Nativearc, LLC

Nativearc, LLC, a Native American-owned small business based in Redmond, Oregon, provides medical staffing and healthcare services—including emergency medicine physicians, hospitalists, nurse practitioners, physician assistants, and certified nurse midwives—exclusively to the Indian Health Service as a prime contractor on 121 awards. The vendor is certified as an Indian Economic Enterprise, Indian Small Business Economic Enterprise, minority-owned business, and self-certified small disadvantaged business, and competes predominantly under Buy Indian set-asides and tribal small business set-asides, with a recurring posture across its federal footprint.

Nativearc's customer concentration is absolute: 100% of its 121 awards (combined potential value $54.1 million) are with the Department of Health and Human Services Indian Health Service. The vendor operates across multiple IHS facility locations including Rosebud, South Dakota; Shiprock and Gallup, New Mexico; Chinle and Polacca, Arizona; Parker, Arizona; White Earth, Minnesota; and Nespelem, Washington. Work is priced on both firm fixed-price and labor-hour bases, with NAICS framing split between temporary help services (100 awards), offices of physicians (11 awards), and offices of miscellaneous health practitioners (9 awards). The vendor sits on three primary indefinite delivery vehicle parent contracts: Indefinite Delivery Contract 75H70621D00021 (41 task orders, $3.2 million combined potential value), Indefinite Delivery Contract 75H70621D00022 (39 task orders, $2.2 million combined potential value), and Indefinite Delivery Contract 75H71320D00003 (7 task orders, $1.1 million combined potential value). Representative prime work includes a $13.3 million labor-hour emergency medicine physician services contract at Crownpoint Healthcare Facility in New Mexico (awarded August 2023, Buy Indian set-aside, through December 2026); a $6.4 million Buy Indian emergency room physician services contract at Hopi Health Care Center in Arizona (awarded September 2022, through September 2027); a $3.52 million family practice physician services contract at Hopi Health Care Center (awarded September 2022, Buy Indian set-aside, through September 2027); and a $2.08 million physician services contract at Mescalero Service Unit, New Mexico (awarded December 2022, total small business set-aside, through December 2027).

Activity has contracted sharply: 38 awards in 2022, 39 in 2023, declining to 19 in 2024, 8 in 2025, and 2 in 2026 year-to-date. Fifteen awards (combined potential value $34.5 million) face ultimate completion inside the next twenty-four months and therefore present significant recompete exposure. Nativearc operates as a pure prime contractor across its footprint; the vendor holds 100% of awards as prime and carries 0% subcontractor engagement. It self-performs all work.

SCI-reported invoicing (federal service contracts above the $150,000 threshold) shows $7.9 million across FY2023–FY2024, growing from 3.9 FTEs in FY2023 to 11.1 FTEs in FY2024. On federal services contracts captured in SCI, government-paid hourly rates run median $230 per hour, with rates spanning from roughly $135 per hour (10th percentile) through $337 per hour (90th percentile), reflecting a staffing mix spanning emergency physicians, family medicine physicians, nurse practitioners, and physician assistants. The SCI dataset represents only a subset of Nativearc's federal service contracts, excluding goods, micro-purchases, classified work, and non-federal revenue; combined potential value across all 121 awards ($54.1 million) exceeds SCI-reported invoicing significantly, indicating substantial volume in smaller indefinite delivery task orders and purchase orders below or at the SCI reporting threshold.