Federal Capture Intelligence

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

Contract actions: October 1, 2021 – September 10, 2026 Updated September 11, 2026 Department of Health and Human Services agency guide NAICS 621999 · All Other Miscellaneous Ambulatory Health Care Services
Latest 12 months
$73.6M
Net obligations · Up $184.3M vs. -$110.7M preceding
Prime contractors
44
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 $938.8M in net obligations across 272 awards in All Other Miscellaneous Ambulatory Health Care Services at the Department of Health and Human Services from Oct 1, 2021 through Sep 10, 2026. This market accounts for 0.65% of $145.5B in agency-wide net prime contract obligations over the period shown. Latest 12-month net obligations moved from $110.7M in net deobligations to $73.6M in net obligations. 11 prime contractors accounted for at least 80% of positive obligations in that latest period.

Fiscal-year activity

FY26 is year-to-date through Sep 10, 2026; earlier years show complete fiscal-year totals.

FY26 year-to-date: $70.7M versus −$19.5M 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$70.7M126YTD through Sep 10, 2026

Market at a glance

All reported prime contract awards
All-period net obligations
$938.8M
272 awards · 102 prime contractors
Latest 12-month movement
Not comparable
$73.6M vs. −$110.7M
Leading eight prime share
73.4%
Share held by the eight leading prime contractors in the latest 12 months
View agency share, denominators, and set-aside reporting
Agency context
0.65% of $145.5B 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 · 96 not reported

What changed in the last 12 months?

Sep 11, 2025–Sep 10, 2026, compared with Sep 11, 2024–Sep 10, 2025.

Buyer demand

Reported obligations through PROGRAM SUPPORT CENTER ACQ MGMT SVC decreased
$47.0M→$33.7M−$13.3M
Latest-period activity spans 11 awards across 9 prime contractors.

Competitive shifts

3 contractors were first observed in this market during the latest 12 months
$9.9MLatest 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
FOUR WINDS STAFFING LLC fell the most in the contractor rankings
#8→#31Down 23 places
The contractor accounts for 0.14% of positive obligations across 2 reported actions.
WALGREEN CO. recorded the largest net deobligation
−$78.5M→−$15.3M+$63.2M
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 #6 by positive obligations across 3 reported actions.

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
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
$164K→$4.8M+$4.6M
Latest-period activity spans 4 awards across 3 prime contractors.

Competitive shifts

SERVEFED INC. had the largest increase in reported obligations
$24.5M→$26.6M+$2.2M
The contractor now ranks #1 by positive obligations and accounts for 28.0% of positive obligations, based on 7 reported actions.
PRAIRIE BAND HEALTH SERVICES INC gained the most market share
0.0%→2.1%+2.1 percentage points
The contractor now ranks #12 by positive obligations, based on 4 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.

Federal contract obligations by funding office

See how positive obligations were attributed across funding offices in the 12 months ending Sep 10, 2026.

37.9% of positive obligations were attributed to PROGRAM SUPPORT CENTER ACQ MGMT SVC. That represents $33.7M, down $13.3M 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 SVC37.9% · $33.7M · down $13.3M
  2. INDIAN HEALTH SERVICE (75H713)12.8% · $11.4M · up $1.6M
  3. CALIFORNIA INDIAN HEALTH SERVICE11.1% · $9.8M · up $798K
  4. OMAS STRATEGIC BUYING CENTER - HHS MISSION10.7% · $9.6M · up $9.6M
  5. BILLINGS AREA INDIAN HEALTH SVC8.0% · $7.1M · up $244K
  6. All other reported offices19.5% 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

    $33.7M

    37.9% of positive obligations

    Versus preceding 12 months

    −$13.3M

    9 active prime contractors · 11 awards

    View office comparison and evidence

    Reported obligations decreased 28.2% from $47.0M to $33.7M. The office’s share of positive obligations moved from 53.6% to 37.9%, a change of −15.7 percentage points.

    The latest period contains 19 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

    $11.4M

    12.8% of positive obligations

    Versus preceding 12 months

    +$1.6M

    5 active prime contractors · 5 awards

    View office comparison and evidence

    Reported obligations increased 16.3% from $9.8M to $11.4M. The office’s share of positive obligations moved from 11.2% to 12.8%, a change of +1.6 percentage points.

    The latest period contains 11 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

    $9.8M

    11.1% of positive obligations

    Versus preceding 12 months

    +$798K

    6 active prime contractors · 6 awards

    View office comparison and evidence

    Reported obligations increased 8.8% from $9.0M to $9.8M. The office’s share of positive obligations moved from 10.3% to 11.1%, a change of +0.8 percentage points.

    The latest period contains 16 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

    OMAS STRATEGIC BUYING CENTER - HHS MISSION

    #4New to the positive-obligation ranking

    Latest 12 months

    $9.6M

    10.7% of positive obligations

    Versus preceding 12 months

    +$9.6M

    2 active prime contractors · 4 awards

    View office comparison and evidence

    Reported obligations rose from $0 to $9.6M. The office’s share of positive obligations moved from 0% to 10.7%, a change of +10.7 percentage points.

    The latest period contains 4 actions across 4 awards and 2 newly active prime contractors. The preceding period contained 0 active prime contractors and 0 awards.

  5. Reported funding office

    BILLINGS AREA INDIAN HEALTH SVC

    #5Down 1 from #4

    Latest 12 months

    $7.1M

    8.0% of positive obligations

    Versus preceding 12 months

    +$244K

    4 active prime contractors · 5 awards

    View office comparison and evidence

    Reported obligations increased 3.5% from $6.9M to $7.1M. The office’s share of positive obligations moved from 7.8% to 8.0%, a change of +0.2 percentage points.

    The latest period contains 9 actions across 5 awards and 2 newly active prime contractors. The preceding period contained 2 active prime contractors and 2 awards.

  6. Reported funding office

    GREAT PLAINS AREA INDIAN HEALTH SVC

    #6Up 5 from #11

    Latest 12 months

    $4.8M

    5.4% of positive obligations

    Versus preceding 12 months

    +$4.6M

    3 active prime contractors · 4 awards

    View office comparison and evidence

    Reported obligations increased 2810.1% from $164K to $4.8M. The office’s share of positive obligations moved from 0.19% to 5.4%, a change of +5.2 percentage points.

    The latest period contains 10 actions across 4 awards and 3 newly active prime contractors. The preceding period contained 2 active prime contractors and 3 awards.

  7. Reported funding office

    PHOENIX AREA INDIAN HEALTH SVC

    #7Down 2 from #5

    Latest 12 months

    $4.4M

    5.0% of positive obligations

    Versus preceding 12 months

    −$1.2M

    6 active prime contractors · 6 awards

    View office comparison and evidence

    Reported obligations decreased 21.6% from $5.6M to $4.4M. The office’s share of positive obligations moved from 6.4% to 5.0%, a change of −1.5 percentage points.

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

  8. Reported funding office

    NASHVILLE AREA INDIAN HEALTH SVC

    #8New to the positive-obligation ranking

    Latest 12 months

    $2.4M

    2.7% of positive obligations

    Versus preceding 12 months

    +$2.4M

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations moved from $26K in net deobligations to $2.4M in net obligations. The office’s share of positive obligations moved from 0% to 2.7%, a change of +2.7 percentage points.

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

  9. Reported funding office

    NATIONAL HANSENS DISEASE PROGRAM

    #9Down 2 from #7

    Latest 12 months

    $2.3M

    2.6% of positive obligations

    Versus preceding 12 months

    +$27K

    12 active prime contractors · 12 awards

    View office comparison and evidence

    Reported obligations increased 1.2% from $2.3M to $2.3M. The office’s share of positive obligations moved from 2.6% to 2.6%, a change of 0.0 percentage points.

    The latest period contains 24 actions across 12 awards. The preceding period contained 12 active prime contractors and 13 awards.

  10. Reported funding office

    TUCSON AREA INDIAN HEALTH SERVICE

    #10Down 2 from #8

    Latest 12 months

    $1.8M

    2.0% of positive obligations

    Versus preceding 12 months

    +$95K

    1 active prime contractor · 5 awards

    View office comparison and evidence

    Reported obligations increased 5.7% from $1.7M to $1.8M. The office’s share of positive obligations moved from 1.9% to 2.0%, a change of +0.1 percentage points.

    The latest period contains 5 actions across 5 awards. The preceding period contained 1 active prime contractor and 7 awards.

  11. Reported funding office

    INDIAN HEALTH SERVICE (75H711)

    #11Down 5 from #6

    Latest 12 months

    $906K

    1.0% of positive obligations

    Versus preceding 12 months

    −$3.5M

    6 active prime contractors · 8 awards

    View office comparison and evidence

    Reported obligations decreased 79.4% from $4.4M to $906K. The office’s share of positive obligations moved from 5.0% to 1.0%, a change of −4.0 percentage points.

    The latest period contains 10 actions across 8 awards and 1 newly active prime contractor. The preceding period contained 7 active prime contractors and 25 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 0.22% 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

    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.

  14. Reported funding office

    CDC OFFICE OF ACQUISITION SERVICES

    No positive-obligation rank

    Latest 12 months

    −$15.3M

    0% of positive obligations

    Versus preceding 12 months

    +$183.0M

    2 active prime contractors · 2 awards

    View office comparison and evidence

    Reported obligations narrowed from $198.3M to $15.3M 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 3 actions across 2 awards and 1 newly active prime contractor. The preceding period contained 4 active prime contractors and 10 awards.

    Leading award-level changes

Contract types, competition, and procurement methods

From Sep 11, 2025 through Sep 10, 2026, 54 awards had positive obligations totaling $96.5M. Negotiated Proposal/Quote was the leading reported procedure, accounting for 39.5% of positive obligations. Awards with a reported parent IDV accounted for 57.2%.

Leading award type
56.5%
Delivery Order
Leading reported procedure
39.5%
Negotiated Proposal/Quote
Reported parent IDV
57.2%
of positive obligations had a reported parent IDV
Median reported offers
5
42 of 54 awards reported offers

Buying method changes

Compared with Sep 11, 2024–Sep 10, 2025. Based on 54 current awards and 74 preceding awards with positive net obligations.

Median positive award obligations
$381K
Up from $195K in the preceding period
Negotiated Proposal/Quote obligation share
39.5%
Down from 57.8% 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 13.8 percentage points higher, reported full-and-open obligation share is 12.6 percentage points lower, delivery-order obligation share is 13.6 percentage points higher, and median positive award obligations are 228.2% higher.

MeasureThis marketPeer medianDifference
Parent-IDV obligation share57.2%43.4%+13.8 pts
Reported full-and-open obligation share3.1%15.7%-12.6 pts
Delivery-order obligation share56.5%42.9%+13.6 pts
Median positive award obligations$381K$116K+228.2%
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$54.6M56.5%
Definitive Contract(D)29$37.2M38.5%
Purchase Order(B)9$4.1M4.3%
BPA Call(A)4$660K0.68%

Reported parent-award types

Reported valueAwardsPositive obligationsShare
IDC(B)12$54.6M56.5%
BPA(E)4$660K0.68%
Not reported38$41.3M42.8%

Single- or multiple-award parent structure

Reported valueAwardsPositive obligationsShare
Single Award(S)16$55.2M57.2%
Not reported38$41.3M42.8%

Solicitation procedures

Reported valueAwardsPositive obligationsShare
Negotiated Proposal/Quote(NP)19$38.1M39.5%
Only One Source(SSS)9$20.1M20.8%
Np(NEGOTIATED PROPOSAL/QUOTE)3$16.3M16.9%
Sss(ONLY ONE SOURCE)9$15.0M15.5%
Sp1(SIMPLIFIED ACQUISITION)4$5.4M5.6%
Simplified Acquisition(SP1)10$1.6M1.6%

Extent competed

Reported valueAwardsPositive obligationsShare
Full and Open Competition After Exclusion of Sources(D)6$35.1M36.4%
A(FULL AND OPEN COMPETITION)1$15.5M16.0%
Not Competed(C)8$14.6M15.1%
C(NOT COMPETED)6$8.4M8.7%
B(NOT AVAILABLE FOR COMPETITION)3$6.6M6.8%
Not Available for Competition(B)1$5.5M5.7%
Other reported values29$10.9M11.3%

Fair-opportunity and limited-source reporting

Reported valueAwardsPositive obligationsShare
Not reported54$96.5M100.0%

Other-than-full-and-open reasons

Reported valueAwardsPositive obligationsShare
Only One Source-Other (FAR 6.302-1 Other)(ONE)14$23.0M23.8%
Authorized by Statute (FAR 6.302-5(A)(2)(I))(OTH)4$12.1M12.6%
SAP Non-Competition (FAR 13)(SP2)1$1.3M1.4%
Not reported35$60.1M62.3%

Contract pricing types

Reported valueAwardsPositive obligationsShare
Time and Materials(Y)4$34.7M36.0%
Firm Fixed Price(J)31$21.4M22.2%
J(FIRM FIXED PRICE)14$20.7M21.4%
Z(LABOR HOURS)2$16.0M16.6%
Cost No Fee(S)3$3.6M3.8%

Product or Service Codes

Reported valueAwardsPositive obligationsShare
Medical- Other(Q999)25$71.1M73.7%
Medical- Managed Healthcare(Q201)19$19.9M20.6%
Family & Internal Medicine Services(Q509)1$2.4M2.4%
Medical- Nursing(Q401)5$2.0M2.0%
Medical- Pathology(Q515)1$549K0.57%
Behavioral and Mental Health(Q519)1$302K0.31%
Other reported values2$276K0.29%

Awarding subagencies

Reported valueAwardsPositive obligationsShare
Indian Health Service(7527)36$43.3M44.9%
Office of the Assistant Secretary for Administration(7570)3$42.1M43.6%
Office of the Assistant Secretary for Financial Resources(7571)3$8.8M9.1%
Health Resources and Services Administration(7526)12$2.3M2.4%

Awarding offices

Reported valueAwardsPositive obligationsShare
Program Support Center Acq Mgmt Svc(75P001)3$42.1M43.6%
Indian Health Service(75H713)4$11.5M12.0%
California Indian Health Service(75H703)6$9.8M10.2%
Omas Strategic Buying Center - Hhs Mission(7571MN)3$8.8M9.1%
Billings Area Indian Health Svc(75H709)2$7.1M7.4%
Great Plains Area Indian Health Svc(75H706)4$4.8M4.9%
Other reported values32$12.3M12.7%

Reported parent IDVs

Reported valueAwardsPositive obligationsShare
75P00118D00009(7570)2$26.6M27.6%
75P00118D00010(7570)1$15.5M16.0%
75P00124D00004(7570)2$8.1M8.4%
75H70923D00015(7527)1$1.9M2.0%
75H71424D00001(7527)5$1.8M1.8%
75H70626D00001(7527)1$653K0.68%
75H71124A00006(7527)2$421K0.44%
75H71124A00007(7527)1$138K0.14%
Other reported values1$101K0.10%
Not reported38$41.3M42.8%

Offers, award size, and timing

Median reported offers
5 median
42 reported · 12 not reported
Positive award obligations
$381K median
$121K–$1.9M middle 50%
Reported performance period
730 days (~2.0 years) median
54 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 Sep 10, 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
11 of 44prime contractors account for at least 80% of positive obligations in the last 12 months
Largest prime contractor
28.0%of positive obligations in the last 12 months
Leading four prime contractors
57.2%of positive obligations in the last 12 months
Leading eight prime contractors
73.4%of positive obligations in the last 12 months

Based on $95.2M in positive obligations during the 12 months ending Sep 10, 2026. Individual shares and movement appear in the searchable rankings below. Movement compares with Sep 11, 2024–Sep 10, 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

    $26.6M

    28.0%

    Dollar movement

    +$2.2M

    vs. prior 12 months

    Last 12mo awards

    2 awards

    7 actions

    Historical and award details for SERVEFED INC.
    Obligations: prior → latest
    $24.5M → $26.6M
    +8.9%
    Share: prior → latest
    26.3% → 28.0%
    +1.7 percentage points
    All-period obligations
    $117.4M
    12.4% of all-period positive obligations · 7 awards
    Recorded activity
    Since Oct 12, 2021
    through Jul 31, 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

    $14.2M

    14.9%

    Dollar movement

    −$2.2M

    vs. prior 12 months

    Last 12mo awards

    2 awards

    6 actions

    Historical and award details for STG INTERNATIONAL, INC.
    Obligations: prior → latest
    $16.3M → $14.2M
    −13.2%
    Share: prior → latest
    17.6% → 14.9%
    −2.7 percentage points
    All-period obligations
    $89.1M
    9.4% of all-period positive obligations · 7 awards
    Recorded activity
    Since Oct 29, 2021
    through Sep 1, 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

    8.5%

    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
    10.2% → 8.5%
    −1.7 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

    5.8%

    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
    6.3% → 5.8%
    −0.5 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

    5.5%

    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
    5.4% → 5.5%
    0.0 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

    $4.0M

    4.2%

    Dollar movement

    +$4.0M

    vs. prior 12 months

    Last 12mo awards

    1 award

    3 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% → 4.2%
    +4.2 percentage points
    All-period obligations
    $4.0M
    0.42% of all-period positive obligations · 1 award
    Recorded activity
    Since Mar 25, 2026
    through Jul 30, 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

    $3.6M

    3.8%

    Dollar movement

    +$3.6M

    vs. prior 12 months

    Last 12mo awards

    2 awards

    6 actions

    Historical and award details for PRIME TRI PROVIDERS LLC
    Obligations: prior → latest
    $0 → $3.6M
    Not comparable
    Share: prior → latest
    0% → 3.8%
    +3.8 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-aside20
    Reported no set-aside00
    Not reported00
    Reported small business20
    All-period set-aside types
    • 2 · Indian small business
  8. #8

    Last 12mo obligations

    $2.7M

    2.8%

    Dollar movement

    +$113K

    vs. prior 12 months

    Last 12mo awards

    1 award

    3 actions

    Historical and award details for THE NATIVE AMERICAN REHABILITATION ASSOCIATION OF THE NORTHWEST, INCORPORATED
    Obligations: prior → latest
    $2.5M → $2.7M
    +4.4%
    Share: prior → latest
    2.7% → 2.8%
    +0.1 percentage points
    All-period obligations
    $12.8M
    1.4% of all-period positive obligations · 2 awards
    Recorded activity
    Since Dec 6, 2021
    through Sep 4, 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.

  9. #9

    Last 12mo obligations

    $2.4M

    2.5%

    Dollar movement

    +$2.4M

    vs. prior 12 months

    Last 12mo awards

    1 award

    4 actions

    Historical and award details for NATIVE AMERICAN LIFELINES, INC
    Obligations: prior → latest
    $0 → $2.4M
    Not comparable
    Share: prior → latest
    0% → 2.5%
    +2.5 percentage points
    All-period obligations
    $2.4M
    0.25% of all-period positive obligations · 1 award
    Recorded activity
    Since Sep 19, 2025
    through Aug 12, 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.

  10. #10

    Last 12mo obligations

    $2.1M

    2.2%

    Dollar movement

    +$113K

    vs. prior 12 months

    Last 12mo awards

    1 award

    3 actions

    Historical and award details for THE NATIVE PROJECT
    Obligations: prior → latest
    $1.9M → $2.1M
    +5.8%
    Share: prior → latest
    2.1% → 2.2%
    +0.1 percentage points
    All-period obligations
    $9.5M
    1.0% of all-period positive obligations · 2 awards
    Recorded activity
    Since Dec 6, 2021
    through Aug 31, 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.

  11. #11

    Last 12mo obligations

    $2.0M

    2.1%

    Dollar movement

    −$2.0M

    vs. prior 12 months

    Last 12mo awards

    1 award

    2 actions

    Historical and award details for UNIVERSITY OF ARIZONA
    Obligations: prior → latest
    $4.1M → $2.0M
    −50.0%
    Share: prior → latest
    4.4% → 2.1%
    −2.3 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.

  12. #12

    Last 12mo obligations

    $2.0M

    2.1%

    Dollar movement

    +$2.0M

    vs. prior 12 months

    Last 12mo awards

    2 awards

    4 actions

    Historical and award details for PRAIRIE BAND HEALTH SERVICES INC
    Obligations: prior → latest
    $0 → $2.0M
    Not comparable
    Share: prior → latest
    0% → 2.1%
    +2.1 percentage points
    All-period obligations
    $2.9M
    0.31% of all-period positive obligations · 4 awards
    Recorded activity
    Since May 2, 2024
    through Aug 20, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside02
    Reported no set-aside10
    Not reported10
    Reported small business22
    All-period set-aside types
    • 2 · Indian small business
  13. #13

    Last 12mo obligations

    $1.9M

    2.0%

    Dollar movement

    +$172K

    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
    +9.7%
    Share: prior → latest
    1.9% → 2.0%
    +0.1 percentage points
    All-period obligations
    $3.7M
    0.39% of all-period positive obligations · 1 award
    Recorded activity
    Since Jun 26, 2025
    through Aug 19, 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.

  14. #14

    Last 12mo obligations

    $1.9M

    2.0%

    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
    2.0% → 2.0%
    +0.1 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.

  15. #15

    Last 12mo obligations

    $1.9M

    2.0%

    Dollar movement

    +$218K

    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 → $1.9M
    +13.1%
    Share: prior → latest
    1.8% → 2.0%
    +0.2 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.

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 IS TO EXTEND THE TERM OF THIS CONTRACT, ADD FUNDING TO CLIN 10, AND UPDATED WORKPLAN.

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

Performance period

96.0%

As of Sep 10, 2026Potential end Oct 31, 2026

Current award value as a share of potential value

100.0%

$63.1M current$63.1M potential
Supporting data

Reported performance starts May 1, 2023.

No later potential end date is reported; current and potential end dates are both Oct 31, 2026.

$63.1M is obligated against $63.1M 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.

ADDING FUNDING TO THE 2-MONTH BASE PERIOD (SEPTEMBER 1, 2026-OCTOBER 31, 2026) OF THE 12-MONTH EXTENSION

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

Performance period

61.1%

As of Sep 10, 2026Potential end Aug 31, 2027

Current award value as a share of potential value

62.2%

$27.3M current$44.0M potential
Supporting data

Reported performance starts Mar 1, 2025.

Current performance is reported through Oct 31, 2026.

$27.3M is obligated against $27.3M in current reported award value (100.0%).

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

ADDING FUNDING TO THE 2-MONTH BASE PERIOD (SEPTEMBER 1, 2026-OCTOBER 31, 2026) OF THE 12-MONTH EXTENSION

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 Sep 10, 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
$27.3M
Share of 12-month positive obligations
7.3%
Supporting data
Prime contractor
#2 · 14.9% share
−2.7 percentage points · $2.2M net decline; action exceeded it by $4.8M
Funding office
#1 · 37.9% attributed share
−15.7 percentage points · $13.3M net decline; action accounted for 52.2%
Related:Funding office declineUnusually 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 $13.3M overall.

Award net obligations
$63.1M
Share of 12-month positive obligations
13.3%
Supporting data
Prime contractor
#1 · 28.0% share
+1.7 percentage points · $2.2M net increase; action exceeded it by $10.4M
Funding office
#1 · 37.9% attributed share
$13.3M net decline despite this positive action
Related:Unusually large actionLargest contractor 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 #6 in this market by positive obligations over the latest 12 months.

Award net obligations
$7.6M
Share of 12-month positive obligations
3.5%
Supporting data
Prime contractor
#6 · 4.2% share
Newly active in this market; no actions were reported in the preceding 12 months
Funding office
#3 · 11.1% attributed share
+0.8 percentage points · $798K net increase; action exceeded it by $2.6M
Related:Newly observed contractor cohortLargest newly observed contractor
PIID 75H70325C00001 · Mod P00003
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 $63.2M.

Award net obligations
$290.9M
Share of 12-month positive obligations
16.1%
Supporting data
Prime contractor
0% share
$63.2M net increase despite this negative action
Funding office
0% attributed share
$183.0M net increase despite this negative action
Related:Largest deobligation action
PIID 75D30122C13958 · Mod P00015
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 $1.6M overall.

Award net obligations
$11.3M
Share of 12-month positive obligations
5.8%
Supporting data
Prime contractor
#4 · 5.8% share
$314K net decline despite this positive action
Funding office
#2 · 12.8% attributed share
+1.6 percentage points · $1.6M net increase; action exceeded it by $3.9M
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
4.4%
Supporting data
Prime contractor
0% share
$4.2M net decline; action accounted for 100.0%
PIID HHSP23320110002DC · Mod P00033
View recent award activity by date (10)
  1. PRIME TRI PROVIDERS LLCModification · PIID 75H70625C00019
    Action+$1.2M
    Award net obligations$2.4M
  2. PRIME TRI PROVIDERS LLCModification · PIID 75H70625P00379
    Action+$413K
    Award net obligations$1.2M
  3. THE NATIVE AMERICAN REHABILITATION ASSOCIATION OF THE NORTHWEST, INCORPORATEDModification · PIID 75H71325C00001
    Action+$115K
    Award net obligations$5.2M
  4. WALGREEN CO.Deobligation · PIID 75D30122C13958
    Action−$15.3M
    Award net obligations$290.9M
  5. STG INTERNATIONAL, INC.Modification · PIID 75P00125F37008
    Action+$3.4M
    Award net obligations$27.3M
  6. THE NATIVE PROJECTModification · PIID 75H71325C00002
    Action+$115K
    Award net obligations$4.0M
  7. URBAN INDIAN CENTER OF SALT LAKEModification · PIID 75H71222C00048
    Action+$27K
    Award net obligations$6.9M
  8. UNIVERSITY OF ARIZONAModification · PIID 75H71224C00033
    Action+$2.0M
    Award net obligations$6.1M
  9. SACRAMENTO NATIVE AMERICAN HEALTH CENTER INCModification · PIID 75H70325C00014
    Action+$302K
    Award net obligations$605K
  10. AMERICAN INDIAN ASSOCIATION OF TUCSON, INCBase award · PIID 75H71426F31016
    Action+$27K
    Award net obligations$27K

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 September 10, 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.

    $26,645,855 in positive obligations

  2. #2

    STG INTERNATIONAL, INC.

    $14,166,010 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 -$110,694,148 in the preceding 12 months to $73,572,196 in the 12 months through September 10, 2026. A percentage change is not stated because the preceding value was not positive or the latest value was negative.

Latest 12 months
$73,572,196
Net prime contract obligations
Preceding 12 months
-$110,694,148
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 September 10, 2026.

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

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

From September 11, 2025 through September 10, 2026, HHS reported 54 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 negotiated proposal/quote.

Positive-obligation awards
54
Leading reported procedure
Negotiated Proposal/Quote
39.5% of positive obligations
Leading award type
Delivery Order
56.5% of positive obligations
Full and open
3.1%
of positive obligations
Reported parent IDV
57.2%
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.

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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 September 10, 2026. Set-aside and business-size fields reflect award records, not a contractor's current eligibility.

Review data methodology