Family Health International

Family Health International, doing business as FHI 360, is a Durham, North Carolina-based nonprofit organization that delivers global health, education, international development, and technical assistance services to federal agencies as a prime contractor on full-and-open contracts and grants without set-asides, complemented by a smaller subcontractor footprint representing about 12% of its recent award volume.

FHI 360 operates across a broad federal customer base spanning 131 agencies, but customer concentration is acute within USAID. The top five funding sources by award count account for 40% of recent awards: the U.S. Agency for International Development places 128 awards worth $2.57 billion combined potential value; USAID's Bureau for Management Office of the Assistant Administrator accounts for 40 awards worth $3.85 billion; the Department of State Bureau of Educational and Cultural Affairs holds 53 awards; the Centers for Disease Control and Prevention (CDC) Pittsburgh office manages 53 awards worth $285.2 million; and USAID's Bureau for Global Health contributes 33 awards worth $474.3 million. The dollar ranking shifts the composition: USAID Bureau for Management anchors 60% of combined potential value when combined with other USAID sub-components, signaling that FHI 360's largest engagement lies in USAID's infectious disease detection, health system strengthening, and global health programs rather than domestic health or education activities.

Capability framing centers on applied research, technical assistance, program implementation, and capacity building in global health, infectious disease response, education reform, social and behavioral change, and international development. Recent large prime contracts exemplify the scope: a $250 million cost-plus-fixed-fee definitive contract awarded October 28, 2024, by the Bureau for Global Health for the Qualifying, Testing, Issuing Project (QTI) to execute quality assurance and medicines quality work globally through October 2034, with subcontractors PATH (quality assurance and testing for rapid diagnostics), E-Quality Partners LLC (a woman-owned small business providing technical consulting), and Quamed (audit and vendor assurance); a $244.967 million cooperative agreement from USAID awarded October 1, 2024, for the Strengthening Infectious Disease Detection System (STRIDES) activity, deploying surveillance systems, biosafety support, and data management infrastructure across multiple countries through September 2029, with subcontractors Culmen International, PATH, Black & Veatch Special Projects Corp., and Panagora Group Inc. (a women-owned small business); a $142.824 million time-and-materials delivery order from CDC Pittsburgh for an HIV Communications Program under the Multiple Award Schedule (awarded September 30, 2024, through May 2025), with True North Communications Inc. and Research Triangle Institute as key subcontractors for media buying and clinical provider content; a $14.246 million definitive contract from the Administration for Children and Families (awarded September 1, 2025, through June 2028) for Office of Head Start Region 12 training and technical assistance to approximately 1,700 Head Start grantees; and a $10.024 million contract from the Assistant Secretary for Financial Resources (awarded July 1, 2026, through June 2028) for OHS Service Area 12 training and technical assistance on occupational health and safety initiatives. The contract portfolio spans NAICS 541611 (Administrative Management and General Management Consulting Services) and closely related codes, reflecting the organization's strategic advisory and program delivery profile rather than manufacturing or direct service delivery.

FHI 360 holds three major vehicle positions. The General Services Administration's Federal Acquisition Service awarded a Federal Supply Schedule contract (October 27, 2021, through October 26, 2026) with a ceiling of $248.7 million; the labor portfolio spans 49 categories from research associates at $54.14 per hour (bachelor's, two years experience) through executive consultants at $336.53 per hour (master's, fifteen years experience), with no security-cleared roles. The GSA multiple-award schedule is heavily used, anchoring 69 task orders worth $857 million combined potential value. FHI 360 also holds a seat on the OASIS+ Unrestricted Multiple Agency Contract awarded by GSA's Federal Acquisition Service on December 17, 2024, through December 16, 2029, enabling delivery of technical assistance, program implementation, research, and capacity-building services across multiple federal agencies. Additionally, FHI 360 was awarded a position on the USAID Programming for Prevention and Peacebuilding (P4P2) indefinite delivery contract (ceiling $800 million, awarded May 15, 2023), under which it has executed at least one delivery order: a $7.498 million task order for Countering Ethno-Nationalism Activity in Bosnia-Herzegovina (October 1, 2024, through September 30, 2025).

Recent grant work demonstrates deep engagement with USAID's global health and education portfolio. FHI 360 received a $6.545 million cooperative agreement from USAID's Bureau for Global Health (December 19, 2024, through December 18, 2029) to strengthen health systems through locally led, evidence-driven approaches to primary health care and universal health coverage, with Results for Development Institute as a key technical partner. The organization holds multiple USAID cooperative agreements for infectious disease control: a $2.777 million cooperative agreement (October 1, 2024, through September 30, 2027) to improve HIV response and epidemic control in the Democratic Republic of Congo's Haut-Katanga province; and a cooperative agreement (October 1, 2024, through September 30, 2026) supporting HIV epidemic control in South Africa. FHI 360 also received a $1.784 million cooperative agreement from USAID (October 1, 2024, through September 30, 2029) to implement a Community Health Worker-Led Participatory Learning and Action initiative in Nigeria. The Department of State Bureau of Educational and Cultural Affairs has awarded multiple cooperative agreements supporting English language professional development and international exchange: a $4.1 million cooperative agreement for the Online Professional English Network (OPEN) Program (September 30, 2025, through September 30, 2028) reaching over 2,000 participants globally; a $2.51 million cooperative agreement for the International Visitor Leadership Program support (March 28, 2026, through January 1, 2029); and a $2.06 million cooperative agreement for sports diplomacy and exchange programming (September 26, 2025, through December 31, 2026). The Department of Labor's Employment and Training Administration awarded a $10.5 million project grant for the Registered Apprenticeship program (July 1, 2024, through June 30, 2028), expanding apprenticeship opportunities and workforce development through partnerships with the National Youth Employment Coalition, Public Works Alliance, and other workforce organizations. The National Science Foundation awarded a $400,000 project grant (October 1, 2025, through September 30, 2027) for a metasynthesis of active learning strategies in undergraduate STEM education, with North Carolina State University as a sub-recipient. The Office of Head Start awarded two recent awards: a $262,500 cooperative agreement for the Region XII Migrant and Seasonal Worker Collaboration Office (September 30, 2025, through September 29, 2030), and a $291,667 project grant for the National American Indian/Alaskan Native Head Start Collaboration Office (September 1, 2025, through August 31, 2030).

Activity has remained relatively stable in recent years, with 31 awards in FY2022, 49 in FY2023, 52 in FY2024, 18 in FY2025, and 4 recorded in the first week of FY2026. The combined potential value across all 775 prime and sub awards in the source is $14.42 billion; combined obligated dollars are $15.39 billion, indicating full-year funding cycles or supplemental obligations. Recompete exposure over the next twenty-four months stands at 41 awards worth $29.2 million combined potential value, a modest cliff relative to the overall portfolio and consistent with the organization's mature customer relationships and vehicle positions.

On federal service contracts captured in the Service Contract Inventory dataset (FY2022–FY2024), FHI 360 reported $107.9 million in invoiced revenue as a prime contractor across 62 records. The workforce trajectory shows 242 FTEs in FY2022, declining to 162 in FY2023, and recovering to 211 in FY2024, reflecting the churn of project completion and award transitions. Government-paid median hourly rates on SCI-reportable work run $110.76 per hour, with the 90th percentile at $291.19 per hour, consistent with the GSA schedule pricing for program management, evaluation, and technical assistance roles. Across its prime service contracts in SCI, FHI 360 uses subcontractors for approximately 10% of total contractor hours and engages an average of 65 named subcontractors, signaling a selective subcontracting posture concentrated on specialized technical and geographic partners rather than broad teaming networks. FHI 360 also appears as a subcontractor to larger primes on clinical research and supply chain programs: it subcontracts to Bioqual, Inc. on Phase 2 clinical trial protocols and regulatory tracking for sexually transmitted infection prevention (multiple awards in 2023–2025); to Chemonics International on supply chain and health commodity forecasting tool maintenance; and to Management Sciences for Health on USAID pharmaceutical systems strengthening.

The nonprofit structure, full-and-open posture across prime work, and absence of set-aside designations position FHI 360 as an unrestricted competitor in civilian federal health, education, and development program markets. Its customer concentration in USAID and the Department of State reflects a strategic focus on international development and global health rather than domestic federal programs, differentiating it from competitors anchored to DoD or domestic civilian agencies.