Top HHS outpatient mental health and substance abuse centers contractors
In the 12 months ending Oct 5, 2026, the Department of Health and Human Services obligated $6.4M in net prime contract dollars under NAICS 621420, up 4.5% from $6.1M in the preceding 12 months. 9 prime contractors received positive obligations, and 4 of them accounted for 80% of that spend.
Prime contracts funded by the Department of Health and Human Services. Latest 12 months: Oct 6, 2025 to Oct 5, 2026. Source: USAspending.gov.
Obligations by fiscal year
Net prime contract obligations by federal fiscal year (October to September).
Top HHS contractors for NAICS 621420
Ranked by positive obligations in the latest 12 months. Share is of all positive obligations in this market.
| # | Contractor | Latest 12 mo | Prior 12 mo | Share | Rank change |
|---|---|---|---|---|---|
| 1 | Native Directions, Inc | $1.6M | $1.4M | 24.0% | — |
| 2 | American Indian Council on Alcoholism Inc | $1.4M | $1.3M | 22.1% | ▲ 1 |
| 3 | Rhode Island Indian Council Inc | $1.3M | $1.4M | 20.0% | ▼ 1 |
| 4 | Juel Fairbanks Chemical Dependency Services | $1.2M | $1.1M | 19.1% | — |
| 5 | AIN- DAH-ING, Inc | $366K | $366K | 5.6% | — |
| 6 | Minnesota Indian Primary Residential Treatment Center, Inc. | $307K | $307K | 4.7% | — |
| 7 | Leech Lake Band of Ojibwe | $250K | $250K | 3.8% | — |
| 8 | Nevada Urban Indians Inc. | $22K | $11K | 0.3% | ▲ 2 |
| 9 | Native Health | $22K | $22K | 0.3% | — |
What changed in the last 12 months
Contractors with the largest change in reported obligations versus the preceding 12 months.
Largest gains
- American Indian Council on Alcoholism Inc$1.3M → $1.4M (+$153K) · now #2
- Juel Fairbanks Chemical Dependency Services$1.1M → $1.2M (+$143K) · now #4
- Native Directions, Inc$1.4M → $1.6M (+$143K) · now #1
Largest declines
- Rhode Island Indian Council Inc$1.4M → $1.3M (−$95K) · now #3
- Vista Hill Foundation$50K → −$24K (−$74K) · no latest-period obligations
- Churchill Council on Alcohol & Other Drugs$0 → −$50K (−$50K) · no latest-period obligations
Where the money comes from
Funding sub-agencies within the Department of Health and Human Services, latest 12 months. The funding organization can differ from the office that runs the requirement.
| Funding sub-agency | Latest 12 mo | Prior 12 mo | Change |
|---|---|---|---|
| Indian Health Service | $6.4M | $6.1M | Up $276K (4.5%) |
Potential recompetes
Large awards in this market whose current period of performance ends in the next 18 months. Treat these as research leads: options, extensions, and follow-on vehicles often change the timing.
| Award | Incumbent | Obligated | Current end |
|---|---|---|---|
| 75H70526F06006 | American Indian Council on Alcoholism Inc TITLE V URBAN INDIAN HEALTH SERVICES AND ALCOHOL FUNDING | $1.3M | Dec 31, 2026 |
| 75H71222C00010 | Nevada Urban Indians Inc. THE PHOENIX AREA INDIAN HEALTH SERVICE IS ISSUING A SOLE SOURCE, FIXED PRICE CONTRACT TO NEVADA URBAN INDIANS, A NON-PROFIT URBAN INDIAN ORGANIZATION, FOR HEALTH CARE RELATED… | $3.1M | Feb 6, 2027 |
| 75H71222C00011 | Urban Indian Center of Salt Lake THE PHOENIX AREA INDIAN HEALTH SERVICE IS ISSUING A SOLE SOURCE, FIXED PRICE CONTRACT TO URBAN INDIAN CENTER OF SALT LAKE, A NON-PROFIT URBAN INDIAN ORGANIZATION, FOR HEALTH CARE… | $13.6M | Feb 6, 2027 |
| 75H70325C00013 | Native Directions, Inc URBAN INDIAN ORGANIZATION (UIO0 FOR SAN JOAQUIN COUNTY CA. THIS IS A REQUEST FOR PROPOSAL FOR THE CONTRACTOR TO PERFORM THE WORK REQUIREMENTS LISTED IN THE PERFORMANCE WORK… | $3.0M | Jul 31, 2027 |
| 75H70322P00045 | Vista Hill Foundation THE CONTRACTOR SHALL PROVIDE SERVICES TO COORDINATE AND EXPAND ACCESS TO CHILD PSYCHIATRY SERVICES BASED ON A ?SYSTEM OF CARE MODEL? TO IDENTIFIED HEALTHCARE PROVIDERS IN TRIBAL… | $1.2M | Sep 29, 2027 |
Common questions
Who are the top HHS contractors for NAICS 621420?
In the latest 12 months, Native Directions, Inc ($1.6M), American Indian Council on Alcoholism Inc ($1.4M), Rhode Island Indian Council Inc ($1.3M) received the most HHS obligations for outpatient mental health and substance abuse centers.
How concentrated is this market?
The eight largest primes held 99.7% of positive obligations, and Native Directions, Inc alone held 24.0%. 0 contractors won their first obligations in this market during the latest 12 months.
Are any large HHS NAICS 621420 contracts ending soon?
5 of the largest awards in this market reach their current end date in the next 18 months. The first is 75H70526F06006 (American Indian Council on Alcoholism Inc, $1.3M obligated), ending Dec 31, 2026. An end date is a research lead, not a confirmed recompete: options and extensions often move it.
Related markets
NAICS 621420 across all agencies
DOJ · NAICS 621420
$43.5MFigures are net obligations on prime contracts (award types A–D) from USAspending.gov, grouped by funding agency and the NAICS code on each award. Net obligations include deobligations and corrections, so they can differ from positive-obligation totals. See methodology.
Ready to connect your pursuit work?
GovEagle gives BD directors, capture managers, and proposal teams one AI workspace from pipeline through proposal, with CMMC/FedRAMP Certified compliance built in.