Avera ST. Mary's

Avera ST. Mary's, doing business as Maryhouse, is a non-profit hospital and subsidiary of Commonspirit Health operating from Pierre, South Dakota, that provides nursing home services and express reporting to the Department of Veterans Affairs as a prime contractor on a single-award indefinite delivery contract. The vendor competes on a full and open basis with no set-aside designations across its federal footprint, which is concentrated entirely within VA Veterans Health Administration work.

The vendor holds a $750,000 single-award indefinite delivery contract with VA Veterans Integrated Service Network 23 (awarded December 1, 2022, effective through November 30, 2027) to deliver nursing home services and administrative reporting support across the VISN 23 region covering parts of South Dakota and Nebraska. Task orders issued under this parent IDIQ have ranged from approximately $87,000 to $272,000 annually. Recent delivery orders include a $271,950.67 firm fixed-price order for fiscal year 2024 Q1–Q4 nursing home services (October 1, 2023–September 30, 2024), a $174,649.18 order for FY25 Q1–Q4 (October 1, 2024–September 30, 2025), and a $29,435.35 order for FY26 Q1 nursing home services (October 1, 2025–September 30, 2026).

Customer concentration is extreme: VA Veterans Health Administration Veterans Integrated Service Network 23 accounts for 30 of the vendor's 80 total awards and $3.2 million of the $8.9 million combined potential value. The top five customer agencies by award count capture 57% of recent awards, but the VA VISN 23 relationship dominates both the count and the dollar ranking, with five other Federal Emergency Management Agency awards, three Department of Health and Human Services Indian Health Service awards, and scattered work across other VA and HHS programs. The recompete cliff is minimal: only one award (combined potential value $29 thousand) reaches ultimate completion inside the next twenty-four months, indicating stable, ongoing task order flow from the parent IDIQ.

The vendor's NAICS concentration reflects its healthcare mission: 55 of 80 awards fall under Nursing Care Facilities (Skilled Nursing Facilities) NAICS 623110, with scattered work in physical therapy, podiatry, and other ambulatory health care. Avera ST. Mary's operates as a prime on 93% of its awards (74 of 80), with six grant sub-awards to the South Dakota Department of Public Safety for victim support and emergency protective measures. Service Contract Inventory data is sparse — one SCI-reportable record from FY2022 shows $12 thousand invoiced across 0.1 FTEs at a government-paid rate of $42.16 per hour — indicating that most nursing home services fall below the $150,000 SCI reporting threshold or are structured as task orders on the parent IDIQ rather than standalone SCI-reportable contracts. The vendor does not engage subcontractors on its reported work. Avera ST. Mary's has been registered in SAM.gov since 2005 and maintains tax-exempt status as a non-profit healthcare provider serving the Midwest veteran population.