Federal Capture Intelligence

General Medical and Surgical Hospitals contractors at the Department of Health and Human Services

Latest 12 months
$25.0M
Net obligations · Down $8.7M vs. $33.7M preceding
Prime contractors
28
With positive obligations in the latest 12 months

Market snapshot for General Medical and Surgical Hospitals at the Department of Health and Human Services

Federal records show $275.0M in net obligations across 432 awards in General Medical and Surgical Hospitals at the Department of Health and Human Services from Oct 1, 2021 through Jul 27, 2026. This market accounts for 0.20% of $140.6B in agency-wide net prime contract obligations over the period shown. Latest 12-month net obligations decreased 25.8% from $33.7M to $25.0M. 9 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: $13.4M versus $23.3M through the same date in FY25 (−42.5%).
Net obligations · complete fiscal yearNet obligations · FY26 YTDContract actions
View fiscal-year data table
Fiscal yearNet obligationsContract actionsCoverage
FY2022$117.4M245Complete
FY2023$68.2M218Complete
FY2024$41.0M186Complete
FY2025$34.9M183Complete
FY2026$13.4M73YTD through Jul 27, 2026

Market at a glance

All reported prime contract awards
All-period net obligations
$275.0M
432 awards · 96 prime contractors
Latest 12-month movement
−25.8%
$25.0M vs. $33.7M
Leading eight prime share
75.7%
Share held by the eight leading prime contractors in the latest 12 months
View agency share, denominators, and set-aside reporting
Agency context
0.20% of $140.6B in agency-wide net obligations.
Set-aside share when reported
2.5% of 198 awards with reported set-aside status.
Set-aside reporting
5 set aside · 193 no set-aside · 234 not reported

What changed in the last 12 months?

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

Competitive shifts

AVEL ECARE LLC gained the most market share
3.35%23.33%+20.0 percentage points
The contractor now ranks #1 by positive obligations, based on 30 reported actions.
EAGLE HEALTH, LLC lost the most market share
21.65%13.17%−8.5 percentage points
The contractor now ranks #2 by positive obligations, based on 2 reported actions.
DUKE UNIVERSITY fell the most in the contractor rankings
#5#20Down 15 places
The contractor accounts for 0.60% of positive obligations across 3 reported actions.

Buyer demand

Reported obligations through NATIONAL INSTITUTES OF HEALTH OLAO decreased
$8.2M$3.6M−$4.6M
Latest-period activity spans 1 award across 1 prime contractor.
Reported obligations through NATIONAL INSTITUTES OF HEALTH NIDA increased
$8K$2.2M+$2.2M
Latest-period activity spans 6 awards across 5 prime contractors.

Market structure

Top-five contractor share decreased
66.23%59.58%−6.7 percentage points
Contractors outside the top five now account for 40.4% of positive obligations.
View 1 additional material change

Competitive shifts

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.

Funding pattern for General Medical and Surgical Hospitals 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.

36.2% of positive obligations were attributed to GREAT PLAINS AREA INDIAN HEALTH SVC. That represents $9.2M, down $2.2M from the preceding 12 months.

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

  1. GREAT PLAINS AREA INDIAN HEALTH SVC36.2% · $9.2M · down $2.2M
  2. NATIONAL INSTITUTES OF HEALTH OLAO14.1% · $3.6M · down $4.6M
  3. CALIFORNIA INDIAN HEALTH SERVICE12.2% · $3.1M · up $33K
  4. NATIONAL INSTITUTES OF HEALTH - CC11.6% · $3.0M · down $3.6M
  5. CDC OFFICE OF ACQUISITION SERVICES11.4% · $2.9M · down $1.2M
  6. All other reported offices14.5% 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

    GREAT PLAINS AREA INDIAN HEALTH SVC

    #1Rank unchanged

    Latest 12 months

    $9.2M

    36.2% of positive obligations

    Versus preceding 12 months

    −$2.2M

    6 active prime contractors · 42 awards

    View office comparison and evidence

    Reported obligations decreased 19.2% from $11.4M to $9.2M. The office’s share of positive obligations moved from 30.3% to 36.2%, a change of +5.9 percentage points.

    The latest period contains 51 actions across 42 awards and 2 newly active prime contractors. The preceding period contained 5 active prime contractors and 74 awards.

  2. Reported funding office

    NATIONAL INSTITUTES OF HEALTH OLAO

    #2Rank unchanged

    Latest 12 months

    $3.6M

    14.1% of positive obligations

    Versus preceding 12 months

    −$4.6M

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations decreased 56.1% from $8.2M to $3.6M. The office’s share of positive obligations moved from 21.8% to 14.1%, a change of −7.7 percentage points.

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

    Leading award-level changes

  3. Reported funding office

    CALIFORNIA INDIAN HEALTH SERVICE

    #3Up 2 from #5

    Latest 12 months

    $3.1M

    12.2% of positive obligations

    Versus preceding 12 months

    +$33K

    2 active prime contractors · 2 awards

    View office comparison and evidence

    Reported obligations increased 1.1% from $3.1M to $3.1M. The office’s share of positive obligations moved from 8.2% to 12.2%, a change of +4.0 percentage points.

    The latest period contains 6 actions across 2 awards. The preceding period contained 2 active prime contractors and 3 awards.

  4. Reported funding office

    NATIONAL INSTITUTES OF HEALTH - CC

    #4Down 1 from #3

    Latest 12 months

    $3.0M

    11.6% of positive obligations

    Versus preceding 12 months

    −$3.6M

    3 active prime contractors · 5 awards

    View office comparison and evidence

    Reported obligations decreased 54.9% from $6.5M to $3.0M. The office’s share of positive obligations moved from 17.4% to 11.6%, a change of −5.8 percentage points.

    The latest period contains 5 actions across 5 awards. The preceding period contained 6 active prime contractors and 11 awards.

  5. Reported funding office

    CDC OFFICE OF ACQUISITION SERVICES

    #5Down 1 from #4

    Latest 12 months

    $2.9M

    11.4% of positive obligations

    Versus preceding 12 months

    −$1.2M

    7 active prime contractors · 9 awards

    View office comparison and evidence

    Reported obligations decreased 29.1% from $4.1M to $2.9M. The office’s share of positive obligations moved from 10.9% to 11.4%, a change of +0.5 percentage points.

    The latest period contains 11 actions across 9 awards and 2 newly active prime contractors. The preceding period contained 8 active prime contractors and 13 awards.

  6. Reported funding office

    NATIONAL INSTITUTES OF HEALTH NIDA

    #6Up 10 from #16

    Latest 12 months

    $2.2M

    8.8% of positive obligations

    Versus preceding 12 months

    +$2.2M

    5 active prime contractors · 6 awards

    View office comparison and evidence

    Reported obligations increased 29357.4% from $8K to $2.2M. The office’s share of positive obligations moved from 0.020% to 8.8%, a change of +8.8 percentage points.

    The latest period contains 7 actions across 6 awards and 4 newly active prime contractors. The preceding period contained 2 active prime contractors and 3 awards.

  7. Reported funding office

    NASHVILLE AREA INDIAN HEALTH SVC

    #7Rank unchanged

    Latest 12 months

    $717K

    2.8% of positive obligations

    Versus preceding 12 months

    −$297K

    2 active prime contractors · 4 awards

    View office comparison and evidence

    Reported obligations decreased 29.3% from $1.0M to $717K. The office’s share of positive obligations moved from 2.7% to 2.8%, a change of +0.1 percentage points.

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

  8. Reported funding office

    BEMIDJI AREA INDIAN HEALTH SERVICE

    #8New to the positive-obligation ranking

    Latest 12 months

    $238K

    0.93% 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 0.93%, a change of +0.9 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

    NATIONAL INSTITUTES OF HEALTH NIDCR

    #9Up 1 from #10

    Latest 12 months

    $158K

    0.62% 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 0.42% to 0.62%, a change of +0.2 percentage points.

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

  10. Reported funding office

    INDIAN HEALTH SERVICE

    #10Down 2 from #8

    Latest 12 months

    $148K

    0.58% of positive obligations

    Versus preceding 12 months

    −$136K

    5 active prime contractors · 8 awards

    View office comparison and evidence

    Reported obligations decreased 47.9% from $284K to $148K. The office’s share of positive obligations moved from 0.76% to 0.58%, a change of −0.2 percentage points.

    The latest period contains 8 actions across 8 awards and 2 newly active prime contractors. The preceding period contained 3 active prime contractors and 7 awards.

  11. Reported funding office

    NATIONAL INSTITUTES OF HEALTH NHGRI

    #11Up 2 from #13

    Latest 12 months

    $88K

    0.34% of positive obligations

    Versus preceding 12 months

    +$45K

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations increased 107.0% from $42K to $88K. The office’s share of positive obligations moved from 0.11% to 0.34%, a change of +0.2 percentage points.

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

  12. Reported funding office

    FDA OFFICE OF ACQ GRANT SVCS

    No positive-obligation rank

    Latest 12 months

    $0

    0% of positive obligations

    Versus preceding 12 months

    +$227K

    0 active prime contractors · 0 awards

    View office comparison and evidence

    Reported obligations moved from $227K in net deobligations to $0 in net obligations. The office’s share of positive obligations moved from 0% 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.

  13. Reported funding office

    NATIONAL INSTITUTES OF HEALTH NINDS

    No positive-obligation rank

    Latest 12 months

    $0

    0% of positive obligations

    Versus preceding 12 months

    −$2.2M

    0 active prime contractors · 0 awards

    View office comparison and evidence

    Reported obligations decreased 100.0% from $2.2M to $0. The office’s share of positive obligations moved from 5.9% to 0%, a change of −5.9 percentage points.

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

  14. 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

How this work is bought

Reported award structure, competition, pricing, work categories, and contracting channels for General Medical and Surgical Hospitals at the Department of Health and Human Services.

During Jul 28, 2025Jul 27, 2026, this market recorded $28.7M in positive net award obligations across 53 awards. The leading reported procedure, Negotiated Proposal/Quote, accounted for 43.4% of that positive-obligation base. Awards with a reported parent IDV accounted for 32.3%.

Leading award type
49.5%
Definitive Contract
Leading reported procedure
43.4%
Negotiated Proposal/Quote
Reported parent IDV
32.3%
of positive obligations had a reported parent IDV
Median reported offers
1
32 of 53 awards reported offers

Buying method changes

Compared with Jul 28, 2024Jul 27, 2025. Based on 53 current awards and 62 preceding awards with positive net obligations.

Parent-IDV obligation share
32.3%
Up from 21.3% in the preceding period
Reported full-and-open obligation share
38.8%
Up from 28.3% 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 18.2 percentage points lower, reported full-and-open obligation share is 38.2 percentage points higher, delivery-order obligation share is 19.1 percentage points lower, and median positive award obligations are 194.5% higher.

MeasureThis marketPeer medianDifference
Parent-IDV obligation share32.3%50.4%-18.2 pts
Reported full-and-open obligation share38.8%0.60%+38.2 pts
Delivery-order obligation share31.4%50.4%-19.1 pts
Median positive award obligations$220K$75K+194.5%
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
Definitive Contract(D)11$14.2M49.5%
Delivery Order(C)26$9.0M31.4%
Purchase Order(B)14$5.3M18.3%
BPA Call(A)2$253K0.88%

Reported parent-award types

Reported valueAwardsPositive obligationsShare
IDC(B)26$9.0M31.4%
BPA(E)2$253K0.88%
Not reported25$19.5M67.7%

Single- or multiple-award parent structure

Reported valueAwardsPositive obligationsShare
Single Award(S)23$7.0M24.4%
Multiple Award(M)5$2.3M7.9%
Not reported25$19.5M67.7%

Solicitation procedures

Reported valueAwardsPositive obligationsShare
Negotiated Proposal/Quote(NP)24$12.5M43.4%
Simplified Acquisition(SP1)15$7.3M25.4%
Only One Source(SSS)9$6.7M23.3%
Subject To Multiple Award Fair Opportunity(MAFO)5$2.3M7.9%

Extent competed

Reported valueAwardsPositive obligationsShare
Full And Open Competition(A)28$11.2M38.8%
Not Competed(C)9$6.7M23.3%
Not Competed Under SAP(G)8$6.7M23.2%
Full And Open Competition After Exclusion Of Sources(D)1$3.6M12.5%
Competed Under SAP(F)7$615K2.1%

Fair-opportunity and limited-source reporting

Reported valueAwardsPositive obligationsShare
Fair Opportunity Given(FAIR)5$2.3M7.9%
Not reported48$26.5M92.1%

Other-than-full-and-open reasons

Reported valueAwardsPositive obligationsShare
SAP Non-Competition (FAR 13)(SP2)8$6.7M23.2%
Only One Source-Other (FAR 6.302-1 Other)(ONE)8$4.9M17.2%
Urgency (FAR 6.302-2)(URG)1$1.8M6.1%
Not reported36$15.4M53.4%

Contract pricing types

Reported valueAwardsPositive obligationsShare
Firm Fixed Price(J)45$21.1M73.4%
Cost No Fee(S)7$4.0M14.1%
Cost Plus Fixed Fee(U)1$3.6M12.5%

Product or Service Codes

Reported valueAwardsPositive obligationsShare
Medical- Managed Healthcare(Q201)24$16.3M56.7%
Medical- Other(Q999)5$5.1M17.6%
Special Studies/Analysis- Medical/Health(B537)5$2.4M8.4%
Support- Professional: Other(R499)5$1.9M6.8%
Medical- Pediatric(Q516)2$1.3M4.4%
Specialized Medical Support(Q701)1$570K2.0%
Other reported values11$1.2M4.1%

Awarding subagencies

Reported valueAwardsPositive obligationsShare
Indian Health Service(7527)32$16.5M57.5%
National Institutes of Health(7529)15$9.3M32.3%
Centers for Disease Control and Prevention(7523)6$2.9M10.2%

Awarding offices

Reported valueAwardsPositive obligationsShare
Great Plains Area Indian Health Svc(75H706)22$12.2M42.5%
National Institutes Of Health Olao(75N980)2$3.7M13.0%
California Indian Health Service(75H703)2$3.1M10.8%
National Institutes Of Health - Cc(75N900)3$3.0M10.4%
Cdc Office Of Acquisition Services(75D301)6$2.9M10.2%
National Institutes Of Health Nida(75N950)6$2.4M8.3%
Other reported values12$1.4M4.7%

Reported parent IDVs

Reported valueAwardsPositive obligationsShare
75H70622D00023(7527)20$6.7M23.2%
75D30123D17951(7523)1$1.3M4.6%
75D30121D12772(7523)1$500K1.7%
75H71124A00034(7527)1$250K0.87%
75D30123D17920(7523)1$218K0.76%
75D30123D18241(7523)1$164K0.57%
75N95025D00002(7529)1$85K0.29%
75D30123D18247(7523)1$56K0.19%
Other reported values1$3K0.010%
Not reported25$19.5M67.7%

Exactly matched vehicle usage

1 awards matched an unambiguous catalog vehicle PIID. Company membership is not used as evidence of award-channel usage.

Offers, award size, and timing

Median reported offers
1 median
32 reported · 21 not reported
Positive award obligations
$220K median
$62K$639K middle 50%
Reported performance period
364 days (~12 months) median
53 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 General Medical and Surgical Hospitals at the Department of Health and Human Services

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

Prime contractor concentration
9 of 28prime contractors account for at least 80% of positive obligations in the last 12 months
Largest prime contractor
23.3%of positive obligations in the last 12 months
Leading four prime contractors
53.4%of positive obligations in the last 12 months
Leading eight prime contractors
75.7%of positive obligations in the last 12 months

Based on $27.3M 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

    $6.4M

    23.3%

    Dollar movement

    +$5.1M

    vs. prior 12 months

    Last 12mo awards

    25 awards

    30 actions

    Historical and award details for AVEL ECARE LLC
    Obligations: prior → latest
    $1.3M → $6.4M
    +402.4%
    Share: prior → latest
    3.4% → 23.3%
    +20.0 percentage points
    All-period obligations
    $22.4M
    8.1% of all-period positive obligations · 105 awards
    Recorded activity
    Since Jul 29, 2022
    through Jul 20, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported2560
    Reported small business00
    All-period set-aside types

    None reported.

  2. #2

    Last 12mo obligations

    $3.6M

    13.2%

    Dollar movement

    −$4.6M

    vs. prior 12 months

    Last 12mo awards

    1 award

    2 actions

    Historical and award details for EAGLE HEALTH, LLC
    Obligations: prior → latest
    $8.2M → $3.6M
    −56.1%
    Share: prior → latest
    21.6% → 13.2%
    −8.5 percentage points
    All-period obligations
    $27.2M
    9.8% 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

    $2.9M

    10.5%

    Dollar movement

    +$450K

    vs. prior 12 months

    Last 12mo awards

    13 awards

    17 actions

    Historical and award details for BAY AREA ANESTHESIA LLC
    Obligations: prior → latest
    $2.4M → $2.9M
    +18.7%
    Share: prior → latest
    6.3% → 10.5%
    +4.1 percentage points
    All-period obligations
    $21.0M
    7.5% 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 reported121
    Reported small business132
    All-period set-aside types

    None reported.

  4. #4

    Last 12mo obligations

    $1.8M

    6.5%

    Dollar movement

    −$6.1M

    vs. prior 12 months

    Last 12mo awards

    1 award

    1 action

    Historical and award details for TRIBAL HEALTH, LLC
    Obligations: prior → latest
    $7.9M → $1.8M
    −77.5%
    Share: prior → latest
    20.8% → 6.5%
    −14.3 percentage points
    All-period obligations
    $82.5M
    29.8% of all-period positive obligations · 17 awards
    Recorded activity
    Since Nov 9, 2021
    through Sep 19, 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

    $1.7M

    6.2%

    Dollar movement

    +$107K

    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
    +6.8%
    Share: prior → latest
    4.2% → 6.2%
    +2.0 percentage points
    All-period obligations
    $8.0M
    2.9% 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.

  6. #6

    Last 12mo obligations

    $1.7M

    6.1%

    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
    4.4% → 6.1%
    +1.7 percentage points
    All-period obligations
    $7.7M
    2.8% 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.

  7. #7

    Last 12mo obligations

    $1.4M

    5.2%

    Dollar movement

    −$74K

    vs. prior 12 months

    Last 12mo awards

    1 award

    2 actions

    Historical and award details for BAKERSFIELD AMERICAN INDIAN HEALTH PROJECT
    Obligations: prior → latest
    $1.5M → $1.4M
    −4.9%
    Share: prior → latest
    3.9% → 5.2%
    +1.3 percentage points
    All-period obligations
    $5.8M
    2.1% of all-period positive obligations · 2 awards
    Recorded activity
    Since Nov 24, 2021
    through Sep 12, 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.

  8. #8

    Last 12mo obligations

    $1.3M

    4.9%

    Dollar movement

    +$28K

    vs. prior 12 months

    Last 12mo awards

    1 award

    1 action

    Historical and award details for VANDERBILT UNIVERSITY MEDICAL CENTER
    Obligations: prior → latest
    $1.3M → $1.3M
    +2.2%
    Share: prior → latest
    3.4% → 4.9%
    +1.4 percentage points
    All-period obligations
    $15.9M
    5.7% of all-period positive obligations · 8 awards
    Recorded activity
    Since Dec 2, 2021
    through Sep 15, 2025

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside02
    Not reported11
    Reported small business00
    All-period set-aside types

    None reported.

  9. #9

    Last 12mo obligations

    $1.3M

    4.6%

    Dollar movement

    −$3.6M

    vs. prior 12 months

    Last 12mo awards

    2 awards

    2 actions

    Historical and award details for CHILDREN'S HOSPITAL
    Obligations: prior → latest
    $4.9M → $1.3M
    −74.2%
    Share: prior → latest
    12.9% → 4.6%
    −8.3 percentage points
    All-period obligations
    $6.2M
    2.2% of all-period positive obligations · 6 awards
    Recorded activity
    Since Apr 8, 2025
    through Jan 15, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside25
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  10. #10

    Last 12mo obligations

    $1.1M

    4.0%

    Dollar movement

    −$332K

    vs. prior 12 months

    Last 12mo awards

    1 award

    1 action

    Historical and award details for MEDSTAR HEALTH RESEARCH INSTITUTE INC.
    Obligations: prior → latest
    $1.4M → $1.1M
    −23.4%
    Share: prior → latest
    3.8% → 4.0%
    +0.2 percentage points
    All-period obligations
    $3.7M
    1.4% of all-period positive obligations · 4 awards
    Recorded activity
    Since Oct 14, 2021
    through Mar 11, 2026

    Award reporting

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

    None reported.

  11. #11

    Last 12mo obligations

    $665K

    2.4%

    Dollar movement

    +$665K

    vs. prior 12 months

    Last 12mo awards

    1 award

    1 action

    Historical and award details for EMORY UNIVERSITY
    Obligations: prior → latest
    $0 → $665K
    Not comparable
    Share: prior → latest
    0% → 2.4%
    +2.4 percentage points
    All-period obligations
    $4.7M
    1.7% of all-period positive obligations · 3 awards
    Recorded activity
    Since Nov 29, 2021
    through Aug 29, 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.

  12. #12

    Last 12mo obligations

    $632K

    2.3%

    Dollar movement

    −$168K

    vs. prior 12 months

    Last 12mo awards

    1 award

    1 action

    Historical and award details for SUBURBAN HOSPITAL, INC
    Obligations: prior → latest
    $800K → $632K
    −21.0%
    Share: prior → latest
    2.1% → 2.3%
    +0.2 percentage points
    All-period obligations
    $2.1M
    0.75% of all-period positive obligations · 5 awards
    Recorded activity
    Since Oct 15, 2021
    through Mar 12, 2026

    Award reporting

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

    None reported.

  13. #13

    Last 12mo obligations

    $570K

    2.1%

    Dollar movement

    +$555K

    vs. prior 12 months

    Last 12mo awards

    1 award

    2 actions

    Historical and award details for THE JOHNS HOPKINS UNIVERSITY
    Obligations: prior → latest
    $15K → $570K
    +3681.5%
    Share: prior → latest
    0.040% → 2.1%
    +2.0 percentage points
    All-period obligations
    $2.0M
    0.72% of all-period positive obligations · 3 awards
    Recorded activity
    Since Oct 22, 2021
    through May 28, 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.

  14. #14

    Last 12mo obligations

    $500K

    1.8%

    Dollar movement

    −$447K

    vs. prior 12 months

    Last 12mo awards

    1 award

    1 action

    Historical and award details for NATIVE AMERICAN LIFELINES, INC
    Obligations: prior → latest
    $947K → $500K
    −47.2%
    Share: prior → latest
    2.5% → 1.8%
    −0.7 percentage points
    All-period obligations
    $9.5M
    3.4% of all-period positive obligations · 1 award
    Recorded activity
    Since Apr 21, 2022
    through Sep 19, 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.

  15. #15

    Last 12mo obligations

    $500K

    1.8%

    Dollar movement

    +$500K

    vs. prior 12 months

    Last 12mo awards

    1 award

    2 actions

    Historical and award details for RUSH UNIVERSITY MEDICAL CENTER
    Obligations: prior → latest
    $0 → $500K
    Not comparable
    Share: prior → latest
    0% → 1.8%
    +1.8 percentage points
    All-period obligations
    $7.9M
    2.8% of all-period positive obligations · 6 awards
    Recorded activity
    Since Mar 22, 2022
    through May 20, 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.

Recompete watch for General Medical and Surgical Hospitals at the Department of Health and Human Services

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

93.8%

As of Jul 27, 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 Jul 27, 2026; reported dates and values can change through later modifications.

Award activity for General Medical and Surgical Hospitals 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

−$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
6.5%
Supporting data
Prime contractor
0% share
$1.8M net decline; action accounted for 100.0%
Funding office
#1 · 36.2% attributed share
+5.9 percentage points · $2.2M net decline; action accounted for 80.9%
PIID 75H70620C00003 · 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 $4.6M overall.

Award net obligations
$30.5M
Share of 12-month positive obligations
11.9%
Supporting data
Prime contractor
#2 · 13.2% share
$4.6M net decline despite this positive action
Funding office
#2 · 14.1% attributed share
$4.6M net decline despite this positive action
PIID 75N98020C00002 · Mod P00031
Modification

This action

+$1.2M

BAY AREA ANESTHESIA LLC

GREAT PLAINS AREA INDIAN HEALTH SVC

MOD SIX, ADD FUNDING FOR THE NO-COST 6-MONTH EXTENSION EXERCISED UNDER MODIFICATION FIVE AND TO INCLUDE THE REVISED SOW.

Why it stands out

This award grew while spending attributed to its office declined.

The modification added $1.2M while office-attributed obligations fell $2.2M overall.

Award net obligations
$6.8M
Share of 12-month positive obligations
4.3%
Supporting data
Prime contractor
#3 · 10.5% share
up 1 rank · +4.1 percentage points · $450K net increase; action exceeded it by $717K
Funding office
#1 · 36.2% attributed share
$2.2M net decline despite this positive action
PIID 75H70625P00142 · Mod P00006
Modification

This action

+$665K

EMORY UNIVERSITY

CDC OFFICE OF ACQUISITION SERVICES

CLINICAL CARE AND MEDICAL DIAGNOSTIC SERVICES; MOD07 - EXERCISE OPTION YEAR 4

Why it stands out

This award grew while spending attributed to its office declined.

The modification added $665K while office-attributed obligations fell $1.2M overall.

Award net obligations
$7.6M
Share of 12-month positive obligations
2.4%
Supporting data
Prime contractor
#11 · 2.4% share
+2.4 percentage points · $665K net increase; action accounted for 100.0%
Funding office
#5 · 11.4% attributed share
$1.2M net decline despite this positive action
PIID 75D30120C07672 · Mod P00009
Modification

This action

+$500K

RUSH UNIVERSITY MEDICAL CENTER

CDC OFFICE OF ACQUISITION SERVICES

WW CENTRAL REGION 2022 DOMAINS 1-A004

Why it stands out

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

The modification placed the contractor #15 in this market by positive obligations over the latest 12 months.

Award net obligations
$2.0M
Share of 12-month positive obligations
1.8%
Supporting data
Prime contractor
#15 · 1.8% share
Newly active in this market; no actions were reported in the preceding 12 months
Funding office
#5 · 11.4% attributed share
$1.2M net decline despite this positive action
PIID 75D30122F00001 · Mod P00003
Modification

This action

+$1.8M

TRIBAL HEALTH, LLC

GREAT PLAINS AREA INDIAN HEALTH SVC

MODIFICATION NO. FOUR, CLAIM SETTLEMENT

Why it stands out

This award grew while spending attributed to its office declined.

The modification added $1.8M while office-attributed obligations fell $2.2M overall.

Award net obligations
$9.6M
Share of 12-month positive obligations
6.5%
Supporting data
Prime contractor
#4 · 6.5% share
$6.1M net decline despite this positive action
Funding office
#1 · 36.2% attributed share
$2.2M net decline despite this positive action
PIID 75H70625C00005 · Mod P00004
View recent award activity by date (10)
  1. Action+$272K
    Award net obligations$272K
  2. Action+$158K
    Award net obligations$158K
  3. Action+$533K
    Award net obligations$533K
  4. Action+$214K
    Award net obligations$214K
  5. Action+$5K
    Award net obligations$3.2M
  6. Action+$4K
    Award net obligations$14K
  7. Action+$3.2M
    Award net obligations$30.5M
  8. Action−$47K
    Award net obligations$857K
  9. Action−$167K
    Award net obligations$675K
  10. Action−$9K
    Award net obligations$31K

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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