Top HHS general medical and surgical hospitals contractors
In the 12 months ending Oct 5, 2026, the Department of Health and Human Services obligated $23.3M in net prime contract dollars under NAICS 622110, down 33.2% from $34.9M in the preceding 12 months. 26 prime contractors received positive obligations, and 9 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 622110
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 | Avel Ecare LLC | $6.2M | $2.8M | 24.1% | ▲ 4 |
| 2 | Eagle Health, LLC | $3.2M | $5.7M | 12.7% | ▲ 1 |
| 3 | Vanderbilt University Medical Center | $2.3M | $1.3M | 8.8% | ▲ 7 |
| 4 | Duke University | $2.1M | $164K | 8.1% | ▲ 12 |
| 5 | Bay Area Anesthesia LLC | $1.8M | $4.0M | 7.1% | ▼ 1 |
| 6 | American Indian Health & Services Corporation | $1.7M | $1.6M | 6.7% | ▲ 1 |
| 7 | Children's National Medical Center | $1.7M | $1.7M | 6.5% | ▼ 1 |
| 8 | Bakersfield American Indian Health Project | $1.6M | $1.5M | 6.1% | — |
| 9 | Medstar Health Research Institute Inc. | $993K | $941K | 3.9% | ▲ 2 |
| 10 | Boston Medical Center Corporation | $950K | $218K | 3.7% | ▲ 4 |
| 11 | The Johns Hopkins University | $654K | $15K | 2.6% | ▲ 18 |
| 12 | Rush University Medical Center | $500K | $0 | 1.9% | New |
| 13 | Suburban Hospital, Inc | $463K | $498K | 1.8% | — |
| 14 | Loyola University of Chicago | $350K | $0 | 1.4% | New |
| 15 | DT-Trak Consulting, Inc. | $238K | $0 | 0.9% | New |
What changed in the last 12 months
Contractors with the largest change in reported obligations versus the preceding 12 months.
Largest gains
- Avera Health−$3.8M → −$220K (+$3.6M) · no latest-period obligations
- Avel Ecare LLC$2.8M → $6.2M (+$3.3M) · now #1
- Duke University$164K → $2.1M (+$1.9M) · now #4
Largest declines
- Tribal Health, LLC$9.6M → $0 (−$9.6M) · no latest-period obligations
- Children's Hospital$6.0M → $200K (−$5.8M) · now #16
- Eagle Health, LLC$5.7M → $3.2M (−$2.5M) · now #2
New to this market
2 contractors received their first obligations in this market (since FY2022) during the latest 12 months. The largest:
| Contractor | First obligation | Latest 12 mo |
|---|---|---|
| Loyola University of Chicago | Sep 8, 2026 | $350K |
| DT-Trak Consulting, Inc. | Mar 11, 2026 | $238K |
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 | $9.8M | $17.4M | Down $7.6M (43.6%) |
| National Institutes of Health | $7.7M | $15.3M | Down $7.6M (49.6%) |
| Centers for Disease Control and Prevention | $5.8M | $2.4M | Up $3.4M (138.1%) |
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 |
|---|---|---|---|
| 75N98020C00002 | Eagle Health, LLC OCCUPATIONAL MEDICAL SERVICES LLC:1331570 [20-001580] | $27.2M | Dec 31, 2026 |
| 75D30122F00001 | Rush University Medical Center WW CENTRAL REGION 2022 DOMAINS 1-A004 | $2.0M | Jan 31, 2027 |
| 75N95024C00046 | Suburban Hospital, Inc CLINICAL SUPPORT SERVICES FOR THE RESEARCH EFFORTS OF THE NINDS, STROKE BRANCH | $1.6M | Mar 27, 2027 |
| 75H70325C00002 | American Indian Health & Services Corporation COMPREHENSIVE HEALTH SERVICES FOR THE ELIGIBLE URBAN INDIAN POPULATION OF SANTA BARBARA, CALIFORNIA. THE AWARD WILL BE DONE PRIOR TO APRIL 1, 2025 FOR A NEW UIO FAR FIRM FIXED… | $3.3M | Mar 31, 2027 |
| 75D30123F00002 | Duke University 2023 CLINICAL IMMUNIZATION SAFETY ASSESSMENT (CISA) BASE IDIQ | $2.2M | May 31, 2027 |
| 75N90022C00015 | Children's National Medical Center PEDIATRIC INTENSIVE CARE PHYSICIAN STAFFING FOR CRITICAL CARE MEDICINE SERVICES | $7.6M | Jun 30, 2027 |
| 75H70626F03125 | Avel Ecare LLC AVEL TELEHEALTH TASK ORDER FOR SISSETON, SD | $1.1M | Jul 31, 2027 |
| 75H70325C00015 | Bakersfield American Indian Health Project BAKERSFIELD AMERICAN INDIAN HEALTH PROJECT | $3.0M | Aug 31, 2027 |
| 75D30124F00003 | Duke University CISA RSV INFANTS STUDY (LEAD SITE) | $1.5M | Sep 26, 2027 |
| 75D30123F00001 | Vanderbilt University Medical Center 2023 CLINICAL IMMUNIZATION SAFETY ASSESSMENT (CISA) BASE IDIQ | $5.3M | Sep 27, 2027 |
Common questions
Who are the top HHS contractors for NAICS 622110?
In the latest 12 months, Avel Ecare LLC ($6.2M), Eagle Health, LLC ($3.2M), Vanderbilt University Medical Center ($2.3M) received the most HHS obligations for general medical and surgical hospitals.
How concentrated is this market?
The eight largest primes held 80.0% of positive obligations, and Avel Ecare LLC alone held 24.1%. 2 contractors won their first obligations in this market during the latest 12 months.
Are any large HHS NAICS 622110 contracts ending soon?
10 of the largest awards in this market reach their current end date in the next 18 months. The first is 75N98020C00002 (Eagle Health, LLC, $27.2M obligated), ending Dec 31, 2026. An end date is a research lead, not a confirmed recompete: options and extensions often move it.
Related markets
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$6.8MFigures 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.
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