Commonwealth Healthcare Corporation

Commonwealth Healthcare Corporation, doing business as CHC, is a U.S. government entity (the sole public healthcare provider for the Commonwealth of the Northern Mariana Islands) that acts as a prime recipient on federal grants and holds a single-award indefinite delivery contract with the CDC for vital statistics and public health surveillance services. CHC operates as a semi-autonomous territorial healthcare system headquartered in Garapan, Saipan, with administrative oversight and service delivery spanning Saipan, Tinian, and Rota.

CHC's federal footprint is overwhelmingly grant-based rather than contract-based. The organization receives the vast majority of its federal funding through direct grants from HHS agencies—particularly the Substance Abuse and Mental Health Services Administration (SAMHSA), the Health Resources and Services Administration (HRSA), and the Centers for Disease Control and Prevention (CDC)—in support of comprehensive public health, behavioral health, maternal and child health, and nutrition assistance programs delivered across the Northern Mariana Islands. Representative grants include a $735,000 SAMHSA Center for Mental Health Services award (CFDA 93.532) for youth suicide prevention initiatives; a $704,656 SAMHSA block grant (CFDA 93.959) for substance use prevention and treatment services; a $3.947 million Department of Agriculture WIC food expense formula grant (CFDA 10.557) for the Special Supplemental Nutrition Program for Women, Infants, and Children; a $1.658 million Maternal, Infant and Early Childhood Home Visiting grant (CFDA 93.870) supporting evidence-based home visiting services using the Healthy Families America model; and a $513,500 Department of Agriculture telemedicine grant (CFDA 10.855) for distance learning and rural telecommunications infrastructure. CHC also holds multiple cooperative agreements with CDC offices for disease surveillance, prevention, and emergency preparedness, including the Epidemiology and Laboratory Capacity program, the National Center for Immunization and Respiratory Diseases, and the National Center for Chronic Disease Prevention and Health Promotion. The organization's contract portfolio is limited to a $2.251 million single-award indefinite delivery contract with CDC Pittsburgh (awarded February 2022, ultimate completion April 2027) for vital statistics cooperative program services, which has generated six task orders under $120 thousand in combined value, along with a small handful of Social Security Administration purchase orders for enumeration at birth and electronic death records services in the range of $9 thousand to $59 thousand each.

Recent activity shows 242 total awards in the source data spanning 1997 to September 2026, with annual award counts of 29 (2022), 22 (2023), 24 (2024), 22 (2025), and 6 (2026 year-to-date). Although the combined potential value across all awards stands at $3.9 million, the combined dollars obligated across those same awards totals $330.1 million—reflecting the fact that the source captures only the ceiling values of IDCs and does not fully represent the scale of actual federal funding flowing to CHC. CDC Pittsburgh leads among federal customers by combined potential value at $3.8 million across 21 awards, followed by the Social Security Administration at $109 thousand across 4 awards. By award count, SAMHSA (31 awards), HRSA (25 awards), and CDC Pittsburgh (21 awards) dominate the portfolio. Twenty-nine awards carry ultimate completion dates within the next twenty-four months and represent $120 thousand in combined potential value due for recompete or renewal. CHC does not operate federal contract parent vehicles or hold positions on GWACs; the organization's federal engagement is rooted in direct grant awards to the territorial government entity, with administrative and service delivery responsibility across all three Northern Mariana Islands for populations including low-income pregnant women, infants, children, uninsured residents, and persons with serious mental illness or substance use disorders.