Federal Capture Intelligence

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

Contract actions: October 1, 2021 – September 10, 2026 Updated September 11, 2026 Department of Health and Human Services agency guide NAICS 622110 · General Medical and Surgical Hospitals
Latest 12 months
$21.4M
Net obligations · Down $11.6M vs. $33.0M preceding
Prime contractors
27
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 $277.9M in net obligations across 439 awards in General Medical and Surgical Hospitals at the Department of Health and Human Services from Oct 1, 2021 through Sep 10, 2026. This market accounts for 0.19% of $145.5B in agency-wide net prime contract obligations over the period shown. Latest 12-month net obligations decreased 35.2% from $33.0M to $21.4M. 9 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: $16.2M versus $29.8M through the same date in FY25 (−45.5%).
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$16.2M96YTD through Sep 10, 2026

Market at a glance

All reported prime contract awards
All-period net obligations
$277.9M
439 awards · 98 prime contractors
Latest 12-month movement
−35.2%
$21.4M vs. $33.0M
Leading eight prime share
78.8%
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 $145.5B in agency-wide net obligations.
Set-aside share when reported
2.5% of 202 awards with reported set-aside status.
Set-aside reporting
5 set aside · 197 no set-aside · 237 not reported

What changed in the last 12 months?

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

Competitive shifts

AVEL ECARE LLC gained the most market share
7.64%→19.25%+11.6 percentage points
The contractor now ranks #1 by positive obligations, based on 25 reported actions.
CHILDREN'S HOSPITAL fell the most in the contractor rankings
#2→#18Down 16 places
The contractor accounts for 0.84% of positive obligations across 1 reported action.
DUKE UNIVERSITY lost the most market share
4.1%→0.7%−3.4 percentage points
The contractor now ranks #20 by positive obligations, based on 7 reported actions.

Buyer demand

Reported obligations through GREAT PLAINS AREA INDIAN HEALTH SVC decreased
$13.6M→$7.4M−$6.2M
Latest-period activity spans 40 awards across 6 prime contractors.
Reported obligations through NATIONAL INSTITUTES OF HEALTH NIDA increased
$37K→$2.0M+$2.0M
Latest-period activity spans 7 awards across 4 prime contractors.

Market structure

Top-five contractor share decreased
68.35%→59.66%−8.7 percentage points
Contractors outside the top five now account for 40.3% 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.

Federal contract obligations by funding office

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

34.0% of positive obligations were attributed to GREAT PLAINS AREA INDIAN HEALTH SVC. That represents $7.4M, down $6.2M 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 SVC34.0% · $7.4M · down $6.2M
  2. NATIONAL INSTITUTES OF HEALTH OLAO14.9% · $3.2M · down $2.5M
  3. CALIFORNIA INDIAN HEALTH SERVICE14.9% · $3.2M · up $185K
  4. CDC OFFICE OF ACQUISITION SERVICES10.2% · $2.2M · down $747K
  5. NATIONAL INSTITUTES OF HEALTH NIDA9.3% · $2.0M · up $2.0M
  6. All other reported offices16.7% 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

    $7.4M

    34.0% of positive obligations

    Versus preceding 12 months

    −$6.2M

    6 active prime contractors · 40 awards

    View office comparison and evidence

    Reported obligations decreased 45.4% from $13.6M to $7.4M. The office’s share of positive obligations moved from 36.8% to 34.0%, a change of −2.8 percentage points.

    The latest period contains 46 actions across 40 awards and 2 newly active prime contractors. The preceding period contained 5 active prime contractors and 79 awards.

    Leading award-level changes

  2. Reported funding office

    NATIONAL INSTITUTES OF HEALTH OLAO

    #2Up 1 from #3

    Latest 12 months

    $3.2M

    14.9% of positive obligations

    Versus preceding 12 months

    −$2.5M

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations decreased 43.2% from $5.7M to $3.2M. The office’s share of positive obligations moved from 15.6% to 14.9%, a change of −0.6 percentage points.

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

  3. Reported funding office

    CALIFORNIA INDIAN HEALTH SERVICE

    #3Up 1 from #4

    Latest 12 months

    $3.2M

    14.9% of positive obligations

    Versus preceding 12 months

    +$185K

    2 active prime contractors · 2 awards

    View office comparison and evidence

    Reported obligations increased 6.0% from $3.1M to $3.2M. The office’s share of positive obligations moved from 8.3% to 14.9%, a change of +6.6 percentage points.

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

  4. Reported funding office

    CDC OFFICE OF ACQUISITION SERVICES

    #4Up 1 from #5

    Latest 12 months

    $2.2M

    10.2% of positive obligations

    Versus preceding 12 months

    −$747K

    8 active prime contractors · 11 awards

    View office comparison and evidence

    Reported obligations decreased 25.1% from $3.0M to $2.2M. The office’s share of positive obligations moved from 8.1% to 10.2%, a change of +2.1 percentage points.

    The latest period contains 21 actions across 11 awards and 4 newly active prime contractors. The preceding period contained 7 active prime contractors and 8 awards.

  5. Reported funding office

    NATIONAL INSTITUTES OF HEALTH NIDA

    #5Up 8 from #13

    Latest 12 months

    $2.0M

    9.3% of positive obligations

    Versus preceding 12 months

    +$2.0M

    4 active prime contractors · 7 awards

    View office comparison and evidence

    Reported obligations increased 5402.6% from $37K to $2.0M. The office’s share of positive obligations moved from 0.10% to 9.3%, a change of +9.2 percentage points.

    The latest period contains 8 actions across 7 awards and 3 newly active prime contractors. The preceding period contained 3 active prime contractors and 5 awards.

  6. Reported funding office

    NATIONAL INSTITUTES OF HEALTH - CC

    #6Down 4 from #2

    Latest 12 months

    $1.9M

    8.7% of positive obligations

    Versus preceding 12 months

    −$5.7M

    2 active prime contractors · 3 awards

    View office comparison and evidence

    Reported obligations decreased 75.0% from $7.6M to $1.9M. The office’s share of positive obligations moved from 20.5% to 8.7%, a change of −11.8 percentage points.

    The latest period contains 3 actions across 3 awards. The preceding period contained 5 active prime contractors and 9 awards.

  7. Reported funding office

    NASHVILLE AREA INDIAN HEALTH SVC

    #7Rank unchanged

    Latest 12 months

    $717K

    3.3% of positive obligations

    Versus preceding 12 months

    −$274K

    2 active prime contractors · 4 awards

    View office comparison and evidence

    Reported obligations decreased 27.6% from $991K to $717K. The office’s share of positive obligations moved from 2.7% to 3.3%, a change of +0.6 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

    NATIONAL INSTITUTES OF HEALTH NHLBI

    #8New to the positive-obligation ranking

    Latest 12 months

    $277K

    1.3% of positive obligations

    Versus preceding 12 months

    +$278K

    4 active prime contractors · 4 awards

    View office comparison and evidence

    Reported obligations moved from $589 in net deobligations to $277K in net obligations. The office’s share of positive obligations moved from 0% to 1.3%, a change of +1.3 percentage points.

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

  9. Reported funding office

    BEMIDJI AREA INDIAN HEALTH SERVICE

    #9New 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.

  10. Reported funding office

    NATIONAL INSTITUTES OF HEALTH NIDCR

    #10Down 1 from #9

    Latest 12 months

    $158K

    0.72% 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 0.43% to 0.72%, 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

    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.

  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

    −$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.

  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 Sep 11, 2025 through Sep 10, 2026, 45 awards had positive obligations totaling $25.6M. Negotiated Proposal/Quote was the leading reported procedure, accounting for 40.2% of positive obligations. Awards with a reported parent IDV accounted for 29.8%. Reported awards used contract vehicles such as SHEPheRD.

Leading award type
48.5%
Definitive Contract
Leading reported procedure
40.2%
Negotiated Proposal/Quote
Reported parent IDV
29.8%
of positive obligations had a reported parent IDV
Median reported offers
1
29 of 45 awards reported offers

Observed contract vehicles

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

  • SHEPheRD

    $500K

    2.0% of positive obligations · 1 matched award

Same-NAICS comparison

Compared with the NAICS 622110 peer median, parent-IDV obligation share is 17.6 percentage points lower, reported full-and-open obligation share is 36.2 percentage points higher, delivery-order obligation share is 18.6 percentage points lower, and median positive award obligations are 173.0% higher.

MeasureThis marketPeer medianDifference
Parent-IDV obligation share29.8%47.4%-17.6 pts
Reported full-and-open obligation share36.3%0.10%+36.2 pts
Delivery-order obligation share28.8%47.4%-18.6 pts
Median positive award obligations$224K$82K+173.0%
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)10$12.4M48.5%
Delivery Order(C)21$7.4M28.8%
Purchase Order(B)13$5.6M21.7%
BPA Call(A)1$250K0.98%

Reported parent-award types

Reported valueAwardsPositive obligationsShare
IDC(B)21$7.4M28.8%
BPA(E)1$250K0.98%
Not reported23$17.9M70.2%

Single- or multiple-award parent structure

Reported valueAwardsPositive obligationsShare
Single Award(S)17$5.4M21.0%
Multiple Award(M)5$2.3M8.8%
Not reported23$17.9M70.2%

Solicitation procedures

Reported valueAwardsPositive obligationsShare
Negotiated Proposal/Quote(NP)18$10.3M40.2%
Simplified Acquisition(SP1)12$7.3M28.4%
Sss(ONLY ONE SOURCE)5$3.6M14.2%
Subject to Multiple Award Fair Opportunity(MAFO)5$2.3M8.8%
Only One Source(SSS)3$1.8M7.2%
Np(NEGOTIATED PROPOSAL/QUOTE)2$298K1.2%

Extent competed

Reported valueAwardsPositive obligationsShare
Full and Open Competition(A)22$9.3M36.3%
Not Competed Under SAP(G)8$6.7M26.1%
C(NOT COMPETED)5$3.6M14.2%
Full and Open Competition After Exclusion of Sources(D)1$3.2M12.7%
Not Competed(C)3$1.8M7.2%
Competed Under SAP(F)4$580K2.3%
Other reported values2$298K1.2%

Fair-opportunity and limited-source reporting

Reported valueAwardsPositive obligationsShare
Fair Opportunity Given(FAIR)5$2.3M8.8%
Not reported40$23.3M91.2%

Other-than-full-and-open reasons

Reported valueAwardsPositive obligationsShare
SAP Non-Competition (FAR 13)(SP2)8$6.7M26.1%
Only One Source-Other (FAR 6.302-1 Other)(ONE)7$3.7M14.5%
Urgency (FAR 6.302-2)(URG)1$1.8M6.9%
Not reported29$13.4M52.5%

Contract pricing types

Reported valueAwardsPositive obligationsShare
Firm Fixed Price(J)30$14.3M56.1%
Cost No Fee(S)7$4.0M15.8%
J(FIRM FIXED PRICE)6$3.8M15.0%
Cost Plus Fixed Fee(U)1$3.2M12.7%
S(COST NO FEE)1$84K0.33%

Product or Service Codes

Reported valueAwardsPositive obligationsShare
Medical- Managed Healthcare(Q201)19$14.3M56.0%
Medical- Other(Q999)5$5.2M20.4%
Support- Professional: Other(R499)5$2.4M9.2%
Special Studies/Analysis- Medical/Health(B537)4$1.8M6.9%
Specialized Medical Support(Q701)1$570K2.2%
Health R&d Services; Health Care - Other; Basic Research(AN41)1$500K2.0%
Other reported values10$844K3.3%

Awarding subagencies

Reported valueAwardsPositive obligationsShare
Indian Health Service(7527)26$15.0M58.8%
National Institutes of Health(7529)13$8.3M32.4%
Centers for Disease Control and Prevention(7523)6$2.3M8.8%

Awarding offices

Reported valueAwardsPositive obligationsShare
Great Plains Area Indian Health Svc(75H706)17$10.6M41.4%
National Institutes of Health Olao(75N980)4$3.8M14.8%
California Indian Health Service(75H703)2$3.2M12.7%
National Institutes of Health Nida(75N950)5$2.5M9.6%
Cdc Office of Acquisition Services(75D301)6$2.3M8.8%
National Institutes of Health - Cc(75N900)2$1.9M7.6%
Other reported values9$1.3M5.1%

Reported parent IDVs

Reported valueAwardsPositive obligationsShare
75H70622D00023(7527)15$5.0M19.6%
75D30123D17951(7523)1$1.3M5.2%
75D30121D12772(7523)1$500K2.0%
75H71124A00034(7527)1$250K0.98%
75D30123D17920(7523)1$218K0.85%
75D30123D18241(7523)1$164K0.64%
75N95025D00002(7529)1$85K0.33%
75D30123D18247(7523)1$56K0.22%
Not reported23$17.9M70.2%

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
29 reported · 16 not reported
Positive award obligations
$224K median
$85K–$632K middle 50%
Reported performance period
364 days (~12 months) median
45 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
9 of 27prime contractors account for at least 80% of positive obligations in the last 12 months
Largest prime contractor
19.3%of positive obligations in the last 12 months
Leading four prime contractors
52.4%of positive obligations in the last 12 months
Leading eight prime contractors
78.8%of positive obligations in the last 12 months

Based on $23.7M 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

    $4.6M

    19.3%

    Dollar movement

    +$1.7M

    vs. prior 12 months

    Last 12mo awards

    23 awards

    25 actions

    Historical and award details for AVEL ECARE LLC
    Obligations: prior → latest
    $2.8M → $4.6M
    +60.8%
    Share: prior → latest
    7.6% → 19.3%
    +11.6 percentage points
    All-period obligations
    $23.5M
    8.4% 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

    13.7%

    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
    15.4% → 13.7%
    −1.7 percentage points
    All-period obligations
    $27.2M
    9.7% 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

    12.0%

    Dollar movement

    −$154K

    vs. prior 12 months

    Last 12mo awards

    13 awards

    17 actions

    Historical and award details for BAY AREA ANESTHESIA LLC
    Obligations: prior → latest
    $3.0M → $2.9M
    −5.1%
    Share: prior → latest
    8.1% → 12.0%
    +3.9 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 reported120
    Reported small business131
    All-period set-aside types

    None reported.

  4. #4

    Last 12mo obligations

    $1.8M

    7.5%

    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
    21.2% → 7.5%
    −13.7 percentage points
    All-period obligations
    $82.5M
    29.4% 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

    7.2%

    Dollar movement

    +$138K

    vs. prior 12 months

    Last 12mo awards

    1 award

    5 actions

    Historical and award details for AMERICAN INDIAN HEALTH & SERVICES CORPORATION
    Obligations: prior → latest
    $1.6M → $1.7M
    +8.8%
    Share: prior → latest
    4.2% → 7.2%
    +3.0 percentage points
    All-period obligations
    $8.0M
    2.9% 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-aside12
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  6. #6

    Last 12mo obligations

    $1.7M

    7.0%

    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
    4.5% → 7.0%
    +2.5 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

    $1.5M

    6.5%

    Dollar movement

    +$47K

    vs. prior 12 months

    Last 12mo awards

    1 award

    3 actions

    Historical and award details for BAKERSFIELD AMERICAN INDIAN HEALTH PROJECT
    Obligations: prior → latest
    $1.5M → $1.5M
    +3.1%
    Share: prior → latest
    4.0% → 6.5%
    +2.5 percentage points
    All-period obligations
    $7.3M
    2.6% of all-period positive obligations · 2 awards
    Recorded activity
    Since Nov 24, 2021
    through Aug 25, 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.

  8. #8

    Last 12mo obligations

    $1.3M

    5.6%

    Dollar movement

    +$1.3M

    vs. prior 12 months

    Last 12mo awards

    1 award

    2 actions

    Historical and award details for VANDERBILT UNIVERSITY MEDICAL CENTER
    Obligations: prior → latest
    −$22K → $1.3M
    Not comparable
    Share: prior → latest
    0% → 5.6%
    +5.6 percentage points
    All-period obligations
    $15.9M
    5.7% of all-period positive obligations · 8 awards
    Recorded activity
    Since Dec 2, 2021
    through Jun 9, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside01
    Not reported11
    Reported small business00
    All-period set-aside types

    None reported.

  9. #9

    Last 12mo obligations

    $993K

    4.2%

    Dollar movement

    −$371K

    vs. prior 12 months

    Last 12mo awards

    2 awards

    2 actions

    Historical and award details for MEDSTAR HEALTH RESEARCH INSTITUTE INC.
    Obligations: prior → latest
    $1.4M → $993K
    −27.2%
    Share: prior → latest
    3.7% → 4.2%
    +0.5 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

    $654K

    2.8%

    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% → 2.8%
    +2.7 percentage points
    All-period obligations
    $2.1M
    0.74% 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.

  11. #11

    Last 12mo obligations

    $500K

    2.1%

    Dollar movement

    −$424K

    vs. prior 12 months

    Last 12mo awards

    1 award

    1 action

    Historical and award details for NATIVE AMERICAN LIFELINES, INC
    Obligations: prior → latest
    $924K → $500K
    −45.9%
    Share: prior → latest
    2.5% → 2.1%
    −0.4 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.

  12. #12

    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.

  13. #13

    Last 12mo obligations

    $463K

    1.9%

    Dollar movement

    −$337K

    vs. prior 12 months

    Last 12mo awards

    2 awards

    2 actions

    Historical and award details for SUBURBAN HOSPITAL, INC
    Obligations: prior → latest
    $800K → $463K
    −42.1%
    Share: prior → latest
    2.2% → 1.9%
    −0.2 percentage points
    All-period obligations
    $1.9M
    0.68% of all-period positive obligations · 5 awards
    Recorded activity
    Since Oct 15, 2021
    through Aug 17, 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.

  14. #14

    Last 12mo obligations

    $350K

    1.5%

    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% → 1.5%
    +1.5 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

    1.0%

    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% → 1.0%
    +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

95.6%

As of Sep 10, 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 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

−$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
7.5%
Supporting data
Prime contractor
0% share
$1.8M net decline; action accounted for 100.0%
Funding office
#1 · 34.0% attributed share
−2.8 percentage points · $6.2M net decline; action accounted for 28.7%
Related:Funding office declineLargest net deobligation
PIID 75H70620C00003 · Mod P00007
Modification

This action

+$1.3M

VANDERBILT UNIVERSITY MEDICAL CENTER

CDC OFFICE OF ACQUISITION SERVICES

2023 CLINICAL IMMUNIZATION SAFETY ASSESSMENT (CISA) BASE IDIQ

Why it stands out

This award grew while spending attributed to its office declined.

The modification added $1.3M while office-attributed obligations fell $747K overall.

Award net obligations
$3.9M
Share of 12-month positive obligations
5.6%
Supporting data
Prime contractor
#8 · 5.6% share
+5.6 percentage points · $1.3M net increase; action accounted for 98.4%
Funding office
#4 · 10.2% attributed share
$747K net decline despite this positive action
PIID 75D30123F00001 · Mod P00005
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 $2.5M overall.

Award net obligations
$30.5M
Share of 12-month positive obligations
13.7%
Supporting data
Prime contractor
#2 · 13.7% share
$2.5M net decline despite this positive action
Funding office
#2 · 14.9% attributed share
$2.5M net decline despite this positive action
PIID 75N98020C00002 · Mod P00031
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 #12 in this market by positive obligations over the latest 12 months.

Award net obligations
$2.0M
Share of 12-month positive obligations
2.1%
Supporting data
Prime contractor
#12 · 2.1% share
Newly active in this market; no actions were reported in the preceding 12 months
Funding office
#4 · 10.2% attributed share
$747K 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 $6.2M overall.

Award net obligations
$9.6M
Share of 12-month positive obligations
7.5%
Supporting data
Prime contractor
#4 · 7.5% share
$6.1M net decline despite this positive action
Funding office
#1 · 34.0% attributed share
$6.2M net decline despite this positive action
PIID 75H70625C00005 · Mod P00004
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 $5.7M overall.

Award net obligations
$7.6M
Share of 12-month positive obligations
7.3%
Supporting data
Prime contractor
#6 · 7.0% share
$10K net decline despite this positive action
Funding office
#6 · 8.7% attributed share
$5.7M net decline despite this positive action
PIID 75N90022C00015 · Mod P00006
View recent award activity by date (10)
  1. LOYOLA UNIVERSITY OF CHICAGOBase award · PIID 75N98026P01477
    Action+$350K
    Award net obligations$350K
  2. MEDSTAR-GEORGETOWN MEDICAL CENTER, INC.Base award · PIID 75N98026P01058
    Action+$25K
    Award net obligations$25K
  3. UNIVERSITY OF MARYLAND MEDICAL SYSTEMDeobligation · PIID 75N93021P00358
    Action−$25K
    Award net obligations$0
  4. AMERICAN INDIAN HEALTH & SERVICES CORPORATIONModification · PIID 75H70325C00002
    Action+$31K
    Award net obligations$3.3M
  5. BAKERSFIELD AMERICAN INDIAN HEALTH PROJECTModification · PIID 75H70325C00015
    Action+$1.5M
    Award net obligations$2.9M
  6. THE JOHNS HOPKINS UNIVERSITYModification · PIID 75N95020C00014
    Action+$84K
    Award net obligations$2.1M
  7. SUBURBAN HOSPITAL, INCDeobligation · PIID 75N95019C00074
    Action−$169K
    Award net obligations$3.1M
  8. AVEL ECARE LLCBase award · PIID 75H70626F03128
    Action+$214K
    Award net obligations$214K
  9. BAKERSFIELD AMERICAN INDIAN HEALTH PROJECTModification · PIID 75H70325C00015
    Action+$5K
    Award net obligations$2.9M
  10. MEDSTAR HEALTH RESEARCH INSTITUTE INC.Deobligation · PIID 75N95019C00044
    Action−$93K
    Award net obligations$3.0M

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 September 10, 2026, AVEL ECARE LLC, EAGLE HEALTH, LLC, and BAY AREA ANESTHESIA LLC were the leading HHS general medical and surgical hospitals prime contractors by positive obligations.

  1. #1

    AVEL ECARE LLC

    $4,563,535 in positive obligations

  2. #2

    EAGLE HEALTH, LLC

    $3,249,630 in positive obligations

  3. #3

    BAY AREA ANESTHESIA LLC

    $2,851,219 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 35.2% from $32,988,675 in the preceding 12 months to $21,387,083 in the 12 months through September 10, 2026.

Latest 12 months
$21,387,083
Net prime contract obligations
Preceding 12 months
$32,988,675
Net prime contract obligations
Change
−35.2%
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 WINNEBAGO TRIBE OF NEBRASKA, VANDERBILT UNIVERSITY MEDICAL CENTER, and EAGLE HEALTH, LLC 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 622110?

From September 11, 2025 through September 10, 2026, HHS reported 45 positive-obligation awards for general medical and surgical hospitals under NAICS 622110. The leading award type was definitive contract. The leading reported procedure was negotiated proposal/quote.

Positive-obligation awards
45
Leading reported procedure
Negotiated Proposal/Quote
40.2% of positive obligations
Leading award type
Definitive Contract
48.5% of positive obligations
Full and open
36.3%
of positive obligations
Reported parent IDV
29.8%
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 September 10, 2026. Set-aside and business-size fields reflect award records, not a contractor's current eligibility.

Review data methodology