The Indian Health Service awarded a purchase order to Nativearc, LLC, an Indian Small Business Economic Enterprise, for $1,414,504 on November 1, 2026, to provide hospitalist and nocturnist healthcare services at the Chinle Comprehensive Health Care Facility in Chinle, Arizona. The Indian Small Business Economic Enterprise set-aside restricts competition to Indian-owned small businesses. Performance extends through October 31, 2028. The procurement solicitation, posted May 14, 2026, with quotes due June 4, 2026, sought two physician positions: a Hospitalist working 12-hour daytime shifts (8:00 AM to 8:00 PM) and a Nocturnist working mandatory 7-days-on/7-days-off rotations (8:00 PM to 8:00 AM, 84 hours per week). Board-certified or board-eligible physicians in Family Practice, Internal Medicine, or Med/Peds were required, with completed U.S. residency, valid unrestricted DEA licenses, and commitment to minimum four-week deployments. The contract structure included one three-month base period plus seven three-month option periods, with 520 service hours per quarter.