Arrowhead SD Skilled Nursing Facility, LLC

Arrowhead SD Skilled Nursing Facility, LLC, doing business as Avantara Arrowhead, operates a skilled nursing facility in Rapid City, South Dakota and holds a single-award indefinite delivery contract with the Department of Veterans Affairs' Veterans Integrated Service Network 23 to provide community nursing home services to veterans in the VISN 23 region across multiple Midwestern states. The company is a for-profit limited liability partnership competing full-and-open with no set-aside designation.

Avantara Arrowhead's federal footprint is concentrated exclusively with one customer: the VA's VISN 23 network accounts for 100% of the vendor's recent award activity and combined potential value. The underlying vehicle is a single-award IDC with a $1.25 million ceiling, awarded May 1, 2022 and running through April 30, 2027. Delivery orders issued under this vehicle include a $381,966.17 firm fixed price order awarded October 1, 2024 for nursing home services and quarterly reporting (EXPRESS Report FY25), with ultimate completion September 30, 2025; a $340,582.76 order awarded October 1, 2023 for nursing home services (EXPRESS Report FY24), completed September 30, 2024; and a $134,551.07 order awarded October 1, 2022 for EXPRESS quarterly reporting (FY23). The most recent delivery order, awarded October 1, 2025 for $122,427.01, is due September 30, 2026.

Activity is modest and flat. Five awards span from May 2022 to October 2025, with combined potential value of $2.2 million and $980 thousand obligated to date (44% of ceiling). One award carrying $122 thousand in potential value reaches ultimate completion within the next twenty-four months, representing the vendor's recompete exposure. The vendor operates as a 100% prime contractor with no subcontract footprint in the source data.