The Indian Health Service awarded a multiple-award Indefinite Delivery, Indefinite-Quantity contract to Shared Mission II, LLC on September 23, 2026, with a $9 million ceiling under the Indian Small Business Economic Enterprise set-aside (Buy Indian Act / HHSAR Subpart 326.6), restricting eligibility to certified Indian Economic Enterprises. The contract supports clinical staffing services for the Phoenix Area Indian Health Service, with place of performance at Hopi Health Care Center in Polacca, Arizona, and optional supplemental ordering at Colorado River Service Unit. The underlying solicitation (RFQ-26-PHX-035) sought non-personal staffing across five clinical categories: Emergency Department Physician Services, Inpatient/Hospitalist Physician Services, Emergency Department Registered Nurse Services, Inpatient Registered Nurse Services, and Outpatient Registered Nurse Services. Offerors could propose for one, several, or all categories. The contract runs through September 22, 2031, with a $5,000 minimum guarantee per awardee; award does not guarantee task orders, hours, funding, or any share of orders beyond the minimum. Contractors must provide fixed fully burdened hourly rates covering labor, recruiting, credentialing, travel, lodging, and insurance with no separate charges permitted. Physicians require $1 million per-occurrence medical liability insurance and must complete privileging; all personnel must complete security clearances, badging, EHR access, and facility onboarding. NAICS 621111; PSC Q201. On October 1, 2026, the Indian Health Service issued a $3.137 million delivery order to Shared Mission II for emergency department physician and inpatient registered nurse staffing at Hopi Health Care Center through September 30, 2027.