The Great Plains Area Indian Health Service seeks a firm-fixed-price purchase order for non-personal healthcare services at the Rosebud Comprehensive Health Care Facility in Rosebud, South Dakota, with a one-year period of performance from award. This is a 100% small-business set-aside under NAICS 621512 ($19 million size standard), and award will use lowest price technically acceptable among technically acceptable quotations. Offerors must submit on company letterhead with SF 1449, technical description, pricing, representations/certifications, and past performance/references, and pricing must remain firm for at least 60 days from receipt. Technical acceptability requires PWS-compliant qualifications, three professional references, malpractice insurance evidence, board certification/eligibility in emergency medicine and medical licensure, plus current ACLS, ATLS, PALS, and BLS certifications. Contractor personnel must complete fingerprint/background and LEIE screening before performance—allowing five business days for electronic fingerprint processing or thirty business days for non-electronic processing—complete IHS child-protection training, and invoice through the Treasury IPP.