The Seneca Nation Health System (SNHS) is a non-profit public health entity, operating under a federal contract with the Indian Health Services (IHS), in accordance with public health law 93-368 Title 1. Established in 1976, SNHS has continuously delivered ambulatory healthcare in the Allegany and Cattaraugus Territories as a tribal program. Our healthcare facilities, which include the Lionel R. John Health Center (LRJHC), Cattaraugus Indian Reservation Health Center (CIRHC), and Community Health and Wellness Center, offer a range of programs based on the public health model. We offer health services to eligible individuals within our Purchased/Referred Care Services Delivery Area, conforming to federal and tribal guidelines. This delivery area encompasses Allegany, Cattaraugus, Chautauqua, Niagara (excluding the Tonawanda and Tuscarora Territories), and Erie counties in New York, as well as Warren County in Pennsylvania. Our programs cover a comprehensive array of primary and preventive care for acute and chronic illness and injuries. Additionally, partnerships with various local hospitals, professional groups, and agencies facilitate inpatient treatment and specialist care to enhance our health programs. The National Committee for Quality Assurance (NCQA) has acknowledged LRJHC as a Level 3 Patient Centered Medical Home. Moreover, the NCQA has also recognized the Diabetes Program at LRJHC.