Commonwealth Healthcare Corporation

Commonwealth Healthcare Corporation, doing business as CHC, is a U.S. government entity and semi-autonomous territorial healthcare provider delivering vital statistics data collection, public health services, behavioral health programs, and maternal and child health services to federal agencies as a prime grant recipient and prime contractor. CHC is a government-owned hospital system and the sole public healthcare provider across the Commonwealth of the Northern Mariana Islands (CNMI), with administrative oversight and service delivery across Saipan, Tinian, and Rota.

CHC operates almost exclusively as a prime recipient of federal grants (229 of 230 awards, or 100% of prime awards). The organization does not hold positions on government-wide contract vehicles or IDIQs; instead, CHC works under single-award indefinite delivery contracts and receives direct grant awards from federal agencies. Federal grant funding dominates the portfolio — the source lists no federal contract sub-awards and only one federal grant sub-award, to the Association of Maternal and Child Health Programs for rheumatic heart disease detection and treatment in CNMI.

Customer concentration is split across the Department of Health and Human Services, which accounts for the vast majority of recent awards. The Centers for Disease Control and Prevention (CDC) Pittsburgh office leads by potential value, with 20 awards carrying a combined $3.8 million, concentrated in vital statistics cooperative program work. Substance Abuse and Mental Health Services Administration (SAMHSA) and the Health Resources and Services Administration (HRSA) each place multiple grants across mental health, substance abuse treatment and prevention, and maternal and child health service delivery. The Social Security Administration funds enumeration at birth and electronic death records work, carrying $109 thousand across four awards. CHC has received federal awards from at least 31 distinct customer agencies over the source period.

Grant work spans behavioral health crisis services, substance use disorder prevention and treatment, maternal and infant home visiting (Healthy Families America model), community mental health services, WIC (Women, Infants, and Children) program administration and food expenses, immunization and vaccine-preventable disease prevention, emergency preparedness, rural opioid response coordination, telemedicine infrastructure, and public health workforce development. Representative recent awards include a $300,712 Substance Use Prevention, Treatment, and Recovery Services Block Grant (CFDA 93.959) from SAMHSA's Center for Substance Abuse Treatment effective October 1, 2025, a $1.66 million Maternal, Infant, and Early Childhood Home Visiting Grant (CFDA 93.870) from HRSA's Maternal and Child Health Bureau on September 30, 2025, and a $513,500 Distance Learning and Telemedicine Grants award (CFDA 10.855) from the U.S. Department of Agriculture's Rural Utilities Service on September 23, 2025. CHC also holds a $2.25 million single-award indefinite delivery contract with CDC Pittsburgh for vital statistics cooperative program services through April 30, 2027, which has generated six delivery orders totaling $352 thousand in combined potential value.

Activity has remained relatively flat across the past five years (27 awards in 2022, declining to 18 in 2025, with only 1 award recorded in 2026 as of the source date of April 14, 2026). The combined potential value across all 230 awards in the source is $3.9 million, though the combined dollars obligated ($311.5 million) substantially exceeds potential value — reflecting prior-year obligations against historical awards. Within the next twenty-four months, 34 awards face ultimate completion, carrying a combined potential value of $119 thousand and therefore representing recompete opportunity for competitors and continuation risk for CHC.

CHC's federal work is concentrated in NAICS 541611 (Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services) — 19 awards — and Administration of Public Health Programs, reflecting the vital statistics data collection and health surveillance mission. The organization receives no federal contract awards and does not compete for set-asides or commercial contracts; its footprint is entirely grant-based and contract-based work tied to territorial public health infrastructure and service delivery.