Colorado Regional Health Information Organization

Colorado Regional Health Information Organization, doing business as Contexture Colorado, operates a health information exchange (HIE) platform serving federal healthcare agencies as a prime contractor on sole-source purchase orders, with no subcontractor footprint and no federal set-aside designations. A Denver-based nonprofit organization, Contexture Colorado delivers health information exchange licensing and patient routing notification services under NAICS 518210 (Data Processing, Hosting, and Related Services) and secondary codes in custom computer programming and medical managed healthcare support.

The vendor's customer concentration is split between the Department of Veterans Affairs Veterans Integrated Service Network 19 (VA VISN 19) and the Department of Defense's medical and health agencies. VA VISN 19 accounts for four awards (combined potential value $990 thousand) dating to 2022, each structured as sole-source purchase orders for annual eHealth Information Exchange user account licenses; the most recent order, awarded March 3, 2026, provides 250 eHIE user accounts annually through March 2031 for $438,400. The Department of the Army Medical Command holds four awards (combined potential value $1.7 million), also sole-source. The Department of Health and Human Services Office of the Assistant Secretary for Administration anchors the largest single award at $7.4 million. The Defense Health Agency's single award of $985,416 for health information exchange patient routing notification services to Army Medical Command completed in July 2024. Together, these five customer relationships account for 100% of the combined potential value across the thirteen-award portfolio.

Activity has been episodic — one award in 2020, one in 2021, two in 2022, one in 2023, and one in 2026 — with a combined potential value of $11 million across all awards but cumulative obligated amounts of $34.4 million, indicating contract modifications and reorders over time. Only one award ($402 thousand) faces ultimate completion inside the next twenty-four months. The vendor operates exclusively as a prime contractor with zero subcontractor volume across its award footprint. Service Contract Inventory records are minimal: SCI captured zero prime invoicing in FY2022 and only 0.4 FTEs as a named subcontractor in FY2024, reflecting the fact that most work routes through purchase orders and licenses rather than labor-intensive service contracts above the SCI reporting threshold. All awards are uncompetitive sole-source procurements, indicating Contexture Colorado holds a unique position as the provider of interoperable health information exchange infrastructure capable of linking VA and DoD healthcare systems with community providers across Colorado.