Federal award data, Department of Health and Human Services
Indian Health Service: contract awards and competition
What does the Indian Health Service buy, and how many bids do its contracts get?
The Indian Health Service signed 32,587 new contract awards of $25,000 or more in FY2016-FY2026, worth $11.9B. 75% were competed, and competed awards drew a median of 2 offers; 45% got a single offer. Its most common NAICS code was 561320 (Temporary Help Services), with 7,241 awards.
USAspending.gov data, FY2016-FY2026. Updated .
- New awards
- 32,587
- Obligated
- $11.9B
- Median award
- $88,920
- Median offers
- 2
- Agencies signed about 3,078 new awards a year from FY2016 to FY2025, 2,614 of them in FY2025 (down 17% from FY2016).
- The median award was $88,920; 3,688 different companies won at least one award.
- 35% of awards that report a set-aside were set aside for small businesses or a socioeconomic program, most often small business set-asides.
- 1,787 of these awards reach their potential end date (all options exercised) in the next 12 months, so most of that work comes up for re-bid.
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Awards per fiscal year
New Indian Health Service awards of $25,000 or more by the fiscal year they were signed (October to September), with the amount obligated on them to date.
| Fiscal year | Awards | Obligated |
|---|---|---|
| FY2016 | 3,142 | $827M |
| FY2017 | 3,353 | $792M |
| FY2018 | 3,105 | $853M |
| FY2019 | 3,217 | $993M |
| FY2020 | 3,143 | $1.2B |
| FY2021 | 3,227 | $1.1B |
| FY2022 | 3,114 | $1.5B |
| FY2023 | 3,050 | $1.2B |
| FY2024 | 2,817 | $1.3B |
| FY2025 | 2,614 | $1.4B |
| FY2026* | 1,805 | $767M |
* FY2026 is still filling in: the Department of Defense reports its awards 90 days late. Full years run to FY2025.
How competitive are these contracts?
75% of awards were competed. Competed awards drew a median of 2 offers, against 3 offers across all federal contracts; 45% got a single offer.
| Offers received | Competed awards |
|---|---|
| 1 (single offer) | 8,387 (45%) |
| 2 | 2,494 (13%) |
| 3-4 | 3,812 (20%) |
| 5-9 | 3,195 (17%) |
| 10+ | 952 (5%) |
18,840 competed awards with an offer count. Not competed: 8,282 awards (sole source, follow-on or not available for competition).
Set-asides
35% of the 18,130 awards that report a set-aside were reserved for small businesses or a socioeconomic program.
| Set-aside | Awards |
|---|---|
| No set-aside | 11,865 (65%) |
| Small business | 2,866 (16%) |
| Indian Economic Enterprises (ISBEE) | 1,888 (10%) |
| 8(a) | 1,127 (6%) |
| Service-disabled veteran-owned (SDVOSB) | 210 (1%) |
| HUBZone | 111 (1%) |
| Women-owned (WOSB and EDWOSB) | 63 (0%) |
Orders placed under an existing contract vehicle often leave the set-aside blank (it is recorded on the vehicle), so they are left out here.
How big are the awards?
The median award was $88,920. 54% were under $100,000, the range where agencies often use simplified acquisition.
| Amount obligated | Awards |
|---|---|
| Under $100K | 17,584 (54%) |
| $100K-$1M | 13,199 (41%) |
| $1M-$10M | 1,656 (5%) |
| $10M+ | 148 (0%) |
What does it buy?
The NAICS codes with the most new awards.
| Awards | Obligated | |
|---|---|---|
| 561320 Temporary Help Services | 7,241 | $2.1B |
| 339112 Surgical and Medical Instrument Manufacturing | 1,885 | $467M |
| 621111 Offices of Physicians (except Mental Health Specialists) | 1,603 | $634M |
| 424210 Drugs and Druggists' Sundries Merchant Wholesalers | 1,312 | $196M |
| 334516 Analytical Laboratory Instrument Manufacturing | 1,171 | $186M |
| 621511 Medical Laboratories | 1,169 | $209M |
| 561210 Facilities Support Services | 852 | $71.4M |
| 339113 Surgical Appliance and Supplies Manufacturing | 774 | $106M |
Where is the work done?
Awards by place of performance.
| Awards | Obligated | |
|---|---|---|
| New Mexico | 7,797 | $2.2B |
| Arizona | 6,546 | $2.2B |
| Oklahoma | 4,524 | $1.4B |
| South Dakota | 4,328 | $1.3B |
| California | 1,779 | $1.4B |
| Montana | 1,751 | $679M |
| North Dakota | 1,014 | $222M |
| Minnesota | 872 | $220M |
Largest awards
The five awards with the most obligated, as described by the contracting office. Each links to its record on USAspending.gov.
- Contractor shall provide a firm-fixed-price for all labor, personnel, equipment, materials, tools,...Indian Health Service, FY2025$173M
- Rapid city health center design build construction project, rapid city, sdIndian Health Service, FY2019$127M
- Alamo navajo health center design-buildIndian Health Service, FY2026$96.7M
- Software engineering and support servicesIndian Health Service, FY2016$80.3M
- Ihs purchased referred care (prc) fiscal intermediary (fi) servicesIndian Health Service, FY2022$80.1M
Coming up for re-bid
1,787 of these awards reach their potential end date (every option exercised) in the 12 months after November 5, 2026. Agencies usually post the follow-on solicitation, or a sources-sought notice, months before that.
Falkview US watches SAM.gov for the follow-on notices under your NAICS codes, checks set-aside eligibility against your UEI, and drafts the response for your team to review. For janitorial, landscaping and facilities support, the recompete calendar lists the individual contracts.
See how Falkview handles a re-bidQuestions
How many bids do Indian Health Service contracts get?
Competed awards drew a median of 2 offers (FY2016-FY2026, 18,840 awards with an offer count). 45% got a single offer and 22% got five or more. Across all federal contracts the median is 3 offers.
What does the Indian Health Service buy most?
By number of new awards in FY2016-FY2026: NAICS 561320 Temporary Help Services (7,241), NAICS 339112 Surgical and Medical Instrument Manufacturing (1,885), NAICS 621111 Offices of Physicians (except Mental Health Specialists) (1,603), NAICS 424210 Drugs and Druggists' Sundries Merchant Wholesalers (1,312).
How many Indian Health Service contracts are set aside for small business?
35% of the awards that report a set-aside were reserved for small businesses or a socioeconomic program: small business set-asides 16%, Indian Economic Enterprises (ISBEE) 10%, 8(a) 6%. Orders under existing contract vehicles often leave the field blank, so those are not counted.
Where the numbers come from
Every new federal contract award of $25,000 or more signed from October 1, 2015 to September 30, 2026 (FY2016 to FY2026), as reported to USAspending.gov from the Federal Procurement Data System: definitive contracts, purchase orders, delivery orders and BPA calls. Amounts are what has been obligated on each award to date, options and modifications included. Place is the place of performance.
Offer counts are FPDS's “number of offers received” on competed awards. Award recipients are counted but not named here. Pages with fewer than 150 awards (500 for one code in one state) are left out of search engines, because a handful of awards can swing the numbers.
Compiled by Falkview US from public data, updated November 5, 2026. Free to reuse under CC BY 4.0 with a link to the page.
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