Acuity International, LLC

Acuity International, LLC operates as a federal prime contractor providing occupational health and medical examination services, emergency response and disaster relief support, facilities and security operations, and engineering services across 26 federal agencies, competing on a full-and-open basis without set-aside designations. The Reston, Virginia–based for-profit organization holds 45 prime awards (79% of recent activity) and 12 subcontractor positions, anchored by fourteen active indefinite delivery contracts representing more than $79 billion in combined potential ceiling value.

Acuity's capability footprint centers on occupational health and medical examination services—medical screening, fitness-for-duty evaluations, pre-employment physicals, and administrative nursing support delivered nationwide and across overseas locations. Representative prime work includes a $43.6 million Transportation Security Administration definitive contract for medical testing and examinations supporting TSA recruitment and workforce reintegration (awarded December 2023, completion May 2026), a $21.6 million single-award IDIQ with the U.S. Army Medical Command for medical examination and administrative nursing services across the fifty states and Puerto Rico (awarded September 2022, completion September 2027), a $49.9 million single-award IDIQ with the U.S. Army Corps of Engineers for occupational health services spanning CONUS, Hawaii, Alaska, Puerto Rico, and the U.S. Virgin Islands with primary performance in Mobile, Alabama (awarded April 2025, completion April 2030), and a $13.7 million Secret Service definitive contract for medical examination services with fitness-for-duty and psychology assessment evaluations (awarded September 2025, completion September 2029). Beyond occupational health, Acuity holds a $71.5 million Immigration and Customs Enforcement definitive contract for the Young Adult Case Management Program (awarded September 2022, completion August 2027), a $6.3 million FEMA delivery order for Alternative Transportable Temporary Housing Units manufacturing and installation in Hawaii (awarded September 2024, completion November 2025), and a $10.33 billion multiple-award IDIQ with Washington Headquarters Service for Global Protective Services worldwide physical security (awarded June 2025, completion June 2035).

Customer concentration runs heavily toward Department of Defense components and Department of Homeland Security. The top five customer agencies by award count account for 42% of awards: the Department of the Army Corps of Engineers Finance office (7 awards, $54.5 million combined potential value), Department of Homeland Security components split across Science and Technology Directorate (5 awards) and Transportation Security Administration (4 awards, $43.6 million), Federal Emergency Management Agency (4 awards, $36.8 million), and the Army Corps of Engineers Engineering District Mobile (4 awards, $5.2 million). By potential value, a different concentration emerges—DOD's Washington Headquarters Service anchors $10.33 billion across two awards (the Global Protective Services IDIQ and a $1,000 minimum-guarantee task order), and Naval Sea Systems Command holds $4 billion across two SeaPort Next Generation awards. Immigration and Customs Enforcement carries $202.5 million across three awards (Young Adult Case Management Program, emergency detention services IDIQ, and a $250 minimum guarantee).

Acuity positions itself on multiple federal contracting vehicles: the $49.9 million Army Corps of Engineers IDIQ has generated 10 task orders worth $9.8 million combined potential value; the Army Medical Command IDIQ (W81K0422D0016) has driven 4 task orders worth $17 million combined potential; the $21.6 million Forest Service wildland firefighter medical qualifications IDIQ, the $2.86 million IRS Criminal Investigation medical screening IDIQ, the $1 million NOAA occupational health clinic IDIQ, and the $100 thousand Forest Service Region 2 Medical Surveillance Program IDIQ round out the single-award occupational health portfolio. Multiple-award vehicles include the $4 billion Naval Sea Systems Command SeaPort-NXG contract, the $10.33 billion Global Protective Services IDIQ, the $130.96 million ICE Emergency Detention and Related Services SSV, the $65 billion Naval Supply Systems Command WEXMAC 2.2 TITUS expeditionary operations contract, and the $5 million State Department Bureau of Overseas Building Operations cost-estimating IDIQ. A $1.56 million FEMA ATTHU IDIQ and a $0 ceiling Basic Ordering Agreement with GSA Federal Acquisition Service (awarded February 2022, completion December 2026) complete the named vehicles.

Recent activity accelerated sharply: five awards in 2022, six in 2023, ten in 2024, then thirty-three in 2025, with three awarded in 2026 year-to-date. Twelve awards face ultimate completion dates within the next twenty-four months, carrying combined potential value of $82.2 million and presenting significant recompete exposure—the bulk sits in the Army Corps of Engineers occupational health IDIQ task orders (completing June through December 2026) and the Transportation Security Administration medical services contract (completing May 2026).

Acuity operates primarily as a prime contractor, but subcontracts on specialized and program-management work. Recent subcontractor positions include medical review officer and quest diagnostic services under KBR Services' Medical Support Services Iraq (MEDSSI) prime (awards March 2025, June 2025, January 2025), architectural-engineering design and cost estimate services for the Naval Information Warfare Center under Raymond Pond Military Service Solutions SDVOSB JV (awarded September 2025), and center-wide support program services under ASRC Federal Field Services across multiple task orders (awards spanning May 2024 through March 2026). Earlier sub-awards included background investigation and certification support under Accenture Federal Services (2023).

The corporate structure comprises eight named subsidiaries: Comprehensive Health Services International, LLC; Acuity-Janus Global, LLC; Acuity-CHS, LLC; Sallyport Global Holdings Inc.; Valiance Humanitarian LLC; Acuity Engineering & Technical Services LLC; Acuity-PT&C, LLC; and Sallyport Global Services LTD. The engineering and technical services subsidiary signals capability extension beyond occupational health into facilities and cost engineering—aligned with the State Department cost-estimating IDIQ and the NIWC architectural design sub work.

SCI-reported federal service-contract activity spans FY2022–FY2024, capturing twelve records (seven as prime, five as named subcontractor). Prime invoiced revenue totaled $22 million across the three years: $1 thousand in FY2022 (0 FTEs), $11.5 million in FY2023 across 80.6 FTEs, and $10.5 million in FY2024 across 86.9 FTEs. Government-paid hourly rates on prime SCI contracts ran a median of $63.27/hr, spanning a 10th percentile of $39.10/hr to a 90th percentile of $74.13/hr—a mid-tier rate band reflecting the occupational health and administrative nursing services mix. Acuity builds its own delivery teams on prime contracts: across SCI-reportable prime contracts, subcontractor hours contributed 0% of total contractor hours, with only two named subcontractors reported across the full prime portfolio. The FTE trajectory shows modest growth from 23.7 FTEs in FY2022 to 90.2 FTEs in FY2024, consistent with the prime delivery model but undersized relative to the $79 billion in IDIQs, which suggests SCI captures only a small slice of actual federal services invoicing—much occupational health work is delivered under fixed-price delivery orders rather than labor-hour or T&M contracts, and disaster relief, housing units, and security services fall outside SCI scope entirely.