Unalaska's clinic runs its 24-hour emergency care on an $800,000 city grant, for a second year

Iliuliuk Family Health Services is funding round-the-clock emergency and urgent care in Unalaska/Dutch Harbor with $800,000 in city grant money, the same as fiscal 2026, after shifting away from pursuing a federal facility designation toward policy reform, operational improvements and service expansion.

IFHS told the city the grant funds after-hours urgent and emergency care exclusively, including on-call clinical staffing, equipment readiness and essential supplies. "Patient revenue alone is markedly insufficient to sustain 24/7 emergency-ready services," the application said.

The request had grown to more than $1 million in FY25 before settling back to $800,000, pushing the city's Community Support Grant Program above its own funding formula of 3.5% of average General Fund revenue plus bed-tax and tobacco-tax balances, which the city says it now spends out every year. Staff call the formula "a guide, not a limit." For FY27, eight organizations sought a combined $2,252,752, which the Unalaska City Council approved in full; IFHS's is the largest.

In February, the council backed IFHS's Rural Health Transformation Program proposal.