IHS contracts: Indian Health Service

The Indian Health Service, part of the Department of Health and Human Services, posts its contract opportunities on SAM.gov. Below are the ones open right now, what IHS buys, how much of its money goes to small businesses, and who wins its work.

Open contracts now
35
Contract spending, FY2026
$1.1 billion
Share to small businesses
53%

Open IHS contracts, due soonest

See all 35 open IHS contracts →

What IHS is buying right now

NAICS codes on IHS's open notices. Each notice's code sets the size standard for who counts as small.

CodeIndustryOpen now
339112Surgical and Medical Instrument Manufacturing6
339114Dental Equipment and Supplies Manufacturing2
541690Other Scientific and Technical Consulting Services2
237110Water and Sewer Line and Related Structures Construction2
339115Ophthalmic Goods Manufacturing1
518210Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services1
424210Drugs and Druggists' Sundries Merchant Wholesalers1
339950Sign Manufacturing1
333912Air and Gas Compressor Manufacturing1
236220Commercial and Institutional Building Construction1

IHS contract spending by year

Fiscal yearContract obligations
FY2024$1.4 billion
FY2025$1.4 billion
FY2026$1.1 billion
FY2027 (so far)$0

The federal fiscal year starts October 1, so FY2027 began October 1, 2026.

What IHS spends the most on

Industries with the most IHS contract dollars over the last three fiscal years:

NAICSIndustryObligated
561320Temporary Help Services$625.1 million
236220Commercial and Institutional Building Construction$568.5 million
325412Pharmaceutical Preparation Manufacturing$468.1 million
621111Offices of Physicians (except Mental Health Specialists)$273.7 million
339112Surgical and Medical Instrument Manufacturing$156.8 million
621399Offices of All Other Miscellaneous Health Practitioners$145.5 million
541519Other Computer Related Services$137.8 million
621999All Other Miscellaneous Ambulatory Health Care Services$106.3 million

Small business contracts at IHS

About 53% of IHS's contract dollars over the last three fiscal years went to small businesses. The government-wide goal is 23%.

Dollars awarded under each kind of set-aside in the same period:

  • Small business: $267.7 million
  • 8(a): $92 million
  • Service-disabled veteran-owned: $54.6 million
  • HUBZone: $15 million
  • Women-owned: $11 million

Set-asides on IHS's open notices right now:

  • No set-aside (full and open): 13
  • Indian small business economic enterprise: 9
  • Total small business set-aside: 5
  • BICiv: 3
  • Service-disabled veteran-owned set-aside: 3
  • Indian economic enterprise: 2

See which set-asides you may qualify for with the free SBA certification screener.

Who wins IHS contracts

Companies with the most IHS contract dollars over the last three fiscal years, per USAspending.gov:

CompanyObligated
Mckesson Corporation$459.2 million
Jaynes Corporation$269.3 million
Medline Industries, LP$141.1 million
Tribal Health, LLC$114.7 million
Bay Area Anesthesia LLC$98 million
Four Winds Staffing LLC$80.2 million
Prairie Band Health Services Inc$77.2 million
Chenega Government Mission Solutions, LLC$64.4 million
Lacreek Development Corp$62.7 million
DT-Trak Consulting, Inc.$58.3 million

Large primes subcontract part of their work to small businesses. Look up any small business's registration with the free CAGE code and UEI lookup.

Where IHS's open work is

By place of performance, the most open IHS contracts are in South Dakota, New Mexico and Arizona.

  • South Dakota: 8 open
  • New Mexico: 7 open
  • Arizona: 6 open
  • Washington: 3 open
  • Montana: 2 open
  • Maryland: 1 open
  • Oregon: 1 open
  • Idaho: 1 open

Frequently asked questions

How do I find IHS contract opportunities?

The Indian Health Service posts its contract opportunities on SAM.gov, the free official site. 35 are open right now. You can search them here by NAICS code, set-aside and state, and set up a free email alert for new ones.

How much does IHS spend on contracts?

The Indian Health Service obligated about $1.1 billion on contracts in fiscal year 2026, according to USAspending.gov. About 53% of its contract dollars over the last three fiscal years went to small businesses.

Who are IHS's biggest contractors?

Over the last three fiscal years, the companies with the most IHS contract dollars were Mckesson Corporation, Jaynes Corporation and Medline Industries, LP, per USAspending.gov. Smaller firms often work as their subcontractors.

Who do I talk to about small business contracts at IHS?

Federal law requires every agency with buying power to have an Office of Small and Disadvantaged Business Utilization (OSDBU), sometimes called the Office of Small Business Programs. Its staff help small businesses understand what the agency buys and how. Free counseling is also available from APEX Accelerators.

Keep going

FedReady is an independent company, not affiliated with the Indian Health Service, SAM.gov or any government agency. Open-contract counts come from SAM.gov and update daily; spending figures come from USAspending.gov and cover contracts only.