Registered nurse services

Ended Indefinite Delivery Contract Awarded Last action

Contract number
W81K0419D0021
Awardee
Awarding agency
Task orders
24 $221,094,092 obligated

Award facts

Opportunity
  • W81K0412R0025 Solicitation number
Combined order value
  • $221,165,570 Current, with exercised options
  • $221,165,575 Potential, with all options
Last date to order 100% complete
IDV ceiling 86% used
$258,247,326.49
Maximum order
$258,247,326.49
Award type
Single award
Funding agency
Defense Health Agency Department of Defense
PSC
Q401 Medical- Nursing
Set-aside
Total Small Business
Competition
Full and Open Competition after exclusion of sources · 2 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 an indefinite-delivery contract to Giacare & Medtrust JV LLC on August 14, 2019, with a ceiling of $258.2 million for registered nursing staffing services. It is a single-award IDIQ under a Total Small Business set-aside, with an ultimate completion date of March 31, 2025. The awardee is a joint venture that holds women-owned small business (WOSB) and economically disadvantaged women-owned small business (EDWOSB) status and is also minority-owned and Hispanic American-owned.

Work is performed at Brooke Army Medical Center at Joint Base San Antonio-Fort Sam Houston, Texas, and its affiliated clinics. Order descriptions also reference support for military medical facilities nationwide and worldwide. The joint venture performs the nursing staffing directly without subcontractors. The Army Medical Command also issues orders under this IDIQ.

Recent orders include a $9.16 million Defense Health Agency delivery order awarded July 1, 2026, for fourth-quarter FY26 registered nurse staffing, with completion on September 30, 2026. A $9.04 million DHA order was awarded April 1, 2026, with completion on June 30, 2026. Both are firm fixed price and carry Total Small Business set-asides. Earlier in 2025, a $6.07 million Army Medical Command order awarded April 1, 2025, carried no set-aside designation.

Task orders

Task order Ordering agency Obligated Awarded
RN FY26 4TH QTR task order W81K0025FA010 Medical Command (Army) $9,161,076
RN FY26 3RD QTR task order W81K0025FA008 Medical Command (Army) $9,035,799
RN FY26 1ST task order W81K0025FA002 Medical Command (Army) $6,082,570
ED RN services, FY25 , 4TH quater W81K0025F0008 Medical Command (Army) $6,092,109
ED RN services, FY25, 3RD quarter W81K0025F0009 Medical Command (Army) $6,073,796
ED RN FY25 2ND QTR W81K0024F0170 Medical Command (Army) $9,302,310
RN FY26 2ND QTR task order W81K0025FA003 Medical Command (Army) $6,248,944
RN ED W81K0024F0074 Medical Command (Army) $6,391,001
RN ED 4TH QTR fundings W81K0024F0117 Medical Command (Army) $6,775,132
ED RN services at bamc, FT SAM houston TX W81K0024F0051 Medical Command (Army) $7,189,149
2ND QTR FY24 bamc RN W81K0024F0022 Medical Command (Army) $9,757,835
Bamc FY24 RN 1ST QTR W81K0023F0170 Medical Command (Army) $6,141,872
4TH QTR RN services funding task order bamc W81K0023F0075 Medical Command (Army) $6,437,432
RN 3RD QTR funding task order bamc W81K0023F0040 Medical Command (Army) $6,280,706
RN services at bamc W81K0023F0022 Medical Command (Army) $6,324,538
1ST QTR FY 23 RN task order W81K0022F0137 Medical Command (Army) $6,366,416
4TH quarter funding RN W81K0022F0087 Medical Command (Army) $6,074,359
ED RN W81K0022F0050 Medical Command (Army) $6,248,417
2ND QTR FY22 funding task order for bamc W81K0022F0019 Medical Command (Army) $5,923,114
ED RN W81K0021F0104 Medical Command (Army) $35,370,608
Registered nurses, brooke army medical center, JBSA fort SAM houston, texas. FY21 task order, subject to the… W81K0020F0172 Medical Command (Army) $26,653,209
Registered nurses in support of covid-19 response, brooke army medical center, JBSA fort SAM houston, texas. W81K0020F0148 Medical Command (Army) $489,475
Registered nursing services; brooke army medical center and outlying clinics, JBSA fort SAM houston, texas. 1 OCT… W81K0019F0421 Medical Command (Army) $26,674,226
Registered nurse area 3 W81K0419F0101 Medical Command (Army) $0
Show all 24

Transactions

Action Obligated Date
Other Administrative Action P00015 · Transfer MOD $0
Supplemental Agreement for work within scope P00014 · Registered nurse area 3 request for equitable adjustment $0
Other Administrative Action P00013 · Registered nurse area 3 $0
Exercise an Option P00012 · Registered nurses bamc $0
Other Administrative Action P00011 · Registered nurse area 3 $0
Other Administrative Action P00010 · Registered nurse area 3 technical exhibit updates $0
Other Administrative Action P00009 · Registered nurse area 3 $0
Other Administrative Action P00008 · Modify PWS to change official transcript requirements $0
Other Administrative Action P00007 · RN- adding newest DOL WD to contract which increases H & W $0
Other Administrative Action P00006 $0
Other Administrative Action P00005 · Registered nurse area 3 $0
Other Administrative Action P00004 · Incorporating wage determination for 01OCT21 and all future years $0
Supplemental Agreement for work within scope P00003 · Registered nursing services, brooke army medical center, JBSA fort SAM houston, texas. $0
Other Administrative Action P00002 · Registered nurse services, brooke army medical center, JBSA fort SAM houston, texas. $0
Supplemental Agreement for work within scope P00001 · Registered nurse services brooke army medical center, joint base SAN antonio - fort SAM houston, texas. Purpose of modification: add clins specifically in… $0
Original award $0
Show all 16

Quick answers

Who was awarded contract W81K0419D0021?

W81K0419D0021 was awarded to Giacare & Medtrust JV LLC by Medical Command (Department of the Army) on August 14, 2019.

How much is contract W81K0419D0021 worth?

Orders under W81K0419D0021 have obligated $221,094,092. Their combined current value, with exercised options, is $221,165,570. Their combined potential value, with all options, is $221,165,575. W81K0419D0021's own ceiling is $258,247,326. A single order can be worth up to $258,247,326.

How many orders have been placed under contract W81K0419D0021?

24 orders have been placed under W81K0419D0021, the latest on July 1, 2026.

Which agency awarded contract W81K0419D0021?

Medical Command (Department of the Army) awarded W81K0419D0021, with funding from Defense Health Agency (Department of Defense).

Who can order from contract W81K0419D0021?

W81K0419D0021 is a single award indefinite delivery contract.

Was contract W81K0419D0021 competed?

The extent of competition for W81K0419D0021 was full and open competition after exclusion of sources. The government received 2 offers. It was set aside: Total Small Business.

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