IHS seeks capability information from ISBEEs, IEEs, small businesses, and other responsible sources for up to two qualified CRNAs to provide inpatient, outpatient, and emergency anesthesia care for patients of all ages at Quentin N. Burdick Memorial Healthcare Facility in Belcourt, North Dakota. Anticipated coverage is in fourteen-day blocks—one CRNA for fourteen days or two CRNAs for seven days each—with weekday clinical hours of 7:00 a.m.–3:30 p.m. plus scheduled night, weekend, and federal-holiday on-call/call-back; assignment frequency and between-block coverage remain under development. IHS anticipates a firm-fixed-price contract priced by month, with a tentative start date of February 1, 2027, a six-month base period, and four six-month option periods, subject to award and required onboarding, credentialing, and privileging. The anticipated NAICS code is 621399 with a $10 million size standard, and responses will inform acquisition planning, including possible Buy Indian Act set-aside consideration; no set-aside determination is announced. Interested respondents should provide capability statements covering business/socioeconomic status, comparable anesthesia staffing experience including rural or remote coverage, staffing capacity and credentialing/replacement plans, recommended schedules and requirement alternatives, contract vehicles, and optional nonbinding all-inclusive monthly budget estimates; hourly quotations and formal proposals are not requested.