Army Direct Care Medical Services - Generation Two (ADCMS-G2)

The Department of the Army Medical Command established the Army Direct Care Medical Services - Generation Two (ADCMS-G2) Master IDIQ on May 20, 2016, to supply ancillary, nurse, and physician services within the geographic footprint of the United States Army Pacific Regional Medical Command; ordering closed on April 1, 2020, and the vehicle is no longer active.

The vehicle is effectively closed to new pursuit. Ordering halted more than six years ago, and the most recent task order was awarded in April 2017. The combined potential value across all 18 task orders is $9 million, fully obligated. ADCMS-G2 succeeded the predecessor Army Direct Care Medical Services vehicle (awarded May 2009) and has itself been superseded.

Awarded task orders focus on clinical staffing: operating room technicians, certified registered nurse anesthetists, neonatal intensive care nurses, and anesthesiologist services, executed under firm fixed-price delivery orders with completion dates through March 2021. Representative order values include $1.48 million for operating room technicians, $2.98 million for CRNA and NICU services, and $4.53 million for anesthesiologist services. The initial ordering wave captured 15 awards in 2016; only 3 additional orders followed in 2017, signaling rapid stabilization and completion of the contractor base.

The 13 awarded prime contractors show no concentration dominance. Caduceus Inc. holds the largest combined potential value at $4.5 million across 2 orders (50% of total vehicle value), followed by BTL Technologies, Inc. at $3 million and Vesa Health & Technology Inc. at $1.5 million. The remaining ten contractors split the balance, with Distinctive Spectrum Healthcare Joint Venture, LLC and Matrix Providers Inc. each holding only $2 thousand combined potential value. Eighty-nine percent of orders carried no set-aside; two orders (11%) were designated Total Small Business. All 18 orders fund Army Medical Command exclusively, with no interagency demand.

Army Direct Care Medical Services - Generation Two (ADCMS-G2) Ancillary, Nurse and Physician Services to be provided in the geographic footprint of the United States Army Pacific Regional Medical Command. The NAICS code for Ancillary services is 622110 and the small business size standard is $35.5 million. The NAICS code for Nursing services is 621399 and the small business size standard is $7 million. The NAICS code for Physician services is 621111 and the small business size standard is $10 million.