Over the last 5 years, the Indian Health Service obligated 6.91 billion across 74,457 award actions, with an average action value of 92,790.13. Spending was led by temporary help services, pharmaceutical preparation manufacturing, construction, and physician office services, with McKesson Corporation as the largest vendor by obligated dollars.
Federal Agency
INDIAN HEALTH SERVICE Federal Contract Obligations (Last 5 Years)
FPDS procurement analysis for the Indian Health Service (agency ID 7527) covering obligations, awards, vendors, NAICS activity, and annual trends over the last 5 years.
Totals reflect the selected 5-year analysis window and may differ from other FPDS views because of timing, updates, and reporting filters.
Agency ID
7527
Total Obligated
6.91 billion
6,908,875,253.52
Award Actions
74,457
Average Action Value
92,790.13
About INDIAN HEALTH SERVICE federal contract activity
Over the last 5 years, the Indian Health Service recorded 74,457 awards totaling $6.91 billion, with an average award value of $92,790.13. The spending profile is high-volume and operationally distributed, reflecting a broad mix of recurring service, supply, clinical, staffing, and construction obligations across the agency’s acquisition base.
Vendor concentration and leading contractors
Vendor obligations are concentrated among a small set of suppliers and service providers, led by MCKESSON CORPORATION at $783.85 million across 1,248 awards. Other major vendors include JAYNES CORPORATION at $172.03 million on a single award, MEDLINE INDUSTRIES, LP at $146.35 million across 292 awards, AB STAFFING SOLUTIONS, LLC at $126.55 million across 2,099 awards, and TRIBAL EM, PLLC at $110.31 million across 390 awards, indicating a mix of large-value one-time commitments and repeat procurement relationships.
Industry profile based on NAICS activity
The largest NAICS category is 561320 Temporary Help Services at $1.25 billion across 15,979 awards, making staffing the dominant procurement area by transaction count and obligated value. Other major categories include 325412 Pharmaceutical Preparation Manufacturing at $769.18 million, 236220 Commercial and Institutional Building Construction at $644.30 million, 621111 Offices of Physicians at $355.71 million, and 541519 Other Computer Related Services at $245.60 million, showing a portfolio anchored in workforce support, pharmaceuticals, construction, clinical services, and IT-related services.
Annual contract trend over the analysis window
Annual obligations remained relatively stable across the period, ranging from $1.23 billion in 2021 to $1.45 billion in 2025. Award counts declined from 16,431 in 2021 to 13,570 in 2025, suggesting fewer transactions at slightly higher annual obligation levels in the later years.
How to interpret this page
This summary uses FPDS Query obligations and award counts for Agency ID 7527 over the last 5 years. Rankings are based on total obligated dollars by vendor and NAICS code, and annual trend figures reflect obligations and award counts by fiscal year within the stated 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 5 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 | 783,854,651.16 | 783.85 million | 1,248 |
| JAYNES CORPORATION | 172,026,426.00 | 172.03 million | 1 |
| MEDLINE INDUSTRIES, LP | 146,352,704.87 | 146.35 million | 292 |
| AB STAFFING SOLUTIONS, LLC | 126,546,723.65 | 126.55 million | 2,099 |
| TRIBAL EM, PLLC | 110,309,683.73 | 110.31 million | 390 |
| TRIBAL HEALTH, LLC | 100,052,338.85 | 100.05 million | 77 |
| BAY AREA ANESTHESIA LLC | 94,999,631.37 | 95.00 million | 409 |
| HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY | 87,895,383.66 | 87.90 million | 17 |
| AMEDISTAF, LLC | 78,408,934.65 | 78.41 million | 1,491 |
| FOUR WINDS STAFFING LLC | 75,247,790.80 | 75.25 million | 389 |
Insight
Over the last 5 years, the Indian Health Service obligated $6.91 billion across 74,457 awards, with an average award value of $92,790. Top vendor spending is concentrated in a small number of firms: McKesson Corporation leads at $783.85 million across 1,248 awards, followed by Jaynes Corporation at $172.03 million from a single award. The remaining top vendors are primarily healthcare, staffing, and tribal health providers, with several receiving high numbers of awards but comparatively lower obligated amounts, indicating a mix of recurring service contracts and larger episodic obligations.
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 5 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 | 1,248,167,456.39 | 1.25 billion | 15,979 |
| 325412 | PHARMACEUTICAL PREPARATION MANUFACTURING | 769,182,499.76 | 769.18 million | 904 |
| 236220 | COMMERCIAL AND INSTITUTIONAL BUILDING CONSTRUCTION | 644,300,724.90 | 644.30 million | 1,168 |
| 621111 | OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) | 355,708,907.91 | 355.71 million | 2,455 |
| 541519 | OTHER COMPUTER RELATED SERVICES | 245,602,557.84 | 245.60 million | 1,307 |
| 621399 | OFFICES OF ALL OTHER MISCELLANEOUS HEALTH PRACTITIONERS | 240,903,551.03 | 240.90 million | 1,800 |
| 339112 | SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING | 239,414,460.63 | 239.41 million | 3,354 |
| 621999 | ALL OTHER MISCELLANEOUS AMBULATORY HEALTH CARE SERVICES | 218,267,700.04 | 218.27 million | 674 |
| 622110 | GENERAL MEDICAL AND SURGICAL HOSPITALS | 201,774,436.95 | 201.77 million | 604 |
| 621112 | OFFICES OF PHYSICIANS, MENTAL HEALTH SPECIALISTS | 199,801,844.00 | 199.80 million | 360 |
Insight
Over the last 5 years, Indian Health Service obligated $6.91 billion across 74,457 awards, with procurement concentrated in a small number of NAICS codes. Temporary Help Services (NAICS 561320) is the largest category at $1.25 billion and 15,979 awards, followed by Pharmaceutical Preparation Manufacturing ($769.18 million) and Commercial and Institutional Building Construction ($644.30 million). The remaining top NAICS are predominantly health care, medical manufacturing, and support service categories, indicating a broad but mission-aligned spending profile with notable reliance on labor, pharmaceuticals, and facility-related procurement.
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 5 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 |
Insight
Over the last 5 years, INDIAN HEALTH SERVICE obligated $6.91 billion across 74,457 awards, averaging $92,790 per award. Annual obligations were relatively stable at roughly $1.39 billion to $1.45 billion from 2022 through 2025, following a lower 2021 level of $1.23 billion. Award volume trended downward from 16,431 in 2021 to 13,570 in 2025, indicating fewer awards were driving similar obligation levels and a higher average value per award over time.
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