Cognosante MVH LLC

Cognosante MVH LLC, doing business as MVH, a subsidiary of Cognosante Holdings LLC, is a foreign-owned, for-profit limited liability partnership that delivers healthcare information technology solutions, telehealth platforms, and IT modernization services to the Department of Veterans Affairs and the Centers for Medicare and Medicaid Services primarily as a prime contractor (96% of recent awards), competing on an unrestricted, full-and-open basis with no SBA set-aside designations.

MVH's customer concentration centers entirely on federal health agencies. The Department of Veterans Affairs accounts for substantially all dollar value across its award footprint: the VA Technology Acquisition Center Austin commands $85 billion in combined potential value across 42 awards (96% of total potential value), while VA VISN 19 (Veterans Health Administration) holds 58 awards valued at $2.26 billion, and the VA Strategic Acquisition Center Frederick carries nine awards at $589.3 million. The Centers for Medicare and Medicaid Services represents the only non-VA customer of scale, with five awards totaling $430.7 million. Together, these two agencies account for 100% of the combined potential value in the award portfolio.

MVH's primary vehicle footprint reflects this concentration. The vendor holds a position on the $60.7 billion Transformation Twenty-One Total Technology Next Generation Two (T4NG2) multiple-award IDIQ awarded to Cognosante MVH by the VA Technology Acquisition Center Austin in October 2023, with 13 task orders generating $1.83 billion in combined potential value. The company also holds a $1.032 billion multiple-award IDIQ for remote patient monitoring and home telehealth services issued by VA VISN 19 in June 2023, a $90.1 million single-award IDIQ for the Remote Patient Monitoring Home Telehealth Bridge contract awarded September 2022, and seats on the GSA Multiple Award Schedule placing 35 task orders worth $612.6 million. The most recent named vehicle is the Indefinite Delivery Contract 36C79122D0007 with 20 task orders totaling $820.8 million combined potential value.

Representative prime work illustrates MVH's service portfolio. The vendor holds a $485.4 million delivery order under T4NG2 awarded September 2021 for Supply Chain Management Product Line DevSecOps and Integration services, performed in Falls Church, Virginia, with subcontractors including IBM, Deloitte Consulting LLP, and V3Gate LLC providing IT infrastructure and asset management expertise. A $186.2 million Time and Materials delivery order for Cloud Operations and Migration Services under T4NG was awarded August 2023 with completion through November 2026, also in Falls Church, leveraging subcontractors Capgemini Government Solutions, Adeptus Solutions (WOSB), and Excentium (SDVOSB) for cloud migration and software development. Under the remote patient monitoring IDIQ with VISN 19, MVH received monthly EXPRESS REPORT delivery orders for data analytics and reporting services ranging from $834 thousand to $34.7 million, with recent awards in January–February 2026 for $2.7–$5.3 million each. A $262.99 million Time and Materials delivery order from CMS issued November 2021 for Enrollment Resolution and Reconciliation Form 1095-A Data Reporting services (completion November 2026) shows MVH's healthcare administration capability; the order engages subcontractors Index Analytics (8(a)) and Sierra7 (SDVOSB), which together performed 13 percent of contractor hours in FY2024.

Activity shows growth through FY2024 and compression in FY2025–2026. The vendor received 15 awards in 2022, declining to 8 in 2023, rebounding to 13 in 2024, then dropping to 9 in 2025 and 1 in 2026 year-to-date. Six awards with ultimate completion dates in the next twenty-four months carry combined potential value of $1.22 billion and face recompete risk during that window. SCI-reported invoicing of federal service contracts grew significantly: FY2022 recorded $190.3 million across 264 FTEs, FY2023 declined to $123.7 million across 210 FTEs, then surged to $489.7 million across 899 FTEs in FY2024. This trajectory reflects scaling within existing mega-contract vehicles rather than portfolio diversification.

Across SCI-reportable prime contracts, MVH engages subcontractors for 25 percent of contractor hours on average, with 143 named subcontractors reported in the dataset. Named teaming patterns show MVH regularly contracts with ManTech Advanced Systems International for custom computer programming and technical refresh services, Veterans EZ Info Inc. for IT support and DevSecOps work, and STS Systems Support LLC for program management and medical analysis. On larger vehicles such as T4NG and T4NG2, MVH leads primes that include technology integrators (Deloitte, Capgemini), infrastructure specialists (IBM, Intersystems Public Sector), and smaller socioeconomically disadvantaged businesses (Sierra7 SDVOSB, Index Analytics 8(a), Adeptus WOSB) to round out delivery capabilities. The vendor does not subcontract to larger primes; its role across all named work is prime contractor.

MVH's GSA Schedule labor portfolio spans 171 active categories with hourly rates from $39.37 to $346.40, covering entry-level contact center and help desk roles (high school education, $40–70/hr range) through senior subject matter experts and health IT project directors (bachelor's-level, $160–346/hr). No cleared labor categories appear in the active rate card. The government-paid hourly rate distribution across SCI-reported prime work shows a median of $247.08/hr, with rates ranging from a 10th percentile of $79.04/hr to a 90th percentile of $831.07/hr, reflecting the mix of low-overhead operational support and high-complexity cloud and IT modernization labor.

MVH's NAICS footprint is split between healthcare delivery codes (Surgical and Medical Instrument Manufacturing dominates with 48 awards) and IT services codes (Computer Systems Design Services, 20 awards; Other Computer Related Services, 20 awards; Custom Computer Programming Services, 10 awards). PSC coding reinforces this split: Medical and Surgical Instruments, Equipment, and Supplies represent 44 awards, while IT and professional services (Program Management/Support, Other Professional Support, IT and Telecommunications) account for roughly 40 awards. This dual coding pattern reflects MVH's role as both a healthcare technology solutions provider (telehealth platforms, remote monitoring devices, tablets, data systems) and an enterprise IT transformation partner (cloud migration, DevSecOps, contact center infrastructure).