The Indian Health Service established a Blanket Purchase Agreement with Four Winds Staffing LLC on November 2, 2026, with a ceiling of $9 million and a completion date of November 1, 2031, under the Buy Indian Act set-aside authority.
Four Winds Staffing LLC is a 100% Native American-owned business certified as an Indian Small Business Economic Enterprise, Indian Economic Enterprise, Minority Owned Business, and Self-Certified Small Disadvantaged Business.
The BPA covers nonpersonal ambulatory healthcare services at Fort Yuma Health Care Center in Winterhaven, California, with Optometrist services additionally supporting Hopi Health Care Center in Polacca, Arizona. The procurement was conducted under FAR Part 12 commercial acquisition procedures. Seven labor categories are available on an hourly firm-fixed-price basis: Family Nurse Practitioner, Registered Nurse, Certified Medical Assistant, Clinical Laboratory Scientist, Radiologic Technologist, Optometrist, and Podiatrist, each with separate overtime pricing. All contractor personnel function as independent contractors and must maintain current unrestricted professional licensure or certification, minimum two years recent clinical experience, current BLS certification, ability to obtain IHS security clearance, and complete a candidate package at least 45 calendar days before proposed start date. Performance occurs on-site during normal operating hours, Monday–Friday, 0800–1700 Pacific Time, excluding Federal holidays, unless otherwise specified in BPA calls. Services must comply with HIPAA, facility-specific credentialing and privileging, IHS policies, and accreditation standards.