Federal Capture Intelligence

Top HHS general medical and surgical hospitals contractors (NAICS 622110)

Contract actions: October 1, 2021 – October 23, 2026 Updated October 24, 2026 Department of Health and Human Services agency guide NAICS 622110 · General Medical and Surgical Hospitals
Latest 12 months
$22.0M
Net obligations · Down $12.9M vs. $34.9M preceding
Prime contractors
26
With positive obligations in the latest 12 months

Research the HHS federal contracting market for general medical and surgical hospitals under NAICS 622110. 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, observed contract vehicle usage, and potential recompete research leads.

Contract obligation trends for General Medical and Surgical Hospitals at the Department of Health and Human Services

Federal records show $283.6M in net obligations across 449 awards in General Medical and Surgical Hospitals at the Department of Health and Human Services from Oct 1, 2021 through Oct 23, 2026. This market accounts for 0.19% of $150.2B in agency-wide net prime contract obligations over the period shown. Latest 12-month net obligations decreased 37.0% from $34.9M to $22.0M. 9 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: $271K versus $0 through the same date in FY26 (Not comparable).
Net obligations · complete fiscal yearNet obligations · FY27 YTDContract actions
View fiscal-year data table
Fiscal yearNet obligationsContract actionsCoverage
FY2022$117.4M245Complete
FY2023$68.2M218Complete
FY2024$41.0M186Complete
FY2025$34.9M183Complete
FY2026$21.7M108Complete

Market at a glance

All reported prime contract awards
All-period net obligations
$283.6M
449 awards · 98 prime contractors
Latest 12-month movement
−37.0%
$22.0M vs. $34.9M
Leading eight prime share
77.8%
Share held by the eight leading prime contractors in the latest 12 months
View agency share, denominators, and set-aside reporting
Agency context
0.19% of $150.2B in agency-wide net obligations.
Set-aside share when reported
2.4% of 208 awards with reported set-aside status.
Set-aside reporting
5 set aside · 203 no set-aside · 241 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

DUKE UNIVERSITY climbed the most in the contractor rankings
#16→#4Up 12 places
The contractor accounts for 8.6% of positive obligations across 8 reported actions.
AVEL ECARE LLC gained the most market share
7.26%→18.83%+11.6 percentage points
The contractor now ranks #1 by positive obligations, based on 24 reported actions.
TRIBAL HEALTH, LLC had no reported activity in the latest 12 months
$9.6M→$0No latest-period activity
It previously ranked #1 by positive obligations, based on 5 reported actions.
CHILDREN'S HOSPITAL fell the most in the contractor rankings
#2→#17Down 15 places
The contractor accounts for 0.83% of positive obligations across 1 reported action.

Market structure

Top-five contractor share decreased
72.26%→57.55%−14.7 percentage points
Contractors outside the top five now account for 42.5% of positive obligations.

Buyer demand

Reported obligations through GREAT PLAINS AREA INDIAN HEALTH SVC decreased
$16.4M→$4.6M−$11.8M
Latest-period activity spans 39 awards across 5 prime contractors.
View 3 additional material changes

Buyer demand

Reported obligations through CDC OFFICE OF ACQUISITION SERVICES increased
$2.4M→$5.8M+$3.4M
Latest-period activity spans 15 awards across 8 prime contractors.

Competitive shifts

BAY AREA ANESTHESIA LLC had the largest decline in reported obligations
$4.0M→$1.8M−$2.2M
The contractor now ranks #5 by positive obligations and accounts for 7.5% of positive obligations, based on 16 reported actions.
WINNEBAGO TRIBE OF NEBRASKA recorded the largest net deobligation
$0→−$1.8M−$1.8M
The contractor now is unranked by positive obligations, based on 1 reported action.
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.

25.9% of positive obligations were attributed to CDC OFFICE OF ACQUISITION SERVICES. That represents $5.8M, up $3.4M from the preceding 12 months.

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

  1. CDC OFFICE OF ACQUISITION SERVICES25.9% · $5.8M · up $3.4M
  2. GREAT PLAINS AREA INDIAN HEALTH SVC20.5% · $4.6M · down $11.8M
  3. NATIONAL INSTITUTES OF HEALTH OLAO14.7% · $3.3M · down $2.4M
  4. CALIFORNIA INDIAN HEALTH SERVICE14.4% · $3.2M · up $250K
  5. NATIONAL INSTITUTES OF HEALTH - CC9.3% · $2.1M · down $5.5M
  6. All other reported offices15.1% 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

    CDC OFFICE OF ACQUISITION SERVICES

    #1Up 4 from #5

    Latest 12 months

    $5.8M

    25.9% of positive obligations

    Versus preceding 12 months

    +$3.4M

    8 active prime contractors · 15 awards

    View office comparison and evidence

    Reported obligations increased 137.7% from $2.4M to $5.8M. The office’s share of positive obligations moved from 6.3% to 25.9%, a change of +19.6 percentage points.

    The latest period contains 25 actions across 15 awards and 3 newly active prime contractors. The preceding period contained 8 active prime contractors and 8 awards.

  2. Reported funding office

    GREAT PLAINS AREA INDIAN HEALTH SVC

    #2Down 1 from #1

    Latest 12 months

    $4.6M

    20.5% of positive obligations

    Versus preceding 12 months

    −$11.8M

    5 active prime contractors · 39 awards

    View office comparison and evidence

    Reported obligations decreased 71.9% from $16.4M to $4.6M. The office’s share of positive obligations moved from 42.2% to 20.5%, a change of −21.6 percentage points.

    The latest period contains 43 actions across 39 awards and 2 newly active prime contractors. The preceding period contained 5 active prime contractors and 79 awards.

    Leading award-level changes

  3. Reported funding office

    NATIONAL INSTITUTES OF HEALTH OLAO

    #3Rank unchanged

    Latest 12 months

    $3.3M

    14.7% of positive obligations

    Versus preceding 12 months

    −$2.4M

    2 active prime contractors · 2 awards

    View office comparison and evidence

    Reported obligations decreased 42.5% from $5.7M to $3.3M. The office’s share of positive obligations moved from 14.8% to 14.7%, a change of 0.0 percentage points.

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

  4. Reported funding office

    CALIFORNIA INDIAN HEALTH SERVICE

    #4Rank unchanged

    Latest 12 months

    $3.2M

    14.4% of positive obligations

    Versus preceding 12 months

    +$250K

    2 active prime contractors · 2 awards

    View office comparison and evidence

    Reported obligations increased 8.4% from $3.0M to $3.2M. The office’s share of positive obligations moved from 7.7% to 14.4%, a change of +6.8 percentage points.

    The latest period contains 7 actions across 2 awards. The preceding period contained 2 active prime contractors and 3 awards.

  5. Reported funding office

    NATIONAL INSTITUTES OF HEALTH - CC

    #5Down 3 from #2

    Latest 12 months

    $2.1M

    9.3% of positive obligations

    Versus preceding 12 months

    −$5.5M

    3 active prime contractors · 4 awards

    View office comparison and evidence

    Reported obligations decreased 72.4% from $7.6M to $2.1M. The office’s share of positive obligations moved from 19.5% to 9.3%, a change of −10.2 percentage points.

    The latest period contains 4 actions across 4 awards and 1 newly active prime contractor. The preceding period contained 5 active prime contractors and 8 awards.

  6. Reported funding office

    NATIONAL INSTITUTES OF HEALTH NIDA

    #6New to the positive-obligation ranking

    Latest 12 months

    $2.0M

    9.0% of positive obligations

    Versus preceding 12 months

    +$2.1M

    4 active prime contractors · 7 awards

    View office comparison and evidence

    Reported obligations moved from $48K in net deobligations to $2.0M in net obligations. The office’s share of positive obligations moved from 0% to 9.0%, a change of +9.0 percentage points.

    The latest period contains 8 actions across 7 awards and 2 newly active prime contractors. The preceding period contained 4 active prime contractors and 6 awards.

  7. Reported funding office

    NATIONAL INSTITUTES OF HEALTH NHLBI

    #7New to the positive-obligation ranking

    Latest 12 months

    $548K

    2.5% of positive obligations

    Versus preceding 12 months

    +$574K

    6 active prime contractors · 6 awards

    View office comparison and evidence

    Reported obligations moved from $26K in net deobligations to $548K in net obligations. The office’s share of positive obligations moved from 0% to 2.5%, a change of +2.5 percentage points.

    The latest period contains 6 actions across 6 awards and 3 newly active prime contractors. The preceding period contained 5 active prime contractors and 6 awards.

  8. Reported funding office

    BEMIDJI AREA INDIAN HEALTH SERVICE

    #8New to the positive-obligation ranking

    Latest 12 months

    $238K

    1.1% of positive obligations

    Versus preceding 12 months

    +$238K

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations rose from $0 to $238K. The office’s share of positive obligations moved from 0% to 1.1%, a change of +1.1 percentage points.

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

  9. Reported funding office

    INDIAN HEALTH SERVICE

    #9New to the positive-obligation ranking

    Latest 12 months

    $181K

    0.81% of positive obligations

    Versus preceding 12 months

    +$209K

    2 active prime contractors · 4 awards

    View office comparison and evidence

    Reported obligations moved from $28K in net deobligations to $181K in net obligations. The office’s share of positive obligations moved from 0% to 0.81%, a change of +0.8 percentage points.

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

  10. Reported funding office

    NATIONAL INSTITUTES OF HEALTH NIDCR

    #10Down 2 from #8

    Latest 12 months

    $158K

    0.70% of positive obligations

    Versus preceding 12 months

    +$0

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations increased 0.0% from $158K to $158K. The office’s share of positive obligations moved from 0.41% to 0.70%, a change of +0.3 percentage points.

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

  11. Reported funding office

    NASHVILLE AREA INDIAN HEALTH SVC

    #11Down 5 from #6

    Latest 12 months

    $132K

    0.59% of positive obligations

    Versus preceding 12 months

    −$1.4M

    1 active prime contractor · 2 awards

    View office comparison and evidence

    Reported obligations decreased 91.6% from $1.6M to $132K. The office’s share of positive obligations moved from 4.1% to 0.59%, a change of −3.5 percentage points.

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

  12. Reported funding office

    NATIONAL INSTITUTES OF HEALTH NINDS

    No positive-obligation rank

    Latest 12 months

    $0

    0% of positive obligations

    Versus preceding 12 months

    −$1.4M

    0 active prime contractors · 0 awards

    View office comparison and evidence

    Reported obligations decreased 100.0% from $1.4M to $0. The office’s share of positive obligations moved from 3.7% to 0%, a change of −3.7 percentage points.

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

  13. Reported funding office

    BILLINGS AREA INDIAN HEALTH SVC

    No positive-obligation rank

    Latest 12 months

    −$194K

    0% of positive obligations

    Versus preceding 12 months

    +$3.4M

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations narrowed from $3.6M to $194K 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.

    Leading award-level changes

Contract types, competition, and procurement methods

From Oct 24, 2025 through Oct 23, 2026, 48 awards had positive obligations totaling $26.2M. Negotiated Proposal/Quote was the leading reported procedure, accounting for 37.3% of positive obligations. Awards with a reported parent IDV accounted for 42.9%. Reported awards used contract vehicles such as SHEPheRD.

Leading award type
41.9%
Delivery Order
Leading reported procedure
37.3%
Negotiated Proposal/Quote
Reported parent IDV
42.9%
of positive obligations had a reported parent IDV
Median reported offers
1
32 of 48 awards reported offers

Observed contract vehicles

Only exact reported parent-PIID matches are shown; missing parent IDs are not inferred.

  • SHEPheRD

    $500K

    1.9% of positive obligations · 1 matched award

Buying method changes

Compared with Oct 24, 2024–Oct 23, 2025. Based on 48 current awards and 60 preceding awards with positive net obligations.

Leading reported procedure
Negotiated Proposal/Quote
Previously Only One Source · 35.5% preceding vs 37.3% current
Parent-IDV obligation share
42.9%
Up from 18.9% 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 622110 peer median, parent-IDV obligation share is 5.5 percentage points lower, reported full-and-open obligation share is 26.7 percentage points higher, delivery-order obligation share is 6.5 percentage points lower, and median positive award obligations are 162.8% higher.

MeasureThis marketPeer medianDifference
Parent-IDV obligation share42.9%48.4%-5.5 pts
Reported full-and-open obligation share26.8%0.11%+26.7 pts
Delivery-order obligation share41.9%48.4%-6.5 pts
Median positive award obligations$228K$87K+162.8%
Peer cohort and comparison limits

The peer median gives each of the 3 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)24$11.0M41.9%
Definitive Contract(D)7$10.0M38.2%
Purchase Order(B)16$4.9M18.9%
BPA Call(A)1$250K0.95%

Reported parent-award types

Reported valueAwardsPositive obligationsShare
IDC(B)24$11.0M41.9%
BPA(E)1$250K0.95%
Not reported23$15.0M57.1%

Single- or multiple-award parent structure

Reported valueAwardsPositive obligationsShare
Multiple Award(M)8$5.9M22.4%
Single Award(S)17$5.4M20.4%
Not reported23$15.0M57.1%

Solicitation procedures

Reported valueAwardsPositive obligationsShare
Negotiated Proposal/Quote(NP)17$9.8M37.3%
Simplified Acquisition(SP1)10$6.0M23.1%
Mafo(SUBJECT TO MULTIPLE AWARD FAIR OPPORTUNITY)7$5.4M20.5%
Sss(ONLY ONE SOURCE)5$3.6M13.8%
Sp1(SIMPLIFIED ACQUISITION)4$516K2.0%
Subject to Multiple Award Fair Opportunity(MAFO)1$500K1.9%
Other reported values4$381K1.5%

Extent competed

Reported valueAwardsPositive obligationsShare
Full and Open Competition(A)17$7.0M26.8%
A(FULL AND OPEN COMPETITION)9$5.7M21.7%
Not Competed Under SAP(G)7$5.6M21.2%
C(NOT COMPETED)5$3.6M13.8%
Full and Open Competition After Exclusion of Sources(D)1$3.2M12.4%
Competed Under SAP(F)3$492K1.9%
Other reported values6$598K2.3%

Fair-opportunity and limited-source reporting

Reported valueAwardsPositive obligationsShare
Fair Opportunity Given(FAIR)8$5.9M22.4%
Not reported40$20.3M77.6%

Other-than-full-and-open reasons

Reported valueAwardsPositive obligationsShare
SAP Non-Competition (FAR 13)(SP2)10$6.0M23.0%
Only One Source-Other (FAR 6.302-1 Other)(ONE)7$3.7M14.1%
Not reported31$16.5M62.9%

Contract pricing types

Reported valueAwardsPositive obligationsShare
Firm Fixed Price(J)26$10.9M41.5%
J(FIRM FIXED PRICE)10$4.3M16.5%
Y(TIME AND MATERIALS)3$3.6M13.6%
Cost Plus Fixed Fee(U)1$3.2M12.4%
Cost No Fee(S)3$2.3M8.7%
S(COST NO FEE)5$1.9M7.2%

Product or Service Codes

Reported valueAwardsPositive obligationsShare
Medical- Managed Healthcare(Q201)18$11.1M42.2%
Medical- Other(Q999)6$5.4M20.6%
Special Studies/Analysis- Medical/Health(B537)7$5.4M20.5%
Support- Professional: Other(R499)6$2.6M9.8%
Specialized Medical Support(Q701)1$570K2.2%
Health R&d Services; Health Care - Other; Basic Research(AN41)1$500K1.9%
Other reported values9$716K2.7%

Awarding subagencies

Reported valueAwardsPositive obligationsShare
Indian Health Service(7527)23$11.6M44.3%
National Institutes of Health(7529)16$8.7M33.2%
Centers for Disease Control and Prevention(7523)9$5.9M22.4%

Awarding offices

Reported valueAwardsPositive obligationsShare
Great Plains Area Indian Health Svc(75H706)16$7.8M29.6%
Cdc Office of Acquisition Services(75D301)9$5.9M22.4%
National Institutes of Health Olao(75N980)8$4.3M16.4%
California Indian Health Service(75H703)2$3.2M12.3%
National Institutes of Health Nida(75N950)5$2.5M9.4%
National Institutes of Health - Cc(75N900)2$1.9M7.4%
Other reported values6$637K2.4%

Reported parent IDVs

Reported valueAwardsPositive obligationsShare
75H70622D00023(7527)15$5.0M19.2%
75D30123D17951(7523)2$2.3M8.6%
75D30123D18241(7523)2$2.1M7.9%
75D30123D17920(7523)2$1.0M3.8%
75D30121D12772(7523)1$500K1.9%
75H71124A00034(7527)1$250K0.95%
75N95025D00002(7529)1$85K0.32%
75D30123D18247(7523)1$56K0.21%
Not reported23$15.0M57.1%

Exact vehicle-match evidence

Reported award data linked 1 award to a specific catalog vehicle.

Offers, award size, and timing

Median reported offers
1 median
32 reported · 16 not reported
Positive award obligations
$228K median
$85K–$641K middle 50%
Reported performance period
364 days (~12 months) median
48 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
9 of 26prime contractors account for at least 80% of positive obligations in the last 12 months
Largest prime contractor
18.8%of positive obligations in the last 12 months
Leading four prime contractors
50.1%of positive obligations in the last 12 months
Leading eight prime contractors
77.8%of positive obligations in the last 12 months

Based on $24.2M 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

    $4.6M

    18.8%

    Dollar movement

    +$1.7M

    vs. prior 12 months

    Last 12mo awards

    23 awards

    24 actions

    Historical and award details for AVEL ECARE LLC
    Obligations: prior → latest
    $2.8M → $4.6M
    +61.0%
    Share: prior → latest
    7.3% → 18.8%
    +11.6 percentage points
    All-period obligations
    $23.5M
    8.2% of all-period positive obligations · 108 awards
    Recorded activity
    Since Jul 29, 2022
    through Aug 14, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported2366
    Reported small business00
    All-period set-aside types

    None reported.

  2. #2

    Last 12mo obligations

    $3.2M

    13.4%

    Dollar movement

    −$2.5M

    vs. prior 12 months

    Last 12mo awards

    1 award

    1 action

    Historical and award details for EAGLE HEALTH, LLC
    Obligations: prior → latest
    $5.7M → $3.2M
    −43.2%
    Share: prior → latest
    14.7% → 13.4%
    −1.3 percentage points
    All-period obligations
    $27.2M
    9.5% of all-period positive obligations · 1 award
    Recorded activity
    Since Oct 29, 2021
    through Jun 29, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside11
    Reported no set-aside00
    Not reported00
    Reported small business11
    All-period set-aside types
    • 1 · 8(a) competed
  3. #3

    Last 12mo obligations

    $2.3M

    9.3%

    Dollar movement

    +$947K

    vs. prior 12 months

    Last 12mo awards

    2 awards

    3 actions

    Historical and award details for VANDERBILT UNIVERSITY MEDICAL CENTER
    Obligations: prior → latest
    $1.3M → $2.3M
    +72.7%
    Share: prior → latest
    3.3% → 9.3%
    +6.0 percentage points
    All-period obligations
    $18.1M
    6.3% of all-period positive obligations · 9 awards
    Recorded activity
    Since Dec 2, 2021
    through Sep 25, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside01
    Not reported21
    Reported small business00
    All-period set-aside types

    None reported.

  4. #4

    Last 12mo obligations

    $2.1M

    8.6%

    Dollar movement

    +$1.9M

    vs. prior 12 months

    Last 12mo awards

    4 awards

    8 actions

    Historical and award details for DUKE UNIVERSITY
    Obligations: prior → latest
    $164K → $2.1M
    +1163.6%
    Share: prior → latest
    0.42% → 8.6%
    +8.1 percentage points
    All-period obligations
    $6.3M
    2.2% of all-period positive obligations · 4 awards
    Recorded activity
    Since Sep 26, 2023
    through Sep 25, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported41
    Reported small business00
    All-period set-aside types

    None reported.

  5. #5

    Last 12mo obligations

    $1.8M

    7.5%

    Dollar movement

    −$2.2M

    vs. prior 12 months

    Last 12mo awards

    13 awards

    16 actions

    Historical and award details for BAY AREA ANESTHESIA LLC
    Obligations: prior → latest
    $4.0M → $1.8M
    −55.3%
    Share: prior → latest
    10.4% → 7.5%
    −2.9 percentage points
    All-period obligations
    $21.0M
    7.3% of all-period positive obligations · 18 awards
    Recorded activity
    Since Nov 4, 2021
    through Jun 24, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside11
    Not reported120
    Reported small business131
    All-period set-aside types

    None reported.

  6. #6

    Last 12mo obligations

    $1.7M

    7.0%

    Dollar movement

    +$138K

    vs. prior 12 months

    Last 12mo awards

    1 award

    4 actions

    Historical and award details for AMERICAN INDIAN HEALTH & SERVICES CORPORATION
    Obligations: prior → latest
    $1.6M → $1.7M
    +8.8%
    Share: prior → latest
    4.0% → 7.0%
    +3.0 percentage points
    All-period obligations
    $8.0M
    2.8% of all-period positive obligations · 2 awards
    Recorded activity
    Since Nov 24, 2021
    through Aug 26, 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

    $1.7M

    6.9%

    Dollar movement

    −$10K

    vs. prior 12 months

    Last 12mo awards

    3 awards

    3 actions

    Historical and award details for CHILDREN'S NATIONAL MEDICAL CENTER
    Obligations: prior → latest
    $1.7M → $1.7M
    −0.6%
    Share: prior → latest
    4.3% → 6.9%
    +2.6 percentage points
    All-period obligations
    $7.7M
    2.7% of all-period positive obligations · 9 awards
    Recorded activity
    Since Nov 15, 2021
    through May 7, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside32
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  8. #8

    Last 12mo obligations

    $1.5M

    6.3%

    Dollar movement

    +$112K

    vs. prior 12 months

    Last 12mo awards

    1 award

    3 actions

    Historical and award details for BAKERSFIELD AMERICAN INDIAN HEALTH PROJECT
    Obligations: prior → latest
    $1.4M → $1.5M
    +7.9%
    Share: prior → latest
    3.6% → 6.3%
    +2.7 percentage points
    All-period obligations
    $7.3M
    2.6% 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.

  9. #9

    Last 12mo obligations

    $993K

    4.1%

    Dollar movement

    +$52K

    vs. prior 12 months

    Last 12mo awards

    2 awards

    2 actions

    Historical and award details for MEDSTAR HEALTH RESEARCH INSTITUTE INC.
    Obligations: prior → latest
    $941K → $993K
    +5.5%
    Share: prior → latest
    2.4% → 4.1%
    +1.7 percentage points
    All-period obligations
    $3.7M
    1.3% of all-period positive obligations · 4 awards
    Recorded activity
    Since Oct 14, 2021
    through Aug 11, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside22
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  10. #10

    Last 12mo obligations

    $950K

    3.9%

    Dollar movement

    +$731K

    vs. prior 12 months

    Last 12mo awards

    3 awards

    4 actions

    Historical and award details for BOSTON MEDICAL CENTER CORPORATION
    Obligations: prior → latest
    $218K → $950K
    +335.1%
    Share: prior → latest
    0.56% → 3.9%
    +3.4 percentage points
    All-period obligations
    $2.5M
    0.87% of all-period positive obligations · 4 awards
    Recorded activity
    Since Sep 27, 2023
    through Sep 25, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside10
    Not reported21
    Reported small business00
    All-period set-aside types

    None reported.

  11. #11

    Last 12mo obligations

    $654K

    2.7%

    Dollar movement

    +$639K

    vs. prior 12 months

    Last 12mo awards

    2 awards

    3 actions

    Historical and award details for THE JOHNS HOPKINS UNIVERSITY
    Obligations: prior → latest
    $15K → $654K
    +4241.6%
    Share: prior → latest
    0.040% → 2.7%
    +2.7 percentage points
    All-period obligations
    $2.1M
    0.73% of all-period positive obligations · 3 awards
    Recorded activity
    Since Oct 22, 2021
    through Aug 18, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside22
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  12. #12

    Last 12mo obligations

    $506K

    2.1%

    Dollar movement

    +$9K

    vs. prior 12 months

    Last 12mo awards

    3 awards

    3 actions

    Historical and award details for SUBURBAN HOSPITAL, INC
    Obligations: prior → latest
    $498K → $506K
    +1.7%
    Share: prior → latest
    1.3% → 2.1%
    +0.8 percentage points
    All-period obligations
    $2.0M
    0.69% of all-period positive obligations · 6 awards
    Recorded activity
    Since Oct 15, 2021
    through Oct 22, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside32
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  13. #13

    Last 12mo obligations

    $500K

    2.1%

    Dollar movement

    +$500K

    vs. prior 12 months

    Last 12mo awards

    1 award

    3 actions

    Historical and award details for RUSH UNIVERSITY MEDICAL CENTER
    Obligations: prior → latest
    $0 → $500K
    Not comparable
    Share: prior → latest
    0% → 2.1%
    +2.1 percentage points
    All-period obligations
    $7.9M
    2.8% of all-period positive obligations · 6 awards
    Recorded activity
    Since Mar 22, 2022
    through Jun 9, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported10
    Reported small business00
    All-period set-aside types

    None reported.

  14. #14

    Last 12mo obligations

    $350K

    1.4%

    Dollar movement

    +$350K

    vs. prior 12 months

    Last 12mo awards

    1 award

    1 action

    Historical and award details for LOYOLA UNIVERSITY OF CHICAGO
    Obligations: prior → latest
    $0 → $350K
    Not comparable
    Share: prior → latest
    0% → 1.4%
    +1.4 percentage points
    All-period obligations
    $350K
    0.12% of all-period positive obligations · 1 award
    Recorded activity
    Since Sep 8, 2026
    through Sep 8, 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.

  15. #15

    Last 12mo obligations

    $238K

    0.98%

    Dollar movement

    +$238K

    vs. prior 12 months

    Last 12mo awards

    1 award

    1 action

    Historical and award details for DT-TRAK CONSULTING, INC.
    Obligations: prior → latest
    $0 → $238K
    Not comparable
    Share: prior → latest
    0% → 0.98%
    +1.0 percentage points
    All-period obligations
    $238K
    0.080% of all-period positive obligations · 1 award
    Recorded activity
    Since Mar 11, 2026
    through Mar 11, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside10
    Reported no set-aside00
    Not reported00
    Reported small business10
    All-period set-aside types
    • 1 · INDIAN ECONOMIC ENTERPRISE

Potential federal contract recompetes

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

EAGLE HEALTH, LLC

OCCUPATIONAL MEDICAL SERVICES LLC:1331570 [20-001580]

The reported potential end date is Dec 31, 2026. Current award value is 100.0% of reported potential value ($30.5M of $30.5M).

Performance period

97.3%

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

Current award value as a share of potential value

100.0%

$30.5M current$30.5M potential
Supporting data

Reported performance starts Feb 1, 2020.

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

$30.5M is obligated against $30.5M in current reported award value (100.0%).

Reported potential end dates: Jun 30, 2026 → Jun 30, 2022 → Jun 30, 2023 → Jun 30, 2024 → Jun 30, 2025 → Jun 30, 2026 → Dec 31, 2026.

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

PIID 75N98020C00002

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.

Base award

This action

+$1.9M

DUKE UNIVERSITY

CDC OFFICE OF ACQUISITION SERVICES

CISA HOME LAIV STUDY- LEAD SITE, EO 14398

Why it stands out

The contractor climbed 12 positions in this market.

It now ranks #4 by positive obligations over the latest 12 months.

Award net obligations
$1.9M
Share of 12-month positive obligations
7.7%
Supporting data
Prime contractor
#4 · 8.6% share
up 12 ranks · +8.1 percentage points · $1.9M net increase; action accounted for 98.1%
Funding office
#1 · 25.9% attributed share
up 4 ranks · +19.6 percentage points · $3.4M net increase; action accounted for 55.7%
Related:Largest rank gainFunding office gain
PIID 75D30126F00004
Deobligation

This action

−$1.8M

WINNEBAGO TRIBE OF NEBRASKA

GREAT PLAINS AREA INDIAN HEALTH SVC

MODIFICATION NO. SEVEN (7) FOR FUNDING ONLY ACTION TO DE-OBLIGATE FUNDS FROM LINES 2,3,4 & 5. NOT A CLOSEOUT. $ 103,520.11 STILL DUE ON LINE #5 COR: DAN DAVIS

Why it stands out

This award recorded a material contraction.

The action removed $1.8M. A deobligation does not by itself show lower requirement demand.

Award net obligations
$3.4M
Share of 12-month positive obligations
7.3%
Supporting data
Prime contractor
0% share
$1.8M net decline; action accounted for 100.0%
Funding office
#2 · 20.5% attributed share
down 1 rank · −21.6 percentage points · $11.8M net decline; action accounted for 15.0%
Related:Funding office declineLargest net deobligation
PIID 75H70620C00003 · Mod P00007
Modification

This action

+$1.3M

VANDERBILT UNIVERSITY MEDICAL CENTER

CDC OFFICE OF ACQUISITION SERVICES

CISA CLINICAL VACCINE SAFETY EVALUATION - LEAD EO 14398

Why it stands out

The contractor climbed 7 positions in this market.

It now ranks #3 by positive obligations over the latest 12 months.

Award net obligations
$5.3M
Share of 12-month positive obligations
5.5%
Supporting data
Prime contractor
#3 · 9.3% share
up 7 ranks · +6.0 percentage points · $947K net increase; action exceeded it by $390K
PIID 75D30123F00001 · Mod P00007
Modification

This action

+$3.2M

EAGLE HEALTH, LLC

NATIONAL INSTITUTES OF HEALTH OLAO

OCCUPATIONAL MEDICAL SERVICES LLC:1331570 [20-001580]

Why it stands out

This award grew while spending attributed to its office declined.

The modification added $3.2M while office-attributed obligations fell $2.4M overall.

Award net obligations
$30.5M
Share of 12-month positive obligations
13.4%
Supporting data
Prime contractor
#2 · 13.4% share
$2.5M net decline despite this positive action
Funding office
#3 · 14.7% attributed share
$2.4M net decline despite this positive action
PIID 75N98020C00002 · Mod P00031
Modification

This action

+$1.7M

CHILDREN'S NATIONAL MEDICAL CENTER

NATIONAL INSTITUTES OF HEALTH - CC

26-003212 EXERCISE OPTION PERIOD 4 7/1/2026-6/30/2027

Why it stands out

This award grew while spending attributed to its office declined.

The modification added $1.7M while office-attributed obligations fell $5.5M overall.

Award net obligations
$7.6M
Share of 12-month positive obligations
7.2%
Supporting data
Prime contractor
#7 · 6.9% share
$10K net decline despite this positive action
Funding office
#5 · 9.3% attributed share
$5.5M net decline despite this positive action
PIID 75N90022C00015 · Mod P00006
Modification

This action

+$1.1M

MEDSTAR HEALTH RESEARCH INSTITUTE INC.

NATIONAL INSTITUTES OF HEALTH NIDA

CLINICAL SUPPORT SERVICES FOR THE RESEARCH EFFORTS OF THE NINDS, STROKE BRANCH

Why it stands out

The contractor climbed 2 positions in this market.

It now ranks #9 by positive obligations over the latest 12 months.

Award net obligations
$2.6M
Share of 12-month positive obligations
4.5%
Supporting data
Funding office
#6 · 9.0% attributed share
+9.0 percentage points · $2.1M net increase; action accounted for 52.9%
PIID 75N95024C00045 · Mod P00002
View recent award activity by date (10)
  1. SUBURBAN HOSPITAL, INCBase award · PIID 75N98027P00039
    Action+$43K
    Award net obligations$43K
  2. INOVA HEALTH CARE SERVICESBase award · PIID 75N98027P00027
    Action+$228K
    Award net obligations$228K
  3. UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATIONBase award · PIID 75N98026P01957
    Action+$200K
    Award net obligations$200K
  4. DUKE UNIVERSITYBase award · PIID 75D30126F00004
    Action+$1.9M
    Award net obligations$1.9M
  5. VANDERBILT UNIVERSITY MEDICAL CENTERBase award · PIID 75D30126F00002
    Action+$913K
    Award net obligations$913K
  6. BOSTON MEDICAL CENTER CORPORATIONBase award · PIID 75D30126F00003
    Action+$785K
    Award net obligations$785K
  7. THE UNIVERSITY OF CHICAGO MEDICAL CENTERBase award · PIID 75N98026P01683
    Action+$45K
    Award net obligations$45K
  8. BOSTON MEDICAL CENTER CORPORATIONDeobligation · PIID HHSD200200723690C
    Action−$55K
    Award net obligations$1.2M
  9. VANDERBILT UNIVERSITY MEDICAL CENTERModification · PIID 75D30123F00001
    Action+$1.3M
    Award net obligations$5.3M
  10. BOSTON MEDICAL CENTER CORPORATIONModification · PIID 75D30123F00001
    Action+$219K
    Award net obligations$856K

HHS general medical and surgical hospitals market FAQs

Answers based on reported federal contract data.

Who are the top HHS general medical and surgical hospitals contractors?

In the 12 months through October 23, 2026, AVEL ECARE LLC, EAGLE HEALTH, LLC, and VANDERBILT UNIVERSITY MEDICAL CENTER were the leading HHS general medical and surgical hospitals prime contractors by positive obligations.

  1. #1

    AVEL ECARE LLC

    $4,561,981 in positive obligations

  2. #2

    EAGLE HEALTH, LLC

    $3,249,630 in positive obligations

  3. #3

    VANDERBILT UNIVERSITY MEDICAL CENTER

    $2,250,015 in positive obligations

Rankings use reported USAspending award data.

Did HHS contract obligations decrease in the general medical and surgical hospitals market?

Yes. Measured by net prime contract obligations, reported HHS activity in the general medical and surgical hospitals market decreased 37% from $34,853,730 in the preceding 12 months to $21,963,610 in the 12 months through October 23, 2026.

Latest 12 months
$21,963,610
Net prime contract obligations
Preceding 12 months
$34,853,730
Net prime contract obligations
Change
−37%
Between matched 12-month periods

Reported contract actions, not outlays or a forecast.

What recent HHS contract award activity was reported in the general medical and surgical hospitals market?

Recent HHS contract award activity reported in the general medical and surgical hospitals market included actions for DUKE UNIVERSITY, WINNEBAGO TRIBE OF NEBRASKA, and VANDERBILT UNIVERSITY MEDICAL CENTER 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 622110?

From October 24, 2025 through October 23, 2026, HHS reported 48 positive-obligation awards for general medical and surgical hospitals under NAICS 622110. The leading award type was delivery order. The leading reported procedure was negotiated proposal/quote.

Positive-obligation awards
48
Leading reported procedure
Negotiated Proposal/Quote
37.3% of positive obligations
Leading award type
Delivery Order
41.9% of positive obligations
Full and open
26.8%
of positive obligations
Reported parent IDV
42.9%
of positive obligations
Observed vehicles
SHEPheRD
Exact matches from reported parent PIIDs

Percentages use positive obligations as the denominator.

Which HHS general medical and surgical hospitals awards may warrant recompete research?

Based on its reported potential-end date, the HHS general medical and surgical hospitals award held by EAGLE HEALTH, LLC may warrant recompete research.

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 October 23, 2026. Set-aside and business-size fields reflect award records, not a contractor's current eligibility.

Review data methodology