Specialty hospitals including orthopedic, cardiac, and cancer treatment centers for government beneficiaries. Find active federal and state specialty (except psychiatric) hospitals contracts — AI-scored against your profile across SAM.gov and 200+ portals.
Annual federal spend under NAICS 622310 exceeds $2 billion, driven primarily by the VA (inpatient specialty care for veterans), DoD (TRICARE beneficiaries), and NCI (cancer research treatment). Contracts are predominantly IDIQ or BPA-based, with fixed-price per-diem or bundled case-rate pricing. Demand spikes with aging veteran population and cancer incidence rates. Competition is moderate; about 60% of obligations go to small businesses, but large academic medical centers dominate complex cases. New entrants often start as subcontractors or via 8(a) STARS III.
These agencies are the largest buyers of specialty (except psychiatric) hospitals services and products in the federal government. Each awards contracts under NAICS 622310 regularly — build relationships with their small business offices first.
Win by targeting VA's Community Care Network (CCN) and DoD's TRICARE network – both use PPO-style open networks rather than competitive IDIQs. The highest-leverage move is obtaining Joint Commission accreditation for specialty hospital services and enrolling as a network provider. For set-asides, 8(a) and SDVOSB are common; HUBZone less so. Avoid bidding on large academic IDIQs without established referral relationships. Instead, pursue regional BPAs with VA Medical Centers for high-volume procedures like joint replacements or cardiac surgeries.
Buying is primarily via open networks (VA CCN, TRICARE) using best-value evaluation on quality, cost, and access. GSA Schedule 621I (Professional & Allied Healthcare Staffing) is less relevant. 8(a) STARS III and SEWP are rarely used. Agency-specific IDIQs (e.g., VA's Specialty Care IDIQ) use LPTA for routine procedures, best-value for complex care.
You must have a valid state hospital license, Joint Commission accreditation (or equivalent), and enroll in the VA's Community Care Network (CCN) as a specialty provider. SDVOSB or 8(a) certification can provide set-aside advantages.
Bonds are rare for fee-for-service or per-diem contracts. However, fixed-price IDIQs over $150,000 may require a performance bond if the government deems it necessary. Most specialty hospital contracts are service-based and bond-exempt.
SDVOSB (Veteran Affairs) and 8(a) are most valuable. For cancer treatment, NCI designation is critical. For orthopedics, AAOS accreditation may help. HUBZone is less common but can differentiate you in rural areas.
Moderately competitive. Small businesses capture ~60% of obligations, but much of that goes to established providers in VA networks. New entrants face barriers from large academic centers. Focus on underserved regions or niche specialties like cardiac rehab.
Awards vary widely: single-award BPAs can be $500K–$5M annually; network agreements (CCN) have no fixed ceiling but reimburse per case. IDIQs for NCI or DoD may reach $50M over 5 years. Most small business awards are under $5M.