Long-term skilled nursing care for veterans and elderly government beneficiaries. Find active federal and state nursing care facilities contracts — AI-scored against your profile across SAM.gov and 200+ portals.
Annual federal spend on NAICS 623110 nursing care facilities is estimated at $5-7 billion, driven primarily by VA community living centers, CMS skilled nursing facility (SNF) payments for Medicare/Medicaid beneficiaries, and IHS long-term care for Native elders. Contracts are typically awarded as fixed-price, single-award IDIQs or BPAs at the regional level, with some national VA contracts. Competition is moderate, with about 30-40 active small businesses. Demand is fueled by aging veteran and Native populations, and CMS value-based purchasing incentives. Most contracts require 24/7 skilled nursing, rehabilitation, and compliance with federal life safety codes.
These agencies are the largest buyers of nursing care facilities services and products in the federal government. Each awards contracts under NAICS 623110 regularly — build relationships with their small business offices first.
To win nursing care contracts, focus on VA's Community Living Center (CLC) IDIQs and CMS's SNF value-based purchasing programs. The most common set-aside is SDVOSB/VOSB for VA, and 8(a) for IHS. The single highest-leverage move is to obtain Medicare/Medicaid certification and Joint Commission accreditation, as these are often mandatory and reduce evaluation risk. Build relationships with VA medical center contracting officers and IHS area offices. Offer competitive rates while emphasizing quality metrics like low hospital readmission rates.
Most NAICS 623110 contracts are awarded as LPTA (lowest price technically acceptable) for routine care, or best-value tradeoff for specialized care (e.g., dementia, spinal cord injury). Common vehicles include VA CLC IDIQs, IHS area office BPAs, and GSA MAS Schedule 621I (Health Care Services). Evaluation focuses on staff-to-patient ratios, infection control, and past performance on similar contracts.
You need a state license as a skilled nursing facility, Medicare/Medicaid certification, and typically Joint Commission or CARF accreditation. VA also requires compliance with the VA Community Living Center Handbook and life safety codes.
Yes, for contracts over $150,000, the Miller Act requires performance and payment bonds. Some VA IDIQs may require a single bond covering all task orders. Expect bond amounts up to 100% of the contract value.
Average task order value is $500,000 to $2 million per year, with total IDIQ ceilings often $10-50 million over 5 years. VA CLC contracts average $1.5 million annually per facility.
Very competitive among 8(a) firms, with 5-10 bidders per solicitation. IHS uses set-asides for Native-owned businesses. Non-Native firms can compete as subcontractors or on unrestricted contracts.
Yes, but prime contractors must perform at least 50% of the cost of personnel (the nursing care itself) under the limitations on subcontracting rule. Subcontracting is common for therapy, pharmacy, and dietary services.