Coastal Clinical & Management Services Inc.

Coastal Clinical & Management Services Inc., doing business as Ccms Staffing, is a woman-owned, economically disadvantaged small business headquartered in Rockledge, Florida, that provides temporary healthcare staffing services to the federal government exclusively as a prime contractor across 39 customer agencies. The vendor operates across military medical commands, the Department of Justice correctional system, the Department of Homeland Security, and the Veterans Health Administration, delivering caregivers, nurses, dental assistants, medical billing adjudicators, and allied health professionals under federal supply schedules, blanket purchase agreements, and indefinite delivery contracts.

Coastal Clinical operates a substantial and fragmented customer base. The top five funding agencies by potential value account for 98% of combined potential value, but the portfolio is driven by two outliers: the Department of the Air Force Air Education and Training Command (28 awards, $2.19 billion combined potential value) and the Department of the Navy Bureau of Medicine and Surgery (42 awards, $994.4 million combined potential value). These two agencies alone represent approximately 84% of the vendor's total contracted potential. Behind them sit the Department of the Army Medical Command (76 awards, $265.6 million), the Department of Homeland Security Customs and Border Protection (15 awards, $131.6 million), and the Department of Veterans Affairs (17 awards, $24.8 million). By award count, the portfolio is more evenly distributed: the Department of the Army Medical Command leads at 76 awards, followed by the Federal Correctional Complex Butner (60 awards), Federal Detention Center SeaTac (52 awards), and the Department of the Air Force Air Combat Command (43 awards). The concentration signal is clear — when measured in dollars, the vendor depends on Air Force and Navy medical demand; when measured by volume, correctional facilities and Army commands dominate ordering frequency.

Coastal Clinical's vehicle position spans multiple GSA schedules and indefinite delivery contracts. The Federal Supply Schedule V797P4301A (242 task orders, $19.7 million combined potential value) and the Professional and Allied Healthcare Staffing Services schedule FSS-621-I (165 task orders, $32.8 million) anchor recurring ordering activity from correctional institutions and civilian federal facilities. The vendor also holds an Indefinite Delivery Contract FA805312D0026 with the Air Force (113 task orders, $42.3 million), a CBP single-award indefinite delivery vehicle for Southwest Border caregivers (15 awards, $131.6 million since September 2021, with individual orders ranging from $241,000 to $15.1 million), and multiple Bureau of Prisons IDCs for medical billing adjudicator services. A recent Blanket Purchase Agreement with Federal Correctional Institution Loretto for optometry services carries a $174,773.04 ceiling through March 2031 (awarded March 2, 2026); a separate dental assistant BPA at the same facility carries a $337,437.36 ceiling through September 2029 (awarded October 1, 2024).

Activity trajectory shows volatility. The vendor recorded eight awards in 2022, seven in 2023, sixteen in 2024, then dropped to three in 2025 and three in 2026, suggesting significant recompete or contract restructuring activity. The 755 total awards in the source carry a combined potential value of $3.68 billion against only $197.2 million obligated, indicating the bulk of the portfolio represents option periods and future-year ceilings rather than current-year spending. This structure creates material recompete exposure: when GSA schedules and Air Force IDCs reprice or when Navy and Army medical contracts cycle, the vendor faces significant renewal or competition risk.

Service Contract Inventory data shows $31.5 million in invoiced revenue across FY2022–FY2025, concentrated in FY2024 ($29.6 million across 382 FTEs). FY2023 and FY2025 recorded zero SCI invoicing, which may reflect reporting gaps, contract transition periods, or shifting to non-SCI vehicles. On the contracts that did report, median government-paid rates ran around $28.57 per hour, with the 10th percentile at $21.31 per hour and the 90th percentile at $40.41 per hour — a range consistent with entry-level clinical support through senior nursing and specialist roles. The vendor operates 100% as a prime contractor with no subcontractor reliance; it builds and deploys its own staffing teams rather than brokering work to other providers. This posture makes Coastal Clinical a direct labor-cost competitor rather than a prime-contractor partner.

The portfolio is deeply specialized in healthcare labor. The top NAICS categories are Offices of Physicians (except Mental Health Specialists) with 230 awards, General Medical and Surgical Hospitals with 193 awards, and Temporary Help Services with 144 awards. Top PSC codes show Medical-Other (232 awards), Medical-Managed Healthcare (154 awards), and Medical-Nursing (76 awards), with pharmacy and dentistry rounding out the service mix. Recent concrete work includes a $3.17 million May 2026 delivery order from Customs and Border Protection for consolidated caregivers supporting Border Patrol West Region operations at Fort Bliss, Texas (set-aside for Total Small Business); a $3.8 million November 2025 CBP delivery order for the same Border Patrol mission (modified with incremental funding); a $27,740.86 October 2025 BPA call from Federal Correctional Institution Loretto for dental assistant services through September 2029; a $12.31 million November 2024 CBP delivery order covering five Border Patrol sectors; and recurring monthly GSA schedule calls from FCI Loretto for dental assistant and optometry services ranging from $4,000 to $5,300 per month.