Federal sub-agency · Department of Health and Human Services

Health Resources and Services Administration

Health Resources and Services Administration obligated $482.1M on federal contracts in FY2026 across 981 contract actions (+3.9% vs FY2025). Its largest recipient was SAPIENT GOVERNMENT SERVICES, INC. ($63.7M). It also awarded $12.4B in federal grants and other assistance in FY2026.

Obligations · FY2026
$482.1M
Actions
981
New awards: 380
Sole-source
14%
Small business
23%
Open in the contracts explorerRelationship graphFederal contracts

Spending by fiscal year

Obligations per federal fiscal year (October–September).

  1. 280.3MFY2017
  2. 298.2MFY2018
  3. 317.8MFY2019
  4. 762.7MFY2020
  5. 629MFY2021
  6. 579.9MFY2022
  7. 595.8MFY2023
  8. 569MFY2024
  9. 463.8MFY2025
  10. 482.1MFY2026
  11. 0FY2027

Top recipients

Obligations in FY2026.

  1. SAPIENT GOVERNMENT SERVICES, INC.$63.7M13%
  2. UNITED NETWORK FOR ORGAN SHARING$42.9M8.9%
  3. REI SYSTEMS, INC.$38M7.9%
  4. GENERAL DYNAMICS INFORMATION TECHNOLOGY, INC.$32.4M6.7%
  5. DIGITAL MANAGEMENT LLC$28.8M6.0%
  6. NATIONAL MARROW DONOR PROGRAM$26.1M5.4%
  7. OPTUMSERVE TECHNOLOGY SERVICES, INC.$12.9M2.7%
  8. TECHNOGEN INC.$12.8M2.7%
  9. WESTAT, INC.$9.4M2.0%
  10. THE UNIVERISTY OF TEXAS M.D. ANDERSON CANCER CENTER$9.1M1.9%

What was bought · Where the work was performed

Obligations in FY2026.

What was bought

  1. IT & telecom$224.8M47%
  2. Professional services$172.9M36%
  3. Health & medical$71.7M15%
  4. Education & social services$6.4M1.3%
  5. Research & development$3.8M0.8%
  6. Construction & real property$2.3M0.5%
  7. Other equipment & supplies$355.3K0.1%
  8. Equipment maintenance$36.6K0.0%

Where the work was performed

  1. Virginia$178.2M37%
  2. Maryland$175.9M36%
  3. Massachusetts$38.9M8.1%
  4. California$12.3M2.5%
  5. District of Columbia$9.7M2.0%
  6. Texas$9.7M2.0%
  7. North Carolina$6.7M1.4%
  8. Wisconsin$6.3M1.3%
  9. Oregon$5.8M1.2%
  10. Minnesota$5.6M1.2%

Integrity signals

Shares of the year's obligations, next to the country's.

  • Low competition40%
    US 39% · $193.1M
  • Sole-source awards14%
    US 30% · $69.3M
  • Single-offer competitions26%
    US 8.7% · $123.8M
  • Urgency justifications7.9%
    US 5.1% · $37.9M
  • Year-end rush30%
    US 6.1% · $142.5M
  • Undefinitized contracts0.8%
    US 5.0% · $4M
  • Time-and-materials pricing12%
    US 4.2% · $58.5M

A signal is a reason to look closer, not evidence of wrongdoing: most sole-source awards are lawful and justified.

Offices with the most sole-source money

  1. HRSA HEADQUARTERS$68.6M14%
  2. NATIONAL HANSENS DISEASE PROGRAM$689.1K17%

Contracts terminated for default: 1

Largest awards

  1. SINGLE POINT OF ACCESS-COORDINATING CENTER (SPA-CC) - ESTABLISH AND MAINTAIN A SYSTEM FOR HEALTH CARE PROFESSIONALS AND PHYSICIANS SEARCHING ON BEHALF OF PATIENTS TO SEARCH ELECTRONICALLY FOR CELLS DERIVED FROM ADULT BONE MARROW DONORS AND CORD BLOOD$114.2M
    NATIONAL MARROW DONOR PROGRAM· Montgomery County, MD· Professional services· Sep 29, 2022 – Sep 29, 2026· 75R60222C00008
  2. ORGAN PROCUREMENT AND TRANSPLANTATION NETWORK$74.2M
    UNITED NETWORK FOR ORGAN SHARING· Richmond city, VA· Health & medical· Nov 2, 2018 – Sep 28, 2026· 75R60219C00001
  3. NATIONAL CORD BLOOD INVENTORY$67M
    THE UNIVERISTY OF TEXAS M.D. ANDERSON CANCER CENTER· Harris County, TX· Health & medical· Sep 27, 2019 – Sep 10, 2026· 75R60219C00004
  4. OPS DATA METHODOLOGY AND COMPUTATIONS FOR PROVIDER RELIEF FUND ALLOCATIONS AND TECHNICAL ASSISTANCE IN RESPONSE TO COVID-19. THE PURPOSE OF THIS PROCUREMENT IS TO PURCHASE SERVICES TO DEVELOP PAYMENT DISBURSEMENT METHODOLOGIES, PROCESS APPLICATION DA$49M
    ACUMEN LLC· San Mateo County, CA· Professional services· Jun 17, 2021 – Oct 7, 2026· 75R60221F80068
  5. PRB184 C 5299 COVID-19 UNINSURED AND PROVIDER RELIEF FUND CLOSE-OUT SERVICES$35.5M
    OPTUMSERVE TECHNOLOGY SERVICES, INC.· Montgomery County, MD· Professional services· Oct 11, 2024 – Jul 17, 2026· 75R60225C00001
  6. CLAIMS PROCESSING SERVICES FOR THE PROVIDER RELIEF AND PROTECTION FUND$31.7M
    OPTUMSERVE TECHNOLOGY SERVICES, INC.· Howard County, MD· Health & medical· Apr 7, 2021 – Jun 11, 2026· 75R60221C00003
  7. NATIONAL CORD BLOOD INVENTORY$31M
    DUKE UNIVERSITY· Orange County, NC· Health & medical· Jul 10, 2020 – Aug 5, 2026· 75R60220C00008
  8. STEM CELL THERAPEUTIC OUTCOMES DATABASE (SCTOD) - ESTABLISH AND MAINTAIN A SCIENTIFIC DATABASE OF INFORMATION RELATING TO PATIENTS WHO HAVE BEEN RECIPIENTS OF A STEM CELL THERAPEUTICS PRODUCT (INCLUDING BONE MARROW OR CORD BLOOD) FROM A DONOR.$29.5M
    THE MEDICAL COLLEGE OF WISCONSIN, INC.· Milwaukee County, WI· Professional services· Sep 26, 2022 – Sep 2, 2026· 75R60222C00011

Federal grants & assistance awarded

Grants, loans (counted at their subsidy cost), direct payments and insurance, by fiscal year of the action (USAspending.gov, FABS). Reported apart from contracts and never added to them.

Health Resources and Services Administration obligated $12.4B in federal assistance in FY2026, on 32,048 actions (1,533 new awards), +10% vs FY2025. Its largest program was 93.224 · Health Center Program ($5.3B).

Assistance · FY2026
$12.4B
New awards
1,533
Actions
32K
Since FY2021
$149B

Assistance by fiscal year

  1. 48.9BFY2021
  2. 50.6BFY2022
  3. 13.5BFY2023
  4. 12.3BFY2024
  5. 11.3BFY2025
  6. 12.4BFY2026
  7. 0FY2027

By type

  1. Grants$12B97%
  2. Direct payments$423.9M3.4%

Top programs

  1. 93.224 · Health Center Program$5.3B43%
  2. 93.917 · HIV Care Formula Grants$1.3B10%
  3. 93.493 · Congressional Directives$814.3M6.6%
  4. 93.914 · HIV Emergency Relief Project Grants$785.3M6.3%
  5. 93.994 · Maternal and Child Health Services Block Grant to the States$575.3M4.6%
  6. 93.870 · Maternal, Infant and Early Childhood Home Visiting Grant$511.2M4.1%
  7. 93.255 · Children's Hospitals Graduate Medical Education Payment Program$371.6M3.0%
  8. 93.162 · National Health Service Corps Loan Repayment$349.3M2.8%

Top recipients (organizations)

  1. PUBLIC HEALTH, CALIFORNIA DEPARTMENT OF$213M1.7%
    SACRAMENTO, CA
  2. DEPARTMENT OF STATE HEALTH SERVICES$170.3M1.4%
    AUSTIN, TX
  3. FLORIDA DEPARTMENT OF HEALTH$152.8M1.2%
    TALLAHASSEE, FL
  4. HEALTH RESEARCH, INC.$131.1M1.1%
    ALBANY, NY
  5. STATE OF GEORGIA DEPARTMENT OF PUBLIC HEALTH$105.1M0.8%
    ATLANTA, GA
  6. CITY OF NEW YORK$104.1M0.8%
    LONG ISLAND CITY, NY
  7. PENNSYLVANIA DEPARTMENT OF HEALTH$79.2M0.6%
    HARRISBURG, PA
  8. DEPARTMENT OF PUBLIC HEALTH ILLINOIS$78.1M0.6%
    SPRINGFIELD, IL

Where it went

  1. California$1.3B11%
  2. New York$779.4M6.3%
  3. Texas$712.6M5.7%
  4. Florida$616.8M5.0%
  5. Illinois$448.5M3.6%
  6. Pennsylvania$424.3M3.4%
  7. Georgia$413.4M3.3%
  8. Ohio$356.9M2.9%
  9. Michigan$315M2.5%
  10. Massachusetts$314.4M2.5%

By state of the place of performance.

Source: Federal financial assistance transactions (Financial Assistance Broker Submission) (U.S. Department of the Treasury, USAspending.gov), data current to Oct 10, 2026, loaded Oct 10, 2026 · FY2021–FY2027.

Federal grants & assistance

Subawards under this agency's awards

First-tier subawards that recipients of this agency's contracts and financial assistance reported, by the fiscal year of the subaward.

FY2026

  • Sub-contracts: $18.4M (45 subawards)
  • Sub-grants: $829.1M (4,319 subawards)

2,111 sub-recipients

Largest sub-recipients

  1. SOUTHEASTERN LOUISIANA AREA HEALTH EDUCATION CENTER$19.1M2.2%
    HAMMOND, LA · 7 subawards
  2. ACCESS TO HEALTHCARE NETWORK, INC.$15.5M1.8%
    RENO, NV · 19 subawards
  3. CARESOURCE INDIANA, INC$13.7M1.6%
    INDIANAPOLIS, IN · 3 subawards
  4. UNIFIED GROUP SERVICES, INC.$10.6M1.3%
    ANDERSON, IN · 1 subaward
  5. AMERICAN SOCIETY OF TRANSPLANT SURGEONS$8.1M1.0%
    ARLINGTON, VA · 1 subaward
  6. CARE RESOURCE COMMUNITY HEALTH CENTERS INC$7.3M0.9%
    MIAMI, FL · 3 subawards
  7. AIDS HEALTHCARE FOUNDATION$6.5M0.8%
    LOS ANGELES, CA · 19 subawards
  8. MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT$5.1M0.6%
    PHOENIX, AZ · 8 subawards
  9. RAMSELL CORPORATION$5.1M0.6%
    CONCORD, CA · 5 subawards
  10. MONTEFIORE HEALTH SYSTEM, INC.$4.1M0.5%
    TARRYTOWN, NY · 2 subawards

Primes report first-tier subawards of $30,000 or more themselves, and many go unreported (GAO-24-106214). Reporting moved from FSRS to SAM.gov in March 2025 and fewer sub-contracts have been reported since. Amounts are what primes reported; they are never added to prime award totals.

Source: Subawards (first-tier sub-contracts and sub-grants reported under FFATA) (U.S. Department of the Treasury, USAspending.gov (reports filed in SAM.gov, formerly FSRS)), data current to Oct 10, 2026, loaded Oct 10, 2026 · Subawards loaded from FY2021.

Who lobbies this agency

Organizations whose quarterly lobbying reports list this agency as contacted, ranked by the reports' spending. A report's amount covers all its issues and every agency it lists; reports do not split it.

Lobbying in 2026
$56M
Clients
135
Reports
249

The whole amount of every report that lists this agency.

Organizations lobbying it, 2026

  1. American Medical AssociationAI match · 99%$13.1M
    0.0% of its family's FY2026 contracts from this agency · Health issues, Budget and appropriations, Medicare and Medicaid
  2. AMERICAN HOSPITAL ASSOCIATIONAI match · 99%$10.6M
    1.5% of its family's FY2026 contracts from this agency · Health issues, Budget and appropriations, Medicare and Medicaid
  3. NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS (N.A.C.H.)$2.8M
    Not matched to a contract recipient · Health issues, Budget and appropriations, Medicare and Medicaid
  4. Alzheimer's Association$2.3M
    Not matched to a contract recipient · Health issues, Budget and appropriations
  5. AstraZeneca Pharmaceuticals LPAI match · 100%$2.3M
    0.0% of its family's FY2026 contracts from this agency · Health issues, Medicare and Medicaid, Taxation and the Internal Revenue Code
  6. NATIONAL ASSOCIATION OF MANUFACTURERS$2M
    Not matched to a contract recipient · Health issues, Taxation and the Internal Revenue Code, Immigration
  7. NOVARTIS CORPORATIONAI match · 100%$1.4M
    0.0% of its family's FY2026 contracts from this agency · Health issues, Budget and appropriations, Medicare and Medicaid
  8. Association of American Medical CollegesAI match · 100%$1.4M
    No FY2026 contracts in its family · Health issues, Budget and appropriations, Medicare and Medicaid
  9. ASCENSION HEALTH ALLIANCE D/B/A ASCENSION$1.4M
    Not matched to a contract recipient · Health issues, Budget and appropriations, Medicare and Medicaid
  10. AMERICAN DENTAL ASSOCIATIONAI match · 98%$1.3M
    76% of its family's FY2026 contracts from this agency · Health issues, Budget and appropriations, Medicare and Medicaid
  11. American Academy of PediatricsAI match · 100%$1.1M
    0.0% of its family's FY2026 contracts from this agency · Health issues
  12. Dialysis Patient Citizens$750K
    Not matched to a contract recipient · Medicare and Medicaid
  13. AMERICAN PHYSICAL THERAPY ASSOCIATION$625.3K
    Not matched to a contract recipient · Health issues, Budget and appropriations, Medicare and Medicaid
  14. American Society of Health-System PharmacistsAI match · 100%$500K
    0.0% of its family's FY2026 contracts from this agency · Health issues, Medicare and Medicaid, Pharmacy
  15. TRINITY HEALTHAI match · 95%$480K
    0.0% of its family's FY2026 contracts from this agency · Health issues, Budget and appropriations, Medicare and Medicaid

4 more clients ($242K) are counted but not named: their names may be a person's.

Lobbying amounts are the filers' own good-faith estimates on quarterly LD-2 reports (the law asks for amounts rounded to $10,000; under $5,000 need not be itemized), latest amendment only. When an organization files its own report, it replaces what outside firms report for it that quarter. Matches are by name. Lobbying and political giving are legal and public: they show engagement with government, not influence over any award. Correlation is not influence: these organizations' lobbying and their contracts are shown side by side, and nothing here implies either affected the other.

Source: Lobbying disclosures (LD-1 registrations, LD-2 quarterly reports, LD-203 contribution reports) (Clerk of the U.S. House of Representatives), data current to Oct 10, 2026, loaded Oct 10, 2026 · 2023–2026.

Source: Committees, candidates and committee contributions to candidates (Federal Election Commission), data current to Oct 10, 2026, loaded Oct 10, 2026 · 2026, 2024, 2022.

Matches: Analisa AI name judgments (entity-match@1), updated Oct 5, 2026.

Committees that oversee and fund it

Congressional committees whose jurisdiction includes this agency, and the appropriations subcommittees that write its spending bill (Analisa's reading of the House and Senate rules; committees share jurisdiction). Leaders as currently published.

…

Source: Federal contract transactions (Federal Procurement Data System) (U.S. Department of the Treasury, USAspending.gov), data current to Oct 10, 2026, loaded Oct 10, 2026.