Integrated Critical Staffing Program (ICSP)

Active Master IDIQ Awarded

Federal agency
Awardees
8
Task orders
238
Obligated
$335,242,904

Vehicle facts

Opportunity
Agency
Combined task order value
  • $349,133,882 Current, with exercised options
  • $902,383,536 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
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
Optician services, POP 10/16/2026 - 10/15/2027 36C24527N0067 Titan-Auxo, LLC VISN-5 $202,634
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
Medical coding 36C25027F0042 Arrow Arc LLC VISN-10 $2,153,412
Medical technician services 36C25925N0305 Prime Physicians Tri Providers LLC VISN-19 $1,452,442
Sterile processing service technician staffing services for phoenix VA… 36C26225F0016 Titan-Auxo, LLC VISN-22 $3,756,456
Locum - DRT ctnucmedultrsnd 36C24226N0440 Prometheus Federal Services LLC VISN-2 $1,347,619
Certified registered nurse anesthetist services 36C25225N0238 Aspire-Luke JV LLC VISN-12 $2,192,044
VISN 19 MSA for base year plus 1 additional option year 36C25926N0480 Prime Physicians Tri Providers LLC VISN-19 $13,624,000
Icsp - 36 FTE (environmental technicians) 36C26026F0336 Arrow Arc LLC VISN-20 $1,421,712
Icsp contract order for two 1.0 FTE CT techs at the iowa city VAMC: six-month… 36C26325N0520 Prime Physicians Tri Providers LLC VISN-23 $81,317
Medical coder 36C26326N0731 Veteran First Technologies, LLC VISN-23 $530,982
Task order for anesthesiology services for the columbia VAMC 36C25526N0074 Aspire-Luke JV LLC VISN-15 $2,419,615
Medical support assistant staff for multiple across eastern colorado healthcare… 36C25925N0329 Arrow Arc LLC VISN-19 $14,622,400
Icsp contract for diagnostic radiology technologist (DRT) services. 36C24226N0798 Titan-Auxo, LLC VISN-2 $747,344
Medical coding service for puget sound HCS from icsp POP: 9/28/26 - 9/27/27… 36C26026N0457 Blue Water Thinking,Llc VISN-20 $172,788
Icsp contract for diagnostic radiology technologist (DRT) services. 36C24226N0790 Veteran First Technologies, LLC VISN-2 $895,544
Icsp - spokane eight (8) environmental technicians 36C26026F0419 Prime Physicians Tri Providers LLC VISN-20 $262,912
Show 15 more

Latest 25 of 238 listed here. See the rest on GovTribe.

Top awardees by obligations

Rank Awardee Obligated Share
1 Titan-Auxo, LLC $111,258,382 33%
2 Arrow Arc LLC $53,924,686 16%
3 Prometheus Federal Services LLC $52,592,282 16%
4 Prime Physicians Tri Providers LLC $27,920,738 8%
5 Veteran First Technologies, LLC $25,876,140 8%
6 Aspire-Luke JV LLC $25,827,187 8%
7 North American United Healthcare Services JV LLC $21,044,226 6%
8 Blue Water Thinking,Llc $16,799,262 5%

Top funding agencies by obligations

Rank Funding agency Obligated Share
1 Department of Veterans Affairs $335,242,904 100%

Obligations by fiscal year

Fiscal year Obligated
FY2027 To date $11,802,550
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?

238 task orders have been placed under ICSP, obligating $335,242,904. Their combined current value, with exercised options, is $349,133,882.

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 ($335,242,904).

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

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