The Indian Health Service awarded a Purchase Order to Flatwater, Incorporated, a tribally-owned, SBA 8(a)-certified small business, for Registered Nursing and Public Health Nursing services at the Yakama Indian Health Clinic in Toppenish, Washington, with a ceiling value of $1,900,608 and an award date of October 1, 2026. This is an Indian Small Business Economic Enterprise set-aside.
Work is performed at Toppenish, Washington, with services delivered on-site at the Yakama Indian Health Center and at community outreach events within the Yakama Nation Reservation. The requirement covers one Registered Nurse and one Public Health Nurse position providing supplemental nursing coverage supporting direct patient care, clinical operations, and public health programs. The contract includes a base year plus four option years, running through September 30, 2031, structured as a five-year continuous period. Contractor personnel must comply with IHS security requirements, including favorable background investigation, fingerprinting, and HSPD-12 requirements, and maintain professional liability coverage of not less than $1,000,000 per occurrence. Performance standards require 100% clinical documentation completion within 48 hours, 95% patient education documentation, and 95% case management follow-up contact within 48 hours of lab results. Pricing is firm fixed price, all-inclusive of labor, travel, per diem, lodging, and applicable costs. The Government guarantees a minimum order of 200 labor hours per CLIN over the contract life.