IDIQ for IHS EHR modernization

Active Indefinite Delivery Contract Awarded Last action

Contract number
140D0424D0001
Awardee
Awarding agency
Task orders
10 $437,619,124 obligated

Award facts

Opportunity
Combined order value
  • $628,312,676 Current, with exercised options
  • $1,084,885,476 Potential, with all options
Last date to order 30% complete
IDV ceiling 17% used
$2,542,000,000.00
Award type
Single award
Who can order
Only the awarding agency
Funding agency
Indian Health Service Department of Health and Human Services
Set-aside
No set-aside
Competition
Full and Open Competition · 8 offers Negotiated Proposal / Quote
Pricing
Firm Fixed Price
Legislative mandates

Award details come from SAM.gov/FPDS.

About this IDV

The Indian Health Service awarded a single-award Indefinite Delivery Contract to General Dynamics Information Technology, Inc. on November 8, 2023, with a ceiling value of $2,542,000,000 and an ultimate completion date of November 8, 2033. The IDIQ supports health information technology modernization for the Indian Health Service, including electronic health records system implementation and sustainment services.

Place of performance spans Indian Health Service facilities nationwide, with primary contractor work at Falls Church, Virginia and subordinate locations including Rockville and North Bethesda, Maryland.

The originating solicitation, posted August 4, 2022, sought proposals for a single-award IDIQ to provide electronic health records systems and implementation services supporting IHS Health Information Technology modernization. Evaluation used best value tradeoff procedures under FAR 15.3, considering technical approach, past performance, and price. The IDIQ is NAICS 541511, PSC D399, replacing Cerner Corporation as incumbent.

The contract carries a ten-year base period. Recent delivery orders issued under this IDIQ include Task Order 10 for EHR Modernization – Cohort 1 ($37.1 million, issued September 24, 2026, through November 8, 2028); Task Order 9 for Sustainment and Operational Services for the Patients at the Heart (PATH) EHR system ($325.7 million, issued May 1, 2026, through November 8, 2028); Task Order 8 for Program Management and Operations ($174.9 million, issued August 7, 2025); Task Order 7 for Pilot Engagement ($183.9 million option period 1 exercise, issued August 27, 2025); Task Order 6 for Enterprise Engagement ($164.2 million, issued December 18, 2024); and earlier orders for hosting, contract management, and program kick-off activities. All delivery orders use time-and-materials pricing. Subcontractors across orders include Cerner Corporation, Rockitdata LLC, Cherokee Nation Operational Solutions, and Toedt Health Solutions, LLC, among others.

Task orders

Transactions

Action Obligated Date
Supplemental Agreement for work within scope P00014 $0
Supplemental Agreement for work within scope P00013 · The purpose of this modification is to update the end user license agreement (eula) list in appendix 1 to the IDIQ. $0
Supplemental Agreement for work within scope P00012 · The purpose of this modification is to add EO 14398 - bilateral MOD to add far 52.222-90 $0
Supplemental Agreement for work within scope P00011 · The purpose of this modification is to incorporate IDIQ V4 pricing updates. See continuation pages for more details. $0
Other Administrative Action P00010 $0
Other Administrative Action P00009 · The purpose of this modification is to incorporate eula updates. $0
Supplemental Agreement for work within scope P00008 $0
Other Administrative Action P00007 · The purpose of this modification is to incorporate far 52.251-1. $0
Other Administrative Action P00006 · The purpose of this modification is to incorporate new IDIQ pricing. $0
Other Administrative Action P00005 $0
Supplemental Agreement for work within scope P00004 $0
Other Administrative Action P00003 $0
Other Administrative Action P00002 $0
Other Administrative Action P00001 $0
Original award $1,000,000
Show all 15

Subawards

Subcontractor Amount Awarded
Oracle Health Government Services, Inc. SUSTAINMENT AND OPERATIONAL SERVICES FOR THE PATIENTS AT THE HEART (PATH) EHR (TASK ORDER NO. 9) FOR DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS), INDIAN… $410,441
Oracle Health Government Services, Inc. SUSTAINMENT AND OPERATIONAL SERVICES FOR THE PATIENTS AT THE HEART (PATH) EHR (TASK ORDER NO. 9) FOR DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS), INDIAN… $171,594
Well Health Inc. SUSTAINMENT AND OPERATIONAL SERVICES FOR THE PATIENTS AT THE HEART (PATH) EHR (TASK ORDER NO. 9) FOR DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS), INDIAN… $560,573
Oracle Health Government Services, Inc. SUSTAINMENT AND OPERATIONAL SERVICES FOR THE PATIENTS AT THE HEART (PATH) EHR (TASK ORDER NO. 9) FOR DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS), INDIAN… $22,579,706
Affigent, LLC SUSTAINMENT AND OPERATIONAL SERVICES FOR THE PATIENTS AT THE HEART (PATH) EHR (TASK ORDER NO. 9) FOR DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS), INDIAN… $44,112
Ria Advisory LLC SUSTAINMENT AND OPERATIONAL SERVICES FOR THE PATIENTS AT THE HEART (PATH) EHR (TASK ORDER NO. 9) FOR DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS), INDIAN… $3,198,689
Respec Company, LLC SUSTAINMENT AND OPERATIONAL SERVICES FOR THE PATIENTS AT THE HEART (PATH) EHR (TASK ORDER NO. 9) FOR DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS), INDIAN… $1,811,355
Cherokee Nation Operational Solutions, L.L.C. SUSTAINMENT AND OPERATIONAL SERVICES FOR THE PATIENTS AT THE HEART (PATH) EHR (TASK ORDER NO. 9) FOR DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS), INDIAN… $1,565,760
Alku Technologies, LLC SUSTAINMENT AND OPERATIONAL SERVICES FOR THE PATIENTS AT THE HEART (PATH) EHR (TASK ORDER NO. 9) FOR DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS), INDIAN… $261,729
Dustoff Technologies LLC SUSTAINMENT AND OPERATIONAL SERVICES FOR THE PATIENTS AT THE HEART (PATH) EHR (TASK ORDER NO. 9) FOR DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS), INDIAN… $3,326,171
Vet Source 1 LLC SUSTAINMENT AND OPERATIONAL SERVICES FOR THE PATIENTS AT THE HEART (PATH) EHR (TASK ORDER NO. 9) FOR DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS), INDIAN… $2,277,881
Toedt Health Solutions, LLC SUSTAINMENT AND OPERATIONAL SERVICES FOR THE PATIENTS AT THE HEART (PATH) EHR (TASK ORDER NO. 9) FOR DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS), INDIAN… $7,201,024
Rockitdata LLC SUSTAINMENT AND OPERATIONAL SERVICES FOR THE PATIENTS AT THE HEART (PATH) EHR (TASK ORDER NO. 9) FOR DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS), INDIAN… $21,684,775
S & P Consultants Inc. SUSTAINMENT AND OPERATIONAL SERVICES FOR THE PATIENTS AT THE HEART (PATH) EHR (TASK ORDER NO. 9) FOR DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS), INDIAN… $12,129,243
Cerner Corporation INDIAN HEALTH SERVICE ELECTRONIC HEALTH RECORD - TASK ORDER 7 - PILOT ENGAGEMENT Products $40,990
Okapi Solutions LLC SUSTAINMENT AND OPERATIONAL SERVICES FOR THE PATIENTS AT THE HEART (PATH) EHR (TASK ORDER NO. 9) FOR DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS), INDIAN… $838,059
J2 Interactive, LLC TASK ORDER 6 - ENTERPRISE ENGAGEMENT Services $108,150
Carahsoft Technology Corp IHS EHR - TASK ORDER 8 - PROGRAM MANAGEMENT AND OPERATIONS products $63,249
Cherokee Nation Operational Solutions, L.L.C. IHS EHR - TASK ORDER 7 - PILOT ENGAGEMENT products $292,158
Cerner Corporation IHS EHR - TASK ORDER 8 - PROGRAM MANAGEMENT AND OPERATIONS products $3,488,269
Cerner Corporation IHS EHR - TASK ORDER 7 - PILOT ENGAGEMENT products $2,181,178
Cerner Corporation IHS EHR - TASK ORDER 7 - PILOT ENGAGEMENT products $105,324
Rockitdata LLC TASK ORDER 6 - ENTERPRISE ENGAGEMENT services $1,127,377
Ria Advisory LLC TASK ORDER 6 - ENTERPRISE ENGAGEMENT services $3,994,520
Cerner Corporation IHS EHR - TASK ORDER 8 - PROGRAM MANAGEMENT AND OPERATIONS products $1,220,845
Salesforce, Inc. IHS EHR - TASK ORDER 8 - PROGRAM MANAGEMENT AND OPERATIONS products $398,160
Cerner Corporation IHS EHR - TASK ORDER 8 - PROGRAM MANAGEMENT AND OPERATIONS services $8,176,964
Cerner Corporation IHS EHR - TASK ORDER 7 - PILOT ENGAGEMENT services $40,710,288
Microhealth LLC IHS EHR - TASK ORDER 7 - PILOT ENGAGEMENT services $1,884,744
Opcg, LLC IHS EHR - TASK ORDER 7 - PILOT ENGAGEMENT services $1,819,590
S & P Consultants Inc. INDIAN HEALTH SERVICE ELECTRONIC HEALTH RECORD - TASK ORDER 7 - PILOT ENGAGEMENT services $10,596,797
Vet Source 1 LLC IHS EHR - TASK ORDER 7 - PILOT ENGAGEMENT services $628,378
Cherokee Nation Operational Solutions, L.L.C. IHS EHR - TASK ORDER 7 - PILOT ENGAGEMENT services $2,708,635
Rockitdata LLC IHS EHR - TASK ORDER 7 - PILOT ENGAGEMENT services $3,077,474
Respec Company, LLC IHS EHR - TASK ORDER 8 - PROGRAM MANAGEMENT AND OPERATIONS Service $199,875
Rockitdata LLC IHS EHR - TASK ORDER 8 - PROGRAM MANAGEMENT AND OPERATIONS Service $2,382,866
Toedt Health Solutions, LLC IHS EHR - TASK ORDER 8 - PROGRAM MANAGEMENT AND OPERATIONS Service $2,969,011
S & P Consultants Inc. IHS EHR - TASK ORDER 8 - PROGRAM MANAGEMENT AND OPERATIONS Service $2,907,705
Alku Technologies, LLC IHS EHR - TASK ORDER 8 - PROGRAM MANAGEMENT AND OPERATIONS Service $513,371
Dustoff Technologies LLC IHS EHR - TASK ORDER 8 - PROGRAM MANAGEMENT AND OPERATIONS Service $1,377,082
Cerner Corporation IHS EHR - TASK ORDER 8 - PROGRAM MANAGEMENT AND OPERATIONS products $154,346
Cerner Corporation IHS EHR - TASK ORDER 8 - PROGRAM MANAGEMENT AND OPERATIONS services $8,164,964
Oracle Health Government Services, Inc. TASK ORDER 3: HOSTING ENVIRONMENT FOR THE ENTERPRISE HEALTH IT SOLUTION products $3,646,982
Oracle Health Government Services, Inc. TASK ORDER 3: HOSTING ENVIRONMENT FOR THE ENTERPRISE HEALTH IT SOLUTION products $3,300,000
Cerner Corporation TASK ORDER 3: HOSTING ENVIRONMENT FOR THE ENTERPRISE HEALTH IT SOLUTION services $1,765,321
Toedt Health Solutions, LLC CONTRACT MANAGEMENT AND PROGRAM SUPPORT services $886,200
Cherokee Nation Operational Solutions, L.L.C. PILOT ALIGNMENT & PLANNING services $52,157
Vet Source 1 LLC PILOT ALIGNMENT & PLANNING services $163,142
Cerner Corporation PILOT ALIGNMENT & PLANNING services $4,949,945
Toedt Health Solutions, LLC PILOT ALIGNMENT & PLANNING services $174,974
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Quick answers

Who was awarded contract 140D0424D0001?

140D0424D0001 was awarded to General Dynamics Information Technology, Inc. by Interior Business Center (Office of Policy Management and Budget) on November 8, 2023.

How much is contract 140D0424D0001 worth?

Orders under 140D0424D0001 have obligated $437,619,124. Their combined current value, with exercised options, is $628,312,676. Their combined potential value, with all options, is $1,084,885,476. 140D0424D0001's own ceiling is $2,542,000,000.

How many orders have been placed under contract 140D0424D0001?

10 orders have been placed under 140D0424D0001, the latest on September 24, 2026.

Which agency awarded contract 140D0424D0001?

Interior Business Center (Office of Policy Management and Budget) awarded 140D0424D0001, with funding from Indian Health Service (Department of Health and Human Services).

Who can order from contract 140D0424D0001?

140D0424D0001 is a single award indefinite delivery contract. Only the awarding agency can place orders on it.

Was contract 140D0424D0001 competed?

The extent of competition for 140D0424D0001 was full and open competition. The government received 8 offers.

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