Medical q-coded support 2 - next generation (MQS2-NG) medical contract staff

Active Awarded Last action

Contract number
HT001525D9021
Awardee
Awarding agency
Task orders
13 $12,536,561 obligated

Award facts

Opportunity
Combined order value
  • $17,565,700 Current, with exercised options
  • $99,317,838 Potential, with all options
Last date to order 29% complete
IDV ceiling <1% used
$43,000,000,000.00
Maximum order
$43,000,000,000.00
Award type
Multiple award
Who can order
All agencies
Set-aside
Total Small Business
Competition
Full and Open Competition after exclusion of sources · 41 offers Negotiated Proposal / Quote
Pricing
Firm Fixed Price
Legislative mandates

Award details come from SAM.gov/FPDS.

About this IDV

The Defense Health Agency awarded a multiple-award indefinite delivery contract to Cognito LLC on May 15, 2025, for medical personnel staffing and support services with a $43 billion ceiling through May 14, 2030. The contract is set aside for total small business, and Cognito LLC is an 8(a)-certified, woman-owned small business, and economically disadvantaged women-owned small business joint venture.

Place of performance spans Defense Health Agency medical facilities nationwide, including Naval Medical Center Portsmouth, Virginia; Fort Liberty, North Carolina; Fort Bliss, Texas; Joint Base Lewis-McChord, Washington; Tripler Army Medical Center, Hawaii; Nellis Air Force Base, Nevada; Moody Air Force Base, Georgia; Tinker Air Force Base, Oklahoma; and San Antonio, Texas. The solicitation sought clinical and administrative personnel including physicians, nurses, surgical technologists, sterile processing technicians, physician assistants, physical therapists, psychology technicians, phlebotomy technicians, medical clerks, and administrative support staff across multiple military medical installations.

Cognito LLC has received twelve delivery orders under this vehicle since November 2025, collectively valued at approximately $76.3 million. Recent significant orders include a $34.7 million award (June 3, 2026) for ten full-time-equivalent physician services at Nellis Air Force Base through June 2031; a $24.4 million order (July 1, 2026) for medical office clerk and referral clerk services at Naval Medical Center Portsmouth through December 2031; an $11.1 million order (June 25, 2026) for nursing and ancillary services at Fort Hood through November 2028; an $8.3 million order (April 15, 2026) for emergency medicine physicians and certified nurse assistants at Madigan Army Medical Center through April 2030; and a $4.4 million order (November 7, 2025) for maternal fetal physician services at Fort Liberty through November 2030. Orders are priced firm fixed price and issued under woman-owned small business and total small business set-asides, with one Air Force Education and Training Command delivery order for clinical psychology services at San Antonio, Texas.

Task orders

Task order Ordering agency Obligated Awarded
Medical office clerk services and referral clerk services in support of naval medical center portsmouth, VA HT940626FE052 Defense Health Agency $4,112,714
Nursing and ancillary services crdamc W81K0026FA127 Medical Command (Army) $1,329,796
MQS2-NG central: physician assistant, licensed practical nurse, registered nurse, and audiology technician FA810126F0027 Air Force Sustainment Center (AFMC) $508,867
Physician services 10 full-time-equivalent nellis HT941026FE045 Defense Health Agency $2,145,276
7 full-time equivalents (FTE), 2 FTE physician - emergency medicine and 5 FTE certified nurse assistant in support of… W81K0226FA051 Defense Health Agency $825,984
Physical therapist, registered nurse, psychology technician, physical therapy assistant, licensed… W81K0026FA101 Medical Command (Army) $1,542,735
MQS2-NG task order for 2 ftes surgical technologists and 5 ftes sterile processing technicians at tripler army… W81K0226FA041 Defense Health Agency $275,522
Phlebotomy technician (donor) services for various locations on the island of oahu, hawaii W81K0226FA056 Defense Health Agency $464,042
Medical appointment clerks, general office clerk, admissions and disposition clerk non-personal services in support… HT940626FE014 Defense Health Agency $272,525
Maternal fetal physician W81K0426FA006 Medical Command (Army) $447,780
1 FTE PT assistant;1 FTE administrative assistant (clinic) HT940625FE023 Defense Health Agency $212,347
Ancillary services - clinical psychologist (1 FTE) FA301625F0365 Air Education and Training Command (USAF) $396,472
Medical q-coded support 2 - next generation (MQS2-NG) post award conference HT001525F0044 Defense Health Agency $2,500
Show all 13

Transactions

Action Obligated Date
Supplemental Agreement for work within scope P00003 $0
Supplemental Agreement for work within scope P00002 $0
Supplemental Agreement for work within scope P00001 · Medical q-coded support and services-next generation medical contract staff $0
Original award $0

Quick answers

Who was awarded contract HT001525D9021?

HT001525D9021 was awarded to Cognito LLC by Defense Health Agency (Department of Defense) on May 15, 2025.

How much is contract HT001525D9021 worth?

Orders under HT001525D9021 have obligated $12,536,561. Their combined current value, with exercised options, is $17,565,700. Their combined potential value, with all options, is $99,317,838. HT001525D9021's own ceiling is $43,000,000,000. A single order can be worth up to $43,000,000,000.

How many orders have been placed under contract HT001525D9021?

13 orders have been placed under HT001525D9021, the latest on July 1, 2026.

Who can order from contract HT001525D9021?

HT001525D9021 is a multiple award indefinite delivery contract. All agencies can place orders on it.

Is contract HT001525D9021 part of a contract vehicle?

Yes. HT001525D9021 is part of Medical Q-coded Support and Services 2 - Next Generation.

Was contract HT001525D9021 competed?

The extent of competition for HT001525D9021 was full and open competition after exclusion of sources. The government received 41 offers. It was set aside: Total Small Business.

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