerships

Six partnerships are on record, tiered core and minor.

• University of New Mexico (UNM)coreStrategic or Co-development PartnerUNM serves as clinical training site for students entering laboratory medicine field. TMC laboratory recruits these students as possible future employees. Partnership supports pipeline for local Native American employment.
• Navajo Nation Chapter HousescoreStrategic or Co-development PartnerPartnership with 16 Navajo Chapter Houses across service area for community health initiatives. Chapter Houses provide facilities for mobile health clinics, Just Move It events, and community wellness programs.
• Navajo Area Indian Health Services (NAIHS)coreOthersFederal agency under Indian Health Service providing oversight and funding through Public Law 93-638 self-determination contract. FDIHB concluded negotiations and signed 638 contract on January 28, 2010.
• Arizona Health Care Cost Containment System (AHCCCS)coreOthersArizona's Medicaid agency that handles meal and lodging requests for patients traveling for specialized care. PRC refers patients to AHCCCS for approval of these services.
• Window Rock High SchoolminorStrategic or Co-development PartnerTeen Wellness Clinic operating at school parking lot providing students with comprehensive services including physical exams, health education, immunizations, reproductive health, and mental health screening.
• St. Michaels Association for Special Education (SMASE)minorStrategic or Co-development PartnerPartnership providing Family Practice Clinic services to SMASE students at their facility during school year and summer sessions.

Scale indicators7 records

Recent moves10 records

Expansion highlights6 records

Regional players

• Rehoboth McKinley Christian Health Care Services: A non-IHS community hospital in Gallup, NM serving a significant Native American population in the Navajo Nation region. Comparable as a regional rural hospital competing for the same referral base and patient population in the Four Corners area.

Direct peers

• Sage Memorial Hospital: A tribally-operated hospital operated by the Navajo Health Foundation – Sage Memorial, serving the Navajo Nation in northeastern Arizona. Comparable as a 638-style tribal hospital providing acute, outpatient, and community health services to a similar patient population.
• Northern Navajo Medical Center: An Indian Health Service hospital in Shiprock, NM serving Navajo Nation communities with inpatient and outpatient care. Directly comparable as a Navajo-area IHS facility operating under similar federal-tribal care delivery dynamics.
• Chinle Comprehensive Health Care Facility: An IHS facility in Chinle, AZ providing comprehensive inpatient, outpatient, and emergency services to the Navajo Nation. Comparable in service scope and population served to TMC.
• Tuba City Regional Health Care Corporation: A PL 93-638 tribal healthcare corporation operating a hospital and outpatient services for the Navajo Nation in northern Arizona. Directly comparable as a tribally-operated regional hospital serving Native American communities with a similar service-mix and IHS funding model.
• Whiteriver Indian Hospital: An IHS hospital on the Fort Apache Indian Reservation in Whiteriver, AZ serving the White Mountain Apache Tribe. Comparable as a rural IHS facility with integrated tribal/community health programs in an underserved area.
• Winslow Indian Health Care Center: A PL 93-638 tribal health organization operating outpatient and limited inpatient services for Native Americans in the Winslow, AZ area. Comparable as a tribally-operated 638 facility with a multi-site community health model.
• Gallup Indian Medical Center: A large IHS hospital in Gallup, NM serving Navajo and Zuni populations with full acute and specialty services. Comparable as a Navajo-area IHS referral-level facility with similar cultural and federal funding dynamics.

Broad incumbents

• Banner Health: A large non-profit regional health system operating hospitals and clinics across the Southwest, including locations in Arizona near the Navajo Nation. Comparable as a broader incumbent whose service area overlaps with FDIHB's referral catchment for specialty care.
• Indian Health Service: The federal agency within HHS that funds and oversees healthcare delivery for American Indians and Alaska Natives. FDIHB operates under an IHS Title I/638 contract; IHS service units and headquarters are the closest structural counterpart to the funding and regulatory model within which FDIHB operates.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/fdihbinc

Compliance5 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles15 records

Subsidiaries4 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Tsehootsooi Medical Center