Crestwood Behavioral Health, Inc.

Crestwood Behavioral Health, Inc., doing business as Crestwood Behavioral Health Center, is a Department of Transportation-certified Disadvantaged Business Enterprise (DBE) headquartered in Sacramento, California, that provides community nursing home services, mental health rehabilitation programs, skilled nursing facility care, and quarterly healthcare expenditure reporting exclusively to the Veterans Health Administration as a prime contractor on full-and-open federal contracts. The company operates 100% of its recent federal award portfolio as prime contractor to a single customer agency — the Department of Veterans Affairs Veterans Integrated Service Network 21 (VISN 21) — with zero subcontractor engagement and no set-aside competition in any delivery order.

Crestwood's service delivery centers on Northern California veteran healthcare, with operational facilities in Sacramento, Fremont, Redding, Vallejo, and San Jose. The company holds five primary indefinite-delivery contracts (IDCs) with VA-VHA VISN 21, collectively valued at approximately $42.89 million through September 2028: a $20 million single-award IDIQ for the Fremont VA Medical Center behavioral health services (awarded January 1, 2024, ultimate completion December 31, 2026); a $6.99 million single-award IDIQ for community nursing home services across the region (awarded October 1, 2023, through September 30, 2028); a $6 million IDIQ for nursing home services in Sacramento (awarded October 1, 2023, through September 30, 2028); a $6.9 million IDIQ for community nursing home care at multiple Northern California locations (awarded January 1, 2024, through December 31, 2026); and a $3 million IDIQ specifically for community nursing home services for Institutions for Mental Diseases (IMD) patients in Sacramento (awarded October 1, 2023, through September 30, 2028). Representative recent delivery orders include a $1.919 million firm-fixed-price order for community nursing home services at Sacramento (awarded October 1, 2025, completion September 30, 2026), a $1.919 million order for CNH Fremont services (awarded October 1, 2025, completion December 31, 2025), a $1.439 million order for nursing home services in Sacramento (awarded November 15, 2024, completion September 30, 2025), and a $1.383 million delivery order for community nursing home services (awarded October 1, 2025, completion September 30, 2026). The company also executes quarterly express reporting delivery orders on community nursing home expenditures, with individual order values ranging from approximately $14,000 to $514,000, demonstrating consistent task-order activity across the VISN 21 portfolio.

Crestwood's award portfolio comprises 201 total federal contract actions concentrated entirely within VA-VHA VISN 21, with a combined potential value of $156.8 million and combined obligations of $30.9 million (20% of potential value). Activity remained relatively stable over the past five years — 24 awards in 2022, 25 in 2023, 27 in 2024, and 22 in 2025, with 2 awards through early 2026 — with only three awards carrying ultimate completion dates within the next twenty-four months and combined potential recompete value of $3.5 million. The vendor's primary NAICS classification is Nursing Care Facilities (Skilled Nursing Facilities), accounting for 200 of 201 awards; one award falls under Offices of Physicians. Correspondingly, the top PSC is Nursing Home, Long-Term & Adult Day Care Services (189 awards), with Medical-Nursing services representing 12 awards.

Service Contract Inventory data indicates minimal SCI-reportable federal services contracting above the $150,000 threshold: the dataset covers only 10 records across fiscal years 2022 through 2024, with zero invoiced dollars reported in FY2022 and FY2023 and zero invoiced amount reported in FY2024 despite 31.3 reported FTEs. The SCI dataset does not capture the company's actual operational scale — the 31.3 FTEs reported in FY2024 are a partial subset of the workforce performing nursing home operations under VA delivery orders, and SCI's absence of invoiced revenue reflects the nature of facility-based long-term care contracts, where billing structures often fall outside standard SCI reporting conventions. The company operates primarily with its own clinical and support staff; across SCI-reportable prime contracts, the average subcontractor-hours share stands at 0%, indicating no significant subcontracting footprint on federal work.

Crestwood competes on merit in a single-customer, full-and-open procurement environment with no reliance on small-business set-asides. The company's federal footprint is functionally and geographically concentrated: all work supports VA veteran healthcare in Northern California, all contracting is through VISN 21, and all task orders flow from five parent IDIQs awarded under Executive Order 14398. This concentration reflects operational specialization rather than portfolio breadth.