Document Type



This is the final report of a comparative financial analysis contracted by the Navajo Nation, Navajo Health Authority. The analysis included the following health care units and facilities: 1) Project Hope, Ganado, Arizona; 2) Tuba City Service Unit; 3) Chinle Service Unit; and 4) Monument Valley Indian Hospital. The purpose of the study was to identify the cost of each project's health service program and to compare costs where it was feasible. The analysis was to include: 1) all significant costs of each project; 2) indirect and supporting costs as part of the total; 3) identification of costs which differ among projects; 4) documentation of the sources used and the assumptions made to develop costs; and 5) the determination of the extent that projects receive financial support from federal, state, and local government sources and from voluntary, philanthropic, or other third parties. The study reviewed financial statements furnished by the appropriate personnel from each project site. On-site visits were also made to discuss and obtain additional data, as well as to discuss the findings. Costs, while differentiated by project were organized into three categories: 1) types of programs; 2) costs; and 3) services or levels of service. These findings are amplified in schedules one through four that list a summary of costs by function for each unit of the projects. Since this evaluation was intended as a fault-finding survey, there were no recommendations forthcoming from the report.

Publication Date



Indian Health Service, Staff Office of Planning, Evaluation and Research, Rockville, MD 20857 (E-57).