Federal contractor · DURHAM, NC

FAMILY HEALTH INTERNATIONAL

FAMILY HEALTH INTERNATIONAL received $46.1M in federal contract obligations in FY2026, on 21 awards (−81% vs FY2025). Since FY2017: $710.4M. Its largest customer was Agency for International Development ($44.2M). It also received $369.1M in federal grants and other assistance in FY2026.

Obligations · FY2026
$46.1M
New awards
21
Sole-source
0.0%
Single offer
11%
UEI
VRAASTY11EA3
Other than small businessNonprofit
Open in the contracts explorerRelationship graph

Spending by fiscal year

Obligations per federal fiscal year (October–September).

  1. 46.3MFY2017
  2. 65.4MFY2018
  3. 64.8MFY2019
  4. 63.6MFY2020
  5. 48.6MFY2021
  6. 26.6MFY2022
  7. 43.8MFY2023
  8. 60.8MFY2024
  9. 244.2MFY2025
  10. 46.1MFY2026

Top buying agencies

Obligations in FY2026.

  1. Agency for International Development$44.2M96%
    1 awards
  2. Office of the Assistant Secretary for Financial Resources$5M11%
    2 awards
  3. Department of State$00.0%
    1 awards
  4. Departmental Offices$00.0%
    1 awards
  5. National Institutes of Health-$328.8K0.0%
    4 awards
  6. Centers for Disease Control and Prevention-$601.7K0.0%
    11 awards
  7. Millennium Challenge Corporation-$2.1M0.0%
    1 awards

What was bought · Where the work was performed

Obligations in FY2026.

What was bought

  1. Professional services$41.9M89%
  2. Education & social services$5M11%

Where the work was performed

  1. Durham County, NC$46.6M100%

Integrity signals

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

  • Low competition11%
    US 39% · $5.2M
  • Sole-source awards0.0%
    US 30% · $0
  • Single-offer competitions11%
    US 8.7% · $5.2M
  • Urgency justifications0.0%
    US 5.1% · $0

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

Largest awards

  1. STRENGTHENING INFECTIOUS DISEASE DETECTION SYSTEM (STRIDES) ACTIVITY$277.1M
    Agency for International Development· Durham County, NC· Professional services· Sep 25, 2024 – Sep 28, 2026· 7200AA24C00092
  2. QUALIFYING, TESTING, ISSUING PROJECT (QTI)$12.8M
    Department of State· Durham County, NC· Health & medical· Sep 27, 2024 – Aug 5, 2026· 7200AA24C00095
  3. DNPAO COMMUNICATIONS$8.3M
    Centers for Disease Control and Prevention· Durham County, NC· Professional services· Sep 10, 2020 – Apr 15, 2026· 75D30120F08481
  4. OHS SERVICE AREA 12 TRAINING AND TECHNICAL ASSISTANCE NETWORK$5M
    Office of the Assistant Secretary for Financial Resources· Durham County, NC· Education & social services· Jun 26, 2026 – Jun 26, 2026· 7571MN26C00017
  5. OFFICE OF HEAD START REGION 12 TRAINING AND TECHNICAL ASSISTANCE SUPPORT$4.2M
    Departmental Offices· Durham County, NC· Education & social services· Aug 29, 2025 – Jun 8, 2026· 140D0425C0028
  6. NATIONAL COLLABORATIVE ON CHILDHOOD OBESITY RESEARCH (NCCOR) COORDINATING CENTER$3.9M
    National Institutes of Health· Durham County, NC· Professional services· Sep 2, 2021 – Aug 27, 2026· 75N91021F00203
  7. B$2.5M
    Centers for Disease Control and Prevention· DeKalb County, GA· Construction & real property· Aug 3, 2026 – Aug 3, 2026· HHSD200200619092C
  8. BASE YEAR TASK ORDER PERIOD 1, 9/13/18-9/24/18, 212,443, FOR LIBERIA FINANCIAL SERVICE CENTER$2M
    National Institutes of Health· Durham County, NC· Research & development· Jul 13, 2018 – Aug 12, 2026· 75N93018F00003

Federal grants & assistance received

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.

FAMILY HEALTH INTERNATIONAL received $369.1M in federal assistance in FY2026, on 51 actions (7 new awards), +233% vs FY2025. Its largest program was 19.046 · Global Health Security and Transition of Life-Saving Services ($323.7M).

Assistance · FY2026
$369.1M
New awards
7
Actions
51
Since FY2021
$2.8B

Assistance by fiscal year

  1. 652.4MFY2021
  2. 695MFY2022
  3. 446.7MFY2023
  4. 548.3MFY2024
  5. 110.8MFY2025
  6. 369.1MFY2026

By type

  1. Grants$369.1M100%

Top programs

  1. 19.046 · Global Health Security and Transition of Life-Saving Services$323.7M88%
  2. 93.855 · Allergy and Infectious Diseases Research$38.5M10%
  3. 19.402 · Professional and Cultural Exchange Programs - International Visitor Leadership Program$4.9M1.3%
  4. 98.001 · Usaid Foreign Assistance for Programs Overseas$2.8M0.8%
  5. 93.865 · Child Health and Human Development Extramural Research$1.5M0.4%
  6. 19.421 · Academic Exchange Programs - English Language Programs$749.7K0.2%
  7. 19.022 · Educational and Cultural Exchange Programs Appropriation Overseas Grants$648.8K0.2%
  8. 93.600 · Head Start$610.9K0.2%

Awarding agencies

  1. Department of State$325.8M88%
  2. National Institutes of Health$40M11%
    Department of Health and Human Services
  3. Agency for International Development$2.8M0.8%
  4. Administration for Children and Families$610.9K0.2%
    Department of Health and Human Services

Largest awards

  1. HIV PREVENTION TRIALS NETWORK (HPTN) COORDINATING AND OPERATIONS CENTER$719.4M
    93.855 · Allergy and Infectious Diseases Research· National Institutes of Health· Cooperative agreement· Nov 17, 2020 – Sep 3, 2026· UM1AI068619
  2. SUPPORT PARTNER COUNTRIES ACROSS DIVERSE GEOGRAPHIC AND EPIDEMIOLOGICAL CONTEXTS IN DEVELOPING AND IMPLEMENTING HIGH-IMPACT, INTEGRATED…$323.7M
    19.046 · Global Health Security and Transition of Life-Saving Services· Department of State· Cooperative agreement· Sep 24, 2026 – Sep 24, 2026· SAQMMA26CA0365
  3. ENDING AIDS IN WEST AFRICA (EAWA)$74.2M
    98.001 · Usaid Foreign Assistance for Programs Overseas· Agency for International Development· Cooperative agreement· Jan 5, 2021 – Mar 11, 2026· AID624A1700004
  4. THIS AWARD WILL PROVIDE MULTI-SECTORAL SUPPORT TO CONFLICT-AFFECTED POPULATIONS IN BORNO STATE, NIGERIA.$25.9M
    98.001 · Usaid Foreign Assistance for Programs Overseas· Agency for International Development· Cooperative agreement· Jul 26, 2023 – Dec 22, 2025· 720BHA23CA00016
  5. THE PURPOSE OF THIS ACTIVITY IS TO PROVIDE DIRECT HIV SERVICES TO ATTAIN EPIDEMIC CONTROL AND SUSTAINED REDUCTION IN HIV TRANSMISSION…$19M
    98.001 · Usaid Foreign Assistance for Programs Overseas· Agency for International Development· Cooperative agreement· Sep 30, 2022 – Mar 31, 2026· 72051722CA00002
  6. TO PROVIDE PROTECTION, WASH, NUTRITION, AND HEALTH EMERGENCY SERVICES ETHIOPIA.$15.3M
    98.001 · Usaid Foreign Assistance for Programs Overseas· Agency for International Development· Project grant· May 21, 2024 – Jun 29, 2026· 720BHA24GR00128

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–FY2026.

Subawards

Matched by Unique Entity ID: the first-tier subawards this organization reported as a prime recipient, and those primes reported paying it.

As a prime: who it pays · FY2026

  • Sub-contracts: $3.1M (13 subawards)
  • Sub-grants: $59.6M (162 subawards)

166 sub-recipients

  1. ELIZABETH GLASER PEDIATRIC AIDS FOUNDATION$6M9.6%
    WASHINGTON, DC · 1 subaward
  2. PROJECT HOPE NAMIBIA$5.7M9.1%
    WINDHOEK, NAM · 1 subaward
  3. COMMUNITY PARTNERS INTERNATIONAL$4.6M7.4%
    BERKELEY, CA · 2 subawards
  4. INTRAHEALTH NAMIBIA$4M6.4%
    WINDHOEK, NAM · 1 subaward
  5. THE REGISTERED TRUSTEES OF UGANDA EPISCOPAL CONFERENCE$3.1M5.0%
    KAMPALA, UGA · 1 subaward
  6. CATHOLIC MEDICAL MISSION BOARD, INC.$3.1M4.9%
    NEW YORK, NY · 1 subaward
  7. UGANDA PROTESTANT MEDICAL BUREAU$2.6M4.1%
    KAMPALA, UGA · 1 subaward
  8. THE AIDS SUPPORT ORGANISATION (TASO)$2.5M4.1%
    KAMPALA, UGA · 1 subaward
  9. RIGHT TO CARE$2.1M3.3%
    GAUTENG, ZAF · 1 subaward
  10. CULMEN INTERNATIONAL, LLC$1.3M2.0%
    ALEXANDRIA, VA · 1 subaward

As a sub-recipient: who pays it · FY2026

  • Sub-grants: $2.8M (8 subawards)

4 primes

  1. EMORY UNIVERSITY$2.6M96%
    ATLANTA, GA · 4 subawards
  2. JSI RESEARCH & TRAINING INSTITUTE INC$489.1K18%
    BOSTON, MA · 2 subawards
  3. CENTRO INTERNACIONAL PARA SAUDE REPRODUTIVA$242.4K8.8%
    MOZ · 1 subaward

Its reported sub-contracts equal 6.7% of its FY2026 contract obligations.

By fiscal year

  • FY2021: $371.9M paid out · $30.4M received
  • FY2022: $232.5M paid out · $13.7M received
  • FY2023: $105.5M paid out · $19.8M received
  • FY2024: -$46.7M paid out · $21.4M received
  • FY2025: $78.8M paid out · $11.1M received
  • FY2026: $62.7M paid out · $2.8M received

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.

Teaming partners

Companies this company reported paying, primes that reported paying it, from FFATA subaward reports.

Companies it pays

1,249 companies · $845.2M reported

  1. ACHIEVING HEALTH NIGERIA INITIATIVE$70.8M
    ABUJA, NG · 12 subawards
  2. HOWARD UNIVERSITY$55.4M
    WASHINGTON, DC · 7 subawards
  3. AKWA IBOM STATE GOVERNMENT$36.6M
    UYO, NG · 4 subawards

Primes that pay it

44 companies · $99.2M reported

  1. EMORY UNIVERSITY$17.8M
    ATLANTA, GA · 62 subawards
  2. POPULATION SERVICES INTERNATIONAL$11M
    WASHINGTON, DC · 15 subawards
  3. DELOITTE CONSULTING LLP$9.9M
    ARLINGTON, VA · 1 subaward

Showing the top 3 of each list. Open the profile for potential partners and the full lists.

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 2021.

Competitors

Companies that win from the same buyers in the same markets: obligations by agency and industry compared over the last three fiscal years.

Compared on 8 markets (agency × industry), FY2024–FY2026.

  1. ENCOMPASS LLC$93.5M−63% in FY2026
    POTOMAC, MD · 21% of this company's obligations are in markets they both serveAgency for International Development · Management, scientific, and technical consulting servicesAgency for International Development · Other professional, scientific, and technical services
  2. ZEMITEK LLC$78.3M+2.5% in FY2026
    BETHESDA, MD · 20% of this company's obligations are in markets they both serveAgency for International Development · Management, scientific, and technical consulting services
  3. PALLADIUM INTERNATIONAL LLC$140.4M−100% in FY2026
    WASHINGTON, DC · 21% of this company's obligations are in markets they both serveAgency for International Development · Management, scientific, and technical consulting servicesAgency for International Development · Other professional, scientific, and technical services

Showing the top 3 of 25 competitors. Open the profile for the full list.

Who sells to the same buyers in the same markets, not who wins against whom on a given contract. Prime contract obligations by the agency and NAICS code of each award; subawards are never added. A company is a family of legal entities, joined by parent UEI or, in part, by an AI reading of names.

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 · FY2024–FY2026.

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.