Award Notice: Firm Fixed-Price, Commercial Item, Non-Personal Healthcare Services for Physician and Nursing Services, Standing Rock Service Unit (SRSU), Fort Yates IHS Hospital, Fort Yates, North Dakota.

This contract was awarded under FAR 6.302-2 due to an unusual and compelling urgency requiring immediate continuation of emergency physician and nursing services at the Fort Yates IHS Hospital in North Dakota to prevent life-threatening disruptions to care. The sole-source award was made to World Wide Medical DBA Bay Area Anesthesia, the incumbent contractor, because only they possessed fully credentialed and privileged staff immediately available to fulfill the critical need, as new providers would require 60 to 120 days to meet federal credentialing timelines—an unacceptable delay given the remote location and lack of alternative emergency care within 60 miles. The period of performance runs from May 30, 2026, to March 31, 2027, structured as a base period followed by four two-month option periods, ensuring continuity while a competitive follow-on procurement is prepared under REQ IHS1520920 and IHS1522729. The contract is a firm-fixed-price, performance-based agreement for non-personal healthcare services, with no competition conducted and no synopsis published on SAM.gov due to the exigent circumstances. The Statement of Work outlines the delivery of emergency department services aligned with hospital policies and federal standards, with inspection and acceptance occurring on-site at the hospital. The Contracting Officer’s Representative is Kelly Thomas, based in Rapid City, South Dakota, and the contracting office is located in Aberdeen, South Dakota. No set-aside was used, the offeror's size status or socioeconomic certifications were not declared, and no Unique Entity ID or CAGE code was provided. Pricing details, invoicing methods, payment office information, and specific accounting lines are not disclosed, though the contract is supported by agency funding under HHS/Indian Health Service codes. Special requirements include strict adherence to credentialing timelines, operational integration with existing systems, and compliance with all HHS and FAR medical service standards, with no physical deliverables, packaging, or FOB terms applicable. The award decision was based entirely on the urgency to preserve patient safety, avoid mission failure, and mitigate legal and clinical risks, with no formal evaluation factors, trade-off analysis, or proposal review process conducted.