Sequoyah Staffing Agency, LLC

Sequoyah Staffing Agency, LLC, a Native American-owned small business headquartered in Orlando, Florida, provides temporary clinical healthcare staffing — physicians, mid-level providers, nurses, pharmacists, laboratory technicians, and allied health personnel — to the Indian Health Service and other federal agencies as a prime contractor. The vendor is certified as an Indian Economic Enterprise, Indian Small Business Economic Enterprise, Economically Disadvantaged Woman-Owned Small Business, and holds multiple SBA designations reflecting its Native American ownership and minority status. Sequoyah competes predominantly under Buy Indian Act and Indian Small Business Economic Enterprise set-asides; nearly all recent prime awards carry one of these designations or no set-aside restriction, reflecting the vendor's position in the tribal healthcare procurement landscape.

Sequoyah's customer concentration is extreme. The Indian Health Service accounts for 115 of 121 total awards (99% by count) and $116 million of $141 million combined potential value (82%), with the remainder scattered across the Defense Health Agency ($24.9 million for neonatologist services at Naval Hospital Guam), the Bureau of Indian Affairs, the U.S. Coast Guard, Customs and Border Protection, and Defense Finance and Accounting Service in sub-$100,000 amounts. Within the IHS portfolio, Sequoyah holds five named single-award indefinite delivery contracts ranging from $2.4 million to $9.6 million in ceiling value: the Outpatient Mid-Level Services IDC for Cheyenne River Health Center ($4.95 million), the Hospitalist Services IDC for Cheyenne River ($2.42 million), the Medical Tech/Phlebotomist Lab IDC for Cheyenne River ($7.6 million), the Emergency Medical Operations IDC for Quentin N. Burdick Memorial Hospital in Belcourt, North Dakota ($9.6 million), and a recently awarded multiple-award IDIQ for clinical staffing at the Phoenix Area IHS and Hopi Health Care Center ($9 million, awarded September 2026). Task orders under these vehicles dominate the award count; the top five parent IDCs account for roughly 51 task orders with $14.2 million combined value.

Representative work spans emergency room physician staffing at Chinle Comprehensive Health Care Facility in Arizona ($846,560 purchase order, Indian Small Business Economic Enterprise set-aside, October 2026 through September 2027); family medicine physician services at DZ Health Center in Bloomfield, New Mexico ($671,296, no set-aside, August 2026 through August 2027); emergency physician staffing at Kayenta Healthcare Center in Arizona ($2.38 million, Indian Small Business Economic Enterprise set-aside, April 2025 through December 2026); and the Defense Health Agency contract for 24-hour neonatology coverage at Naval Hospital Guam ($24.9 million definitive, no set-aside, March 2025 through August 2030, with base period through January 2026 and four one-year options). SCI-reported invoiced revenue on federal service contracts totaled $6.5 million in FY2024 across 15.0 FTEs and $568,000 in FY2025 across 1.7 FTEs; government-paid rates on SCI-reportable contracts ranged from a 10th percentile of $135/hr to a median of $175/hr and a 90th percentile of $324.80/hr, reflecting the mix of entry-level laboratory and technical staffing alongside physician-level placements. Across all SCI prime contracts, the vendor self-performed 100% of contractor hours with no subcontractor engagement.

Award activity peaked in 2023 at 40 awards, declined to 26 in 2024, and dropped to 6 in 2025 and 4 in 2026 to date, though this decline reflects the shift from transactional delivery orders under legacy IDCs to consolidation under the newly awarded Phoenix Area multiple-award IDIQ and the large Defense Health Agency neonatology contract. Sequoyah faces a recompete cliff of 16 awards totaling $29 million in combined potential value completing within the next twenty-four months, concentrated in the Cheyenne River Health Center IDCs and legacy single-award vehicle expirations. The vendor operates exclusively as a prime contractor across its federal footprint; no sub-award activity appears in the source data. Sequoyah's capability portfolio centers on locum tenens and temporary clinical staffing for tribal healthcare facilities and military treatment facilities, with service-line depth across emergency medicine, family medicine, hospitalist care, mid-level providers, pharmacy, and diagnostic support services. The majority of performance occurs at IHS facilities across Arizona, New Mexico, South Dakota, North Dakota, Oregon, and Washington, with the Defense Health Agency engagement at Guam representing the vendor's primary non-IHS clinical mission.

Founded in February of 2019 by an ER Physician and Registered Nurse, Sequoyah Staffing Agency is a privately held, for profit business located in Muskogee, OK. We provide temporary staffing services (general, healthcare, Physicians, NP's, PA's, RN's, etc), supplies (medical, office, etc). We focus mainly on government facilities, but can do private institutions as well.