A capability statement you can search for.
If you are conducting market research on a nurse advice line or telephone triage requirement and trying to establish whether a capable Indian enterprise exists, this page exists to answer that question without a phone call.
What we do, in one paragraph
TULQ operates a 24/7 telephone nurse advice line. U.S. state-licensed registered nurses answer inbound calls, assess callers against Schmitt-Thompson telephone triage protocols, reach a documented disposition, and escalate or refer according to the protocol and the client's own escalation rules. Encounter documentation is returned to the facility. The service is designed for Indian Health Service service units, tribally operated 638 programs, self-governance compacts, and Urban Indian Organizations.
Procurement facts
| Item | Detail |
|---|---|
| Entity | TULQ LLC |
| Buy Indian status | Indian Economic Enterprise: wholly owned and controlled by an enrolled citizen of the Snoqualmie Indian Tribe (25 U.S.C. § 47) |
| Typical NAICS | 621111 · 621399 · 541990: we can represent under the code on your solicitation |
| Registrations | Active SAM.gov registration; UEI and CAGE on file |
| Clinical standard | Schmitt-Thompson telephone triage protocols; U.S. state-licensed RNs |
| Clinical leadership | Jayson Forrest Minagawa, RN, BSN (Clinical Director) |
| Capability statement | Available on request |
Where these requirements have been appearing
Nurse advice line and telephone triage requirements surface across the IHS system irregularly, but recent public activity has concentrated in a handful of Areas. The notices below are matters of public record on SAM.gov, listed here as context for the shape of this market, not as live opportunities.
| IHS Area | Facility | Public record |
|---|---|---|
| Great Plains | Woodrow Wilson Keeble Memorial Health Care Center, Sisseton SD | Sources Sought IHS1520417 (Dec 2025), following IHS1507826 (early 2025). ISBEE/IEE set-aside, NAICS 621111. Toll-free nurse advice and medical library line intended to reduce ER use. |
| Phoenix | Colorado River, Uintah & Ouray, Southern Bands; Phoenix Indian Medical Center | RFQ-26-PHX-046 covering three service units; Sources Sought SS-25-PHX-002 for PIMC. Buy Indian market research, NAICS 621399. |
| Navajo | Gallup Service Unit | Sources Sought published January 2025; five-year period of performance; NAICS 621399; Buy Indian Act preference. |
| Albuquerque | Santa Fe Indian Health Center; Acoma-Cañoncito-Laguna | RFQ 75H70725Q00103 awarded August 2025. Separate ACL Sources Sought for 24/7 nurse phone triage as an ISBEE set-aside, NAICS 541990. |
| Portland | Yakama Indian Health Center, Toppenish WA | RFQ 75H71325Q00030, "24 Hour Nurse Advice Line," base year plus four option years. Solicited as a Women-Owned Small Business set-aside rather than under Buy Indian, NAICS 621111. |
A Sources Sought notice is market research, not a commitment to solicit or award. And we have deliberately left obligation amounts off this page: the dollar figures circulating for several of these actions come from third-party estimates rather than confirmed FPDS records, and we would rather publish nothing than publish a number you would then have to correct.
The structural observation
Several of the requirements above were set aside under the Buy Indian Act, and at least one recent award went to a firm that is not an Indian Economic Enterprise. That is not a criticism of the contracting officers involved; it is the documented, correct outcome when market research does not surface a capable Indian enterprise at a fair and reasonable price.
It is also the gap TULQ was built to close. A credentialed, RN-led, Native-owned enterprise that actually answers Sources Sought notices removes the justification for deviating from the preference.
Questions people ask
Are you registered in SAM.gov?
Yes. TULQ maintains an active SAM.gov registration with a UEI and CAGE code. If any representation on the registration does not match what you see on an offer, contact us directly and we will resolve it rather than leaving you to reconcile it.
What is your Buy Indian status?
TULQ is wholly owned and controlled by an enrolled citizen of the Snoqualmie Indian Tribe and is eligible to compete as an Indian Economic Enterprise under 25 U.S.C. § 47. Whether the ISBEE tier applies depends on the SBA size standard for the NAICS code on your solicitation; at our size, it generally does. Background on the distinction.
Will you respond to a Sources Sought notice even if an award is uncertain?
Yes, and we would rather you ask. A Sources Sought notice with no qualified Indian responses becomes the documented basis for moving the requirement to another authority. If we are capable of performing, the useful thing for both of us is that the record reflects it.
Can you team with another enterprise?
Yes. Some requirements are larger than a single small enterprise should take on alone, and some combine nurse triage with adjacent services. We are open to teaming and to subcontracting arrangements, in either direction.
What clinical documentation can you provide during evaluation?
Licensure verification for assigned nursing staff, the protocol standard in use, the escalation and documentation workflow, HIPAA safeguards, and clinical leadership credentials. A capability statement is available on request through our contact page.
Sources
- SAM.gov contract opportunities, the Indian Health Service notices cited above.
- Buy Indian Act, 25 U.S.C. § 47, and the IHS Buy Indian Act final rule (2022).
- HHS Acquisition Regulation (HHSAR), 48 CFR Part 326.
- U.S. Small Business Administration size standards by NAICS code.
Solicitation details are summarized from public SAM.gov postings and were accurate as posted; notices are amended, cancelled, and superseded. Always work from the current notice. TULQ is launching in 2026 and this page describes capability and corporate status, not past contract performance.
Conducting market research?
Send us the notice number and the response deadline. We answer Sources Sought notices, and we are glad to be a data point in your market research whether or not it ends in an award.