Integrated Critical Staffing Program (ICSP)

Active Master IDIQ Awarded

Federal agency
Awardees
8
Task orders
241
Obligated
$342,463,016

Vehicle facts

Opportunity
Agency
Combined task order value
  • $360,601,332 Current, with exercised options
  • $920,322,780 Potential, with all options
Last date to order 28% complete
Shared ceiling 1% used
$23,000,000,000.00

IDV award and task order details come from SAM.gov/FPDS.

About this vehicle

The Department of Veterans Affairs Strategic Acquisition Center Frederick established the Integrated Critical Staffing Program as a multiple-award IDIQ with a shared ceiling of $23 billion, service-disabled veteran-owned small business set-aside, and ordering authority through January 10, 2034—approximately seven years and five months of procurement window remaining.

The vehicle was awarded January 11, 2024, and has generated 188 task orders valued at $666.9 million in combined potential, with $248.7 million (37%) obligated as of mid-August 2026. Ordering momentum is accelerating: 43 orders in 2024, 86 in 2025, and 59 year-to-date in 2026, averaging roughly 63 task orders per year over the past two years. Recent awards include registered nurse services, anesthesiology staffing, radiological technician positions, primary care physicians, surgical specialists (neurosurgeons, urologists, gastroenterologists), and support personnel (phlebotomists, medical support assistants, imaging technicians, and facility technicians). Task-order ceilings range from under $100,000 for single-position assignments to over $21 million for multi-year radiological staffing at major facilities.

Titan-Auxo, LLC dominates the prime contractor base, holding 68 orders and $285.6 million in combined potential value—more than 40% of all task-order value across the vehicle. Prometheus Federal Services LLC ranks second with 35 orders and $132.6 million combined potential, followed by Arrow Arc LLC with 27 orders and $99.3 million. These three firms account for 82% of awarded orders by count and 91% of combined potential value by dollar amount. Five additional primes—Aspire-Luke JV LLC, North American United Healthcare Services JV LLC, and a long tail of smaller vendors—round out the competitive base of eight distinct primes.

Approximately 78% of task orders carry the SDVOSB set-aside designation; the remainder split between unrestricted competition (20%) and total small business set-asides (2%). Task orders are firm fixed price, with durations typically spanning two to five years.

Customer concentration is notable: the top five Veterans Integrated Service Networks (VISNs) generate 47% of all task orders, with VISN 22 placing 23 orders valued at $98.8 million, VISN 21 placing 18 orders for $67.1 million, and VISN 7 placing 18 orders for $102.6 million. All task orders fund Veterans Health Administration programs across 20 distinct VA customer organizations.

IDV awards

Latest task orders

Task order Awardee Awarding agency Obligated Last action
Optician services, POP 10/16/2026 - 10/15/2027 36C24527N0067 Titan-Auxo, LLC VISN-5 $202,634
2.0 FTE crna for VA maine HCS 36C24125F0117 Aspire-Luke JV LLC VISN-1 $2,410,335
4.0 FTE phlebotomist staff for VA maine HCS 36C24125F0105 Blue Water Thinking,Llc VISN-1 $118,042
Technical support for facilities management services 36C25726N0493 Arrow Arc LLC VISN-17 $488,611
Urology services 36C24526N0024 Blue Water Thinking,Llc VISN-5 $1,595,936
MSA for montana healthcare system base plus 1 OY 36C25926N0137 North American United Healthcare Services JV LLC VISN-19 $5,545,280
Registered nurses and advanced medical support assistants for the dayton VA… 36C25027N0082 Arrow Arc LLC VISN-10 $2,436,262
36C24126F0051 phlebotomist services Arrow Arc LLC VISN-1 $51,428
Phlebotomy services base year 36C24725N0601 Blue Water Thinking,Llc VISN-7 $1,330,295
Hospitalists fargo 36C26327N0189 Prime Physicians Tri Providers LLC VISN-23 $1,055,539
Modification to add, correct name, and delete approved doctors from… 36C24627N0174 Blue Water Thinking,Llc VISN-6 $0
Houston crna service 36C25625N0834 Prometheus Federal Services LLC VISN-16 $3,084,357
Vascular surgery 36C25925N0040 Titan-Auxo, LLC VISN-19 $1,062,564
Pulmonary critical care 36C24726N0078 Prometheus Federal Services LLC VISN-7 $1,663,200
The VA western new york healthcare system currently is in need of 2 FTE board… 36C24225N0176 Blue Water Thinking,Llc VISN-2 $745,983
Spinal cord registered nurse - clement J. Zablocki VAMC 36C25224N0472 Prometheus Federal Services LLC VISN-12 $605,930
Dental assistant and dental hygienist staffing for the VA greater LOS angeles… 36C26226F0058 Titan-Auxo, LLC VISN-22 $2,275,728
Laboratory clinical provider services 36C25225N0510 Titan-Auxo, LLC VISN-12 $644,051
Laboratory clinical provider services 36C25225N0316 Arrow Arc LLC VISN-12 $135,584
Dental assistant 2080 hours. 36C24726N0045 Aspire-Luke JV LLC VISN-7 $127,005
Task order to issue option year 2 from 11/1/25 - 10/31/26 for neurology… 36C24926N0127 Blue Water Thinking,Llc VISN-9 $2,501,863
MBM pharmacy technician staffing 36C77027N0014 Arrow Arc LLC VISN-15 $1,943,200
Physicians for the ER 36C24726N0005 Titan-Auxo, LLC VISN-7 $5,624,084
Pathology and laboratory medicine services 36C25026N0440 Prime Physicians Tri Providers LLC VISN-10 $563,648
Ultrasound technicians base year 36C26225F0036 Titan-Auxo, LLC VISN-22 $820,378
Show 15 more

Latest 25 of 241 listed here. See the rest on GovTribe.

Top awardees by obligations

Rank Awardee Obligated Share
1 Titan-Auxo, LLC $111,252,929 32%
2 Arrow Arc LLC $56,308,386 16%
3 Prometheus Federal Services LLC $53,334,806 16%
4 Prime Physicians Tri Providers LLC $29,422,150 9%
5 Veteran First Technologies, LLC $25,876,140 8%
6 Aspire-Luke JV LLC $25,638,058 7%
7 North American United Healthcare Services JV LLC $23,832,966 7%
8 Blue Water Thinking,Llc $16,797,580 5%

Top funding agencies by obligations

Rank Funding agency Obligated Share
1 Department of Veterans Affairs $342,463,016 100%

Obligations by fiscal year

Fiscal year Obligated
FY2027 To date $19,022,662
FY2026 $204,527,157
FY2025 $96,498,410
FY2024 $19,691,742

Quick answers

What is the ICSP contract vehicle?

Integrated Critical Staffing Program (ICSP) is an indefinite delivery, indefinite quantity (IDIQ) contract vehicle run by VA Strategic Acquisition Center Frederick (Headquarters), awarded on January 11, 2024.

Which companies hold ICSP?

8 companies hold ICSP's IDV awards, one each. The latest went to Blue Water Thinking,Llc on January 11, 2024. The awardees whose task orders obligated the most are Titan-Auxo, LLC, Arrow Arc LLC and Prometheus Federal Services LLC.

How much has been spent through ICSP?

241 task orders have been placed under ICSP, obligating $342,463,016. Their combined current value, with exercised options, is $360,601,332.

What is the shared ceiling of ICSP?

ICSP's shared ceiling is $23,000,000,000; its task orders have used 1% of it.

Which agencies use ICSP the most?

The departments whose task orders under ICSP obligated the most are Department of Veterans Affairs ($342,463,016).

How much was obligated through ICSP in fiscal year 2025?

Task orders under ICSP obligated $96,498,410 in fiscal year 2025.

On GovTribe

See this vehicle's full record

  • Every IDV award and task order
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