Tribal Health, LLC

Tribal Health, LLC, a for-profit limited liability company headquartered in Scottsdale, Arizona, provides temporary healthcare staffing across nursing, emergency department management, dentistry, and physician services to the Indian Health Service and Department of Veterans Affairs as a prime contractor with no subcontractors in its federal footprint. The vendor competes full-and-open with no set-aside posture, though one contract vehicle (a $9.04 million indefinite delivery vehicle for temporary dentist staffing in Belcourt, North Dakota) carries a Total Small Business set-aside designation.

Tribal Health's customer base is nearly monolithic: the Indian Health Service accounts for 231 of 233 awards and $760.8 million of the combined $826.1 million potential value across the vendor's portfolio. Two veterans health administration awards—a $65.3 million single order from Veterans Integrated Service Network 12 and one unnamed order from VISN 7—comprise the remainder. The vendor operates exclusively as a prime on all 233 awards, with zero subcontract activity in the source dataset.

The capability portfolio centers on deploying temporary clinical labor to IHS facilities across South Dakota, North Dakota, Montana, Arizona, New Mexico, Colorado, and Oklahoma. Representative work spans emergency department management and staffing at Pine Ridge IHS Hospital ($9.7 million delivery order, July 2025 through September 2029, labor-hour pricing under the $175.4 million single-award IDIQ 75H70624D00005), registered nurse services for acute care at Pine Ridge ($3.61 million definitive contract through August 2026), temporary dentist staffing at Belcourt ($409,600 delivery order, December 2025 through April 2026, under the $9.04 million TSB set-aside IDIQ), emergency room services at Rosebud IHS Hospital ($15.4 million delivery order through September 2025, with modification two adding $3.17 million), and emergency department physicians at Lawton Indian Hospital ($25.8 million definitive contract, September 2023 through October 2028, with one-year base plus four one-year options). The vendor also holds a position on the Professional and Allied Healthcare Staffing Services GSA Schedule (FSS-621-I), from which 32 task orders valued at $52.6 million have been placed.

Parent vehicle concentration is material. The top five IDV and schedule vehicles carry 182 of 233 awards: the primary emergency department management IDIQ (75H70624D00005, $175.4 million single-award, 71 task orders issued), the legacy emergency department IDIQ (75H70623D00023, $36.5 million, 26 task orders), IDIQ 75H70619D00042 (72 task orders, $12.9 million), IDIQ 75H70619D00056 (43 task orders, $6.5 million), IDIQ 75H70624D00005 for emergency department services at five locations spanning South Dakota, North Dakota, Nebraska, and Iowa (11 task orders, $53.4 million), and the GSA Schedule (32 task orders, $52.6 million). Recent activity shows the vendor issuing delivery orders at a steady cadence: in July 2026 alone, Tribal Health received four awards totaling approximately $5.5 million (acute care registered nurse services at Pine Ridge, emergency department management and staffing at Cheyenne River Health Center in Eagle Butte, emergency department registered nursing services at Cheyenne River, and obstetric nursing services at Pine Ridge).

Activity has been volatile but remains substantial. The vendor averaged 27 awards per year over the past five years, with 34 in 2022, 41 in 2023, 35 in 2024, declining to 19 in 2025, and 9 in 2026 (through July 15). The recompete cliff shows nine awards with ultimate completion dates in the next twenty-four months, carrying combined potential value of $20.2 million—material but manageable churn relative to the portfolio's scale.

SCI-reportable invoicing (a strict subset covering federal service contracts above $150,000 threshold) totaled $152.5 million across fiscal years 2022–2024: $47.6 million in FY2022 (134 FTEs), $48.4 million in FY2023 (134 FTEs), and $56.4 million in FY2024 (151 FTEs). On SCI prime contracts, the vendor reported zero subcontractor hours share and named three subcontractors across the recordset—indicating primarily own-workforce delivery. Government-paid hourly rates on SCI-reportable prime work ranged from $134.53 per hour (10th percentile) to $291.61 per hour (90th percentile), with a median of $171.24 per hour, reflecting a mix of nursing, mid-level provider, and physician labor.

Tribal Health's operational footprint is characterized by rapid task-order execution against established IDIQs rather than pursuit of new prime vehicles. The vendor holds a narrow specialization—temporary and emergency clinical staffing—and operates exclusively within the federal healthcare space serving Native American populations. The concentration with IHS (99.8% of awards), the absence of any subcontractor presence, the reliance on a handful of vehicle anchors, and the flat-to-declining award trajectory over the past eighteen months signal a mature, stable vendor with limited competitive exposure to other primes but high exposure to IHS funding and contracting priorities.