The Indian Health Service awarded a purchase order to Ware River Consulting LLC, a Native American-owned, economically disadvantaged women-owned small business, for $7,379,910.72 on September 16, 2026. The order carries an Indian Small Business Economic Enterprise set-aside.
Work is performed at Pine Ridge, South Dakota, including Pine Ridge Hospital, Kyle Health Center, Wanblee Health Center, and LaCreek IHS Clinic. The procurement calls for Nurse Practitioner and Physician Assistant-Certified clinical services—six full-time equivalent mid-level providers delivering comprehensive outpatient services Monday through Friday, 8:00 AM to 7:00 PM, and Sunday, 12:00 PM to 5:00 PM, with minimum productivity benchmarks of ten high-complexity or twenty low-complexity patient encounters per full clinic day. Unit pricing is all-inclusive of travel, lodging, per diem, fringe benefits, and federal, state, and local taxes. The base period is six weeks with twenty-five six-week option periods, providing a potential total duration of thirty-six months. Ultimate completion date is September 11, 2029. The originating solicitation was RFQ 75H70626Q00153, posted June 15, 2026, with proposals due July 2, 2026.