Diagnostic and medical treatment to inpatients with a wide variety of medical conditions. Find active federal and state general medical and surgical hospitals contracts — AI-scored against your profile across SAM.gov and 200+ portals.
Annual federal spend under NAICS 622110 exceeds $30 billion, driven primarily by VA, DoD, and IHS. Contracts are predominantly large IDIQs (e.g., VA's Community Care Network, DoD's TRICARE) with fixed-price or cost-reimbursement structures. Demand is driven by inpatient surgical and medical care, emergency services, and specialized treatments. Competition is intense, with a mix of large academic medical centers and regional hospitals. Small business participation is limited due to high capital requirements, but set-asides exist for VA's SDVOSB/VOSB programs and IHS' Buy Indian Act. Most awards are multi-year with option periods.
These agencies are the largest buyers of general medical and surgical hospitals services and products in the federal government. Each awards contracts under NAICS 622110 regularly — build relationships with their small business offices first.
Focus on VA's SDVOSB set-asides (e.g., Community Care Network) and IHS' Buy Indian Act contracts. The highest-leverage move is to obtain Joint Commission accreditation and CMS certification, which are prerequisites for most federal hospital contracts. Build relationships with VA Network contracting officers and demonstrate capacity for 24/7 emergency services. Consider partnering with a larger hospital system as a subcontractor to gain experience.
Most contracts are awarded via best-value tradeoff, emphasizing past performance and technical capability over price. Common vehicles include VA's Community Care Network IDIQs, DoD's TRICARE Managed Care Support Contracts, and IHS' 638 compacts. GSA Schedule 621I is used for ancillary services. LPTA is rare due to critical nature of care.
You must have a valid state hospital license, Medicare certification, and Joint Commission accreditation (or equivalent). VA contracts may require specific VHA Directive compliance.
Awards vary widely: VA Community Care Network contracts can be $5-50 million annually per facility, while DoD TRICARE contracts exceed $1 billion. Small business set-asides average $2-10 million.
Extremely competitive. Only 15-20% of contracts are set aside for small businesses. Large incumbents like HCA Healthcare and Kaiser dominate. Differentiation requires specialized services (e.g., trauma, burn units).
Yes, many small hospitals serve as subcontractors to large primes on IDIQs. This is a common entry point. Ensure you have a subcontracting plan and meet the prime's quality standards.
Performance and payment bonds are typically required for contracts over $150,000. For large IDIQs, bonds may be waived if the contractor has strong financials and past performance.