American College Of Surgeons

American College of Surgeons, a non-profit professional organization headquartered in Chicago, Illinois, operates as a prime contractor delivering surgical accreditation, quality improvement program memberships, cancer care certification, and advanced medical training services to federal healthcare agencies. ACS competes entirely in full-and-open procurements with no set-aside activity; the organization holds a portfolio of 786 prime awards spanning 55 distinct federal customer agencies, with 84% of potential value obligated and concentrated heavily in two core areas: Commission on Cancer (CoC) accreditation services and National Surgical Quality Improvement Program (NSQIP) memberships for military and veteran healthcare systems.

The Defense Health Agency anchors ACS's federal footprint, accounting for 39 awards valued at $43.8 million combined potential value—85% of ACS's total federal pipeline. This concentration reflects a single large-award IDC: a $13.76 million NSQIP training and membership services contract (awarded June 2, 2025; extending through June 1, 2030) that provides risk-adjusted surgical outcome measures, training, and online support across Department of Defense military treatment facilities in adult, pediatric, bariatric, and trauma specialties. Under this IDC, DHA has issued delivery orders including a $1.37 million order in June 2025 covering NSQIP memberships and training support, and an earlier $1.29 million order in May 2024 for the same services. Beyond the IDC, DHA places recurring purchase orders for ATLS (Advanced Trauma Life Support) training materials, simulator accreditation, and Commission on Cancer accreditation fees, typically valued at $10 thousand to $240 thousand per order. The Department of Veterans Affairs system is the second-most-active customer, driven by distributed purchase orders and delivery orders across multiple Veterans Integrated Service Networks (VISNs) for annual Commission on Cancer accreditation fees to individual VA medical centers. The Army Medical Command, Navy Bureau of Medicine and Surgery, and Centers for Medicare and Medicaid Services (CMS) round out the top five; the CMS relationship includes $3.1 million across 13 awards for cancer-registry-related services and quality standards support, likely tied to the National Program of Cancer Registries (NPCR).

ACS holds three named parent IDCs. The largest is the DHA NSQIP vehicle noted above. The second is a VA VISN 8 single-award IDC valued at $138,068 (awarded January 1, 2024; extending through December 31, 2028) for annual Commission on Cancer accreditation fees at two VA medical centers; three delivery orders totaling approximately $190 thousand have been issued to date. A third, awarded to VISN 23 on November 1, 2025, is a five-year single-award IDIQ valued at $150,938 for Commission on Cancer accreditation services at Minneapolis and Northwest Indiana Omaha VA medical centers; two delivery orders of $13,004 each have been issued for the initial ordering period. The National Cancer Institute has awarded ACS two significant purchase orders: a $718,331 order (July 1, 2024) for access to 8th Edition Cancer Staging Manual and Version 9 Cancer Staging System active site licenses supporting the SEER Program (extending through June 30, 2029), and a $144,703 order (March 13, 2026) for the same licensing. These NCI awards reflect ACS's ownership of the American Joint Committee on Cancer (AJCC) cancer staging system, a core intellectual property asset that generates recurring federal licensing revenue.

ACS also holds a cooperative agreement with the Uniformed Services University of the Health Sciences (awarded September 30, 2024; extending through September 29, 2027) for the Military Health System Strategic Partnership in surgical quality, and a cooperative agreement with the National Center for Chronic Disease Prevention and Health Promotion (awarded September 30, 2023; extending through September 29, 2028) for the National Partnerships to Promote Cancer Surveillance Standards, where ACS works on cancer data quality and registry operations. The organization acts as a sub-recipient on two grant sub-awards under University of Texas at Austin for the National Emergency Medical Services for Children (EMSC) Resource Centers program, and under University of Michigan on a project studying Commission on Cancer operative standards implementation and outcomes.

Award activity has remained stable at 33–47 orders per year across 2022–2025, with 8 awards recorded through April 2026 year-to-date. Nineteen awards (combined potential value $534 thousand) carry ultimate completion dates within the next twenty-four months, creating modest recompete exposure concentrated in routine annual Commission on Cancer accreditation renewals at individual VA networks. The source data reflect a vendor whose federal business model is built on specialized, non-competitive accreditation and quality-certification services where ACS holds established sole-source or unique-qualifications standing, as evidenced by recurring small-dollar purchase orders and sole-source determinations across the VA system and multiple Military Treatment Facilities. The organization's primary NAICS designation is Professional Organizations (434 awards), with secondary strength in Educational Support Services and Book Publishing, and PSC footprint dominated by Professional Certifications and Accreditations (186 awards) and Education/Training fees (88 awards).