Federal Agency

INDIAN HEALTH SERVICE Federal Contract Obligations (Last 10 Years)

Indian Health Service FPDS procurement profile covering the last 10 years, with $11.45 billion obligated across 164,047 award actions.

This page summarizes federal procurement activity for Indian Health Service (Agency ID 7527) over the last 10 years, including total obligations, award volume, annual trend, top vendors, and leading NAICS categories. The data shows sustained annual obligations near $1.2 billion to $1.45 billion in recent years, with major spend concentrated in temporary help services, pharmaceuticals, and medical-related goods and services.

Generated at 03/21/2026

Analysis period: Last 10 years

Totals reflect FPDS obligations for the selected analysis window and may include actions across multiple contract types, vendors, and fiscal years.

Agency ID
7527
Total Obligated
11.45 billion
11,448,511,422.72
Award Actions
164,047
Average Action Value
69,787.99

About INDIAN HEALTH SERVICE federal contract activity

Over the last 10 years, the Indian Health Service obligated $11.45 billion across 164,047 awards, with an average award value of $69,787.99. The scale and volume of activity indicate a procurement profile dominated by high-frequency, relatively small-value awards alongside several large programmatic obligations.

Vendor concentration and leading contractors

MCKESSON CORPORATION is the leading vendor by obligated dollars at $1.81 billion across 2,718 awards, followed by AB STAFFING SOLUTIONS, LLC at $333.23 million across 5,120 awards and TRIBAL EM, PLLC at $192.23 million across 482 awards. The vendor mix combines pharmaceutical supply, staffing, medical services, and construction providers, showing broad reliance on both recurring service contracts and specialized high-dollar suppliers.

Industry profile based on NAICS activity

Temporary Help Services (561320) is the largest NAICS category at $1.99 billion across 32,267 awards, making workforce support the most visible spend area. Pharmaceutical Preparation Manufacturing (325412), Commercial and Institutional Building Construction (236220), Offices of Physicians (621111), and Surgical and Medical Instrument Manufacturing (339112) also represent substantial obligations, suggesting a procurement portfolio centered on clinical support, drug acquisition, facility work, and medical equipment.

Annual contract trend over the analysis window

Annual obligations in the five most recent years are relatively stable, ranging from $1.23 billion in 2021 to $1.45 billion in 2025. Award counts remain consistently high, with 2021 at 16,431 awards and 2025 at 13,570, indicating sustained procurement activity even as annual dollars fluctuate within a narrow band.

How to interpret this page

This summary is based on FPDS Query obligations for agency ID 7527, the Indian Health Service, using the last 10 years of available award data. Annual trend figures reflect the most recent five years shown in the provided dataset, while vendor and NAICS sections are ranked by total obligated dollars in the same analysis window.

Top Vendors

SELECT
    vendor_name,
    total_obligated,
    award_count,
    formatReadableQuantity(total_obligated) AS total_obligated_readable
FROM
(
    SELECT
        content__award__vendor__vendorHeader__vendorName AS vendor_name,
        sum(content__award__dollarValues__obligatedAmount) AS total_obligated,
        count() AS award_count
    FROM fpds.data
    WHERE
        contract_type = 1
        AND content__award__purchaserInformation__contractingOfficeAgencyID = '7527'
        AND content__award__vendor__vendorHeader__vendorName IS NOT NULL
        AND content__award__vendor__vendorHeader__vendorName != ''
        AND parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate) >= toStartOfYear(now()) - INTERVAL 10 YEAR
        AND parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate) < toStartOfYear(now())
    GROUP BY vendor_name
)
ORDER BY total_obligated DESC
LIMIT 10
Vendor Total Obligated Readable Award Actions
MCKESSON CORPORATION 1,806,332,203.25 1.81 billion 2,718
AB STAFFING SOLUTIONS, LLC 333,226,698.48 333.23 million 5,120
TRIBAL EM, PLLC 192,226,844.56 192.23 million 482
JAYNES CORPORATION 172,026,426.00 172.03 million 1
MEDLINE INDUSTRIES, LP 146,501,704.87 146.50 million 293
CHG COMPANIES, INC. 134,252,905.50 134.25 million 2,539
FLINTCO, LLC 126,512,105.00 126.51 million 12
MEDLINE INDUSTRIES, INC. 124,352,094.49 124.35 million 657
AMEDISTAF, LLC 110,058,065.92 110.06 million 2,300
VISTA STAFFING SOLUTIONS, INC. 107,376,117.48 107.38 million 1,257

Insight

Over the last 10 years, the Indian Health Service obligated $11.45 billion across 164,047 awards, with an average award value of $69,787.99. Obligations are moderately concentrated at the top end: McKesson Corporation leads with $1.81 billion, about 15.8% of total obligations, while the remaining top vendors each account for far smaller shares. The vendor mix also suggests a split between high-volume service and staffing awards, such as AB Staffing Solutions, LLC and CHG Companies, Inc., and lower-count, higher-value awards such as Jaynes Corporation and Flintco, LLC.

Top NAICS

SELECT
    naics_code,
    naics_name,
    total_obligated,
    award_count,
    formatReadableQuantity(total_obligated) AS total_obligated_readable
FROM
(
    SELECT
        content__award__productOrServiceInformation__principalNAICSCode AS naics_code,
        anyHeavy(content__award__productOrServiceInformation__principalNAICSCode__description) AS naics_name,
        sum(content__award__dollarValues__obligatedAmount) AS total_obligated,
        count() AS award_count
    FROM fpds.data
    WHERE
        contract_type = 1
        AND content__award__purchaserInformation__contractingOfficeAgencyID = '7527'
        AND content__award__productOrServiceInformation__principalNAICSCode IS NOT NULL
        AND content__award__productOrServiceInformation__principalNAICSCode != ''
        AND parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate) >= toStartOfYear(now()) - INTERVAL 10 YEAR
        AND parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate) < toStartOfYear(now())
    GROUP BY naics_code
)
ORDER BY total_obligated DESC
LIMIT 10
NAICS Code Description Total Obligated Readable Award Actions
561320 TEMPORARY HELP SERVICES 1,987,544,638.83 1.99 billion 32,267
325412 PHARMACEUTICAL PREPARATION MANUFACTURING 1,724,158,345.99 1.72 billion 1,797
236220 COMMERCIAL AND INSTITUTIONAL BUILDING CONSTRUCTION 930,342,767.41 930.34 million 2,291
621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) 551,257,339.50 551.26 million 6,496
339112 SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING 448,247,211.37 448.25 million 8,051
541519 OTHER COMPUTER RELATED SERVICES 420,991,885.49 420.99 million 3,164
622110 GENERAL MEDICAL AND SURGICAL HOSPITALS 310,756,345.51 310.76 million 995
621999 ALL OTHER MISCELLANEOUS AMBULATORY HEALTH CARE SERVICES 286,007,630.20 286.01 million 1,329
621399 OFFICES OF ALL OTHER MISCELLANEOUS HEALTH PRACTITIONERS 255,845,528.33 255.85 million 2,329
621112 OFFICES OF PHYSICIANS, MENTAL HEALTH SPECIALISTS 247,531,285.95 247.53 million 620

Insight

Over the last 10 years, INDIAN HEALTH SERVICE obligated $11.45 billion across 164,047 awards, with spending concentrated in a small number of NAICS categories tied to staffing, pharmaceuticals, construction, and clinical services. Temporary Help Services (561320) is the largest category at $1.99 billion, followed by Pharmaceutical Preparation Manufacturing (325412) at $1.72 billion and Commercial and Institutional Building Construction (236220) at $930.34 million, indicating a mix of workforce support, medical supply procurement, and facility-related obligations. The remaining top NAICS categories are also primarily health care and health-support related, but with materially lower obligation levels, suggesting a broad yet top-heavy spending distribution.

Annual Trend

SELECT
    year,
    total_obligated,
    award_count,
    formatReadableQuantity(total_obligated) AS total_obligated_readable
FROM
(
    SELECT
        toYear(parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate)) AS year,
        sum(content__award__dollarValues__obligatedAmount) AS total_obligated,
        count() AS award_count
    FROM fpds.data
    WHERE
        contract_type = 1
        AND content__award__purchaserInformation__contractingOfficeAgencyID = '7527'
        AND parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate) >= toStartOfYear(now()) - INTERVAL 10 YEAR
        AND parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate) < toStartOfYear(now())
    GROUP BY year
)
ORDER BY year DESC
Year Total Obligated Readable Award Actions
2025 1,447,411,921.34 1.45 billion 13,570
2024 1,406,742,252.98 1.41 billion 13,959
2023 1,394,855,396.90 1.39 billion 14,894
2022 1,427,402,383.22 1.43 billion 15,603
2021 1,232,463,299.08 1.23 billion 16,431
2020 1,018,601,793.34 1.02 billion 17,199
2019 988,887,685.57 988.89 million 15,032
2018 872,108,904.64 872.11 million 17,575
2017 867,621,623.34 867.62 million 19,412
2016 792,416,162.31 792.42 million 20,372

Insight

INDIAN HEALTH SERVICE obligated 11.45 billion across 164,047 awards over the last 10 years, with an average award value of 69,787.99. Annual obligations were relatively steady from 2016 through 2024, ranging from 792.42 million to 1.45 billion, then increased to 1.45 billion in 2025, the highest year in the period. Award volume generally declined from 20,372 in 2016 to 13,570 in 2025, indicating higher annual obligation levels were not driven by a corresponding increase in award count.

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