Firm Profile

Core Capability

Zamora Parrill supports Tribal Nations in exercising sovereignty over their healthcare systems by aligning community priorities, governance decisions, and federal funding pathways.

Our work includes:

  • Health Service Master Planning
  • Strategic Capital Planning
  • Program Justification Documents (PJD)
  • Program of Requirements (POR)
  • Site Selection & Evaluation Reports (SSER)

What We Do Differently

  • Principal-led engagement-

Direct involvement of senior professionals throughout—no delegation

  • Planning tied to execution- We connect strategy, operations, and federal requirements into a single path forward
  • Deep experience in Tribal and IHS systems- We understand how to navigate and leverage federal processes while maintaining Tribal priorities
  • Continuity from vision to approval- We remain engaged through planning, documentation, and agency review

Who We Work With

  • Tribal Governments and Health Boards
  • Tribal Health Organizations
  • Indian Health Service (IHS)
  • Owner’s Representative Teams

Leadership

Carmen Zamora, MPH

Healthcare planner with 20+ years supporting Tribal health systems, governance-aligned planning, and Joint Venture documentation. Known for aligning clinical operations, capital planning, and Tribal priorities into actionable strategies.

Max Parrill, ACHA

Board-certified healthcare architect with 20+ years delivering Tribal and IHS facilities from planning through construction, ensuring alignment between program, funding, and built outcomes.

Engagement Approach

We provide focused, high-value support that helps Tribal Nations:

  • Define and advance healthcare systems on their own terms
  • Align facilities with long-term governance and operational goals
  • Move projects from vision to implementation with clarity and control