Flexion Inc.

Flexion Inc., a Madison, Wisconsin-based for-profit Subchapter S corporation, delivers agile software development, systems integration, data management, and user experience design services to federal civilian agencies exclusively as a prime contractor (100% of recent awards) under the GSA Multiple Award Schedule, with a customer base concentrated almost entirely in healthcare and civilian IT modernization. The vendor is a small business competing full-and-open across GSA Schedule and agency-specific BPAs; it does not hold SBA certifications and does not compete under set-asides.

Flexion's footprint is dominated by the Centers for Medicare and Medicaid Services, which accounts for 14 awards and $1.77 billion in combined potential value—77 percent of the vendor's entire $2.31 billion award portfolio. That concentration reflects a single-award $1 billion Blanket Purchase Agreement established March 16, 2023, under the Agile Collaboration and Modernization Endeavors (ACME) program, which runs through April 11, 2029, and has spawned multiple large delivery orders: a $51.2 million Modern Claim Adjudication Development Services contract (May 1, 2023, Total Small Business set-aside), a $42.77 million End Stage Renal Disease Quality Reporting System contract (July 8, 2024, Total Small Business set-aside), and an $11.1 million Information Systems Group order (March 20, 2025). Outside CMS, the next-largest customers by dollar value are the Consumer Financial Protection Bureau ($100.6 million across 2 awards on a $100 million DDCM BPA), the GSA Technology Transformation Service ($105.3 million across 2 awards), and the GSA Federal Acquisition Service ($71.5 million across 13 awards). The US Geological Survey accounts for 87 awards by count but only $38.4 million in combined potential value, indicating a high-volume, low-value order pattern. Together, the top five customers represent 93 percent of combined potential value.

Flexion's vehicle position centers on the GSA Multiple Award Schedule, which carries 138 task orders totaling $2.38 billion in combined potential value across all customers. Within MAS, the vendor holds 62 active labor categories spanning IT analysts, cloud engineers, database specialists, UX researchers and designers, agile coaches, and technical subject matter experts, priced from $73.48 per hour (IT Analyst I) to $251.67 per hour (IT Technical Subject Matter Expert). Representative median government-paid hourly rates on prime contracts are $154.56 per hour, with rates ranging from $133.85 (10th percentile) to $187.52 (90th percentile). The vendor also sits on agency-specific BPAs with CMS (ACME), CFPB (Design, Development, Content, and Marketing), CDC (Pandemic Ready Interoperability Modernization Effort and Data Modernization Initiative), and a GSA TTS vehicle established January 12, 2022, which itself has generated at least 10 labor-hour calls totaling $37.6 million, including a $37.6 million DevSecOps Support for AROS call (March 11, 2026, through March 10, 2029) and a $16 million Solutions Development Support call (September 1, 2025, through August 31, 2028).

SCI-reported invoiced revenue on federal service contracts grew from $25.9 million in FY2022 to $49.8 million in FY2025, with the vendor's federal FTE workforce scaling from 80.5 to 134 over the same period, reflecting strong utilization growth particularly in FY2024 and FY2025. On prime contracts captured in SCI, the vendor subcontracts an average of 11 percent of total contractor hours across 50 named subcontractors, indicating a predominantly self-performed delivery model. Named subs include Systone Iterations, LLC (SBA 8(a) Program Participant), which has provided 30 percent of contractor hours on the $42.77 million EQRS order and 19 percent on the $51.2 million MCADS order. Recent activity is modest by historical standards: four to five awards per year in 2025 and 2026 compared to 10 in 2022, though the recompete cliff shows seven awards totaling $102.4 million in combined potential value approaching ultimate completion in the next twenty-four months. Flexion's recent prime awards include a $5.74 million GSA MAS BPA call for PIC Development Support (September 30, 2026, through September 29, 2029), a $10.47 million delivery order for USAI Support Services under MAS (September 25, 2026, completion September 30, 2027), and a $2.15 million HHS Office of Planning, Research, and Evaluation Portfolio Management System delivery order (June 15, 2026, through June 14, 2027). The vendor has not subcontracted work; all federal awards in the source are prime, reflecting a posture aligned with direct agency delivery rather than team-based procurement or feeder-vendor relationships.