Missouri Breaks Industries Research, Inc.

Missouri Breaks Industries Research, Inc., doing business as Missouri Breaks DME, is a Native American-owned, HUBZone-certified small business based in Eagle Butte, South Dakota, that delivers respiratory home healthcare services and durable medical equipment, field center operations for epidemiological research, and community-engaged research coordination to federal agencies serving American Indian and Alaska Native populations. The vendor operates predominantly as a prime contractor (86% of recent awards) and competes full-and-open rather than under set-asides, despite holding HUBZone certification.

Missouri Breaks' federal footprint is heavily concentrated in healthcare delivery to the Indian Health Service and research support to the National Institutes of Health. The Indian Health Service accounts for 232 awards and $8.5 million combined potential value, spanning monthly and quarterly task orders for respiratory care services and durable medical equipment supplies to Pine Ridge and Rosebud IHS facilities in South Dakota. The National Heart, Lung and Blood Institute (NHLBI) accounts for 13 awards and $16.7 million combined potential value, anchored by ongoing delivery orders for field center services supporting the Strong Heart Study, a long-running epidemiological research project examining cardiovascular disease in American Indian communities. Representative IHS contracts include a $210,000 purchase order (March 2026) for respiratory home healthcare services at Pine Ridge IHS Hospital, a $156,000 purchase order (May 2024) for respiratory home care services and durable medical equipment supplies to the Pine Ridge Service Unit, and a $300,600 purchase order (July 2023) for respiratory home healthcare to Pine Ridge. On the NHLBI side, a $587,606 delivery order (April 2024) supported the Strong Heart Study field center Task Area B.2 operations, and a $283,553 delivery order (February 2024) covered Strong Heart Study field center Task Area B.3. The vendor sits on five principal indefinite-delivery contracts with HHS, with the largest task-order volumes under IDC 75H70619D00002 (57 task orders, $897 thousand combined value) and IDC HHSI241201100010I (56 task orders, $391 thousand combined value).

Award activity has remained steady—19 awards in 2024, 17 in 2025, and 9 through May 2026—with four awards (combined potential value $6.1 million) reaching completion inside the next twenty-four months. The vendor's NAICS concentration splits between home health care services (138 awards) and home health equipment rental (59 awards), with additional research and development exposure through NIH grant sub-recipiency. On Service Contract Inventory (SCI) records captured above the $150,000 reporting threshold, Missouri Breaks reported $4 million in invoiced federal service contract revenue across FY2022–FY2024, with roughly 10 FTEs fielded in FY2023 and FY2024. Government-paid hourly rates on these prime SCI records ran from around $55/hr at the 10th percentile to a median of $61/hr, with senior labor reaching $117/hr at the 90th percentile. Across SCI-reportable prime contracts, subcontractors accounted for an average 14% of total hours, with 18 named subs engaged across the portfolio.

Missouri Breaks' federal grant footprint complements its contract business. The vendor serves as a sub-recipient across 42 federal grant sub-awards spanning research initiatives at Columbia University, the University of Colorado, the University of Oklahoma, and others, supported by the National Institute for Minority Health and Health Disparities, NHLBI, the National Institute of Environmental Health Sciences, the National Institute on Aging, and the National Institute on Drug Abuse. Recent grant work includes sub-recipient roles in the Strong Heart Study (recruitment, data collection, community engagement), a $69,697 sub-award (May 2026) from Boston University for resilience and brain aging research, a sub-award from the University of Oklahoma for behavioral health intervention planning and drinking-water contaminant cancer research, and participation in multiple NIH-funded Superfund Research Program projects focused on environmental health and metals exposure in tribal communities. The vendor also received a $1.7 million prime grant (September 2023, CFDA not specified) from the National Institute for Minority Health and Health Disparities for Factors Influencing Pediatric Asthma Into Adulthood (FIPA2) research examining asthma disparities in American Indian children on the Northern Plains.

The vendor's operational footprint extends across South Dakota tribal territories (Eagle Butte, Pine Ridge, Rosebud, Cheyenne River Sioux Reservation) and partners with research institutions across the Northern Plains and nationally. Missouri Breaks states it was established in 1995 and brings thirty years of experience in state-of-the-art research and healthcare delivery in tribal communities across the Dakotas, with project activity spanning Alaska, Arizona, New Mexico, and Oklahoma. The concentration of work with IHS and NHLBI, combined with steady sub-recipient engagement across NIH research portfolios, positions Missouri Breaks as an embedded operational and research partner for federal health initiatives targeting Native American populations rather than a competitive bidder in broader federal contracting.

Research

Durable Medical equip