Professional and Allied Healthcare Staffing Services (FSS-621-I)

The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 12 established this Master GSA Schedule for professional and allied healthcare staffing services on November 1, 2003, with the last date to place orders on September 30, 2024—the vehicle closed to new ordering 21 months ago. The schedule encompasses 58 labor categories spanning physicians across multiple specialties, nurses, pharmacists, physician assistants, speech language pathologists, diagnostic technologists, therapists, and supporting clinical roles, all subject to Service Contract Act wage determinations. This vehicle is no longer accepting new orders and is winding down.

The schedule generated 10,000 task orders over its 22-year life, with activity declining sharply in recent years: 1,527 orders in 2022, dropping to 338 in 2026 (through September). Combined task-order potential value stands at $8.91 billion, with $6.25 billion obligated (70% utilization). The Indian Health Service dominates customer concentration, placing 7,659 orders valued at $1.27 billion—approximately 77% of all orders. Veterans Health Administration sub-networks placed an additional 1,110 orders combined. Department of Justice Bureau of Prisons facilities account for roughly 900 orders across Federal Detention Center Miami, Federal Correctional Institution Beckley, and other facilities, with significantly lower per-order values.

Competitive concentration is split between order frequency and value capture. AB Staffing Solutions LLC holds the most orders (1,390, $448.3 million combined potential value) followed by CHG Companies, Inc. (1,161 orders, $221.2 million) and Global Empire LLC (1,149 orders, $42.6 million). However, Loyal Source Government Services LLC dominates by potential value with only 609 orders but $1.73 billion in combined potential value, representing a strategic mega-vendor position. These five firms hold 57% of order count, while the top five by value capture 32% of total potential value. The remaining 314 primes share a long tail of smaller awards.

The set-aside structure shows 17% of orders designated for small business categories overall, with total small business capturing 1,699 orders and Service-Disabled Veteran-Owned Small Business (SDVOSB) 397 orders. The majority of awards are unrestricted—the "No Set-Aside Used" category reports 21,264 orders, which appears to reflect overlapping classification in the source data. Recent task orders show a mix of unrestricted and small-business-designated calls, including several five-year performance periods extending into 2031.

Task-order values range from under $10,000 for short-term specialist assignments (dental assistant, phlebotomist, radiology tech sessions) to multi-million-dollar megadeals: Loyal Source's $1.73 billion cumulative value, Registered Nurse staffing to Indian Health Service hospitals at $541,772 ceiling, primary care physician services to Veterans Affairs at $6.2 million, and medical supply technician services at $6.56 million. Most orders are firm fixed price; recent awards show typical monthly or quarterly staffing calls at $20,000–$50,000 with annual or multi-year performance periods. Several orders employ labor-hours or time-and-materials pricing for professional services. Indian Health Service accounts dominate by order volume and represent the vehicle's core business; federal prison system contracts and Veterans Affairs medical centers are secondary customer bases. Place of performance spans domestic locations including Indian Health Service hospitals nationwide, VA medical centers, Federal Bureau of Prisons facilities, and Coast Guard installations.

Physicians