Avel Ecare LLC

Avel Ecare LLC, doing business as Avel Ecare Pharmacy, is a foreign-owned telemedicine and telehealth services provider based in Sioux Falls, South Dakota, competing as a prime contractor (100% of recent awards) on firm fixed-price delivery orders and a single master IDIQ contract with the Indian Health Service. The company does not hold small business set-aside certifications and competes in full-and-open federal procurements.

Avel Ecare's federal footprint centers on delivering virtual healthcare services to tribal healthcare facilities across rural and underserved Native American communities. The vendor's capability portfolio includes virtual care delivery, tele-emergency support, specialty clinic consultations, behavioral health services, diagnostic ultrasound examinations, sexual assault nurse examiner (e-SANE) services, and medical staffing support to federal healthcare systems. Representative prime awards include a $29.7 million single-award IDIQ with the Indian Health Service Great Plains Area (awarded July 26, 2022, extending through July 31, 2027) serving healthcare facilities in South Dakota, North Dakota, and Minnesota; a $5.2 million IHS telehealth bridge contract for Billings Area Service Unit locations in Montana (awarded December 31, 2025, through June 30, 2026, with optional extension periods); a $5.05 million IHS Area Wide Telemedicine Services bridge contract for the Billings Area (awarded April 1, 2025, through December 31, 2025); and individual task orders under the master IDIQ ranging from approximately $21 thousand to $1.3 million, targeting specific tribal healthcare facilities such as Cheyenne River Health Center, Rosebud IHS Hospital, Belcourt Hospital, and Pine Ridge Service Unit.

Customer concentration is extreme: the Indian Health Service accounts for 108 of 115 awards and $63.4 million of the $63.5 million combined potential value (100% coverage). Peripheral federal activity includes three purchase orders with the Bureau of Indian Education ($86 thousand combined), two Air Force purchase orders for crisis care services ($37 thousand combined), and single Army and South Dakota Army National Guard purchase orders ($37 thousand combined). This concentration on a single agency through a single parent vehicle exposes the vendor to significant recompete risk.

Avel Ecare's parent vehicle position is wholly dependent on a single IHS contract. The master Indefinite Delivery/Indefinite Quantity (75H70622D00023), awarded to Avel Ecare as a sole-source, non-set-aside award with a $30.8 million ceiling, carries 103 task orders across a combined potential value of $22 million. The IDIQ runs through July 31, 2027, with administrative oversight in Aberdeen, South Dakota. The vendor has issued no subcontract work and maintains no named teaming relationships in the source data; all 115 awards are prime contractor engagements.

Activity has grown from 18 awards in 2022 (initial IDIQ award and early task orders) to a peak of 39 awards in 2023, then moderated to 28 awards in 2025, with only 7 awards recorded in 2026 through August 2. This trajectory reflects task order issuance patterns under a stable master contract rather than new vehicle acquisition or customer diversification. Within the next twenty-four months, 17 awards with combined potential value of $10.2 million reach ultimate completion and face recompete, representing approximately 16% of the vendor's current portfolio by count but only about 16% by potential dollar value, concentrated in tactical task orders rather than master contract renewal.

Work is performed across the Great Plains region at multiple tribal healthcare facilities with primary administrative coordination from Aberdeen, South Dakota, and operational presence in Sioux Falls. The vendor's federal classification across 105 awards uses General Medical and Surgical Hospitals NAICS (621110) and Medical–Managed Healthcare PSC, reflecting the IHS Great Plains Area telehealth mission. Avel Ecare maintains no federal contract vehicles beyond the single IHS IDIQ, no GSA Schedule presence, and no multi-agency parent vehicles; federal opportunity exposure is controlled entirely by IHS task order issuance authority.