Four Winds Staffing LLC

Four Winds Staffing LLC, a 100% Native American-owned limited liability company headquartered in McKinney, Texas, provides healthcare staffing services—registered nurses, physicians, allied health professionals, and support personnel—exclusively to the Indian Health Service as a prime contractor under Indian Small Business Economic Enterprise and Buy Indian Act set-asides. The company is certified as an Indian Economic Enterprise, Indian Small Business Economic Enterprise, Minority Owned Business, and Self-Certified Small Disadvantaged Business, and operates entirely within federal set-aside categories; all 133 recent prime awards carry Indian preference or Buy Indian designations.

Four Winds Staffing delivers nursing services across emergency, operating, intensive care, ambulatory care, obstetrics, medical-surgical, women's health, and pediatric departments. Representative nursing awards include a $1.43 million labor-hour purchase order for emergency room registered nurse services at Crownpoint Healthcare Facility (September 2024, Buy Indian set-aside), a $4.96 million definitive contract for professional nursing services at Phoenix Indian Medical Center (January 2023, Total Small Business set-aside), and an $8.2 million definitive contract for emergency department and intensive care unit nursing at Phoenix Indian Medical Center (September 2022, Buy Indian set-aside). The vendor also delivers physician staffing—hospitalist, emergency medicine, internal medicine, general surgery, and podiatry services—and allied health roles including respiratory therapy, clinical laboratory science, ultrasonography, CT technician, pharmacist, and medical supply technician positions. A $4.6 million purchase order placed in December 2024 covers emergency department physician services at Crownpoint Healthcare Facility under Indian Small Business Economic Enterprise set-aside; a $3.65 million definitive contract awarded September 2023 covers general surgeon services at Phoenix Indian Medical Center.

The Indian Health Service accounts for 132 awards (99.2% of award count) and $144.4 million in combined potential value. The Department of Veterans Affairs Veterans Integrated Service Network 12 contributes one award—a $225,000 Federal Supply Schedule contract for professional and allied healthcare staffing services effective April 2026 through March 2031. IHS concentration is absolute across both volume and dollars.

Four Winds Staffing holds a portfolio of four named indefinite delivery vehicles with IHS: a $25 million single-award Indefinite Delivery Contract for physician services (issued January 2024, Buy Indian set-aside, ultimate completion January 2026) from which two task orders have been issued totaling $24 thousand; a $7.5 million single-award Blanket Purchase Agreement for registered nurse services in Oklahoma (issued November 2023, no set-aside on the vehicle, ultimate completion November 2028) from which 17 task orders have been issued totaling $5.1 million; a $1 million single-award BPA for licensed practical nurse services in Oklahoma (issued August 2023, ultimate completion February 2025) from which 2 task orders have been issued totaling $252 thousand; and a recent FSS contract with Veterans Integrated Service Network 12 (issued April 2026) with a $225,000 ceiling. The top parent vehicle by task-order count is BPA 75H71124A00007 ($7.5 million Oklahoma RN services), with 17 task orders generating $5.1 million in combined value. Most task orders under the primary BPA vehicles carry firm fixed-price terms and performance locations concentrated in Arizona, New Mexico, and Oklahoma.

Activity has grown sharply: six awards in 2022 increased to 30 in 2023, 45 in 2024, and 43 in 2025, with seven awards recorded through June 2026. Fifty-six awards (combined potential value $58.9 million) reach ultimate completion within the next twenty-four months, representing significant recompete exposure across nursing, physician, and allied health service lines—particularly respiratory therapy, emergency department staffing, and operating room positions at Gallup Indian Medical Center, Northern Navajo Medical Center, and Crownpoint Healthcare Facility.

Four Winds Staffing operates as a prime on all work with no subcontractor engagement. SCI-reported invoiced revenue totaled $4.9 million in FY2023 and $13.1 million in FY2024 across 15.2 and 43.7 FTEs respectively, reflecting the vendor's FY2024 growth trajectory. Government-paid hourly rates on SCI-reportable contracts ranged from $116.82 per hour (10th percentile) to $246.00 per hour (90th percentile), with median rates around $138.00 per hour. The vendor self-performed all reported labor without subcontractor involvement. Nursing roles and general practitioners cluster at the lower rate band ($116–$145 per hour), while physician specialists and nocturnist services price at $180–$246 per hour. NAICS concentration is split between Temporary Help Services (89 awards) and All Other Miscellaneous Ambulatory Health Care Services (18 awards), with PSC concentration in Medical-Nursing (101 awards) and Medical-Managed Healthcare (9 awards).