Medical Support Agency

The Department of the Air Force Headquarters Air Force Medical Support Agency is a defense component within the Department of Defense responsible for procuring medical support services, supplies, and facilities management for Air Force medical operations. The agency has awarded 3,919 federal contracts since 2003, with a combined potential value of $3 billion and $2.44 billion in obligated dollars across 500 distinct prime contractors.

Contract activity has declined sharply in recent years. The agency issued 56 awards in 2020, 30 in 2021, 25 in 2022, 1 in 2024, and 1 in 2025; the most recent award was recorded in October 2025. This dramatic reduction suggests a shift in procurement strategy, a consolidation of suppliers, or a transition to other vehicle types (Schedule orders, blanket purchase agreements, or modifications to existing contracts) not fully captured in this new-award count.

The competitive landscape is highly fragmented when measured by recent award count — the top five primes hold 100 percent of recent awards, but individual shares are small. King & George, LLC leads by count with 15 awards totaling $652 thousand combined potential value over the last five years; Facility Services Management, Inc. follows with 6 awards ($294 thousand); and J & J Maintenance Inc. holds 4 awards ($432 thousand). When ranked by potential value, Hospital Housekeeping Systems LLC dominates with a single award valued at $28.9 million, representing a stark departure from the smaller transactional awards typical of the portfolio. The agency works with 500 distinct primes across its lifetime footprint, indicating a broad and dispersed supplier base beyond the recent top tier.

Set-asides account for 15 percent of all awards. The vast majority (85 percent) carry no set-aside designation. Among set-asides, Partial Small Business is the most common (8 percent), followed by Total Small Business (4 percent) and 8(a) Sole Source (3 percent). Service-Disabled Veteran-Owned Small Business, HUBZone, Woman-Owned Small Business, and Economically Disadvantaged Woman-Owned Small Business together account for less than 1 percent of all awards.

No recent contract opportunities or grant activity is recorded against the agency in the source data. The sharp decline in awards per year and the small number of active primes suggest this may be a portfolio in administrative closeout or transition to alternative procurement mechanisms not visible in traditional contract-award channels.