Federal Capture Intelligence

All Other Miscellaneous Ambulatory Health Care Services contractors at the Department of Health and Human Services

Contract actions: October 1, 2021 – July 27, 2026 Updated July 28, 2026 Department of Health and Human Services agency guide NAICS 621999 · All Other Miscellaneous Ambulatory Health Care Services
Latest 12 months
$77.6M
Net obligations · Up $184.3M vs. -$106.6M preceding
Prime contractors
47
With positive obligations in the latest 12 months

Market snapshot for All Other Miscellaneous Ambulatory Health Care Services at the Department of Health and Human Services

Federal records show $938.8M in net obligations across 271 awards in All Other Miscellaneous Ambulatory Health Care Services at the Department of Health and Human Services from Oct 1, 2021 through Jul 27, 2026. This market accounts for 0.67% of $140.6B in agency-wide net prime contract obligations over the period shown. Latest 12-month net obligations moved from $106.6M in net deobligations to $77.6M in net obligations. 13 prime contractors accounted for at least 80% of positive obligations in that latest period.

Fiscal-year activity

FY26 is year-to-date through Jul 27, 2026; earlier years show complete fiscal-year totals.

FY26 year-to-date: $70.6M versus −$23.6M through the same date in FY25 (Not comparable).
Net obligations · complete fiscal yearNet obligations · FY26 YTDContract actions
View fiscal-year data table
Fiscal yearNet obligationsContract actionsCoverage
FY2022$682.9M243Complete
FY2023$285.6M245Complete
FY2024−$83.8M175Complete
FY2025−$16.6M195Complete
FY2026$70.6M103YTD through Jul 27, 2026

Market at a glance

All reported prime contract awards
All-period net obligations
$938.8M
271 awards · 102 prime contractors
Latest 12-month movement
Not comparable
$77.6M vs. −$106.6M
Leading eight prime share
69.6%
Share held by the eight leading prime contractors in the latest 12 months
View agency share, denominators, and set-aside reporting
Agency context
0.67% of $140.6B in agency-wide net obligations.
Set-aside share when reported
25.0% of 176 awards with reported set-aside status.
Set-aside reporting
44 set aside · 132 no set-aside · 95 not reported

What changed in the last 12 months?

Jul 28, 2025–Jul 27, 2026, compared with Jul 28, 2024–Jul 27, 2025.

Buyer demand

Reported obligations through PROGRAM SUPPORT CENTER ACQ MGMT SVC decreased
$54.3M→$30.4M−$24.0M
Latest-period activity spans 11 awards across 9 prime contractors.

Market structure

Top-five contractor share decreased
70.7%→59.9%−10.8 percentage points
Contractors outside the top five now account for 40.1% of positive obligations.

Competitive shifts

SERVEFED INC. had the largest decline in reported obligations
$28.9M→$20.7M−$8.2M
The contractor now ranks #1 by positive obligations and accounts for 24.6% of positive obligations, based on 7 reported actions.
3 contractors were first observed in this market during the latest 12 months
$7.6MLatest 12-month obligations
Contractor-level obligations and first-observed dates appear below. “First observed” applies only to this market and the period shown.
View 3 contractors
ContractorLatest 12 months
LOS ANGELES AMERICAN INDIAN HEALTH CENTERS INC was the largest newly observed contractor
$3.4MLatest 12-month obligations
First observed in this market on Mar 25, 2026, the contractor now ranks #6 by positive obligations across 2 reported actions.
View 4 additional material changes

Award activity

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

Buyer demand

Reported obligations through GREAT PLAINS AREA INDIAN HEALTH SVC increased
$146K→$3.0M+$2.8M
Latest-period activity spans 5 awards across 4 prime contractors.

Competitive shifts

QTC MEDICAL SERVICES INC recorded the largest net deobligation
$0→−$4.2M−$4.2M
The contractor now is unranked by positive obligations, based on 1 reported action.
PRAIRIE BAND HEALTH SERVICES INC had the largest increase in reported obligations
$0→$1.3M+$1.3M
The contractor now ranks #18 by positive obligations and accounts for 1.6% of positive obligations, based on 3 reported actions.
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.

Funding pattern for All Other Miscellaneous Ambulatory Health Care Services at the Department of Health and Human Services

See how positive obligations were attributed across funding offices in the 12 months ending Jul 27, 2026.

39.1% of positive obligations were attributed to PROGRAM SUPPORT CENTER ACQ MGMT SVC. That represents $30.4M, down $24.0M 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 SVC39.1% · $30.4M · down $24.0M
  2. INDIAN HEALTH SERVICE (75H713)13.7% · $10.7M · up $831K
  3. CALIFORNIA INDIAN HEALTH SERVICE11.8% · $9.2M · up $197K
  4. BILLINGS AREA INDIAN HEALTH SVC9.2% · $7.1M · up $257K
  5. PHOENIX AREA INDIAN HEALTH SVC6.2% · $4.8M · up $1.4M
  6. All other reported offices20.1% 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

    $30.4M

    39.1% of positive obligations

    Versus preceding 12 months

    −$24.0M

    9 active prime contractors · 11 awards

    View office comparison and evidence

    Reported obligations decreased 44.1% from $54.3M to $30.4M. The office’s share of positive obligations moved from 59.0% to 39.1%, a change of −20.0 percentage points.

    The latest period contains 21 actions across 11 awards and 5 newly active prime contractors. The preceding period contained 4 active prime contractors and 11 awards.

    Leading award-level changes

  2. Reported funding office

    INDIAN HEALTH SERVICE (75H713)

    #2Rank unchanged

    Latest 12 months

    $10.7M

    13.7% of positive obligations

    Versus preceding 12 months

    +$831K

    4 active prime contractors · 5 awards

    View office comparison and evidence

    Reported obligations increased 8.5% from $9.8M to $10.7M. The office’s share of positive obligations moved from 10.7% to 13.7%, a change of +3.0 percentage points.

    The latest period contains 8 actions across 5 awards. The preceding period contained 5 active prime contractors and 9 awards.

  3. Reported funding office

    CALIFORNIA INDIAN HEALTH SERVICE

    #3Rank unchanged

    Latest 12 months

    $9.2M

    11.8% of positive obligations

    Versus preceding 12 months

    +$197K

    6 active prime contractors · 6 awards

    View office comparison and evidence

    Reported obligations increased 2.2% from $9.0M to $9.2M. The office’s share of positive obligations moved from 9.8% to 11.8%, a change of +2.0 percentage points.

    The latest period contains 14 actions across 6 awards and 1 newly active prime contractor. The preceding period contained 5 active prime contractors and 8 awards.

  4. Reported funding office

    BILLINGS AREA INDIAN HEALTH SVC

    #4Rank unchanged

    Latest 12 months

    $7.1M

    9.2% of positive obligations

    Versus preceding 12 months

    +$257K

    3 active prime contractors · 4 awards

    View office comparison and evidence

    Reported obligations increased 3.7% from $6.9M to $7.1M. The office’s share of positive obligations moved from 7.5% to 9.2%, a change of +1.7 percentage points.

    The latest period contains 8 actions across 4 awards and 1 newly active prime contractor. The preceding period contained 2 active prime contractors and 2 awards.

  5. Reported funding office

    PHOENIX AREA INDIAN HEALTH SVC

    #5Up 1 from #6

    Latest 12 months

    $4.8M

    6.2% of positive obligations

    Versus preceding 12 months

    +$1.4M

    6 active prime contractors · 6 awards

    View office comparison and evidence

    Reported obligations increased 41.2% from $3.4M to $4.8M. The office’s share of positive obligations moved from 3.7% to 6.2%, a change of +2.5 percentage points.

    The latest period contains 12 actions across 6 awards. The preceding period contained 6 active prime contractors and 6 awards.

  6. Reported funding office

    OMAS STRATEGIC BUYING CENTER - HHS MISSION

    #6New to the positive-obligation ranking

    Latest 12 months

    $3.6M

    4.6% of positive obligations

    Versus preceding 12 months

    +$3.6M

    1 active prime contractor · 2 awards

    View office comparison and evidence

    Reported obligations rose from $0 to $3.6M. The office’s share of positive obligations moved from 0% to 4.6%, a change of +4.6 percentage points.

    The latest period contains 2 actions across 2 awards and 1 newly active prime contractor. The preceding period contained 0 active prime contractors and 0 awards.

  7. Reported funding office

    GREAT PLAINS AREA INDIAN HEALTH SVC

    #7Up 4 from #11

    Latest 12 months

    $3.0M

    3.8% of positive obligations

    Versus preceding 12 months

    +$2.8M

    4 active prime contractors · 5 awards

    View office comparison and evidence

    Reported obligations increased 1945.6% from $146K to $3.0M. The office’s share of positive obligations moved from 0.16% to 3.8%, a change of +3.7 percentage points.

    The latest period contains 7 actions across 5 awards and 3 newly active prime contractors. The preceding period contained 3 active prime contractors and 4 awards.

  8. Reported funding office

    NATIONAL HANSENS DISEASE PROGRAM

    #8Down 1 from #7

    Latest 12 months

    $2.3M

    3.0% of positive obligations

    Versus preceding 12 months

    +$127K

    12 active prime contractors · 12 awards

    View office comparison and evidence

    Reported obligations increased 5.7% from $2.2M to $2.3M. The office’s share of positive obligations moved from 2.4% to 3.0%, a change of +0.6 percentage points.

    The latest period contains 25 actions across 12 awards. The preceding period contained 12 active prime contractors and 13 awards.

  9. Reported funding office

    NASHVILLE AREA INDIAN HEALTH SVC

    #9New to the positive-obligation ranking

    Latest 12 months

    $2.3M

    2.9% of positive obligations

    Versus preceding 12 months

    +$2.3M

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations moved from $26K in net deobligations to $2.3M in net obligations. The office’s share of positive obligations moved from 0% to 2.9%, a change of +2.9 percentage points.

    The latest period contains 3 actions across 1 award and 1 newly active prime contractor. The preceding period contained 1 active prime contractor and 1 award.

  10. Reported funding office

    TUCSON AREA INDIAN HEALTH SERVICE

    #10Down 2 from #8

    Latest 12 months

    $1.7M

    2.2% of positive obligations

    Versus preceding 12 months

    +$68K

    1 active prime contractor · 4 awards

    View office comparison and evidence

    Reported obligations increased 4.1% from $1.7M to $1.7M. The office’s share of positive obligations moved from 1.8% to 2.2%, a change of +0.4 percentage points.

    The latest period contains 4 actions across 4 awards. The preceding period contained 1 active prime contractor and 7 awards.

  11. Reported funding office

    INDIAN HEALTH SERVICE (75H711)

    #11Down 6 from #5

    Latest 12 months

    $1.4M

    1.9% of positive obligations

    Versus preceding 12 months

    −$2.4M

    6 active prime contractors · 10 awards

    View office comparison and evidence

    Reported obligations decreased 62.3% from $3.8M to $1.4M. The office’s share of positive obligations moved from 4.2% to 1.9%, a change of −2.3 percentage points.

    The latest period contains 12 actions across 10 awards and 1 newly active prime contractor. The preceding period contained 7 active prime contractors and 29 awards.

  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 0.21% 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

    NATIONAL INSTITUTES OF HEALTH OLAO

    No positive-obligation rank

    Latest 12 months

    $0

    0% of positive obligations

    Versus preceding 12 months

    −$26K

    0 active prime contractors · 0 awards

    View office comparison and evidence

    Reported obligations decreased 100.0% from $26K to $0. The office’s share of positive obligations moved from 0.030% to 0%, a change of 0.0 percentage points.

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

  14. Reported funding office

    CDC OFFICE OF ACQUISITION SERVICES

    No positive-obligation rank

    Latest 12 months

    −$400

    0% of positive obligations

    Versus preceding 12 months

    +$198.3M

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations narrowed from $198.3M to $400 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 2 actions across 1 award and 1 newly active prime contractor. The preceding period contained 5 active prime contractors and 11 awards.

    Leading award-level changes

  15. Reported funding office

    FDA OFFICE OF ACQ GRANT SVCS

    No positive-obligation rank

    Latest 12 months

    −$80K

    0% of positive obligations

    Versus preceding 12 months

    −$80K

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations moved from $0 in net obligations to $80K 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 1 action across 1 award. The preceding period contained 1 active prime contractor and 1 award.

How this work is bought

Reported award structure, competition, pricing, work categories, and contracting channels for All Other Miscellaneous Ambulatory Health Care Services at the Department of Health and Human Services.

During Jul 28, 2025–Jul 27, 2026, this market recorded $85.2M in positive net award obligations across 58 awards. The leading reported procedure, Negotiated Proposal/Quote, accounted for 53.0% of that positive-obligation base. Awards with a reported parent IDV accounted for 54.7%.

Leading award type
53.1%
Delivery Order
Leading reported procedure
53.0%
Negotiated Proposal/Quote
Reported parent IDV
54.7%
of positive obligations had a reported parent IDV
Median reported offers
4
46 of 58 awards reported offers

Buying method changes

Compared with Jul 28, 2024–Jul 27, 2025. Based on 58 current awards and 75 preceding awards with positive net obligations.

Median positive award obligations
$373K
Up from $183K in the preceding period
Parent-IDV obligation share
54.7%
Down from 67.0% in the preceding period
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 1.6 percentage points higher, reported full-and-open obligation share is 4.5 percentage points higher, delivery-order obligation share is 13.2 percentage points higher, and median positive award obligations are 173.1% higher.

MeasureThis marketPeer medianDifference
Parent-IDV obligation share54.7%53.1%+1.6 pts
Reported full-and-open obligation share17.8%13.4%+4.5 pts
Delivery-order obligation share53.1%39.9%+13.2 pts
Median positive award obligations$373K$137K+173.1%
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$45.3M53.1%
Definitive Contract(D)29$35.5M41.6%
Purchase Order(B)12$3.2M3.7%
BPA Call(A)5$1.3M1.6%

Reported parent-award types

Reported valueAwardsPositive obligationsShare
IDC(B)12$45.3M53.1%
BPA(E)5$1.3M1.6%
Not reported41$38.6M45.3%

Single- or multiple-award parent structure

Reported valueAwardsPositive obligationsShare
Single Award(S)17$46.6M54.7%
Not reported41$38.6M45.3%

Solicitation procedures

Reported valueAwardsPositive obligationsShare
Negotiated Proposal/Quote(NP)23$45.2M53.0%
Only One Source(SSS)17$34.4M40.4%
Simplified Acquisition(SP1)18$5.6M6.6%

Extent competed

Reported valueAwardsPositive obligationsShare
Full And Open Competition After Exclusion Of Sources(D)9$30.0M35.2%
Not Competed(C)13$22.2M26.0%
Full And Open Competition(A)14$15.2M17.8%
Not Available For Competition(B)4$12.3M14.4%
Competed Under SAP(F)17$4.9M5.8%
Not Competed Under SAP(G)1$650K0.76%

Fair-opportunity and limited-source reporting

Reported valueAwardsPositive obligationsShare
Not reported58$85.2M100.0%

Other-than-full-and-open reasons

Reported valueAwardsPositive obligationsShare
Only One Source-Other (FAR 6.302-1 Other)(ONE)13$22.2M26.0%
Authorized By Statute (FAR 6.302-5(A)(2)(I))(OTH)4$12.3M14.4%
SAP Non-Competition (FAR 13)(SP2)1$650K0.76%
Not reported40$50.2M58.8%

Contract pricing types

Reported valueAwardsPositive obligationsShare
Firm Fixed Price(J)49$40.5M47.5%
Time And Materials(Y)4$28.7M33.7%
Labor Hours(Z)2$12.4M14.5%
Cost No Fee(S)3$3.6M4.3%

Product or Service Codes

Reported valueAwardsPositive obligationsShare
Medical- Other(Q999)25$61.9M72.6%
Medical- Managed Healthcare(Q201)19$19.2M22.6%
Medical- Nursing(Q401)6$2.0M2.3%
Family & Internal Medicine Services(Q509)1$1.2M1.4%
Behavioral And Mental Health(Q519)1$302K0.35%
Medical- Pathology(Q515)1$275K0.32%
Other reported values5$395K0.46%

Awarding subagencies

Reported valueAwardsPositive obligationsShare
Indian Health Service(7527)39$41.3M48.4%
Office of the Assistant Secretary for Administration(7570)3$32.8M38.5%
Office of the Assistant Secretary for Financial Resources(7571)3$8.8M10.3%
Health Resources and Services Administration(7526)12$2.3M2.8%
Centers for Medicare and Medicaid Services(7530)1$36K0.040%

Awarding offices

Reported valueAwardsPositive obligationsShare
Program Support Center Acq Mgmt Svc(75P001)3$32.8M38.5%
Indian Health Service(75H713)4$10.7M12.5%
California Indian Health Service(75H703)6$9.2M10.8%
Omas Strategic Buying Center - Hhs Mission(7571MN)3$8.8M10.3%
Billings Area Indian Health Svc(75H709)2$7.1M8.4%
Phoenix Area Indian Health Svc(75H712)6$4.8M5.6%
Other reported values34$11.9M13.9%

Reported parent IDVs

Reported valueAwardsPositive obligationsShare
75P00118D00009(7570)2$20.7M24.2%
75P00118D00010(7570)1$12.1M14.2%
75P00124D00004(7570)2$8.1M9.5%
75H70923D00015(7527)1$1.9M2.3%
75H71424D00001(7527)4$1.7M2.0%
75H71124A00007(7527)2$816K0.96%
75H70626D00001(7527)1$653K0.77%
75H71124A00006(7527)2$421K0.49%
Other reported values2$180K0.21%
Not reported41$38.6M45.3%

Offers, award size, and timing

Median reported offers
4 median
46 reported · 12 not reported
Positive award obligations
$373K median
$115K–$1.9M middle 50%
Reported performance period
734 days (~2.0 years) 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 Jul 27, 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.

Prime contractors for All Other Miscellaneous Ambulatory Health Care Services at the Department of Health and Human Services

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

Prime contractor concentration
13 of 47prime contractors account for at least 80% of positive obligations in the last 12 months
Largest prime contractor
24.6%of positive obligations in the last 12 months
Leading four prime contractors
53.7%of positive obligations in the last 12 months
Leading eight prime contractors
69.6%of positive obligations in the last 12 months

Based on $83.9M in positive obligations during the 12 months ending Jul 27, 2026. Individual shares and movement appear in the searchable rankings below. Movement compares with Jul 28, 2024–Jul 27, 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

    $20.7M

    24.6%

    Dollar movement

    −$8.2M

    vs. prior 12 months

    Last 12mo awards

    2 awards

    7 actions

    Historical and award details for SERVEFED INC.
    Obligations: prior → latest
    $28.9M → $20.7M
    −28.5%
    Share: prior → latest
    29.8% → 24.6%
    −5.2 percentage points
    All-period obligations
    $111.4M
    11.7% of all-period positive obligations · 7 awards
    Recorded activity
    Since Oct 12, 2021
    through Feb 17, 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

    $10.8M

    12.9%

    Dollar movement

    −$5.5M

    vs. prior 12 months

    Last 12mo awards

    2 awards

    5 actions

    Historical and award details for STG INTERNATIONAL, INC.
    Obligations: prior → latest
    $16.3M → $10.8M
    −33.9%
    Share: prior → latest
    16.8% → 12.9%
    −4.0 percentage points
    All-period obligations
    $85.7M
    9.0% of all-period positive obligations · 7 awards
    Recorded activity
    Since Oct 29, 2021
    through May 12, 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

    9.6%

    Dollar movement

    −$4.3M

    vs. prior 12 months

    Last 12mo awards

    2 awards

    5 actions

    Historical and award details for NATIONWIDE HEALTHCARE SOLUTIONS, LLC
    Obligations: prior → latest
    $12.4M → $8.1M
    −34.8%
    Share: prior → latest
    12.8% → 9.6%
    −3.2 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

    $5.5M

    6.6%

    Dollar movement

    −$314K

    vs. prior 12 months

    Last 12mo awards

    1 award

    2 actions

    Historical and award details for SEATTLE INDIAN HEALTH BOARD
    Obligations: prior → latest
    $5.8M → $5.5M
    −5.4%
    Share: prior → latest
    6.0% → 6.6%
    +0.6 percentage points
    All-period obligations
    $27.6M
    2.9% of all-period positive obligations · 2 awards
    Recorded activity
    Since Nov 29, 2021
    through Oct 15, 2025

    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

    $5.2M

    6.2%

    Dollar movement

    +$152K

    vs. prior 12 months

    Last 12mo awards

    2 awards

    5 actions

    Historical and award details for AVEL ECARE LLC
    Obligations: prior → latest
    $5.1M → $5.2M
    +3.0%
    Share: prior → latest
    5.2% → 6.2%
    +1.0 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-aside21
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  6. #6

    Last 12mo obligations

    $3.4M

    4.0%

    Dollar movement

    +$3.4M

    vs. prior 12 months

    Last 12mo awards

    1 award

    2 actions

    Historical and award details for LOS ANGELES AMERICAN INDIAN HEALTH CENTERS INC
    Obligations: prior → latest
    $0 → $3.4M
    Not comparable
    Share: prior → latest
    0% → 4.0%
    +4.0 percentage points
    All-period obligations
    $3.4M
    0.35% of all-period positive obligations · 1 award
    Recorded activity
    Since Mar 25, 2026
    through Apr 2, 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.

  7. #7

    Last 12mo obligations

    $2.5M

    3.0%

    Dollar movement

    −$3K

    vs. prior 12 months

    Last 12mo awards

    1 award

    2 actions

    Historical and award details for THE NATIVE AMERICAN REHABILITATION ASSOCIATION OF THE NORTHWEST, INCORPORATED
    Obligations: prior → latest
    $2.5M → $2.5M
    −0.1%
    Share: prior → latest
    2.6% → 3.0%
    +0.4 percentage points
    All-period obligations
    $12.7M
    1.3% of all-period positive obligations · 2 awards
    Recorded activity
    Since Dec 6, 2021
    through Oct 15, 2025

    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.

  8. #8

    Last 12mo obligations

    $2.3M

    2.7%

    Dollar movement

    +$607K

    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
    $1.7M → $2.3M
    +36.5%
    Share: prior → latest
    1.7% → 2.7%
    +1.0 percentage points
    All-period obligations
    $9.9M
    1.0% of all-period positive obligations · 2 awards
    Recorded activity
    Since Sep 24, 2022
    through Jul 16, 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.

  9. #9

    Last 12mo obligations

    $2.3M

    2.7%

    Dollar movement

    +$2.3M

    vs. prior 12 months

    Last 12mo awards

    1 award

    3 actions

    Historical and award details for NATIVE AMERICAN LIFELINES, INC
    Obligations: prior → latest
    $0 → $2.3M
    Not comparable
    Share: prior → latest
    0% → 2.7%
    +2.7 percentage points
    All-period obligations
    $2.3M
    0.24% of all-period positive obligations · 1 award
    Recorded activity
    Since Sep 19, 2025
    through Nov 12, 2025

    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.

  10. #10

    Last 12mo obligations

    $2.0M

    2.4%

    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
    2.1% → 2.4%
    +0.3 percentage points
    All-period obligations
    $4.1M
    0.43% of all-period positive obligations · 1 award
    Recorded activity
    Since Sep 26, 2024
    through Nov 6, 2025

    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

    $2.0M

    2.4%

    Dollar movement

    +$2.0M

    vs. prior 12 months

    Last 12mo awards

    2 awards

    4 actions

    Historical and award details for PRIME TRI PROVIDERS LLC
    Obligations: prior → latest
    $0 → $2.0M
    Not comparable
    Share: prior → latest
    0% → 2.4%
    +2.4 percentage points
    All-period obligations
    $2.0M
    0.21% of all-period positive obligations · 2 awards
    Recorded activity
    Since Sep 26, 2025
    through Mar 25, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside20
    Reported no set-aside00
    Not reported00
    Reported small business20
    All-period set-aside types
    • 2 · Indian small business
  12. #12

    Last 12mo obligations

    $1.9M

    2.3%

    Dollar movement

    −$2K

    vs. prior 12 months

    Last 12mo awards

    1 award

    2 actions

    Historical and award details for THE NATIVE PROJECT
    Obligations: prior → latest
    $1.9M → $1.9M
    −0.1%
    Share: prior → latest
    2.0% → 2.3%
    +0.3 percentage points
    All-period obligations
    $9.4M
    0.99% of all-period positive obligations · 2 awards
    Recorded activity
    Since Dec 6, 2021
    through Oct 15, 2025

    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

    $1.9M

    2.3%

    Dollar movement

    +$115K

    vs. prior 12 months

    Last 12mo awards

    1 award

    2 actions

    Historical and award details for NATIVE AMERICAN DEVELOPMENT CORP
    Obligations: prior → latest
    $1.8M → $1.9M
    +6.3%
    Share: prior → latest
    1.9% → 2.3%
    +0.4 percentage points
    All-period obligations
    $7.6M
    0.80% of all-period positive obligations · 7 awards
    Recorded activity
    Since Feb 28, 2023
    through Jun 15, 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.

  14. #14

    Last 12mo obligations

    $1.9M

    2.3%

    Dollar movement

    +$134K

    vs. prior 12 months

    Last 12mo awards

    1 award

    4 actions

    Historical and award details for SAN DIEGO AMERICAN INDIAN HEALTH CENTER
    Obligations: prior → latest
    $1.8M → $1.9M
    +7.6%
    Share: prior → latest
    1.8% → 2.3%
    +0.4 percentage points
    All-period obligations
    $3.7M
    0.39% of all-period positive obligations · 1 award
    Recorded activity
    Since Jun 26, 2025
    through Jun 24, 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.

  15. #15

    Last 12mo obligations

    $1.8M

    2.1%

    Dollar movement

    +$168K

    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
    $1.6M → $1.8M
    +10.5%
    Share: prior → latest
    1.6% → 2.1%
    +0.5 percentage points
    All-period obligations
    $8.8M
    0.92% of all-period positive obligations · 2 awards
    Recorded activity
    Since Nov 24, 2021
    through Jul 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.

Recompete watch for All Other Miscellaneous Ambulatory Health Care Services at the Department of Health and Human Services

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

SERVEFED INC.

PURSUANT TO FAR 43.103(B)-ADMINISTRATIVE CHANGE, THE PURPOSE OF THIS UNILATERAL MODIFICATION IS TO CHANGE THE CONTRACTING OFFICER REPRESENTATIVE (COR) FROM MICHEAL FURLOW TO SAMMI HERMAN. ALL OTHER CONTRACT TERMS AND CONDITIONS REMAIN THE SAME.

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

Performance period

90.4%

As of Jul 27, 2026Potential end Nov 30, 2026

Current award value as a share of potential value

97.0%

$58.7M current$60.5M potential
Supporting data

Reported performance starts May 1, 2023.

Current performance is reported through Jul 31, 2026.

$58.7M is obligated against $58.7M 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.

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

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

PIID 75P00123F37008

These are research leads, not confirmed recompetes. USAspending records through Jul 27, 2026; reported dates and values can change through later modifications.

Award activity for All Other Miscellaneous Ambulatory Health Care Services at the Department of Health and Human Services

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
$24.0M
Share of 12-month positive obligations
8.3%
Supporting data
Prime contractor
#2 · 12.9% share
−4.0 percentage points · $5.5M net decline; action exceeded it by $1.4M
Funding office
#1 · 39.1% attributed share
−20.0 percentage points · $24.0M net decline; action accounted for 28.9%
Related:Funding office declineUnusually large action
PIID 75P00125F37008 · Mod P00005
Modification

This action

+$5.5M

SEATTLE INDIAN HEALTH BOARD

INDIAN HEALTH SERVICE

SIHB - OY 1 ADD FUNDS - URBAN INDIAN HEALTH CARE SERVICES - SEATTLE, WASHINGTON

Why it stands out

The award grew alongside stronger office-attributed spending.

The modification added $5.5M while office-attributed obligations rose $831K overall.

Award net obligations
$11.3M
Share of 12-month positive obligations
6.6%
Supporting data
Prime contractor
#4 · 6.6% share
$314K net decline despite this positive action
Funding office
#2 · 13.7% attributed share
+3.0 percentage points · $831K net increase; action exceeded it by $4.7M
PIID 75H71324C00002 · 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
5.0%
Supporting data
Prime contractor
0% share
$4.2M net decline; action accounted for 100.0%
Related:Largest net deobligation
PIID HHSP23320110002DC · Mod P00033
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 $24.0M overall.

Award net obligations
$58.7M
Share of 12-month positive obligations
15.0%
Supporting data
Prime contractor
#1 · 24.6% share
$8.2M net decline despite this positive action
Funding office
#1 · 39.1% attributed share
$24.0M net decline despite this positive action
Related:Unusually large action
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 #6 in this market by positive obligations over the latest 12 months.

Award net obligations
$7.0M
Share of 12-month positive obligations
4.0%
Supporting data
Prime contractor
#6 · 4.0% share
Newly active in this market; no actions were reported in the preceding 12 months
Related:Newly observed contractor cohortLargest newly observed contractor
PIID 75H70325C00001 · Mod P00003
Modification

This action

+$1.8M

NATIVE AMERICAN LIFELINES, INC

NASHVILLE AREA INDIAN HEALTH SVC

MODIFICATION TO FULLY FUND THE CONTRACT

Why it stands out

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

The modification placed the contractor #9 in this market by positive obligations over the latest 12 months.

Award net obligations
$2.3M
Share of 12-month positive obligations
2.2%
Supporting data
Prime contractor
#9 · 2.7% share
Newly active in this market; no actions were reported in the preceding 12 months
Funding office
#9 · 2.9% attributed share
+2.9 percentage points · $2.3M net increase; action accounted for 80.4%
Related:Newly observed contractor cohort
PIID 75H71525C00007 · Mod P00002
View recent award activity by date (10)
  1. OPTUMSERVE HEALTH SERVICES, INC.Modification · PIID 75P00122C00001
    Action+$150K
    Award net obligations$3.2M
  2. AVEL ECARE LLCModification · PIID 75H70926C00001
    Action+$1.3M
    Award net obligations$5.2M
  3. URBAN INDIAN CENTER OF SALT LAKEModification · PIID 75H71222C00048
    Action+$416K
    Award net obligations$6.9M
  4. LOVELL GOVERNMENT SERVICES INC.Base award · PIID 75H71126P00104
    Action+$51K
    Award net obligations$51K
  5. INDIAN HEALTH CENTER OF SANTA CLARA VALLEYModification · PIID 75H70325C00010
    Action+$1.7M
    Award net obligations$3.4M
  6. SEDONA DIAGNOSTIC ULTRASOUND LLCModification · PIID 75H71025P00787
    Action+$53K
    Award net obligations$182K
  7. URBAN INDIAN CENTER OF SALT LAKEModification · PIID 75H71222C00048
    Action+$191K
    Award net obligations$6.9M
  8. SAN DIEGO AMERICAN INDIAN HEALTH CENTERModification · PIID 75H70325C00009
    Action+$1.9M
    Award net obligations$3.7M
  9. LOCKHEED MARTIN CORPORATIONDeobligation · PIID HHSP233201400011C
    Action−$192K
    Award net obligations$7.4M
  10. EXECUTIVE MEDICAL SERVICES, P.C.Deobligation · PIID HHSP233201400144A
    Action−$28K
    Award net obligations$16K

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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 July 27, 2026. Set-aside and business-size fields reflect award records, not a contractor's current eligibility.

Review data methodology