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Tribal health sites
A coastal Oregon program expanded from dental care into a four-site Tribal FQHC, with staff growing from 8 to 48.
Read the Coastal Oregon case studyJohn R Reeves III, MHA
I run healthcare for tribal, rural, and underserved communities. Today I lead Indigenous Healthcare Advancements, drawing on two decades of operating experience.

Three examples from my operating roles, built with the people who delivered the care.
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A coastal Oregon program expanded from dental care into a four-site Tribal FQHC, with staff growing from 8 to 48.
Read the Coastal Oregon case study187.5%
The Sweet 16 initiative increased provider capacity in six months across a Kauai critical access hospital system.
Read the Kauai, Hawaii case study30%
A nine-clinic Northern California Tribal health system grew revenue while extending care and building a regional testing partnership.
Read the Northern California Coast case studyHealthcare operations, technology, books, and conversations. Different forms of the same work: making care fit the communities it serves.
Two California clinic projects are moving forward, connecting planning, staffing, and operations for tribal and urban Indian communities. Opening dates are not yet announced.
Visit ↗Technology built within IHA for Indian Country. IHA Suite and Marketplace are in development, with fin990 now part of Suite.
Visit ↗Culture Is the Operating System and Leadership Without the Mask, drawn from twenty years inside the work. A third book is in progress.
Learn more →Conversations with the people reshaping tribal and Indigenous healthcare. The podcast is on hiatus while we focus on our California projects. Explore past episodes.
Learn more →Consulting and operating examples on physician compensation, clinic development, policy systems, and the decisions behind the work.
Learn more →638 contracting, FQHC and CAH development, ICHAS cultural care accreditation, workforce, compliance. Built and run as the operating arm of this work.
Visit ↗My career has been spent inside the systems the mainstream model doesn't fit. Critical access hospitals. Urban Indian health centers. Pediatric clinics for farmworker families. Tribal nations. Indigenous Healthcare Advancements is the current vehicle for this work, but the work predates IHA and will outlast it. The thread is the same wherever I'm sitting: build healthcare that fits the community, run it from the inside, and leave it stronger than I found it.
Advisory, interim leadership, board engagements, speaking. If your community needs someone who has done it, not just studied it, let's talk.
Indigenous Healthcare Advancements is the consulting and operations arm. Clinics, technology, and pillar consulting engagements live there.