Choctaw Indian Health Service

What Choctaw Indian Health Service does

Choctaw Nation Health Services Authority (CNHSA) is a non-profit tribal health authority established in 1999 and headquartered in Talihina, Oklahoma, that operates the healthcare delivery system of the Choctaw Nation of Oklahoma for eligible American Indian and Alaska Native (AI/AN) populations across nine counties of Southeastern Oklahoma. CNHSA runs a 140,000-square-foot flagship hospital in Talihina with 44 inpatient beds and 52 outpatient exam rooms, supplemented by approximately twelve outpatient clinics (Atoka, Broken Bow, Antlers, Durant, Hugo, Idabel, McAlester, Poteau, Stigler, Talihina Community), behavioral health facilities (including Wind Horse Counseling at three sites), two residential recovery centers (Chi Hullo Li and Talihina Men's Recovery), 14 wellness/fitness centers, dental and optometry clinics, and supporting services such as WIC, Senior Nutrition, Youth Center, Pharmacy Refill, Tribal Transit transportation, and a Diabetes Wellness Center running the CDC National Diabetes Prevention Program. The system serves 540,000+ outpatient visits annually and operates an ACGME-accredited Family Medicine Residency Program in partnership with OSU Medicine.

The technology stack is a conventional healthcare IT layer rather than a proprietary platform: Epic Systems' MyChart patient portal for secure messaging and record access; integration with the Indian Health Service Health Information Exchange (governed by a Multi-Purpose Agreement); and third-party environmental tools including Pollen Sense, PurpleAir, and JustAir operated by Choctaw Nation Environmental Protection Services near Durant. No proprietary AI/ML models, data flywheels, or research pipelines are disclosed.

Revenue is not publicly disclosed. The business model is mission-driven and eligibility-gated rather than commercial: services are funded primarily through Indian Health Service allocations, tribal resources of the Choctaw Nation, third-party insurance billing for covered services, and fee-for-service arrangements for non-eligible patients. CNHSA is not an investable equity; there are no funding rounds, shareholders, or M&A activity. Recent strategic activity has been operational — expanding clinic footprints, deepening service lines, and broadening access through the Antlers OSU Medicine urgent-care partnership that is open to all community members regardless of tribal status.

Name

Choctaw Indian Health Service

Legal name

Choctaw Nation Health Services Authority

Website

https://cnhsa.com

Company type

Private

Founded year

1999

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Choctaw Nation Health Services Authority (CNHSA) operates a tribal health system for eligible American Indian/Alaska Native members in Southeastern Oklahoma, delivering hospital, outpatient, behavioral health, dental, optometry, wellness, and community services across 30+ facilities.

Ownership category

akta.pro rank

Product category

Tribal Healthcare Services

NAICS

Ambulatory Health Care Services (621), Nursing Care Facilities (Skilled Nursing Facilities) (62311), Residential Mental Health and Substance Abuse Facilities (623220), Services for the Elderly and Persons with Disabilities (624120)

SIC

Services-General Medical & Surgical Hospitals, Nec (8062), Services-Health Services (8000)

akta.pro primary industry

Tribal/Indigenous Public Health Authorities (HLAJAAAD)

akta.pro secondary industries

Integrated Delivery Networks (IDNs) & Multi-Hospital Systems (HLAFAAAC), Local Public Health & Human Services Administration (BPAIACAK), Tribal Health Sciences & Allied Health Colleges (Nursing/Allied Health Focus) (EDAHANAF)

Keywords

• Tribal healthcare services
• Hospital and outpatient care
• Behavioral health treatment
• Community wellness programs
• Family medicine residency

Headquarters

HQ city

Talihina

HQ country

United States

HQ region

North America

Offices23 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Distribution channels4 records

Marketing channels4 records

Core offering

CNHSA operates a comprehensive tribal healthcare system anchored by a 44-bed hospital in Talihina and a network of outpatient clinics across Southeastern Oklahoma, providing medical, dental, optometry, behavioral health, pharmacy, women's health, pediatrics, and wellness services primarily to eligible American Indian/Alaska Native patients. The system also runs community health programs (WIC, Senior Nutrition, Youth Center, Tribal Public Health), Tribal Transit medical transportation, residential substance use recovery centers, and an ACGME-accredited Family Medicine Residency Program in partnership with OSU Medicine.

Product overview

Choctaw Nation Health Services Authority (CNHSA) operates a comprehensive healthcare system consisting of a main hospital (Talihina Health Care Center with 44 inpatient beds and 52 outpatient exam rooms), 12 outpatient clinics across southeastern Oklahoma, specialized behavioral health facilities (including Wind Horse Counseling at three locations, Chi Hullo Li Women's Recovery Center, and Talihina Men's Recovery Center), dental and optometry services, diabetes and general wellness centers (14 locations), a Family Medicine Residency Program (ACGME-accredited with OSU Medicine partnership), and community support programs including WIC, Senior Nutrition, Youth Center, Tribal Transit transportation, and public health services. The system also integrates with Indian Health Services Health Information Exchange and offers patient portal access via MyChart (Epic Systems). Over 540,000 outpatient visits are served annually.

Differentiator

Problem solved

Functional benefit

Products and services

• Choctaw Nation Health Care Center (Talihina Hospital) Main 140,000-square-foot hospital facility with 44 inpatient beds and 52 outpatient exam rooms providing comprehensive inpatient, surgical, emergency, diagnostic, pharmacy, and specialty services to eligible AI/AN patients and the broader community.
• Outpatient Clinic Network (Atoka, Broken Bow, Durant, Hugo, Idabel, McAlester, Poteau, Stigler, Talihina Community, Antlers) Network of outpatient clinics across nine Southeastern Oklahoma counties providing primary care, pediatrics, lab, X-ray, optometry, and same-day services; the Antlers Community Health Clinic is operated with OSU Medicine as an urgent care open to all community members.
• Family Medicine Residency Program ACGME-accredited residency program with Osteopathic Recognition, partnered with OSU Medicine, offering competitive salary, benefits, and educational support to train family medicine physicians.
• Behavioral Health Services (Wind Horse Counseling)

Quantifiable outcome

• Over 540,000 outpatient visits annually
• +1 more outcomes

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration7 records

Feature3 records

Partnerships

Five partnerships are on record, tiered core and minor.

• OSU MedicinecoreStrategic or Co-development Partner · 1 January 2025Partnership between Choctaw Nation of Oklahoma and OSU Medicine to operate the Antlers Community Health Clinic. The clinic provides healthcare open to all community members including tribal and non-tribal individuals, using state-of-the-art equipment with personalized service.
• OSU MedicinecoreStrategic or Co-development PartnerOSU Medicine partnership for the Family Medicine Residency Program. Strengthens the mission to train competent and compassionate family medicine physicians. Residents benefit from OSU's network of academic resources, advanced educational tools, and infrastructure built on decades of medical training experience across Oklahoma.
• Our Blood Institute (OBI)minorGTM or Marketing PartnerAnnual Tribal Blood Drive Challenge partnership between Our Blood Institute and four major tribes including Choctaw Nation. The challenge helped save over 14,000 lives during the annual event.
• Indian Health Service (IHS)coreTechnology or IntegrationHealth Information Exchange partnership with Indian Health Service for sharing patient health information across the IHS network. Your health information may be used, disclosed, and received from other healthcare providers for treatment purposes through the IHS HIE.
• Indian Health Service (IHS)coreStrategic or Co-development PartnerPartnership to bring a new clinic to Hugo, expanding healthcare services within the Choctaw Nation reservation. This expansion allows for seeing patients without referring them to other Choctaw Nation clinics or other facilities in the area.

Scale indicators5 records

Recent moves11 records

Expansion highlights6 records

Direct peers

• Oklahoma City Indian Clinic: Urban Indian health organization providing medical, dental, behavioral health, and pharmacy services to the AI/AN population in central Oklahoma. Comparable in mission, funding mix, and IHS alignment, though urban-focused rather than reservation-based.
• Claremore Indian Hospital: Federal IHS-operated hospital serving the AI/AN population in Northeastern Oklahoma. Shares the IHS funding model and AI/AN patient base with CNHSA, though operated directly by IHS rather than under tribal self-governance compact.
• Lawton Indian Hospital: IHS-operated hospital serving AI/AN patients in Southwestern Oklahoma. Directly comparable in being a federal IHS facility delivering hospital and outpatient care to a tribal population.
• Cherokee Nation Health Services: Operates the Cherokee Nation's tribal health system including W.W. Hastings Hospital and multiple outpatient clinics across Northeastern Oklahoma. It is the closest direct peer to CNHSA in scope, funding model (IHS/self-funded), and patient population.
• Pushmataha County Tribal Clinic: Smaller tribal/IHS-affiliated outpatient clinic in the Choctaw Nation service area. Directly comparable in mission and AI/AN patient base, though operating at a much smaller ambulatory-only scale.

Regional players

• Northeastern Health System: Tahlequah-based regional hospital system serving the same Cherokee Nation-adjacent region of Eastern Oklahoma. Comparable rural community hospital model and competes for similar patient populations outside the tribal eligibility window.
• McAlester Regional Health Center: Regional hospital serving Pittsburg County in Southeastern Oklahoma, directly competing with CNHSA's McAlester Health Clinic for non-tribal patients and physician staffing in the same service area.

Broad incumbents

• Integris Health: Major Oklahoma-based non-profit health system with hospitals across the state. Comparable in scale (multi-hospital system, large outpatient footprint) and competes with CNHSA for workforce and certain patient segments.
• Saint Francis Health System: Large non-tribal Oklahoma health system headquartered in Tulsa with regional hospitals and clinics. Competes with CNHSA for specialty referral pipelines, physician talent, and any expansion into non-tribal patient segments.
• Mercy Health Oklahoma: Large Catholic non-profit health system with multiple hospitals and clinics in Oklahoma. Overlaps with CNHSA in primary care, hospital services, and specialty referral competition.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/CNHSA
• LinkedInlinkedin.com/company/choctaw-nation-health-services-authority

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

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 Choctaw Indian Health Service