The Indian Health Service awarded a multiple-award Indefinite Delivery Contract to Four Winds Staffing LLC on September 23, 2026, with a $9 million ceiling and ultimate completion date of September 22, 2031. This is an Indian Small Business Economic Enterprise set-aside contract. Four Winds Staffing LLC is a 100% Native American-owned limited liability company based in McKinley, Texas.
Place of performance includes Polacca, Arizona (Hopi Health Care Center) with optional supplemental ordering at Colorado River Service Unit. The IDIQ solicitation, posted June 8, 2026 with a July 7, 2026 due date under Buy Indian Act restrictions, sought non-personal clinical staffing across five categories: Emergency Department Physician Services (252 weekly planning hours), Inpatient/Hospitalist Physician Services (84 weekly hours), Emergency Department Registered Nurse Services (504 weekly hours), Inpatient Registered Nurse Services (336 weekly hours), and Outpatient Registered Nurse Services (40 weekly hours). Offerors could propose for one or multiple categories. The contract carries a $5,000 minimum guarantee per awardee and does not guarantee task orders, hours, funding, or any share of future orders beyond the minimum.
The period of performance runs five years with a firm fixed-price structure. Contractors must submit fully burdened hourly rates and complete security clearances, credentialing, badging, EHR access, and facility onboarding before commencing clinical duties. Physicians must carry medical liability insurance of at least $1 million per occurrence, and all contractors must execute a Business Associate Agreement and comply with HIPAA.
A firm fixed-price task order was issued under this IDIQ on October 1, 2026, for Emergency Department and Outpatient Registered Nurse Staffing Services at Hopi Health Care Center in Polacca, Arizona, with a $1,725,360 ceiling and September 22, 2031 completion date.