King County

King County, doing business as Public Health-Seattle & King County, is a U.S. local government entity (county) operating as both a prime recipient on federal grants and a sub-recipient on federal grant awards, with a narrow footprint on federal contracts. The organization acts as a public health agency serving a population of approximately 2.2 million residents across the Seattle metropolitan area and greater King County, Washington, with federal grant work concentrated in public health infrastructure, disease prevention, workforce development, and community-based service delivery.

Public Health-Seattle & King County's federal footprint is overwhelmingly grant-based. Of 290 total awards in the source data, 117 are prime grants (40%) and 173 are sub-grants (60%), with combined reported potential value of $84.4 million but combined obligated dollars of $1.04 billion, reflecting heavy utilization of continuation and modification funding. The organization holds two federal prime contracts, both small: a $142,922.72 firm fixed-price purchase order awarded by the FBI's Critical Incident Response Group on June 11, 2026, for behavioral analysis support in child victimization investigation matters, and a $7,451.62 FY 2022 stormwater fee purchase order from the Federal Detention Center SeaTac.

Customer concentration is led by the Department of Health and Human Services Centers for Disease Control and Prevention (CDC), which accounts for 39 awards across multiple CDC divisions, particularly the National Center for Injury Prevention and Control. The CDC Pittsburgh regional office alone anchors $83.3 million in combined potential value across 16 awards. The Department of Agriculture Food and Nutrition Service places 20 awards; the Health Resources and Services Administration places 16; and the Department of Veterans Affairs Veterans Health Administration places 7 awards. The top five customer agencies by award count represent 38% of all awards.

Public Health-Seattle & King County's capability footprint, as evidenced by named grants, centers on behavioral health and substance-use disorder prevention and treatment, particularly medication for opioid use disorder (MOUD) delivery to people experiencing homelessness; infectious disease surveillance and prevention including HIV/STI services and antimicrobial resistance monitoring; forensic pathology fellowship training (through the King County Medical Examiner's Office); overdose fatality review and prevention; climate resilience and healthy homes; vaccination and immunization coverage improvement; and public health workforce development and infrastructure strengthening. Representative prime grant work includes a $700,000 CDC cooperative agreement (CFDA 93.136, Injury Prevention and Control Research and State and Community Based Programs) awarded September 30, 2025, to conduct rigorous evaluation of community-delivered buprenorphine for people experiencing homelessness; a $145,054 Bureau of Justice Assistance project grant (CFDA 16.037, Strengthening the Medical Examiner-Coroner System Program) awarded October 1, 2024, to fund a second forensic pathology fellowship position; and multiple CDC cooperative agreements addressing overdose prevention, HIV prevention service scale-up, and polydrug use risk factors.

Subgrant work is distributed across state intermediaries, principally the Washington State Department of Health (the most frequent prime grantee), the Department of Children, Youth, and Families, the University of Washington, and the Department of Social & Health Services. Public Health-Seattle & King County receives pass-through funding for WIC Nutrition Program services, women's health and reproductive health services, tuberculosis and sexually transmitted infection prevention, COVID-19 response and workforce development, vaccine program delivery, maternal and child health, and surveillance activities including emerging infections and respiratory virus hospitalization tracking.

Activity has accelerated sharply — 10 awards in 2022 to 72 in 2025, with 35 awards year-to-date in 2026 — reflecting expansion across CDC and USDA nutrition programs. Nine awards totaling an unspecified combined potential value face ultimate completion within the next twenty-four months and present recompete exposure. The organization operates under parent entity King County (also UEI QUQ9UCCMQ4A1), which is structured as a U.S. local government county with no separate federal contract or grant vehicles held at the parent level.