Top HHS residential mental health and substance abuse facilities contractors
In the 12 months ending Oct 5, 2026, the Department of Health and Human Services obligated $6.0M in net prime contract dollars under NAICS 623220, up 26.7% from $4.7M in the preceding 12 months. 7 prime contractors received positive obligations, and 3 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 623220
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 | The Friendship House Association of American Indians | $2.6M | $2.5M | 43.5% | — |
| 2 | Native American Connections, Inc. | $1.8M | $1.6M | 29.6% | — |
| 3 | The Native American Rehabilitation Association of the Northwest, Incorporated | $1.4M | $479K | 23.4% | — |
| 4 | Churchill Council on Alcohol & Other Drugs | $86K | $110K | 1.4% | ▲ 1 |
| 5 | Community Bridges, Inc | $86K | $160K | 1.4% | ▼ 1 |
| 6 | Crossroads Inc | $20K | −$132K | 0.3% | New |
| 7 | University of Arizona | $20K | $0 | 0.3% | New |
What changed in the last 12 months
Contractors with the largest change in reported obligations versus the preceding 12 months.
Largest gains
- The Native American Rehabilitation Association of the Northwest, Incorporated$479K → $1.4M (+$932K) · now #3
- Native American Connections, Inc.$1.6M → $1.8M (+$174K) · now #2
- Crossroads Inc−$132K → $20K (+$152K) · now #6
Largest declines
- Community Bridges, Inc$160K → $86K (−$74K) · now #5
- RR Recovery, LLC$0 → −$69K (−$69K) · no latest-period obligations
- Churchill Council on Alcohol & Other Drugs$110K → $86K (−$24K) · now #4
New to this market
1 contractors received their first obligations in this market (since FY2022) during the latest 12 months. The largest:
| Contractor | First obligation | Latest 12 mo |
|---|---|---|
| University of Arizona | Dec 15, 2025 | $20K |
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 | $6.0M | $4.7M | Up $1.3M (26.7%) |
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 |
|---|---|---|---|
| 75H70325C00011 | The Friendship House Association of American Indians THE CONTRACTOR SHALL PROVIDE SERVICES, AS SET FORTH IN SECTION C, TO ALL ELIGIBLE URBAN INDIANS, AS DEFINED IN SECTION C.1, WITHIN SAN FRANCISCO, SANTA CLARA, AND OAKLAND,… | $5.1M | Jul 31, 2027 |
Common questions
Who are the top HHS contractors for NAICS 623220?
In the latest 12 months, The Friendship House Association of American Indians ($2.6M), Native American Connections, Inc. ($1.8M), The Native American Rehabilitation Association of the Northwest, Incorporated ($1.4M) received the most HHS obligations for residential mental health and substance abuse facilities.
How concentrated is this market?
The eight largest primes held 100.0% of positive obligations, and The Friendship House Association of American Indians alone held 43.5%. 1 contractors won their first obligations in this market during the latest 12 months.
Are any large HHS NAICS 623220 contracts ending soon?
1 of the largest awards in this market reach their current end date in the next 18 months. The first is 75H70325C00011 (The Friendship House Association of American Indians, $5.1M obligated), ending Jul 31, 2027. An end date is a research lead, not a confirmed recompete: options and extensions often move it.
Related markets
NAICS 623220 across all agencies
VA · NAICS 623220
$32.2MFigures 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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