Federal Capture Intelligence

Top HHS all other miscellaneous ambulatory health care services contractors (NAICS 621999)

Contract actions: October 1, 2021 – October 23, 2026 Updated October 24, 2026 Department of Health and Human Services agency guide NAICS 621999 · All Other Miscellaneous Ambulatory Health Care Services
Latest 12 months
$58.2M
Net obligations · Up $65.2M vs. -$7.0M preceding
Prime contractors
46
With positive obligations in the latest 12 months

Research the HHS federal contracting market for all other miscellaneous ambulatory health care services under NAICS 621999. Compare top federal contractors and market share, reported contract obligations and spending trends, funding-office attribution, recent award activity, contract types, competition, and procurement methods, and potential recompete research leads.

Contract obligation trends for All Other Miscellaneous Ambulatory Health Care Services at the Department of Health and Human Services

Federal records show $938.0M in net obligations across 277 awards in All Other Miscellaneous Ambulatory Health Care Services at the Department of Health and Human Services from Oct 1, 2021 through Oct 23, 2026. This market accounts for 0.62% of $150.2B in agency-wide net prime contract obligations over the period shown. Latest 12-month net obligations moved from $7.0M in net deobligations to $58.2M in net obligations. 10 prime contractors accounted for at least 80% of positive obligations in that latest period.

Fiscal-year activity

FY27 is year-to-date through Oct 23, 2026; earlier years show complete fiscal-year totals.

FY27 year-to-date: $1.2M versus $11.6M through the same date in FY26 (−90.0%).
Net obligations · complete fiscal yearNet obligations · FY27 YTDContract actions
View fiscal-year data table
Fiscal yearNet obligationsContract actionsCoverage
FY2022$682.9M243Complete
FY2023$285.6M245Complete
FY2024−$83.8M175Complete
FY2025−$16.6M195Complete
FY2026$68.7M155Complete

Market at a glance

All reported prime contract awards
All-period net obligations
$938.0M
277 awards · 104 prime contractors
Latest 12-month movement
Not comparable
$58.2M vs. −$7.0M
Leading eight prime share
75.5%
Share held by the eight leading prime contractors in the latest 12 months
View agency share, denominators, and set-aside reporting
Agency context
0.62% of $150.2B in agency-wide net obligations.
Set-aside share when reported
25.0% of 180 awards with reported set-aside status.
Set-aside reporting
45 set aside · 135 no set-aside · 97 not reported

What changed in the last 12 months?

Oct 24, 2025–Oct 23, 2026, compared with Oct 24, 2024–Oct 23, 2025.

Competitive shifts

SEATTLE INDIAN HEALTH BOARD lost the most market share
10.7%→0.2%−10.5 percentage points
The contractor now ranks #30 by positive obligations, based on 2 reported actions.
NATIVE AMERICAN LIFELINES, INC climbed the most in the contractor rankings
#21→#6Up 15 places
The contractor accounts for 2.8% of positive obligations across 5 reported actions.
WALGREEN CO. recorded the largest net deobligation
−$64.1M→−$15.3M+$48.8M
The contractor now is unranked by positive obligations, based on 1 reported action.
LOS ANGELES AMERICAN INDIAN HEALTH CENTERS INC was the largest newly observed contractor
$4.0MLatest 12-month obligations
First observed in this market on Mar 25, 2026, the contractor now ranks #5 by positive obligations across 5 reported actions.

Buyer demand

Reported obligations through INDIAN HEALTH SERVICE decreased
$20.2M→$912K−$19.2M
Latest-period activity spans 7 awards across 5 prime contractors.
View 4 additional material changes

Award activity

WALGREEN CO. recorded the largest deobligation action
−$15.3MSep 1, 2026 action
Reported under PIID 75D30122C13958 by CDC OFFICE OF ACQUISITION SERVICES. Award net obligations after the action: $290.9M.
View supporting award
SERVEFED INC. received an unusually large obligation action
$12.6MDec 31, 2025 action
Reported under PIID 75P00123F37008 by PROGRAM SUPPORT CENTER ACQ MGMT SVC. Award net obligations after the action: $58.7M.
View supporting award

Competitive shifts

SERVEFED INC. gained the most market share
23.75%→31.70%+8.0 percentage points
The contractor now ranks #1 by positive obligations, based on 8 reported actions.

Buyer demand

Reported obligations through PHOENIX AREA INDIAN HEALTH SVC increased
$2.2M→$4.5M+$2.3M
Latest-period activity spans 7 awards across 6 prime contractors.
How these findings are calculated

Findings are selected from matched-period changes in obligations, share, rank, funding offices, concentration, reported set-asides, material award actions, and agency-peer outliers. Related signals are combined, and only material evidence-backed changes are shown. Review the full methodology.

Federal contract obligations by funding office

See how positive obligations were attributed across funding offices in the 12 months ending Oct 23, 2026.

44.4% of positive obligations were attributed to PROGRAM SUPPORT CENTER ACQ MGMT SVC. That represents $32.7M, down $14.2M from the preceding 12 months.

Latest 12-month share of positive obligations; the gray segment represents all other reported offices.

  1. PROGRAM SUPPORT CENTER ACQ MGMT SVC44.4% · $32.7M · down $14.2M
  2. CALIFORNIA INDIAN HEALTH SERVICE13.5% · $9.9M · up $902K
  3. OMAS STRATEGIC BUYING CENTER - HHS MISSION9.9% · $7.3M · up $7.3M
  4. BILLINGS AREA INDIAN HEALTH SVC9.7% · $7.1M · up $271K
  5. PHOENIX AREA INDIAN HEALTH SVC6.1% · $4.5M · up $2.3M
  6. All other reported offices16.5% of positive obligations
View reported office rankings, comparisons, and evidence

USAspending assigns each award to a funding office. That office may differ from the requiring activity, program office, contracting office, individual buyer, or actual customer.

  1. Reported funding office

    PROGRAM SUPPORT CENTER ACQ MGMT SVC

    #1Rank unchanged

    Latest 12 months

    $32.7M

    44.4% of positive obligations

    Versus preceding 12 months

    −$14.2M

    9 active prime contractors · 11 awards

    View office comparison and evidence

    Reported obligations decreased 30.3% from $46.9M to $32.7M. The office’s share of positive obligations moved from 48.1% to 44.4%, a change of −3.7 percentage points.

    The latest period contains 20 actions across 11 awards and 5 newly active prime contractors. The preceding period contained 4 active prime contractors and 11 awards.

  2. Reported funding office

    CALIFORNIA INDIAN HEALTH SERVICE

    #2Up 1 from #3

    Latest 12 months

    $9.9M

    13.5% of positive obligations

    Versus preceding 12 months

    +$902K

    6 active prime contractors · 6 awards

    View office comparison and evidence

    Reported obligations increased 10.0% from $9.0M to $9.9M. The office’s share of positive obligations moved from 9.3% to 13.5%, a change of +4.2 percentage points.

    The latest period contains 20 actions across 6 awards and 1 newly active prime contractor. The preceding period contained 5 active prime contractors and 8 awards.

  3. Reported funding office

    OMAS STRATEGIC BUYING CENTER - HHS MISSION

    #3New to the positive-obligation ranking

    Latest 12 months

    $7.3M

    9.9% of positive obligations

    Versus preceding 12 months

    +$7.3M

    3 active prime contractors · 5 awards

    View office comparison and evidence

    Reported obligations rose from $0 to $7.3M. The office’s share of positive obligations moved from 0% to 9.9%, a change of +9.9 percentage points.

    The latest period contains 5 actions across 5 awards and 3 newly active prime contractors. The preceding period contained 0 active prime contractors and 0 awards.

  4. Reported funding office

    BILLINGS AREA INDIAN HEALTH SVC

    #4Rank unchanged

    Latest 12 months

    $7.1M

    9.7% of positive obligations

    Versus preceding 12 months

    +$271K

    4 active prime contractors · 4 awards

    View office comparison and evidence

    Reported obligations increased 3.9% from $6.9M to $7.1M. The office’s share of positive obligations moved from 7.0% to 9.7%, a change of +2.6 percentage points.

    The latest period contains 9 actions across 4 awards and 2 newly active prime contractors. The preceding period contained 2 active prime contractors and 2 awards.

  5. Reported funding office

    PHOENIX AREA INDIAN HEALTH SVC

    #5Up 3 from #8

    Latest 12 months

    $4.5M

    6.1% of positive obligations

    Versus preceding 12 months

    +$2.3M

    6 active prime contractors · 7 awards

    View office comparison and evidence

    Reported obligations increased 108.5% from $2.2M to $4.5M. The office’s share of positive obligations moved from 2.2% to 6.1%, a change of +3.9 percentage points.

    The latest period contains 13 actions across 7 awards. The preceding period contained 6 active prime contractors and 6 awards.

  6. Reported funding office

    GREAT PLAINS AREA INDIAN HEALTH SVC

    #6Up 3 from #9

    Latest 12 months

    $3.4M

    4.6% of positive obligations

    Versus preceding 12 months

    +$1.7M

    3 active prime contractors · 4 awards

    View office comparison and evidence

    Reported obligations increased 101.3% from $1.7M to $3.4M. The office’s share of positive obligations moved from 1.7% to 4.6%, a change of +2.9 percentage points.

    The latest period contains 9 actions across 4 awards and 2 newly active prime contractors. The preceding period contained 2 active prime contractors and 4 awards.

  7. Reported funding office

    NATIONAL HANSENS DISEASE PROGRAM

    #7Rank unchanged

    Latest 12 months

    $2.3M

    3.1% of positive obligations

    Versus preceding 12 months

    −$11K

    12 active prime contractors · 12 awards

    View office comparison and evidence

    Reported obligations decreased 0.5% from $2.3M to $2.3M. The office’s share of positive obligations moved from 2.4% to 3.1%, a change of +0.7 percentage points.

    The latest period contains 24 actions across 12 awards. The preceding period contained 12 active prime contractors and 12 awards.

  8. Reported funding office

    NASHVILLE AREA INDIAN HEALTH SVC

    #8Up 2 from #10

    Latest 12 months

    $2.2M

    3.0% of positive obligations

    Versus preceding 12 months

    +$1.8M

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations increased 462.7% from $398K to $2.2M. The office’s share of positive obligations moved from 0.41% to 3.0%, a change of +2.6 percentage points.

    The latest period contains 5 actions across 1 award. The preceding period contained 2 active prime contractors and 2 awards.

  9. Reported funding office

    TUCSON AREA INDIAN HEALTH SERVICE

    #9Down 3 from #6

    Latest 12 months

    $1.8M

    2.4% of positive obligations

    Versus preceding 12 months

    −$1.1M

    1 active prime contractor · 6 awards

    View office comparison and evidence

    Reported obligations decreased 38.1% from $2.8M to $1.8M. The office’s share of positive obligations moved from 2.9% to 2.4%, a change of −0.5 percentage points.

    The latest period contains 6 actions across 6 awards. The preceding period contained 1 active prime contractor and 7 awards.

  10. Reported funding office

    ADMIN FOR CHILDREN FAMILIES (ACF)

    #10Up 1 from #11

    Latest 12 months

    $934K

    1.3% of positive obligations

    Versus preceding 12 months

    +$540K

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations increased 137.3% from $394K to $934K. The office’s share of positive obligations moved from 0.40% to 1.3%, a change of +0.9 percentage points.

    The latest period contains 4 actions across 1 award. The preceding period contained 1 active prime contractor and 1 award.

  11. Reported funding office

    INDIAN HEALTH SERVICE (75H713)

    #11Down 9 from #2

    Latest 12 months

    $912K

    1.2% of positive obligations

    Versus preceding 12 months

    −$19.2M

    5 active prime contractors · 7 awards

    View office comparison and evidence

    Reported obligations decreased 95.5% from $20.2M to $912K. The office’s share of positive obligations moved from 20.6% to 1.2%, a change of −19.4 percentage points.

    The latest period contains 10 actions across 7 awards. The preceding period contained 5 active prime contractors and 8 awards.

    Leading award-level changes

  12. Reported funding office

    NATIONAL INSTITUTES OF HEALTH NHLBI

    No positive-obligation rank

    Latest 12 months

    $0

    0% of positive obligations

    Versus preceding 12 months

    −$195K

    0 active prime contractors · 0 awards

    View office comparison and evidence

    Reported obligations decreased 100.0% from $195K to $0. The office’s share of positive obligations moved from 0.20% to 0%, a change of −0.2 percentage points.

    The latest period contains 0 actions across 0 awards. The preceding period contained 1 active prime contractor and 1 award.

  13. Reported funding office

    INDIAN HEALTH SERVICE (75H711)

    No positive-obligation rank

    Latest 12 months

    −$551K

    0% of positive obligations

    Versus preceding 12 months

    −$5.0M

    6 active prime contractors · 18 awards

    View office comparison and evidence

    Reported obligations moved from $4.5M in net obligations to $551K in net deobligations. The office’s share of positive obligations moved from 4.6% to 0%, a change of −4.6 percentage points.

    The latest period contains 19 actions across 18 awards and 1 newly active prime contractor. The preceding period contained 7 active prime contractors and 24 awards.

  14. Reported funding office

    CDC OFFICE OF ACQUISITION SERVICES

    No positive-obligation rank

    Latest 12 months

    −$14.9M

    0% of positive obligations

    Versus preceding 12 months

    +$89.4M

    4 active prime contractors · 4 awards

    View office comparison and evidence

    Reported obligations narrowed from $104.3M to $14.9M in net deobligations. The office’s share of positive obligations moved from 0% to 0%, a change of 0.0 percentage points.

    The latest period contains 5 actions across 4 awards and 2 newly active prime contractors. The preceding period contained 4 active prime contractors and 7 awards.

    Leading award-level changes

Contract types, competition, and procurement methods

From Oct 24, 2025 through Oct 23, 2026, 58 awards had positive obligations totaling $82.5M. Np was the leading reported procedure, accounting for 46.0% of positive obligations. Awards with a reported parent IDV accounted for 63.3%.

Leading award type
62.5%
Delivery Order
Leading reported procedure
46.0%
Np
Reported parent IDV
63.3%
of positive obligations had a reported parent IDV
Median reported offers
4
46 of 58 awards reported offers

Buying method changes

Compared with Oct 24, 2024–Oct 23, 2025. Based on 58 current awards and 72 preceding awards with positive net obligations.

Leading reported procedure
Np
Previously Negotiated Proposal/Quote · 52.2% preceding vs 46.0% current
How to read these changes

Directional color and the Up or Down labels show historical movement only. Green does not mean favorable and red does not mean unfavorable; neither predicts a future procurement method.

Same-NAICS comparison

Compared with the NAICS 621999 peer median, parent-IDV obligation share is 0.6 percentage points higher, reported full-and-open obligation share is 5.0 percentage points lower, delivery-order obligation share is 11.9 percentage points higher, and median positive award obligations are 76.5% higher.

MeasureThis marketPeer medianDifference
Parent-IDV obligation share63.3%62.7%+0.6 pts
Reported full-and-open obligation share2.8%7.8%-5.0 pts
Delivery-order obligation share62.5%50.5%+11.9 pts
Median positive award obligations$223K$126K+76.5%
Peer cohort and comparison limits

The peer median gives each of the 4 eligible agency markets equal weight. The included agency markets are:

Agency mission, scale, and acquisition context can differ. Peer position does not establish market attractiveness or predict a future procurement method.

View buying-method details and data coverage

Award types

Reported valueAwardsPositive obligationsShare
Delivery Order(C)12$51.5M62.5%
Definitive Contract(D)29$26.8M32.5%
Purchase Order(B)13$3.5M4.2%
BPA Call(A)4$660K0.80%

Reported parent-award types

Reported valueAwardsPositive obligationsShare
IDC(B)12$51.5M62.5%
BPA(E)4$660K0.80%
Not reported42$30.3M36.7%

Single- or multiple-award parent structure

Reported valueAwardsPositive obligationsShare
Single Award(S)16$52.2M63.3%
Not reported42$30.3M36.7%

Solicitation procedures

Reported valueAwardsPositive obligationsShare
Np(NEGOTIATED PROPOSAL/QUOTE)6$38.0M46.0%
Sss(ONLY ONE SOURCE)15$20.0M24.2%
Negotiated Proposal/Quote(NP)15$13.8M16.8%
Only One Source(SSS)4$5.4M6.5%
Sp1(SIMPLIFIED ACQUISITION)8$3.8M4.6%
Simplified Acquisition(SP1)10$1.6M1.9%

Extent competed

Reported valueAwardsPositive obligationsShare
D(FULL AND OPEN COMPETITION AFTER EXCLUSION OF SOURCES)4$23.4M28.4%
C(NOT COMPETED)11$17.6M21.4%
A(FULL AND OPEN COMPETITION)2$14.6M17.6%
Full and Open Competition After Exclusion of Sources(D)3$11.5M14.0%
Not Competed(C)4$5.4M6.5%
F(COMPETED UNDER SAP)5$2.7M3.2%
Other reported values29$7.3M8.9%

Fair-opportunity and limited-source reporting

Reported valueAwardsPositive obligationsShare
Not reported58$82.5M100.0%

Other-than-full-and-open reasons

Reported valueAwardsPositive obligationsShare
Only One Source-Other (FAR 6.302-1 Other)(ONE)14$22.9M27.8%
Authorized by Statute (FAR 6.302-5(A)(2)(I))(OTH)4$2.3M2.8%
SAP Non-Competition (FAR 13)(SP2)3$1.1M1.4%
Urgency (FAR 6.302-2)(URG)1$70K0.080%
Not reported36$56.0M67.9%

Contract pricing types

Reported valueAwardsPositive obligationsShare
J(FIRM FIXED PRICE)24$23.6M28.6%
Y(TIME AND MATERIALS)2$22.4M27.1%
Z(LABOR HOURS)2$13.8M16.7%
Time and Materials(Y)2$11.4M13.8%
Firm Fixed Price(J)26$9.3M11.2%
S(COST NO FEE)1$2.0M2.4%
Other reported values1$115K0.14%

Product or Service Codes

Reported valueAwardsPositive obligationsShare
Medical- Other(Q999)25$57.8M70.1%
Medical- Managed Healthcare(Q201)19$20.5M24.9%
Medical- Nursing(Q401)6$1.4M1.7%
Family & Internal Medicine Services(Q509)1$1.2M1.4%
Medical- Pathology(Q515)1$549K0.67%
Support- Professional: Other(R499)1$341K0.41%
Other reported values5$710K0.86%

Awarding subagencies

Reported valueAwardsPositive obligationsShare
Office of the Assistant Secretary for Administration(7570)3$38.9M47.1%
Indian Health Service(7527)36$31.3M37.9%
Office of the Assistant Secretary for Financial Resources(7571)3$9.4M11.4%
Health Resources and Services Administration(7526)12$2.3M2.8%
Centers for Disease Control and Prevention(7523)2$436K0.53%
Departmental Offices(1406)1$118K0.14%
Other reported values1$38K0.046%

Awarding offices

Reported valueAwardsPositive obligationsShare
Program Support Center Acq Mgmt Svc(75P001)3$38.9M47.1%
California Indian Health Service(75H703)6$9.9M12.1%
Omas Strategic Buying Center - Hhs Mission(7571MN)3$9.4M11.4%
Billings Area Indian Health Svc(75H709)2$7.2M8.7%
Phoenix Area Indian Health Svc(75H712)7$4.5M5.4%
Great Plains Area Indian Health Svc(75H706)4$3.4M4.1%
Other reported values33$9.2M11.1%

Reported parent IDVs

Reported valueAwardsPositive obligationsShare
75P00118D00009(7570)2$25.7M31.1%
75P00118D00010(7570)1$13.2M16.0%
75P00124D00004(7570)2$8.1M9.8%
75H70923D00015(7527)1$2.0M2.4%
75H71424D00001(7527)5$1.8M2.1%
75H70626D00001(7527)1$844K1.0%
75H71124A00006(7527)2$421K0.51%
75H71124A00007(7527)1$138K0.17%
Other reported values1$101K0.12%
Not reported42$30.3M36.7%

Offers, award size, and timing

Median reported offers
4 median
46 reported · 12 not reported
Positive award obligations
$223K median
$109K–$1.6M middle 50%
Reported performance period
729 days (~24 months) median
58 reported · 0 not reported

Calculations group latest-period actions by award, retain awards with positive net obligations for share denominators, and use each award's latest reported USAspending procurement fields as of Oct 23, 2026. Blank competition, pricing, PSC, or parent-IDV values remain not reported; they are not inferred. Offer counts must be positive and below the FPDS 999 placeholder. Awarding organizations can differ from the funding agency that defines this page.

Top federal contractors

Latest 12-month market share, concentration, and complete prime contractor rankings across the period shown.

Prime contractor concentration
10 of 46prime contractors account for at least 80% of positive obligations in the last 12 months
Largest prime contractor
31.7%of positive obligations in the last 12 months
Leading four prime contractors
62.8%of positive obligations in the last 12 months
Leading eight prime contractors
75.5%of positive obligations in the last 12 months

Based on $81.0M in positive obligations during the 12 months ending Oct 23, 2026. Individual shares and movement appear in the searchable rankings below. Movement compares with Oct 24, 2024–Oct 23, 2025.

Last 12mo obligation volume: Highest positive obligations first; net deobligations follow by magnitude; contractors with no activity in the last 12 months follow by all-period obligations. Ranks use the complete contractor list and remain fixed when search narrows the results.

15 leading contractors
  1. #1

    Last 12mo obligations

    $25.7M

    31.7%

    Dollar movement

    +$1.2M

    vs. prior 12 months

    Last 12mo awards

    2 awards

    8 actions

    Historical and award details for SERVEFED INC.
    Obligations: prior → latest
    $24.5M → $25.7M
    +4.9%
    Share: prior → latest
    23.8% → 31.7%
    +8.0 percentage points
    All-period obligations
    $116.4M
    12.3% of all-period positive obligations · 7 awards
    Recorded activity
    Since Oct 12, 2021
    through Sep 28, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported23
    Reported small business23
    All-period set-aside types

    None reported.

  2. #2

    Last 12mo obligations

    $11.9M

    14.7%

    Dollar movement

    −$4.4M

    vs. prior 12 months

    Last 12mo awards

    2 awards

    7 actions

    Historical and award details for STG INTERNATIONAL, INC.
    Obligations: prior → latest
    $16.3M → $11.9M
    −26.8%
    Share: prior → latest
    15.8% → 14.7%
    −1.1 percentage points
    All-period obligations
    $86.8M
    9.2% of all-period positive obligations · 7 awards
    Recorded activity
    Since Oct 29, 2021
    through Sep 24, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported22
    Reported small business00
    All-period set-aside types

    None reported.

  3. #3

    Last 12mo obligations

    $8.1M

    10.0%

    Dollar movement

    −$1.4M

    vs. prior 12 months

    Last 12mo awards

    2 awards

    4 actions

    Historical and award details for NATIONWIDE HEALTHCARE SOLUTIONS, LLC
    Obligations: prior → latest
    $9.5M → $8.1M
    −14.7%
    Share: prior → latest
    9.2% → 10.0%
    +0.8 percentage points
    All-period obligations
    $20.5M
    2.2% of all-period positive obligations · 2 awards
    Recorded activity
    Since Sep 6, 2024
    through Apr 20, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported21
    Reported small business21
    All-period set-aside types

    None reported.

  4. #4

    Last 12mo obligations

    $5.2M

    6.4%

    Dollar movement

    +$152K

    vs. prior 12 months

    Last 12mo awards

    1 award

    4 actions

    Historical and award details for AVEL ECARE LLC
    Obligations: prior → latest
    $5.1M → $5.2M
    +3.0%
    Share: prior → latest
    4.9% → 6.4%
    +1.5 percentage points
    All-period obligations
    $10.3M
    1.1% of all-period positive obligations · 2 awards
    Recorded activity
    Since Apr 1, 2025
    through Jul 20, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside11
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  5. #5

    Last 12mo obligations

    $4.0M

    5.0%

    Dollar movement

    +$4.0M

    vs. prior 12 months

    Last 12mo awards

    1 award

    5 actions

    Historical and award details for LOS ANGELES AMERICAN INDIAN HEALTH CENTERS INC
    Obligations: prior → latest
    $0 → $4.0M
    Not comparable
    Share: prior → latest
    0% → 5.0%
    +5.0 percentage points
    All-period obligations
    $4.0M
    0.42% of all-period positive obligations · 1 award
    Recorded activity
    Since Mar 25, 2026
    through Oct 9, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside10
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  6. #6

    Last 12mo obligations

    $2.2M

    2.8%

    Dollar movement

    +$1.8M

    vs. prior 12 months

    Last 12mo awards

    1 award

    5 actions

    Historical and award details for NATIVE AMERICAN LIFELINES, INC
    Obligations: prior → latest
    $424K → $2.2M
    +428.8%
    Share: prior → latest
    0.41% → 2.8%
    +2.4 percentage points
    All-period obligations
    $2.7M
    0.28% of all-period positive obligations · 1 award
    Recorded activity
    Since Sep 19, 2025
    through Oct 15, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside11
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  7. #7

    Last 12mo obligations

    $2.0M

    2.5%

    Dollar movement

    $0

    no change vs. prior 12 months

    Last 12mo awards

    1 award

    2 actions

    Historical and award details for UNIVERSITY OF ARIZONA
    Obligations: prior → latest
    $2.0M → $2.0M
    +0.0%
    Share: prior → latest
    2.0% → 2.5%
    +0.5 percentage points
    All-period obligations
    $6.1M
    0.65% of all-period positive obligations · 1 award
    Recorded activity
    Since Sep 26, 2024
    through Aug 27, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside11
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  8. #8

    Last 12mo obligations

    $2.0M

    2.5%

    Dollar movement

    +$413K

    vs. prior 12 months

    Last 12mo awards

    2 awards

    4 actions

    Historical and award details for PRIME TRI PROVIDERS LLC
    Obligations: prior → latest
    $1.6M → $2.0M
    +26.2%
    Share: prior → latest
    1.5% → 2.5%
    +0.9 percentage points
    All-period obligations
    $3.6M
    0.38% of all-period positive obligations · 2 awards
    Recorded activity
    Since Sep 26, 2025
    through Sep 9, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside22
    Reported no set-aside00
    Not reported00
    Reported small business22
    All-period set-aside types
    • 2 · Indian small business
  9. #9

    Last 12mo obligations

    $2.0M

    2.4%

    Dollar movement

    +$143K

    vs. prior 12 months

    Last 12mo awards

    1 award

    3 actions

    Historical and award details for NATIVE AMERICAN DEVELOPMENT CORP
    Obligations: prior → latest
    $1.8M → $2.0M
    +7.8%
    Share: prior → latest
    1.8% → 2.4%
    +0.7 percentage points
    All-period obligations
    $7.7M
    0.81% of all-period positive obligations · 7 awards
    Recorded activity
    Since Feb 28, 2023
    through Sep 18, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported11
    Reported small business00
    All-period set-aside types

    None reported.

  10. #10

    Last 12mo obligations

    $1.9M

    2.4%

    Dollar movement

    +$153K

    vs. prior 12 months

    Last 12mo awards

    1 award

    5 actions

    Historical and award details for SAN DIEGO AMERICAN INDIAN HEALTH CENTER
    Obligations: prior → latest
    $1.8M → $1.9M
    +8.6%
    Share: prior → latest
    1.7% → 2.4%
    +0.7 percentage points
    All-period obligations
    $3.7M
    0.39% of all-period positive obligations · 1 award
    Recorded activity
    Since Jun 26, 2025
    through Oct 7, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside11
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  11. #11

    Last 12mo obligations

    $1.9M

    2.3%

    Dollar movement

    +$1.5M

    vs. prior 12 months

    Last 12mo awards

    1 award

    4 actions

    Historical and award details for URBAN INDIAN CENTER OF SALT LAKE
    Obligations: prior → latest
    $416K → $1.9M
    +352.5%
    Share: prior → latest
    0.40% → 2.3%
    +1.9 percentage points
    All-period obligations
    $9.9M
    1.1% of all-period positive obligations · 2 awards
    Recorded activity
    Since Sep 24, 2022
    through Aug 28, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside11
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  12. #12

    Last 12mo obligations

    $1.8M

    2.2%

    Dollar movement

    +$166K

    vs. prior 12 months

    Last 12mo awards

    1 award

    3 actions

    Historical and award details for INDIAN HEALTH CENTER OF SANTA CLARA VALLEY
    Obligations: prior → latest
    $1.7M → $1.8M
    +10.0%
    Share: prior → latest
    1.6% → 2.2%
    +0.6 percentage points
    All-period obligations
    $8.9M
    0.94% of all-period positive obligations · 2 awards
    Recorded activity
    Since Nov 24, 2021
    through Sep 11, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside12
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  13. #13

    Last 12mo obligations

    $1.8M

    2.2%

    Dollar movement

    −$1.1M

    vs. prior 12 months

    Last 12mo awards

    6 awards

    6 actions

    Historical and award details for AMERICAN INDIAN ASSOCIATION OF TUCSON, INC
    Obligations: prior → latest
    $2.8M → $1.8M
    −38.1%
    Share: prior → latest
    2.8% → 2.2%
    −0.6 percentage points
    All-period obligations
    $14.7M
    1.6% of all-period positive obligations · 22 awards
    Recorded activity
    Since Oct 13, 2021
    through Oct 21, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside01
    Not reported66
    Reported small business00
    All-period set-aside types

    None reported.

  14. #14

    Last 12mo obligations

    $1.7M

    2.0%

    Dollar movement

    +$154K

    vs. prior 12 months

    Last 12mo awards

    1 award

    4 actions

    Historical and award details for FRESNO AMERICAN INDIAN HEALTH PROJECT
    Obligations: prior → latest
    $1.5M → $1.7M
    +10.3%
    Share: prior → latest
    1.5% → 2.0%
    +0.6 percentage points
    All-period obligations
    $7.7M
    0.81% of all-period positive obligations · 2 awards
    Recorded activity
    Since Nov 24, 2021
    through Oct 8, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside12
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  15. #15

    Last 12mo obligations

    $1.5M

    1.9%

    Dollar movement

    +$853K

    vs. prior 12 months

    Last 12mo awards

    3 awards

    5 actions

    Historical and award details for PRAIRIE BAND HEALTH SERVICES INC
    Obligations: prior → latest
    $650K → $1.5M
    +131.3%
    Share: prior → latest
    0.63% → 1.9%
    +1.2 percentage points
    All-period obligations
    $3.1M
    0.33% of all-period positive obligations · 4 awards
    Recorded activity
    Since May 2, 2024
    through Sep 14, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside12
    Reported no set-aside11
    Not reported10
    Reported small business33
    All-period set-aside types
    • 2 · Indian small business

Potential federal contract recompetes

Investigate potential recompetes surfaced by near-term end dates, award value, and recent contract changes.

SERVEFED INC.

IN ACCORDANCE WITH FAR 52.212-4 CONTRACT TERMS AND CONDITIONS - COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES, THE PURPOSE OF THIS BILATERAL MODIFICATION TO DEOBLIGATED FUNDS IN THE AMOUNT OF $980,940.08 FROM CAN E86RE05, CLIN 8 DURING THE PERIOD OF PE

The reported potential end date moved later 2 times in the latest 12 months.

Performance period

99.4%

As of Oct 23, 2026Potential end Oct 31, 2026

Current award value as a share of potential value

100.0%

$62.1M current$62.1M potential
Supporting data

Reported performance starts May 1, 2023.

Current performance is reported through Dec 31, 2025.

$62.1M is obligated against $62.1M in current reported award value (100.0%).

Reported potential end dates: Apr 30, 2024 → Jul 31, 2024 → Oct 31, 2024 → Oct 31, 2025 → Oct 31, 2026 → Nov 30, 2026 → Oct 31, 2026.

IN ACCORDANCE WITH FAR 52.212-4 CONTRACT TERMS AND CONDITIONS - COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES, THE PURPOSE OF THIS BILATERAL MODIFICATION IS TO EXTEND THE TERM OF THIS CONTRACT, ADD FUNDING TO CLIN 10, AND UPDATED WORKPLAN.

Obligations are compared with current reported award value, not treated as a contract ceiling.

PIID 75P00123F37008

STG INTERNATIONAL, INC.

THE PURPOSE OF THIS MODIFICATION IS TO DE-OBLIGATE $2,257,000 IN FY26 FUNDS FROM THE TASK ORDER EIGHT (8) EXTENSION PERIOD OF PERFORMANCE MARCH 1, 2026 THROUGH AUGUST 31, 2026

The reported potential end date moved later 2 times in the latest 12 months.

Performance period

65.8%

As of Oct 23, 2026Potential end Aug 31, 2027

Current award value as a share of potential value

60.1%

$25.1M current$41.7M potential
Supporting data

Reported performance starts Mar 1, 2025.

Current performance is reported through Aug 31, 2026.

$25.1M is obligated against $25.1M in current reported award value (100.0%).

Reported potential end dates: Feb 28, 2026 → Aug 31, 2026 → Aug 31, 2027.

THE PURPOSE OF THIS MODIFICATION IS TO DE-OBLIGATE $2,257,000 IN FY26 FUNDS FROM THE TASK ORDER EIGHT (8) EXTENSION PERIOD OF PERFORMANCE MARCH 1, 2026 THROUGH AUGUST 31, 2026

Obligations are compared with current reported award value, not treated as a contract ceiling.

PIID 75P00125F37008

These are research leads, not confirmed recompetes. USAspending records through Oct 23, 2026; reported dates and values can change through later modifications.

Recent federal contract award activity

Recent contract actions with unusually large obligation changes or meaningful shifts in contractor and funding-office activity.

Deobligation

This action

−$6.9M

STG INTERNATIONAL, INC.

PROGRAM SUPPORT CENTER ACQ MGMT SVC

THE PURPOSE OF THIS BILATERAL MODIFICATION IS DEOBLIGATE FUNDING FROM SEPARATE CLINS.

Why it stands out

This award recorded a material contraction.

The action removed $6.9M. A deobligation does not by itself show lower requirement demand.

Award net obligations
$25.1M
Share of 12-month positive obligations
8.6%
Supporting data
Prime contractor
#2 · 14.7% share
−1.1 percentage points · $4.4M net decline; action exceeded it by $2.6M
Funding office
#1 · 44.4% attributed share
−3.7 percentage points · $14.2M net decline; action accounted for 48.8%
Related:Unusually large action
PIID 75P00125F37008 · Mod P00005
Modification

This action

+$12.6M

SERVEFED INC.

PROGRAM SUPPORT CENTER ACQ MGMT SVC

PURSUANT TO FAR 52.212-4, THE PURPOSE OF THIS BILATERAL MODIFICATION IS TO EXTEND SERVICES FOR CLINICAL EAST OCCUPATIONAL HEALTH SUPPORT SERVICES. EXTEND THE PERIOD OF PERFORMANCE BY SEVEN (7) MONTHS JANUARY 1, 2026 THROUGH JULY 31, 2026, ADD FUNDING

Why it stands out

This award grew while spending attributed to its office declined.

The modification added $12.6M while office-attributed obligations fell $14.2M overall.

Award net obligations
$62.1M
Share of 12-month positive obligations
15.6%
Supporting data
Prime contractor
#1 · 31.7% share
+8.0 percentage points · $1.2M net increase; action exceeded it by $11.4M
Funding office
#1 · 44.4% attributed share
$14.2M net decline despite this positive action
Related:Unusually large actionLargest share gain
PIID 75P00123F37008 · Mod P00014
Modification

This action

+$3.4M

LOS ANGELES AMERICAN INDIAN HEALTH CENTERS INC

CALIFORNIA INDIAN HEALTH SERVICE

LOS ANGELES AMERICAN INDIAN HEALTH CENTERS, INC. P00003 IS TO EXERCISE OPTION PERIOD ONE (1). CONTRACT VALUE IS INCREASED BY $3,366,856.00. THE CONTRACTOR IS REQUIRED TO SUBMIT REVISED BUDGET AND INVOICE IN ORDER TO RECEIVE FUNDS.

Why it stands out

No activity for this contractor was reported in this market during the preceding 12 months.

The modification placed the contractor #5 in this market by positive obligations over the latest 12 months.

Award net obligations
$7.6M
Share of 12-month positive obligations
4.2%
Supporting data
Prime contractor
#5 · 5.0% share
Newly active in this market; no actions were reported in the preceding 12 months
Funding office
#2 · 13.5% attributed share
up 1 rank · +4.2 percentage points · $902K net increase; action exceeded it by $2.5M
Related:Largest newly observed contractor
PIID 75H70325C00001 · Mod P00003
Deobligation

This action

−$4.2M

QTC MEDICAL SERVICES INC

PROGRAM SUPPORT CENTER ACQ MGMT SVC

HHSP23320110002DC

Why it stands out

This award recorded a material contraction.

The action removed $4.2M. A deobligation does not by itself show lower requirement demand.

Award net obligations
$43.0M
Share of 12-month positive obligations
5.2%
Supporting data
Prime contractor
0% share
$4.2M net decline; action accounted for 100.0%
PIID HHSP23320110002DC · Mod P00033
Deobligation

This action

−$15.3M

WALGREEN CO.

CDC OFFICE OF ACQUISITION SERVICES

EOI::IMPLEMENTING THE PRESIDENT'S DOGE COST EFFICIENCY INITIATIVE::EOI BILATERAL MODIFICATION TO DESCOPE

Why it stands out

The award contracted while the contractor grew overall.

The action removed $15.3M while the contractor rose $48.8M.

Award net obligations
$290.9M
Share of 12-month positive obligations
18.9%
Supporting data
Prime contractor
0% share
$48.8M net increase despite this negative action
Funding office
0% attributed share
$89.4M net increase despite this negative action
Related:Largest deobligation action
PIID 75D30122C13958 · Mod P00015
Modification

This action

+$1.8M

NATIVE AMERICAN LIFELINES, INC

NASHVILLE AREA INDIAN HEALTH SVC

MODIFICATION TO FULLY FUND THE CONTRACT

Why it stands out

The contractor climbed 15 positions in this market.

It now ranks #6 by positive obligations over the latest 12 months.

Award net obligations
$2.7M
Share of 12-month positive obligations
2.3%
Supporting data
Prime contractor
#6 · 2.8% share
up 15 ranks · +2.4 percentage points · $1.8M net increase; action exceeded it by $31K
Funding office
#8 · 3.0% attributed share
up 2 ranks · +2.6 percentage points · $1.8M net increase; action exceeded it by $5K
Related:Largest rank gain
PIID 75H71525C00007 · Mod P00002
View recent award activity by date (10)
  1. AMERICAN INDIAN ASSOCIATION OF TUCSON, INCBase award · PIID 75H71427F31017
    Action+$1.6M
    Award net obligations$1.6M
  2. NATIVE AMERICAN LIFELINES, INCModification · PIID 75H71525C00007
    Action+$250K
    Award net obligations$2.7M
  3. FOUR WINDS STAFFING LLCDeobligation · PIID 75H71125F27018
    Action−$488K
    Award net obligations$623K
  4. FOUR WINDS STAFFING LLCDeobligation · PIID 75H71125F27016
    Action−$178K
    Award net obligations$271K
  5. OPTUMSERVE HEALTH SERVICES, INC.Modification · PIID 75P00122C00001
    Action+$614K
    Award net obligations$3.8M
  6. FAMILY HEALTH CENTERS OF SAN DIEGO INCBase award · PIID 75D30126P21737
    Action+$341K
    Award net obligations$341K
  7. MOBILE HEALTH MANAGEMENT SERVICES, INC.Modification · PIID 75FCMC23P0034
    Action+$38K
    Award net obligations$144K
  8. SERVEFED INC.Deobligation · PIID 75P00123F37008
    Action−$981K
    Award net obligations$62.1M
  9. STG INTERNATIONAL, INC.Deobligation · PIID 75P00125F37008
    Action−$2.3M
    Award net obligations$25.1M
  10. SEATTLE INDIAN HEALTH BOARDModification · PIID 75H71324C00002
    Action+$27K
    Award net obligations$11.5M

HHS all other miscellaneous ambulatory health care services market FAQs

Answers based on reported federal contract data.

Who are the top HHS all other miscellaneous ambulatory health care services contractors?

In the 12 months through October 23, 2026, SERVEFED INC., STG INTERNATIONAL, INC., and NATIONWIDE HEALTHCARE SOLUTIONS, LLC were the leading HHS all other miscellaneous ambulatory health care services prime contractors by positive obligations.

  1. #1

    SERVEFED INC.

    $25,664,915 in positive obligations

  2. #2

    STG INTERNATIONAL, INC.

    $11,909,010 in positive obligations

  3. #3

    NATIONWIDE HEALTHCARE SOLUTIONS, LLC

    $8,078,813 in positive obligations

Rankings use reported USAspending award data.

How did HHS net obligations change in the all other miscellaneous ambulatory health care services market?

HHS net prime contract obligations for all other miscellaneous ambulatory health care services under NAICS 621999 changed from -$6,986,516 in the preceding 12 months to $58,247,739 in the 12 months through October 23, 2026. A percentage change is not stated because the preceding value was not positive or the latest value was negative.

Latest 12 months
$58,247,739
Net prime contract obligations
Preceding 12 months
-$6,986,516
Net prime contract obligations
Change
Not comparable
No percentage reported

Reported contract actions, not outlays or a forecast.

What recent HHS contract award activity was reported under NAICS 621999?

Recent HHS contract award activity reported in the all other miscellaneous ambulatory health care services market included actions for STG INTERNATIONAL, INC., SERVEFED INC., and LOS ANGELES AMERICAN INDIAN HEALTH CENTERS INC during the 12 months through October 23, 2026.

Action obligations are transaction-level amounts, not current award-level obligations.

Which procurement methods were reported for HHS contracts under NAICS 621999?

From October 24, 2025 through October 23, 2026, HHS reported 58 positive-obligation awards for all other miscellaneous ambulatory health care services under NAICS 621999. The leading award type was delivery order. The leading reported procedure was np.

Positive-obligation awards
58
Leading reported procedure
Np
46% of positive obligations
Leading award type
Delivery Order
62.5% of positive obligations
Full and open
2.8%
of positive obligations
Reported parent IDV
63.3%
of positive obligations

Percentages use positive obligations as the denominator.

Which HHS all other miscellaneous ambulatory health care services awards may warrant recompete research?

2 HHS all other miscellaneous ambulatory health care services awards may warrant recompete research based on reported potential-end dates, including awards held by SERVEFED INC. and STG INTERNATIONAL, INC.

Research leads, not confirmed recompetes. Dates may change through later modifications.

Apply this research to a live pursuit

Sweetspot connects opportunity qualification, competitive research, capture, and proposal work in one workspace.

See Sweetspot in action

Related market research

Complete market indexes:

Same NAICS at other agencies:

Nearby NAICS at this agency:

Markets sharing leading prime records:

Leading-prime vehicle memberships:

Company memberships do not establish award-channel use.

Reported obligations include contract actions from October 1, 2021 through October 23, 2026. Set-aside and business-size fields reflect award records, not a contractor's current eligibility.

Review data methodology